Electronic ophthalmoscope for selective retinal photodisruption of the photoreceptor mosaic

摘要

An electronic ophthalmoscope combining scanning laser (SLO) and optical coherence (OCT) technologies is further equipped with a pulsed laser source in the femtosecond (fs) range. The goal is primarily to selectively disrupt the photoreceptor mosaic of the retina or Bruch's membrane in a pattern that minimizes loss of visual functioning, and to reduce thereby the metabolic load of the outer retina. Using a beam splitter, one embodiment combines the SLO scanning beams with the therapeutic laser beam and aiming beam. The therapeutic channel uses an independent x/y positioner and micro-deflector. Because the duty cycle is appropriate, a second embodiment can use the SLO scanners to also scan a modulated therapeutic laser beam. A biometric OCT probe, helpful in focusing, can be integrated in both configurations. A method is also disclosed to represent the tilting of the retina at a specified location.