Abstract: Systems, methods and apparatus for performing selective ablation of a corneal surface of an eye to effect a desired corneal shape, particularly for correcting a hyperopic/astigmatic condition by laser sculpting the corneal surface to increase its curvature. In one aspect of the invention, a method includes the steps of directing a laser beam onto a corneal surface of an eye, and changing the corneal surface from an initial curvature having hyperopic and astigmatic optical properties to a subsequent curvature having correctively improved optical properties. Thus, the curvature of the anterior corneal surface is increased to correct hyperopia, while cylindrical volumetric sculpting of the corneal tissue is performed to correct the astigmatism. The hyperopic and astigmatic corrections are preferably performed by establishing an optical correction zone on the anterior corneal surface of the eye, and directing a laser beam through a variable aperture element designed to produce a rectangular ablation (i.e.

Abstract: Improved systems, devices, and methods measure and/or change the shape of a tissue surface, particularly for use in laser eye surgery. Fluorescence of the tissue may occur at and immediately underlying the tissue surface. The excitation energy can be readily absorbed by the tissue within a small tissue depth, and may be provided from the same source used for photodecomposition of the tissue. Changes in the fluorescence spectrum of a tissue correlate with changes in the tissue's hydration.

Abstract: A technique for laser sculpting a predetermined shape on an exposed corneal surface by ablating a sequence of consistently curved craters with individual pulses of a laser beam. An initial laser beam energy pattern is shaped by a laser beam shaping element to make a consistently curved laser beam energy pattern. The consistently curved laser beam ablates a consistently curved crater in the surface with a single pulse of the laser beam. A computer controls the position of the laser beam and scans the laser beam over the surface to sculpt the predetermined shape in an ablation zone on the exposed surface. A sequence of partially overlapping craters is distributed over the ablation zone. In some embodiments diffractive optics are used as a beam shaping element. In additional embodiments, the consistently curved crater is a uniformly curved spherical crater.

Abstract: A technique for laser sculpting a predetermined shape on an exposed corneal surface by ablating a sequence of consistently curved craters with individual pulses of a laser beam. An initial laser beam energy pattern is shaped by a laser beam shaping element to make a consistently curved laser beam energy pattern. The consistently curved laser beam ablates a consistently curved crater in the surface with a single pulse of the laser beam. A computer controls the position of the laser beam and scans the laser beam over the surface to sculpt the predetermined shape in an ablation zone on the exposed surface. A sequence of partially overlapping craters is distributed over the ablation zone. In some embodiments diffractive optics are used as a beam shaping element. In additional embodiments, the consistently curved crater is a uniformly curved spherical crater.

Abstract: Systems, methods and apparatus for performing selective ablation of a corneal surface of an eye to effect a desired corneal shape, particularly for correcting a hyperopic/astigmatic condition by laser sculpting the corneal surface to increase its curvature. In one aspect of the invention, a method includes the steps of directing a laser beam onto a corneal surface of an eye, and changing the corneal surface from an initial curvature having hyperopic and astigmatic optical properties to a subsequent curvature having correctively improved optical properties. Thus, the curvature of the anterior corneal surface is increased to correct hyperopia, while cylindrical volumetric sculpting of the corneal tissue is performed to correct the astigmatism. The hyperopic and astigmatic corrections are preferably performed by establishing an optical correction zone on the anterior corneal surface of the eye, and directing a laser beam through a variable aperture element designed to produce a rectangular ablation (i.e.

Abstract: Systems, methods and apparatus for performing selective ablation of a corneal surface of an eye to effect a desired corneal shape, particularly for correcting a hyperopic/astigmatic condition by laser sculpting the corneal surface to increase its curvature. In one aspect of the invention, a method includes the steps of directing a laser beam onto a corneal surface of an eye, and changing the corneal surface from an initial curvature having hyperopic and astigmatic optical properties to a subsequent curvature having correctively improved optical properties. Thus, the curvature of the anterior corneal surface is increased to correct hyperopia, while cylindrical volumetric sculpting of the corneal tissue is performed to correct the astigmatism. The hyperopic and astigmatic corrections are preferably performed by establishing an optical correction zone on the anterior corneal surface of the eye, and directing a laser beam through a variable aperture element designed to produce a rectangular ablation (i.e.