WO2007081311A1

WO2007081311A1 - Accommodating intraocular lens

Info

Publication number: WO2007081311A1
Application number: PCT/US2006/000370
Authority: WO
Inventors: Medhi Vazeen
Original assignee: Medhi Vazeen
Priority date: 2006-01-09
Filing date: 2006-01-09
Publication date: 2007-07-19

Abstract

An accommodating intraocular lens utilizing an optical element for correcting the vision of a patient. The optical element is positioned in the open capsular bag following an extracapsular surgical procedure and phakoemulsification of the clouded natural lens. The optical element is adjusted anteriorly and posteriorly by a plurality of arms that are linked to the open capsular bag held by the zonular system of the eye.

Description

ACCOMMODATING INTKkOCULSR LENS

BACKGROUND OF THE INVENTION

The present invention relates to a novel and useful accommodating intraocular lens .

Intraocular lenses have been implanted in eyes following cataract surgery for a number of years . A conventional intraocular lens is intended to replace the natural lens which has been removed due to such cataract condition. Surgical techniques have evolved over the years to performance of an extra-capsular procedure. That is to say, the capsule which held the removed natural lens is retained in the posterior chamber of the eye, minus an excised frontal portion. The result is a capsular bag connected to the ciliary muscle by a multiplicity of zonules, commonly referred to as the zonular system. In this manner, vitreous humor is maintained in the posterior chamber of the eye and the inserted intraocular lens is confined or fixed in the eye for use.

Unfortunately, intraocular lenses do not provide the patient with near and far vision, since intraocular lenses do not react to the contraction and relaxation of the zonular system. This ability is normally referred to as "accommodation". Thus, a patient must be fitted with corrective glasses in order to perform tasks associated with near and far vision, e.g. reading and driving a vehicle.

In the past, accommodating intraocular lenses have been proposed, but have gained limited success.

For example, United States Patents 4,485,499 and 6,200,343 Bl show intraocular lenses with resilient curved open loops to fix and intraocular lens in the posterior chamber of the eye .

International patent application WO 92/15260 reveals an intraocular lens with a pair of loops that essentially encircle the lens to aid in the fixation of the same to the posterior chamber of the eye when compressed. OnlfceH" ^"""S"€^'ates Patent 5,133,750 shows an intraocular lens constructed of synthetic sapphire which includes a quartet of arms to hold the lens in place.

International application WO 01/0532782 describes an intraocular lens for pediatric use which employs a pair of curved arms that completely encircle the lens to prevent the formation of a secondary cataract . united States Patent 5,571,177 indicates an intraocular lens with a fixation member that can be altered after insertion to control the repositioning of the optic portion of the eye.

United States Patent 5,628,798 teaches an adjustable and removable intraocular lens having a portion which may be changed, adjusted, or modified after insertion.

United States Patent 6,117,171 illustrates an encapsulated accommodating intraocular lens having two spaces separated by a transparent flexible membrane. Altering the curvature of the membrane alters the overall optical power of the lens .

United States Patent 4,888,012 shows an intraocular lens assembly in which the lens is formed of elastic material which is extended or compressed to change the shape of the optical portion to accommodate with alterations in the tension of the ciliary muscle of the eye.

United States Patent 6,176,878 Bl poses an accommodating intraocular lens having an optic that is connected to a flexible disc that moves the optic inwardly and outwardly according to changes in the tension of the ciliary muscle.

United States Patents 4,409,691, 4,994,082, 5,476,514, 6,179,870 Bl, and publication US 2001/0016771 Al describe accommodating intraocular lens structures which employ flexible arms that move the optical portion of an intraocular lens posteriorly or anteriorly with ciliary muscle changes and tension.

An optically accurate accommodating intraocular lens would be a notable advance in the medical field of eye care. ' BKEEF attaasKsr WTOEΓ ΪN^NTION

In accordance with the present invention a novel and useful accommodating intraocular lens is herein provided.

The lens of the present invention utilizes an optical element which is chosen to correct the vision of a particular individual following removal of the natural lens possessing a cataract condition and performance of an anterior capsulotomy.

Support means is employed for positioning the optical element in the open capsular bag at the posterior chamber of the eye . Such support means may take the form of an elongated member which extends along the periphery of the interior of the open capsular bag. The elongated member may be curved and terminate, at its end portions, with an enlargement. Such support means may include a pair of such elements diametrically opposed to one another within the capsular bag. The support means may also be formed with a plurality of flanges which are intended to extend from the elongated member in the vicinity of the anterior surface of the capsular bag. Bonding of the support means to the capsular bag occurs through the natural growth of fibrous tissue.

Adjustment means is also included in the present invention for effecting movement of the optical element anteriorly and posteriorly. The adjustment means utilizes a plurality of rotatable flexible arms which depend from the elements of the support means . The plurality of rotatable flexible arms may be curved and lie spaced from one another about the peripheral portion of the optical element. The plurality of rotatable arms are linked to the open capsular bag held by the zonular system of the eye. Such linking takes place through the support means elements such that forces exerted by the capsular bag on the support means is transferred to the plurality of rotatable arms. Relaxation of the zonular system will cause the capsular bag to collapse and force the rotation of the plurality of arms to move the optical element anteriorly. Likewise, tensioning of the zonular system will cause the plurality of rotatable arms to move the optical element posteriorly. Of course, the support means remains" ""'fϊx§'a W^*TKe ^'"""capsular bag does not rotated with the plurality of rotatable arms, but generally serves as an anchor for the same.

It may be apparent that a novel and useful accommodating intraocular lens has been hereinabove described.

It is therefore an object of the present invention to provide an accommodating intraocular lens which provides near and far vision to a patient based on the natural relaxation and tensioning of the zonular system.

Another object of the present invention is to provide an accommodating intraocular lens which can be easily implanted in an eye following extra-capsular cataract surgery.

A further object of the present invention is to provide an accommodating intraocular lens which prevents secondary surgical procedures to correct focusing characteristics of intraocular lenses.

Another object of the present invention is to provide an accommodating intraocular lens which eliminates the need for spectacles to provide a patient receiving an implanted intraocular lens with the ability of attain near and far vision ability.

Yet another object of the present invention is to provide an accommodating intraocular lens which correctly and accurately transmits the force or movements of the capsular bag originating in the zonular system to be transmitted to the optical component of the lens of the present invention.

The invention possesses other objects and advantages especially as concerns particular characteristics and features thereof which will become apparent as the specification continues.

" BRlSf &festTl?f£¥lδft'^foδ3f ΦlM SEVERAL VIEWS OF THE DRAWING

Fig. 1 is a sectional view of the intraocular lens of the present invention implanted in an eye.

Fig. 2 is a front elevational view of the implanted lens depicted in Fig. 1.

Fig. 3 is a sectional schematic view showing anterior movement of the optical element of the lens of the present invention with relaxation of the zonules.

Fig. 4 is a front elevational schematic view of the lens moved anteriorly as shown in Fig. 3.

Fig. 5 is a sectional schematic view of the lens of the present invention moving posteriorly with tensioning of the zonules .

Fig. 6 is a schematic front elevational view of the lens moved posteriorly as depicted in Fig. 5.

For a better understanding of the invention reference is made to the following detailed description of the preferred embodiments thereof which should be referenced to the prior described drawings.

Various aspects of the present invention will evolve from the following detailed description of the preferred embodiments thereof which should be referenced to the prior described drawings.

The invention as a whole is shown in the drawings by- reference character 10. Intraocular lens 10 includes as one of its portions an optical element 12. Optical element 12 takes the form of a crystalline lens composed of any suitable tissue compatible material such as polymethyl methacrylate, polysulfone, hydrogel, silicone, and the like. Optical element 12 is employed to replace the natural lens which has been removed as a result of cataract surgery. The optical properties of element 12 are chosen to correct the vision of a patient in a normal range. Prior art intraocular lenses using similar optical elements require the patient to be fitted with corrective glasses in order to achieve near and far vision. Optical element 12 is shown in Fig. 1 as being implanted in eye 14, specifically in posterior chamber 16 thereof. Eye 14 includes cornea 18 and iris 20 which generally provide the confines to anterior chamber 22. Pupil 24 serves as the adjustable circular opening between anterior chamber 22 and posterior chamber 16 which permits light passing through cornea 18 to travel through optical element 12 and, eventually, to the retina (not shown) . Capsular bag 26 represents the remnant of the natural capsule and includes an opening 28 adjacent pupil 24. Capsular bag 26 is employed to hold or fixate intraocular lens 10 into prevent the movement of vitreous humor normally found in the posterior anterior chamber 16. Capsular bag 26 is resilient and is supported in place by zonules 32. Zonules 32 directly connect to ciliary muscle 34. Ciliary muscle 34 and zonules 32 comprise the zonular system 36 which, in turn, stretches and collapses capsular bag 26 during the natural focusing process of eye 14.

Turning to Fig. 2, it may be observed that intraocular lens 10 is depicted as lying within chamber 38 of capsular bag 26. Chamber 38 is formed by inner wall 40 of capsular bag 26. Lens 10 Ts" cil-Td""'provided^"" wTtti support means 42 for positioning optical element 12 within chamber 38 of capsular bag 26. Support means 42 includes elongated curved members 44 and 46 which are of generally semicircular configuration. Enlargements 48, 50, 52 and 54 cap the ends of elongated members 44 and 46. A plurality of flanges 56, depicted as circular springs in Fig. 2, are connected to elongated members 44 and 46 such that certain of such flanges lie directly against wall 40 of capsular bag 26. After implantation of lens 10, fibrous tissue between capsular bag 26 and plurality of flanges 56 grows and holds the elongated members 44 and 46 in place, as depicted in Fig. 2. It should be understood that plurality of zonules 32 depicted in Fig. 2 are directly connected to ciliary muscle 34 shown in Fig. 1.

Adjustment means 58 is also illustrated in Fig. 2. Adjustment means takes the form of a plurality of rotatable flexible arms 60 which link elongated members 44 and 46 to optical element 12. It should be realized that plurality of rotatable arms also serve as a portion of support means 42 for optical element 12. As illustrated in Fig. 2, plurality of rotatable arms 60 include a first set 62 associated with elongated member 44 and a second set 64 associated with elongated member 46. Although five rotatable arms are indicated as being associated with each elongated member, 44, 46 a lesser or greater number may be employed in the present invention.

In operation, intraocular lens 10 is implanted in eye 14 following cataract surgery resulting in capsular bag 26 shown in Figs. 1, 3, and 5. Figs. 3-6 represent the dynamics of intraocular lens 10 within eye 14. For example, Fig. 3 shows the relaxing of zonules 32 causing the partial collapsing of capsular bag 26 according to directional arrows 66 and 68. Such collapsing of capsular bag 26 forces optical element 12 anteriorly according to directional arrow 70. With reference to Fig. 4, it may be observed that sets of plurality of flexible arms 62 and 64 rotate counter clockwise when viewing optical element 12 from the left side of Fig. 3. Elongated members 44 and 46 do not move since Chey are" ^'fixed ^""to ^'capsular bag 26 by fibrous growth. Of course, lens or optical element 12 also rotates slightly according to directional arrows 72 and 74. Fig. 5 illustrates the opposite movement of optical element 12 where plurality of zonules have tensioned causing capsular bag to stretch according to directional arrows 76 and 78. Capsular bag exerts a pulling force on flexible arm sets 62 and 64 moving optical element 12 posteriorly according to directional arrow 80. Fig. 6 illustrates the clockwise turning of optical element 12 according to directional arrows 82 and 84 when optical element is viewed in the same manner as that depicted in Fig. 4.

While in the foregoing, embodiments of the present invention have been set forth in considerable detail for the purposes of making a complete disclosure of the invention, it may be apparent to those of skill in the art that numerous changes may^¬ be made in such detail without departing from the spirit and principles of the invention.

Claims

"WHAT -Ig-1CILjSlIaElD ΕBf

1. A accommodating intraocular lens for implantation into an eye having an open capsular bag held by a zonular system, comprising: a. an optical element; b. support means for positioning said optical element in the open capsular bag of the posterior chamber of the eye; c. adjustment means for effecting movement of said optical element anteriorly and posteriorly, said adjustment means comprising a plurality of rotatable arms linked to the open capsular bag held by the zonular system, said plurality of rotatable arms moving said optical element anteriorly upon relaxation of the zonular system, and said plurality of rotatable arms moving said optical element posteriorly upon tensioning of the zonular system.

2. The intraocular lens of claim 1 in which each of said plurality of arms are curved.

3. The intraocular lens of claim 1 in which said support means comprises an elongated member extending along the periphery of the open capsular bag, said plurality of arms being connected to said elongated member.

4. The intraocular lens of claim 3 in which each of said plurality of arms are curved.

5. The intraocular lens of claim 3 in which said elongated member comprises a first elongated member, and which further comprises a second elongated member, said plurality of arms further comprising a first set of arms and a second set of arms, said first set of arms being connected to said first elongated member, and said second set of arms being connected to said second elongated member.

6. The intraocular lens of claim 5 in which each of said plurality of arms are curved.

7. The intraocular lens of claim 3 in which said elongated member is curved.

8. The ^' intraocular lens of claim 7 in which said elongated member includes at least one end, said one end of said elongated member including an enlargement.

9. The intraocular lens of claim 8 in which each of said plurality of arms are curved.

10. The intraocular lens of claim 3 which additionally comprises a multiplicity of flanges extending from said elongated member .

11. The intraocular lens of claim 10 in which said flanges are spring members.

12. The intraocular lens of claim 10 in which each of said plurality of arms are curved.

13. The intraocular lens of claim 10 in which each of said plurality of arms are curved.

14. The intraocular lens of claim 10 in which said elongated member is curved.

15. The intraocular lens of claim 10 in which said elongated member includes at least one end, said one end of said elongated member including an enlargement.