Adaptive wavefront modulation system and method for ophthalmic surgery

A method for creating a system for optimizing a prescription for a lens implant, comprising the steps of:

• a) forming a database of treatment outcomes on a plurality of treated patients, each treated patient outcome having associated therewith at least one classification element and comprising a preoperative wavefront-determined correction prescription and a postoperative visual profile;
• b) providing a search engine communicating with a processor adapted to extract treatment outcomes based upon a classification element;
• c) providing first software for use by the processor, the first software adapted to calculate from the extracted treatment outcomes in the database an average difference between the preoperative prescription and the postoperative profile for at least some of the previously treated patients having a classification element in common with the current patient;
• and
• d) providing second software for use by the processor, the second software adapted to adjust a current patient correction prescription commensurate with the calculated average difference to form an optimized prescription, the current patient having a classification element associated therewith and having had a wavefront determination made for measuring an initial correction prescription.

A system for optimizing a prescription for a lens implant, comprising:

• a) a wavefront measurement apparatus for determining a correction prescription for a current patient, the current patient having a classification element associated therewith;
• and
• b) a processor having software resident thereon for
• i) accessing a database of treatment outcomes on a plurality of previously treated patients, each treated patient outcome having associated therewith at least one classification element and comprising a preoperative wavefront-determined correction prescription and a postoperative visual profile,
• ii) calculating from the treatment outcomes in the database an average difference between the preoperative prescription and the postoperative profile for at least some of the previously treated patients having a classification element in common with the current patient and
• iii) adjusting the current patient correction prescription commensurate with the calculated average difference to form an optimized prescription.

A software package for optimizing a prescription for a lens implant, comprising:

• a) a means for receiving a correction prescription for a current patient, the current patient having a classification element associated therewith;
• b) a means for accessing a database of treatment outcomes on a plurality of previously treated patients, each treated patient outcome having associated therewith at least one classification element and comprising a preoperative wavefront-determined correction prescription and a postoperative visual profile;
• c) a means for calculating from the treatment outcomes in the database an average difference between the preoperative prescription and the postoperative profile for at least some of the previously treated patients having a classification element in common with the current patient;
• and
• d) a means for adjusting the current patient correction prescription commensurate with the calculated average difference to form an optimized prescription.

A method for optimizing an ophthalmic surgical lens implant procedure, comprising the steps of:

• a) measuring a required corrective prescription for a current patient using a wavefront-based diagnostic device;
• b) assigning a classification number to the current patient, the classification number being based at least in part on the measured corrective prescription;
• c) comparing the measured corrective prescription of the current patient with a plurality of prior patients having a similar classification number, such prior patients having a wavefront-measured predicted preoperative correction and a wavefront-measured achieved postoperative correction;
• and
• d) adjusting the measured corrective prescription for the current patient based on a difference between the wavefront-measured predicted preoperative correction and the wavefront-measured achieved postoperative correction of the plurality of prior patients.