In recent years, microsurgery or the conducting of surgical operations under a microscope, has become popular in ophthalmology, otorhinolaryngology, orthopedics, brain surgery and so forth. In oder to conduct the resection and suturing of minute nerves and blood vessels under a microscope in such operations, it requires careful attention and a high level of concentration. Especially, corneal microsurgery demands intensive care so that remaining tissue might not get damage hinder transparency for vision. To help surgeon conduct such an operation with more safety and accuracy, robotics, image processing and measuring techniques and laser technology can be employed. We think that non-contact cutting method using excimer laser is more suitable for this operation to obtain a clear-cut edge. Excimer laser is currently tested for corneal surgery on clinical level, but problems of positioning of the cornea and its three dimensional surface measurement still remain. We have developed a laser scanning and cutting system which gives us high versatility of cutting lines and high accuracy of positioning of the beam after three dimensional surface measurement of the cornea. Designation of cutting line is easily done on monitor screen that superpose the mesured surface on the video image. Irradiation conditions of excimer laser for resection were obtained through experiments with porcine corneas. In this paper we describe the configuration of the system, measuring method and interactive software which simulates an operation on a monitor and also experiments to get irradiation conditions of the excimer laser. Some results of measurement and corneal resection are also presented and discussed.
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