NL2009597A - Accommodating intraocular lenses with artificial pupil. - Google Patents
Accommodating intraocular lenses with artificial pupil. Download PDFInfo
- Publication number
- NL2009597A NL2009597A NL2009597A NL2009597A NL2009597A NL 2009597 A NL2009597 A NL 2009597A NL 2009597 A NL2009597 A NL 2009597A NL 2009597 A NL2009597 A NL 2009597A NL 2009597 A NL2009597 A NL 2009597A
- Authority
- NL
- Netherlands
- Prior art keywords
- construction
- eye
- lens
- elements
- combination
- Prior art date
Links
- 210000001747 pupil Anatomy 0.000 title claims description 26
- 238000010276 construction Methods 0.000 claims description 62
- 230000003287 optical effect Effects 0.000 claims description 18
- 230000004308 accommodation Effects 0.000 claims description 11
- 230000004075 alteration Effects 0.000 claims description 6
- 208000014733 refractive error Diseases 0.000 claims description 4
- 238000001356 surgical procedure Methods 0.000 claims description 4
- 230000001886 ciliary effect Effects 0.000 claims description 3
- 210000003205 muscle Anatomy 0.000 claims description 3
- 230000002093 peripheral effect Effects 0.000 claims description 3
- 210000002159 anterior chamber Anatomy 0.000 claims description 2
- 239000002775 capsule Substances 0.000 claims 1
- 210000001525 retina Anatomy 0.000 description 2
- 208000002177 Cataract Diseases 0.000 description 1
- 206010010071 Coma Diseases 0.000 description 1
- 208000002847 Surgical Wound Diseases 0.000 description 1
- 201000009310 astigmatism Diseases 0.000 description 1
- 210000004087 cornea Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses or corneal implants; Artificial eyes
- A61F2/16—Intraocular lenses
- A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
- A61F2/1648—Multipart lenses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses or corneal implants; Artificial eyes
- A61F2/16—Intraocular lenses
- A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
- A61F2/1624—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus having adjustable focus; power activated variable focus means, e.g. mechanically or electrically by the ciliary muscle or from the outside
- A61F2/1629—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus having adjustable focus; power activated variable focus means, e.g. mechanically or electrically by the ciliary muscle or from the outside for changing longitudinal position, i.e. along the visual axis when implanted
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses or corneal implants; Artificial eyes
- A61F2/16—Intraocular lenses
- A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
- A61F2/1624—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus having adjustable focus; power activated variable focus means, e.g. mechanically or electrically by the ciliary muscle or from the outside
- A61F2/1632—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus having adjustable focus; power activated variable focus means, e.g. mechanically or electrically by the ciliary muscle or from the outside for changing radial position, i.e. perpendicularly to the visual axis when implanted
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses or corneal implants; Artificial eyes
- A61F2/16—Intraocular lenses
- A61F2002/1696—Having structure for blocking or reducing amount of light transmitted, e.g. glare reduction
Landscapes
- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Description
Accommodating intraocular lenses with artificial pupil
Intraocular lenses (also: IOLs) are implanted in the eye by a surgeon to replace the natural lens in the eye. Monofocal IOLs only correct for the basic refraction of the eye, while accommodating IOLs also include a lens of variable focusing power to also restore accommodation of the eye.
The present invention, as described in this document discloses accommodating IOL constructions to be implanted in the human eye by eye surgery which constructions comprise at least one artificial lens and at least one, generally only one, artificial pupil. The diameter of the artificial pupil is adapted such that the eye is protected from stray light under intense light conditions when the natural pupil has a wide diameter and such that the artificial pupil does not interfere with the light beam when the natural pupil is of a smaller diameter. The diameter of the natural pupil of the eye varies between individuals, generally within the range of 2.5mm, in high light, to about 6-7mm, in low light. The natural lens is positioned behind the pupil in the eye and has a diameter of about 8-9mm which diameter safely exceeds the pupil diameter so that no stray light will pass around the lens. Stray light can spoil the image on the retina by, for example, reduction of contrast. However, IOLs have to be manufactured to diameters smaller than 9mm because, firstly, the haptics, the anchors which position the IOL in the eye, require space, and, secondly, desired small sizes of lenses so that surgery can be performed through small surgical incisions. Accommodating IOLs are generally even smaller because the driving mechanism of the lens also requires space which has to be deducted from the diameter of the optics.
Figure 1 shows a lens element 1, a pupil element 2 and a combination element 3, which elements can be combined in different combinations in an accommodating intraocular lens constructions as disclosed in the present document. The lens-element 1, comprises only an artificial lens 4, the pupil-element 2, comprises only the peripheral opaque section 6, to restrict the peripheral light beam, which section also forms the central translucent pupil 5, and the combination-element 3, comprises both the artificial lens 4, as well as the opaque section 6 and pupil 5.
Figure 2 depicts an example of an accommodating lens. This figure shows an accommodating lens with artificial pupil 7, with two connected combination elements 8 and 9, connected by a flexible connection 10, and with two haptics 11, to position the construction in the eye and additional components adapted to transfer movement of driving means, a component in the eye driving accommodation, to at least one lens-element, with, in this example, the two artificial lenses being cubic lenses which, in combination, form a lens with variable focusing power.
Figure 3 depicts an embodiment of an accommodating lens in the eye. This figure shows an eye 12, with the optical axis 13, the cornea 14, the iris 15 and the natural pupil 16, flexibly connected lens-elements with cubic artificial lenses 17 and 18, positioned in the sulcus 19, and driven by the ciliary muscle 20, and, separate a pupil-element 21, with the artificial pupil 22, in this example positioned in the capsular bag 23, with the construction projecting an image on the retina 24.
Such accommodating intraocular lens construction, including artificial lens and an artificial pupil, is intended to replace the natural lens of the eye which natural lens is removed by an eye surgeon because of, for example, cataracts. The lens construction (also: construction) comprises a combination of at least two elements. A simple embodiment of an element is, for example, a flat base plate to which optical surfaces, pupils or additional components can be fitted. The combination of elements should include at least two elements of the lens-element type, meaning that each of the elements comprises at least one artificial lens to modulate the light beam. Modulation is used here in a wide sense and modulation is not restricted to focusing modulation only. For example, an artificial lens can also provide cubic modulation such that two of such artificial lenses can provide a lens for variable focusing. Additionally, the construction includes additional components adapted to position the construction in the eye. The construction also includes additional components to transfer movement from driving means, a component in the eye driving accommodation, to at least one lens-element. In contrast to any other accommodating IOL, the lenses disclosed in the present document also comprise at least one pupil-element of the pupil-element type, meaning an element comprising an artificial pupil adapted to restrict the periphery of the light beam, which pupil-element is included in the combination of elements.
An artificial lens and an artificial pupil can be combined on an element of the combination-element type, meaning an element comprising a combination of at least one artificial lens and at least one artificial pupil, which can be, in its most simple embodiment, an artificial lens surrounded by an opaque, for example, black, periphery. So, the construction can comprise a combination of two elements of which at least one element is a combination-element.
Alternatively, the construction can comprise, for example, a combination of three elements, with at least two of the elements a lens-elements and at least one element a pupil-element. In such construction the lens-elements are likely to be connected with their combination provide the lens for variable focusing power and the third element a, for example, combination element with the artificial pupil and, for example, a lens of fixed optical power for correction of refractive error of the eye. Other combinations of elements can be designed and the construction can comprise any combination of multiple elements including any combination of any type of said elements.
The elements of the construction can be mechanically connected to other elements of the construction, as in, for example, W02005084587, WO2011053143 and US2005324673, which construction of connected elements are generally positioned in a single section of the eye, for example in the capsular bag or, alternatively, in the sulcus of the eye. However, alternatively, at least one the elements of the construction can be mechanically separated from the other elements of the construction. Such one element of the construction can be adapted to be positioned in a section in the eye which section differs from the section in which at least one of the other elements of the construction is adapted to be positioned. For example, the construction can include lens-elements with artificial lenses forming, in combination, a variable focusing lens, as in, for example, W02005084587 or US2005324673, which variable lenses are positioned in the sulcus or capsular bag, respectively, and which variable lenses can be combined with a separate pupil-element which can be positioned in the capsular bag or in the sulcus.
So, the construction can include at least one element of the construction adapted to be positioned in the posterior chamber of the eye, or, alternatively, the construction can include at least one element of the construction adapted to be positioned in the anterior chamber of the eye, with at least one element of the construction adapted to be positioned in the sulcus of the eye, or, alternatively, with at least one element of the construction is adapted to be positioned in the capsular bag of the eye, with the combinations not restricted to these combinations.
The construction can include, to provide a lens of variable focusing power, with at least two elements which each comprise an artificial lens adapted to modulate the light beam such that a combination of at least two such artificial lenses provide a lens of variable focusing power of which the degree of focusing power depends on the position of one element relative to at least one other element. The position of at least one of the elements can be a position in a direction along the optical axis, as in, for example, US2005324673, which employs two basically spherical optics. Alternatively, the position can be a position in a plane perpendicular to the optical axis as in, for example, W02005084587, with two shifting elements, or, alternatively, rotating elements, which employs two basically cubic optics. Alternatively, the position can be a combination of a position along the axis and a position perpendicular to the axis as in, for example, WO2011053143, which employs shift in position along the optical axis and in a plane perpendicular to the optical axis.
The construction generally also comprises at least one haptic, meaning at least one additional component adapted to position, to anchor, the elements in the eye, as do virtually all IOLs to date. The construction generally also includes at least one additional component adapted to transfer movement from driving means, a component in the eye driving accommodation, to at least one lens-element with the driving means being a natural component of the eye for natural drive of accommodation, for example, the ciliary muscle of the eye, which is the driving means for all accommodating lenses implanted to date. However, in the near future the natural driving means can well be replaced by artificial driving means implanted in the eye, for example, one or more micro-electro-mechanical systems.
The construction generally comprises at least one artificial lens for correction of refraction, meaning a lens adapted to provide correction of refractive error of the eye which error remains after surgical removal of the natural lens in addition to a lens for variable focusing power.
In more advanced embodiments the construction can include, firstly, a combination of at least two artificial lenses adapted to provide variable focusing power to correct variable defocus of the eye, to restore accommodation of the eye. The construction can also include, secondly, a combination of at least two artificial lenses with the combination adapted to provide variable optical power to correct for at least one variable undesired aberration. Such aberration can be generated by the eye itself, for example, undesired spherical aberration. However, such aberration can also be generated by the construction itself, for example, undesired variable tilt or undesired variable coma, which aberrations can be, simultaneously, variably corrected for by optics as disclosed in US2010094413. The construction must, thirdly, also include said fixed artificial lens for correction of refraction error, and, the construction can include a fixed artificial lens of fixed optical power to correct at least one additional fixed optical error, for example, astigmatism.
Claims (21)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| NL2009597A NL2009597C2 (en) | 2011-10-11 | 2012-10-09 | Accommodating intraocular lenses with artificial pupil. |
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| NL2007571 | 2011-10-11 | ||
| NL2007571 | 2011-10-11 | ||
| NL2009597A NL2009597C2 (en) | 2011-10-11 | 2012-10-09 | Accommodating intraocular lenses with artificial pupil. |
| NL2009597 | 2012-10-09 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| NL2009597A true NL2009597A (en) | 2013-04-15 |
| NL2009597C2 NL2009597C2 (en) | 2014-09-04 |
Family
ID=47190095
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| NL2009597A NL2009597C2 (en) | 2011-10-11 | 2012-10-09 | Accommodating intraocular lenses with artificial pupil. |
Country Status (1)
| Country | Link |
|---|---|
| NL (1) | NL2009597C2 (en) |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6357875B1 (en) * | 1994-12-08 | 2002-03-19 | Herrick Family Limited Partnership | Artificial lens including a lens system having eccentric axes for use in an eye having an enlarged pupil and method |
| WO2003015669A1 (en) * | 2001-08-21 | 2003-02-27 | Nulens Ltd. | Accommodating lens assembly |
| WO2003017873A1 (en) * | 2001-08-31 | 2003-03-06 | Ehud Assia | Implantable intraocular accommodative addition |
-
2012
- 2012-10-09 NL NL2009597A patent/NL2009597C2/en not_active IP Right Cessation
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6357875B1 (en) * | 1994-12-08 | 2002-03-19 | Herrick Family Limited Partnership | Artificial lens including a lens system having eccentric axes for use in an eye having an enlarged pupil and method |
| WO2003015669A1 (en) * | 2001-08-21 | 2003-02-27 | Nulens Ltd. | Accommodating lens assembly |
| WO2003017873A1 (en) * | 2001-08-31 | 2003-03-06 | Ehud Assia | Implantable intraocular accommodative addition |
Also Published As
| Publication number | Publication date |
|---|---|
| NL2009597C2 (en) | 2014-09-04 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US8608800B2 (en) | Switchable diffractive accommodating lens | |
| EP1296616B1 (en) | Method of correcting optical aberrations | |
| JP4486122B2 (en) | Two optical elements that form a lens with variable optical power in combination for use as an intraocular lens | |
| JP4982495B2 (en) | Deformable intraocular lens and lens system | |
| NL2003881C2 (en) | Adjustable intraocular lens. | |
| US20110295368A1 (en) | Accommodative intraocular lens assembly | |
| AU2010313599B2 (en) | Phase-shifted center-distance diffractive design for ocular implant | |
| US20050060032A1 (en) | Accommodating intraocular lens | |
| NL1029037C2 (en) | Improved intraocular artificial lens with variable optical power. | |
| CA2921118A1 (en) | Intraocular lens system | |
| KR20150131939A (en) | Multifocal diffractive ophthalmic lens using suppressed diffractive order | |
| WO2010100523A1 (en) | Multizonal lens with extended depth of focus | |
| KR20090020588A (en) | Aspheric intraocular lens and design method of the intraocular lens | |
| JP6525014B2 (en) | Secondary intraocular lens with magnifying co-axial optics | |
| Zeng et al. | Advances and challenges of intraocular lens design | |
| US20110184514A1 (en) | Intraocular meniscus lens providing pseudo-accommodation | |
| NL2009597C2 (en) | Accommodating intraocular lenses with artificial pupil. | |
| CN113423362A (en) | Intraocular lens design for optimal clinical outcome | |
| NL2027301B1 (en) | Mechanical means for accommodative intraocular lens | |
| US20220296363A1 (en) | Accommodative Intraocular Lens Combination with Independent Fixed and Variable Power Lens Sections | |
| NL2022753B1 (en) | Accommodating intraocular lens combination comprising a variable lens and a variable sulcal insert | |
| NL2022203B1 (en) | Accommodative combination to position a lens in the sulcus of the human eye | |
| EP4586963A1 (en) | Combination of variable power lenses for accommodating intraocular lens | |
| Shekhar et al. | Newer Intraocular Lenses in Present Day Cataract Surgery | |
| Hoffman et al. | Microincision Intraocular Lenses: Others |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| MM | Lapsed because of non-payment of the annual fee |
Effective date: 20161101 |