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다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
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Kafe 바로가기국가/구분 | United States(US) Patent 등록 |
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국제특허분류(IPC7판) |
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출원번호 | US-0414819 (2006-05-01) |
등록번호 | US-9180051 (2015-11-10) |
발명자 / 주소 |
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출원인 / 주소 |
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대리인 / 주소 |
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인용정보 | 피인용 횟수 : 1 인용 특허 : 406 |
A system and apparatus for increasing the amplitude of accommodation and/or changing the refractive power and/or enabling the removal of the clear or cataractous lens material of a natural crystalline lens is provided. Generally, the system comprises a laser, optics for delivering the laser beam and
A system and apparatus for increasing the amplitude of accommodation and/or changing the refractive power and/or enabling the removal of the clear or cataractous lens material of a natural crystalline lens is provided. Generally, the system comprises a laser, optics for delivering the laser beam and a control system for delivering the laser beam to the lens in a particular pattern. There is further provided apparatus for determining the shape and position of the lens with respect to the laser. There is yet further provided a method and system for delivering a laser beam in the lens of the eye in a predetermined shot pattern.
1. A system for treating conditions of a natural crystalline lens comprising: a laser that generates a laser beam of a predetermined wavelength;optics that receives the laser beam and alters the laser beam so that the altered laser beam is delivered to a predetermined volume of a portion of a natura
1. A system for treating conditions of a natural crystalline lens comprising: a laser that generates a laser beam of a predetermined wavelength;optics that receives the laser beam and alters the laser beam so that the altered laser beam is delivered to a predetermined volume of a portion of a natural crystalline lens of the eye that is separate from a cornea of the eye, the optics comprising: laser focusing optics that alters the laser beam so as to have a predetermined spot size at the predetermined volume;a scanner that receives the altered laser beam and directs the altered laser beam to the predetermined volume;a means for determining a position of the natural crystalline lens, wherein the means for determining is in optical communication with the scanner; anda control system that is in electrical communication with the laser and the scanner, wherein the control system controls operation of the laser and the scanner so that the altered laser beam with the predetermined spot size is delivered to the predetermined volume based on the determined position and a predetermined natural crystalline lens shot pattern, wherein the predetermined wavelength and predetermined spot size are such that the altered laser beam travels entirely through a cornea of the eye without significantly affecting the cornea prior to being delivered to the predetermined volume. 2. The system of claim 1, wherein the means for determining the position of the natural crystalline lens comprises a scanned laser illumination source. 3. The system of claim 1, wherein the means for determining the position of the natural crystalline lens comprises dual cameras. 4. The system of claim 1, wherein the means for determining the position of the natural crystalline lens comprises a structured light source and a camera. 5. The system of claim 1, wherein the means for determining the position of the natural crystalline lens comprises a structured light source, a structured light source camera, and dual cameras. 6. The system of claim 1, wherein having the laser beam directed to all portions of the predetermined natural crystalline lens shot pattern will result in the formation of cut that generally follows a shape of a suture layer of the natural crystalline lens, wherein the cut is selected from the group consisting of a shell cut, a partial shell cut and a laser suture cut. 7. The system of claim 1, wherein having the laser beam directed to all portions of the predetermined natural crystalline lens shot pattern will result in the formation of a star pattern on the lens. 8. The system of claim 7, wherein the star pattern, wherein a number of legs in the star pattern increases as their placement moves away from a center of the lens. 9. The system of claim 1, wherein the altered laser beam at the predetermined volume produces photodisruption. 10. The system of claim 1, wherein the means for determining a position comprises determining a relative distance between the laser and portions of the lens. 11. A system for treating conditions of a natural crystalline lens comprising: a laser that generates a laser beam of a predetermined wavelength;optics that receives the laser beam and alters the laser beam so that the altered laser beam is delivered to a predetermined volume of a portion of a natural crystalline lens of the eye that is separate from a cornea of the eye, the optics comprising: laser focusing optics that alters the laser beam so as to have a predetermined spot size at the predetermined volume;a scanner that receives the altered laser beam and directs the altered laser beam to the predetermined volume;a scanned laser illumination source that is in optical communication with the scanner and determines a position of the natural crystalline lens;a control system that is in electrical communication with the laser and the scanner, wherein the control system controls operation of the laser and the scanner so that the altered laser beam with a predetermined spot size is delivered to the predetermined volume based on the determined position and a predetermined partial shell cut pattern, which follows a shape of a layer of the natural crystalline lens, wherein the predetermined wavelength is such that the altered laser beam travels entirely through a cornea of the eye without significantly affecting the cornea prior to being delivered to the predetermined volume. 12. The system of claim 11, wherein having the laser beam directed to all portions of the predetermined partial shell cut pattern will result in the formation of partial shell cut that generally follows a shape of a suture layer of the natural crystalline lens. 13. The system of claim 11, wherein the altered laser beam at the predetermined volume produces photodisruption. 14. The system of claim 11, wherein the means for determining a position comprises determining a relative distance between the laser and portions of the lens. 15. A system for delivering a laser beam to a natural, crystalline lens of an eye comprising: a laser for producing a laser beam of a predetermined wavelength;an optical path for directing the laser beam from the laser so that the laser beam is delivered with a predetermined spot size to a predetermined volume of a portion of a natural crystalline lens of the eye that is separate from a cornea of the eye;a scanner that receives the laser beam from the optical path and directs the laser beam to the predetermined volume;a means for determining a position of the natural crystalline lens, the means for determining comprising a scanned laser illumination source and a camera that are in optical communication with the scanner;a control system that is in electrical communication with the laser and the scanner, wherein the control system controls operation of the laser and the scanner so that the laser beam with a predetermined spot size is focused at the predetermined volume based on the determined position, wherein the predetermined wavelength and predetermined spot size are such that the laser beam travels entirely through a cornea of the eye without significantly affecting the cornea prior to being focused at the predetermined volume of the portion of the natural crystalline lens. 16. The system of claim 15, wherein the laser beam at the predetermined volume produces photodisruption. 17. The system of claim 15, wherein the means for determining a position comprises determining a relative distance between the laser and portions of the lens. 18. A system for delivering a laser beam to a natural crystalline lens of an eye comprising: a laser for producing a laser beam of a predetermined wavelength;focusing optics for directing the laser beam from the laser so that the laser beam is delivered with a predetermined spot size and to a predetermined volume of a portion of a natural crystalline lens of the eye that is separate from a cornea of the eye;a scanner that receives the laser beam from the focusing optics and directs the laser beam to the predetermined volume;a means for determining a shape of the natural crystalline lens, wherein the means for determining is in optical communication with the scanner; anda control system that is in electrical communication with the laser and the scanner, wherein the control system controls operation of the laser and the scanner so that the laser beam is delivered and focused at the predetermined volume based on the determined shape and a pattern of shots, the shot pattern based in part upon a geometry of a natural human lens, wherein the predetermined wavelength is such that the laser beam travels entirely through a cornea of the eye without significantly affecting the cornea prior to being delivered to the natural crystalline lens. 19. The system of claim 18, wherein the means for determining the shape of the natural crystalline lens comprises a scanned laser illumination source. 20. The system of claim 18, wherein the means for determining the shape of the natural crystalline lens comprises dual cameras. 21. The system of claim 18, wherein the means for determining the shape of the natural crystalline lens comprises a structured light source and a camera. 22. The system of claim 18, wherein the means for determining the shape of the natural crystalline lens comprises a structured light source, a structured light source camera, and dual cameras. 23. The system of claim 18, wherein having the laser beam directed to all portions of the pattern of shots will result in the formation of cut that generally follows a shape of a suture layer of the natural crystalline lens, wherein the cut is selected from the group consisting of a shell cut, a partial shell cut and a laser suture cut. 24. The system of claim 18, wherein having the laser beam directed to all portions of the pattern of shots will result in the formation of a star pattern on the lens. 25. The system of claim 24, wherein the star pattern, wherein a number of legs in the star pattern increases as their placement moves away from a center of the lens. 26. The system of claim 18, wherein the laser beam at the predetermined volume produces photodisruption. 27. A system for delivering laser beams to a natural crystalline lens of an eye comprising: a laser for producing a therapeutic laser beam of a predetermined wavelength; focusing optics for altering the therapeutic laser beam so that the therapeutic laser beam is delivered with a predetermined spot size to a predetermined volume of a portion of anatural crystalline lens of the eye that is separate from a cornea of the eye; and a scanner that scans the altered therapeutic laser beam;a laser illumination source for producing an illumination laser beam, wherein the illumination laser beam is scanned by the scanner;a means for determining a position of the natural crystalline lens, wherein the means for determining is in optical communication with the scanner; anda control system for directing the therapeutic laser beam to the natural crystalline lens of the eye based on a predetermined shot pattern and the determined position, wherein the predetermined wavelength and spot size of the therapeutic laser beam are such that the therapeutic laser beam travels entirely through a cornea of the eye without significantly affecting the cornea prior to being delivered to the predetermined volume of the portion of the natural crystalline lens. 28. The system of claim 27, wherein having the laser beam directed to all portions of the predetermined shot pattern will result in the formation of cut that generally follows a shape of a suture layer of the natural crystalline lens, wherein the cut is selected from the group consisting of a shell cut, a partial shell cut and a laser suture cut. 29. The system of claim 27, wherein having the laser beam directed to all portions of the predetermined shot pattern will result in the formation of a star pattern on the lens. 30. The system of claim 29, wherein the star pattern, wherein a number of legs in the star pattern increases as their placement moves away from a center of the lens. 31. The system of claim 27, wherein the laser beam at the predetermined volume produces photodisruption. 32. A system for treating conditions of a natural crystalline lens comprising: a laser that generates a laser beam of a predetermined wavelength;laser focusing optics that receives the laser beam and alters the laser beam so that the altered laser beam is delivered with a predetermined spot size to a predetermined volume of a portion of a natural crystalline lens of the eye that is separate from a cornea of the eye, the optics comprising;a means for determining the position of the natural crystalline lens;a means for determining the shape of the natural crystalline lens;a control system that is in electrical communication with the laser and the scanner, wherein the control system controls operation of the laser and the laser focusing optics so that the altered laser beam with the predetermined spot size is delivered to the predetermined volume based on the determined position and shape of the lens and a predetermined natural crystalline lens shot pattern, wherein the predetermined wavelength and predetermined spot size are such that the altered laser beam travels entirely through a cornea of the eye without significantly affecting the cornea prior to being delivered to the predetermined volume. 33. The system of claim 32, wherein having the laser beam directed to all portions of the predetermined natural crystalline lens shot pattern will result in the formation of cut that generally follows a shape of a suture layer of the natural crystalline lens, wherein the cut is selected from the group consisting of a shell cut, a partial shell cut and a laser suture cut. 34. The system of claim 32, wherein having the laser beam directed to all portions of the predetermined natural crystalline lens shot pattern will result in the formation of a star pattern on the lens. 35. The system of claim 34, wherein the star pattern, wherein a number of legs in the star pattern increases as their placement moves away from a center of the lens. 36. The system of claim 32, wherein the altered laser beam at the predetermined volume produces photodisruption. 37. The system of claim 32, wherein the means for determining a position comprises determining a relative distance between the laser and portions of the lens. 38. A system for delivering a laser beam to a natural crystalline lens of an eye comprising: a laser for producing a laser beam of a predetermined wavelength;an optical path for directing the laser beam from the laser so that the laser beam is delivered with a predetermined spot size to a predetermined volume of a portion of a natural crystalline lens of the eye that is separate from a cornea of the eye;a scanner that receives the laser beam from the optical path and directs the laser beam to the predetermined volume;a means for determining a position of the natural crystalline lens, the means for determining comprising a structured light source, a structured light source camera, and dual cameras that are in optical communication with the scanner; anda control system that is in electrical communication with the laser and the scanner, wherein the control system controls operation of the laser and the scanner so that the laser beam with a predetermined spot size is focused at the predetermined volume based on the determined position, wherein the predetermined wavelength and predetermined spot size are such that the laser beam travels entirely through a cornea of the eye without significantly affecting the cornea prior to being focused at the predetermined volume of the portion of the natural crystalline lens. 39. The system of claim 38, wherein the altered laser beam at the predetermined volume produces photodisruption. 40. The system of claim 38, wherein the means for determining a position comprises determining a relative distance between the laser and portions of the lens. 41. A system for delivering a laser to a natural crystalline lens of an eye and for determining a position of the natural crystalline lens of the eye comprising: a patient support that ensures an eye of a patient is held in a substantially constant location;a laser that generates a laser beam of a predetermined wavelength;optics that receives the laser beam and alters the laser beam so that the altered laser beam is delivered with a predetermined spot size to a predetermined volume of a portion of a natural crystalline lens of the eye that is separate from a cornea of the eye;a simulated structured illumination light source for determining a position and shape of the natural crystalline lens;a control system that is in electrical communication with the laser, wherein the control system controls operation of the laser so that the laser beam with a predetermined spot size is focused at the predetermined volume based on the determined position and shape and a predetermined pattern, wherein the predetermined wavelength and predetermined spot size are such that the laser beam travels entirely through a cornea of the eye without significantly affecting the cornea prior to being focused at the predetermined volume of the portion of the natural crystalline lens. 42. The system of claim 41, wherein having the laser beam directed to all portions of the predetermined pattern will result in the formation of cut that generally follows a shape of a suture layer of the natural crystalline lens, wherein the cut is selected from the group consisting of a shell cut, a partial shell cut and a laser suture cut. 43. The system of claim 41, wherein having the laser beam directed to all portions of the predetermined pattern will result in the formation of a star pattern on the lens. 44. The system of claim 43, wherein the star pattern, wherein a number of legs in the star pattern increases as their placement moves away from a center of the lens. 45. The system of claim 41, wherein the altered laser beam at the predetermined volume produces photodisruption. 46. The system of claim 41, wherein the simulated structure illumination light source determines a relative distance between the laser and portions of the lens. 47. A system for treating conditions of a natural crystalline lens comprising: a laser system that generates a laser beam of a predetermined wavelength and predetermined spot size when delivered to a predetermined volume of a portion of a natural crystalline lens of the eye that is separate from a cornea of the eye;a scanner that receives the laser beam from the laser system and directs the laser beam to the predetermined volume;a measurement device in optical communication with the scanner, wherein the measurement device determines positions for each portion of the lens by determining relative distances for each portion of the lens with respect to the laser;a control system that is in electrical communication with the laser system and the scanner, wherein the control system automatically controls operation of the laser system and scanner so that the laser beam with the predetermined spot size is delivered to the predetermined volume based on the determined position, wherein the predetermined wavelength and predetermined spot size are such that the laser beam travels entirely through a cornea of the eye without significantly affecting the cornea prior to being delivered to the predetermined volume. 48. The system of claim 47, wherein the measurement device comprises a scanned laser illumination source. 49. The system of claim 47, wherein the measurement device comprises dual cameras. 50. The system of claim 47, wherein the measurement device comprises a structured light source and a camera. 51. The system of claim 47, wherein the measurement device comprises a structured light source, a structured light source camera, and dual cameras. 52. The system of claim 47, wherein the control system automatically controls operation of the laser system and scanner so that the laser beam with the predetermined spot size is delivered to the predetermined volume based on a shot pattern of the natural crystalline lens. 53. The system of claim 52, wherein having the laser beam directed to all portions of the shot pattern will result in the formation of cut that generally follows a shape of a suture layer of the natural crystalline lens, wherein the cut is selected from the group consisting of a shell cut, a partial shell cut and a laser suture cut. 54. The system of claim 52, wherein having the laser beam directed to all portions of the shot pattern will result in the formation of star pattern on the lens. 55. The system of claim 54, wherein the star pattern, wherein a number of legs in the star pattern increasing as their placement moves away from a center of the lens. 56. The system of claim 47, wherein the laser beam at the predetermined volume produces photodisruption. 57. A laser system for treating structures of an eye, the laser system comprising: a. a laser that generates a therapeutic laser beam;b. an optical assembly that receives, directs and focuses the therapeutic laser beam to a predetermined location associated with the laser system;c. the optical assembly comprising a z-focus device and an x, y scanner;d. the optical assembly and laser defining a therapeutic laser beam delivery path;e. a position determination assembly comprising: i. a light source to provide an illumination beam;ii. an x, y scanner;iii. focusing optics a;iv. an image capture device for providing observed data;v. the processor associated with the image capture device and capable of performing calculations, whereby the image capture device provides the observed data to the processor; and,vi. wherein the light source, the x, y, scanner of the position determination assembly, the focusing optics of the position determination assembly, and the image capture device define an illumination beam path;f. the processor associated with a numerical model; and,g. the processor capable of determining a position for a structure of the eye based upon the numerical model and the observed data. 58. The laser system of claim 57, wherein the light source is a coherent light source. 59. The laser system of claim 57, wherein the light source is a structured light source. 60. The laser system of claim 57, wherein the light source is a structured coherent light source. 61. The laser system of claim 57, wherein the light source is a coherent light source having a short coherence length. 62. The laser system of claim 57, wherein the light source is a laser diode. 63. The laser system of claim 57, wherein the light source is an infrared laser diode. 64. The laser system of claim 57, wherein the light source is a scanned infrared laser diode, whereby the scanned infrared laser diode defines a structured light source. 65. The laser system of claim 57, wherein at least a portion of the therapeutic laser beam delivery path and a portion of the illumination beam path are coincident. 66. The laser system of claim 57, wherein the numerical model is based upon a Kuszak aged lens model. 67. The laser system of claim 57, wherein the numerical model is a Kuszak aged lens model. 68. The laser system of claim 57, wherein the numerical model is a Burd model. 69. The laser system of claim 57, wherein the numerical model comprises an algorithm having coefficients based upon positions of a structure on the eye. 70. The laser system of claim 57, wherein the image capture device comprises a camera. 71. The laser system of claim 57, wherein the image capture device comprises a Scheimpflug camera. 72. The laser system of claim 57, wherein the predetermined location is coincident with the determined position for a structure of the eye. 73. The laser system of claim 57, wherein the predetermined location is based upon the determined position for a structure of the eye. 74. The laser system of claim 73, wherein the structure of the eye comprises a cornea of the eye. 75. The laser system of claim 73, wherein the structure of the eye comprises a natural crystalline lens of the eye. 76. The laser system of claim 73, wherein the structure of the eye comprises a posterior capsule of a natural crystalline lens of the eye. 77. The laser system of claim 73, wherein the structure of the eye comprises an anterior capsule of a natural crystalline lens of the eye. 78. The laser system of claim 57, wherein the structure of the eye comprises an anterior surface of a natural crystalline lens of the eye. 79. The laser system of claim 57, wherein the structure of the eye comprises a cornea of the eye, wherein the eye has a cataractous lens. 80. The laser system of claim 57, wherein the structure of the eye comprises a cataractous natural crystalline lens of the eye. 81. The laser system of claim 57, wherein the structure of the eye comprises a posterior capsule of a cataractous natural crystalline lens of the eye. 82. The laser system of claim 57, wherein the structure of the eye comprises an anterior capsule of a cataractous natural crystalline lens of the eye. 83. The laser system of claim 57, wherein the structure of the eye comprises an anterior surface of a cataractous natural crystalline lens of the eye. 84. A laser system for treating structures of an eye, the laser system comprising: a. a laser that generates a therapeutic laser beam;b. an optical assembly that receives, directs and focuses the therapeutic laser beam to a predetermined location associated with the laser system;c. the optical assembly comprising a z-focus device and an x, y scanner;d. the optical assembly and laser defining a therapeutic laser beam delivery path;e. a shape determination assembly comprising: i. a light source to provide an illumination beam;ii. an x, y scanner;iii. focusing optics;iv. an image capture device for providing observed data;v. the processor in communication with the image capture device and capable of performing calculations, whereby the image capture device provides the observed data to the processor; and,vi. wherein the light source, the x, y, scanner of the shape determination assembly, the focusing optics of the shape determination assembly, and the image capture device define an illumination beam path;f. the processor associated with a numerical model; and,g. the processor capable of determining a shape for a structure of the eye based upon the numerical model and the observed data. 85. The laser system of claim 84, wherein the light source is a coherent light source. 86. The laser system of claim 84, wherein the light source is a structured light source. 87. The laser system of claim 84, wherein the light source is a structured coherent light source. 88. The laser system of claim 84, wherein the light source is a coherent light source having a short coherence length. 89. The laser system of claim 84, wherein the light source is a laser diode. 90. The laser system of claim 84, wherein the light source is an infrared laser diode. 91. The laser system of claim 84, wherein the light source is a scanned coherent light source. 92. The laser system of claim 84, wherein the light source is a scanned infrared laser diode, whereby the scanned infrared laser diode defines a structured light source. 93. The laser system of claim 84, wherein at least a portion of the therapeutic laser beam delivery path and a portion of the illumination beam path are coincident. 94. The laser system of claim 84, wherein the numerical model is based upon a Kuszak aged lens model. 95. The laser system of claim 84, wherein the numerical model is a Kuszak aged lens model. 96. The laser system of claim 84, wherein the numerical model is based upon a Burd model. 97. The laser system of claim 84, wherein the numerical model is a Burd model. 98. The laser system of claim 84, wherein the numerical model comprises an algorithm having coefficients based upon positions of a structure on the eye. 99. The laser system of claim 84, wherein the image capture device comprises a camera. 100. The laser system of claim 99, wherein the camera is in a Scheimpflug configuration. 101. The laser system of claim 84, wherein the predetermined location is coincident with the determined shape for the structure of the eye. 102. The laser system of claim 84, wherein the predetermined location is based upon the determined shape for the structure of the eye. 103. The laser system of claim 102, wherein the structure of the eye comprises a cornea of the eye. 104. The laser system of claim 102, wherein the structure of the eye comprises a natural crystalline lens of the eye. 105. The laser system of claim 102, wherein the structure of the eye comprises a posterior capsule of a natural crystalline lens of the eye. 106. The laser system of claim 102, wherein the structure of the eye comprises an anterior capsule of a natural crystalline lens of the eye. 107. The laser system of claim 102, wherein the structure of the eye comprises an anterior surface of a natural crystalline lens of the eye. 108. The laser system of claim 102, wherein the structure of the eye comprises a cornea of the eye, wherein the eye has a cataractous lens. 109. The laser system of claim 102, wherein the structure of the eye comprises a cataractous natural crystalline lens of the eye. 110. The laser system of claim 102, wherein the structure of the eye comprises a posterior capsule of a cataractous natural crystalline lens of the eye. 111. The laser system of claim 102, wherein the structure of the eye comprises an anterior capsule of a cataractous natural crystalline lens of the eye. 112. The laser system of claim 102, wherein the structure of the eye comprises an anterior surface of a cataractous natural crystalline lens of the eye. 113. A laser system for treating structures of an eye, the laser system comprising: a. a laser that generates a therapeutic laser beam;b. an optical assembly that receives, directs and focuses the therapeutic laser beam to a predetermined location associated with the laser system;c. the optical assembly comprising a z-focus device and an x, y scanner;d. the optical assembly and laser defining a therapeutic laser beam delivery path;e. a position and shape determination assembly comprising: i. a light source to provide an illumination beam;ii. an x, y scanner;iii. focusing optics;iv. an image capture device for providing observed data;v the processor in communication with the image capture device and capable of performing calculations, whereby the image capture device provides the observed data to the processor; and,vi. wherein the light source, the x, y, scanner of the position and shape determination assembly, the focusing optics of the position and shape determination assembly, and the image capture device define an illumination beam path;f. the processor associated with a numerical model; and,g. the processor capable of determining a shape and a position for a structure of the eye based upon the numerical model and the observed data. 114. The laser system of claim 113, wherein the light source is a coherent light source. 115. The laser system of claim 113, wherein the light source is a structured light source. 116. The laser system of claim 113, wherein the light source is a structured coherent light source. 117. The laser system of claim 113, wherein the light source is a coherent light source having a short coherence length. 118. The laser system of claim 113, wherein the light source is a laser diode. 119. The laser system of claim 113, wherein the light source is an infrared laser diode. 120. The laser system of claim 113, wherein the light source is a scanned coherent light source. 121. The laser system of claim 113, wherein the light source is a scanned infrared laser diode, whereby the scanned infrared laser diode beam defines a structured light source. 122. The laser system of claim 113, wherein at least a portion of the therapeutic beam path and a portion of the illumination beam path are coincident. 123. The laser system of claim 113, wherein the numerical model is based upon a Kuszak aged lens model. 124. The laser system of claim 113, wherein the numerical model is a Kuszak aged lens model. 125. The laser system of claim 113, wherein the numerical model is based upon a Burd model. 126. The laser system of claim 113, wherein the numerical model is a Burd model. 127. The laser system of claim 113, wherein the numerical model comprises an algorithm having coefficients based upon positions of a structure on the eye. 128. The laser system of claim 113, wherein the image capture device comprises a camera. 129. The laser system of claim 113, wherein the image capture device comprises a camera in a Scheimpflug configuration. 130. The laser system of claim 113, wherein the predetermined location is coincident with the determined shape and position for the structure of the eye. 131. The laser system of claim 113, wherein the predetermined location is based upon the determined shape and position for the structure of the eye. 132. The laser system of claim 131, wherein the structure of the eye comprises a cornea of the eye. 133. The laser system of claim 131, wherein the structure of the eye comprises a natural crystalline lens of the eye. 134. The laser system of claim 131, wherein the structure of the eye comprises a posterior capsule of a natural crystalline lens of the eye. 135. The laser system of claim 131, wherein the structure of the eye comprises an anterior capsule of a natural crystalline lens of the eye. 136. The laser system of claim 131, wherein the structure of the eye comprises an anterior surface of a natural crystalline lens of the eye. 137. The laser system of claim 131, wherein the structure of the eye comprises a cornea of the eye, wherein the eye has a cataractous lens. 138. The laser system of claim 131, wherein the structure of the eye comprises a cataractous natural crystalline lens of the eye. 139. The laser system of claim 131, wherein the structure of the eye comprises a posterior capsule of a cataractous natural crystalline lens of the eye. 140. The laser system of claim 131, wherein the structure of the eye comprises an anterior capsule of a cataractous natural crystalline lens of the eye. 141. The laser system of claim 131, wherein the structure of the eye comprises an anterior surface of a cataractous natural crystalline lens of the eye. 142. A laser system for treating structures of an eye, the laser system comprising: a. a laser that generates a therapeutic laser beam;b. an optical assembly that receives, directs and focuses the therapeutic laser beam to a predetermined location associated with the laser system;c. the optical assembly comprising a z-focus device and an x, y scanner;d. the optical assembly and laser defining a therapeutic laser beam delivery path;e. a position determination assembly comprising: i. a light source to provide an illumination beam;ii. an x, y scanner;iii. focusing opticsiv. an image capture device for providing observed data;v. the processor associated with the image capture device and capable of performing calculations, whereby the image capture device provides the observed data to the processor; and,vi. wherein the light source, the x, y, scanner of the position determination assembly, the focusing optics of the position determination assembly, and the image capture device define an illumination beam path;f. the processor associated with a structural model; andg. the processor capable of determining a position for a structure of the eye based upon the structural model and the observed data. 143. The laser system of claim 142, wherein the light source is a coherent light source. 144. The laser system of claim 142, wherein the light source is a structured light source. 145. The laser system of claim 142, wherein the light source is a coherent light source having a short coherence length. 146. The laser system of claim 142, wherein the light source is a laser diode. 147. The laser system of claim 142, wherein the light source is an infrared laser diode. 148. The laser system of claim 142, wherein the light source is a scanned infrared laser diode, whereby the scanned infrared laser diode defines a structured light source. 149. The laser system of claim 142, wherein the numerical model is based upon a Kuszak aged lens model. 150. The laser system of claim 142, wherein the numerical model is a Kuszak aged lens model. 151. The laser system of claim 142, wherein the image capture device comprises a camera. 152. The laser system of claim 142, wherein the image capture device comprises a Scheimpflug camera. 153. The laser system of claim 142, wherein the predetermined location is coincident with the determined position for a structure of the eye. 154. The laser system of claim 142, wherein the predetermined location is based upon the determined position for a structure of the eye. 155. The laser system of claim 142, wherein the structure of the eye comprises a cornea of the eye. 156. The laser system of claim 142, wherein the structure of the eye comprises a natural crystalline lens of the eye. 157. The laser system of claim 142, wherein the structure of the eye comprises a posterior capsule of a natural crystalline lens of the eye. 158. The laser system of claim 142, wherein the structure of the eye comprises an anterior capsule of a natural crystalline lens of the eye. 159. The laser system of claim 142, wherein the structure of the eye comprises an anterior surface of a natural crystalline lens of the eye. 160. The laser system of claim 142, wherein the structure of the eye comprises a cornea of the eye, wherein the eye has a cataractous lens. 161. The laser system of claim 142, wherein the structure of the eye comprises a cataractous natural crystalline lens of the eye. 162. The laser system of claim 142, wherein the structure of the eye comprises a posterior capsule of a cataractous natural crystalline lens of the eye. 163. The laser system of claim 142, wherein the structure of the eye comprises an anterior capsule of a cataractous natural crystalline lens of the eye. 164. The laser system of claim 142, wherein the structure of the eye comprises an anterior surface of a cataractous natural crystalline lens of the eye. 165. A laser system for treating structures of an eye, the laser system comprising: a. a laser that generates a therapeutic laser beam;b. an optical assembly that receives, directs and focuses the therapeutic laser beam to a predetermined location associated with the laser system;c. the optical assembly comprising a z-focus device and an x, y scanner;d. the optical assembly and laser defining a therapeutic laser beam delivery path;e. a shape determination assembly comprising: i. a light source to provide an illumination beam;ii. an x, y scanner;iii. focusing optics;iv. an image capture device for providing observed data;v. the processor associated with the image capture device and capable of performing calculations, whereby the image capture device provides the observed data to the processor; and,vi. wherein the light source, the x, y, scanner of the position determination assembly, the focusing optics of the position determination assembly, and the image capture device define an illumination beam path;f. the processor associated with a structural model; andg. the processor capable of determining a shape for a structure of the eye based upon the structural model and the observed data. 166. The laser system of claim 165, wherein the light source is a coherent light source having a short coherence length. 167. The laser system of claim 165, wherein the light source is a laser diode. 168. The laser system of claim 165, wherein the light source is a scanned infrared laser diode, whereby the scanned infrared laser diode defines a structured light source. 169. The laser system of claim 165, wherein the numerical model is based upon a Kuszak aged lens model. 170. The laser system of claim 165, wherein the numerical model is a Burd model. 171. The laser system of claim 165, wherein the image capture device comprises a camera. 172. The laser system of claim 165, wherein the image capture device comprises a Scheimpflug camera. 173. The laser system of claim 165, wherein the predetermined location is coincident with the determined position for a structure of the eye. 174. The laser system of claim 165, wherein the predetermined location is based upon the determined position for a structure of the eye. 175. The laser system of claim 165, wherein the structure of the eye comprises a cornea of the eye. 176. The laser system of claim 165, wherein the structure of the eye comprises a natural crystalline lens of the eye. 177. The laser system of claim 165, wherein the structure of the eye comprises a posterior capsule of a natural crystalline lens of the eye. 178. The laser system of claim 165, wherein the structure of the eye comprises an anterior capsule of a natural crystalline lens of the eye. 179. The laser system of claim 165, wherein the structure of the eye comprises an anterior surface of a natural crystalline lens of the eye. 180. The laser system of claim 165, wherein the structure of the eye comprises a cornea of the eye, wherein the eye has a cataractous lens. 181. The laser system of claim 165, wherein the structure of the eye comprises a cataractous natural crystalline lens of the eye. 182. The laser system of claim 165, wherein the structure of the eye comprises a posterior capsule of a cataractous natural crystalline lens of the eye. 183. The laser system of claim 165, wherein the structure of the eye comprises an anterior capsule of a cataractous natural crystalline lens of the eye. 184. The laser system of claim 165, wherein the structure of the eye comprises an anterior surface of a cataractous natural crystalline lens of the eye.
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