Lenticular laser incision using wavefront guided maps

A method of performing ophthalmic surgery for refractive correction, comprising:

• obtaining a wavefront map of an eye in its natural state using a wavefront aberrometer to measure a refractive error;
• obtaining an iris image for the eye in its natural state;
• determining a cutting profile to cut in a cornea of the eye in its natural state, based on the wavefront aberrometer measurement;
• docking the eye to a patient interface of an ultrashort pulsed laser;
• obtaining an iris image for the docked eye;
• determining a translation of the cutting profile for the docked eye using the cutting profile and iris image for the eye in its natural state;
• and
• incising, using the ultrashort pulsed laser and the translation of the cutting profile, a bottom surface incision and a top surface incision for a lenticule in the cornea of the docked eye.

A system for performing ophthalmic surgery, comprising:

• a wavefront aberrometer, configured to obtain a wavefront map of an eye to measure a refractive error;
• a first iris imager, in communication with the wavefront aberrometer, configured to obtain a first iris image of the eye;
• a laser surgery device including,
• a patient interface configured to dock to the eye;
• a second iris imager, configured to obtain a second iris image for the docked eye;
• a computer processor and memory in communication with the wavefront aberrometer, configured to,
• determine a cutting profile to cut in a cornea of the eye, based on the wavefront aberrometer measurement;
• and
• determine a translation of the cutting profile for the docked eye using the iris image for the docked eye;
• and
• an ultrashort pulsed laser in communication with the computer processor, the ultrashort pulsed laser configured to incise a bottom surface incision and a top surface incision in the cornea on the docked eye based on the translation of the cutting profile.