![]() Accommodative combination to position a lens in the sulcus of the human eye
专利摘要:
The present document discloses an accommodative, intraocular, combination to be implanted in the sulcus plane of the human eye with the combination comprising, firstly, at least one accommodative lens, and, secondly, at least one supportive ring adapted to be implanted in the sulcus plane which supportive ring can be coupled to the sclera of the eye by anchors which anchors can penetrate the sclera of the eye. 公开号:NL2022203A 申请号:NL2022203 申请日:2018-12-13 公开日:2019-07-12 发明作者:Christiaan Rombach Michiel;Nikolaevich Simonov Aleksey 申请人:Akkolens Int B V; IPC主号:
专利说明:
Accommodative combination to position a lens in the sulcus of the human eye The present document discloses an accommodative, intraocular, combination to be implanted in the sulcus plane of the human eye with the combination comprising, firstly, at least one accommodative lens, also: lens’, having an optical axis with the lens comprising at least two optical elements of which at least one element is adapted to translate in at least one direction perpendicular to the optical axis with the optical surfaces of at least two elements adapted to vary at least one optical aberration of the lens with a degree of variation which is dependent on the degree of shift of the at least one of the optical elements, with the primary aberration to be varied being accommodation, meaning: variable defocus of the eye the combination also comprising, secondly, at least one supportive ring adapted to be implanted in the sulcus plane of the eye. Such accommodating, translating, AIOLs are known from other documents, for example from NL2012133, NL201242, EP1871299, EP1932492, for designs of such AIOLs, and, for clinical results, Alio, in Am J Ophthamol 2016 Apr, 164: 37-48, with such documents not restricted hereto these documents referred to above. These AIOLs are restricted to the concept which includes at least two cubic optical surfaces, meaning: Zernike third order surfaces, of which the basic, free-form, non-rotational symmetric, shapes are known from Alvarez US3305294, which provides the original concept for a variable lens, for laterally shifting optical elements, and Baker CA1252655, for derived fan-like rotational shifting optical elements. More precisely, in mathematics, these are all various variations on the basic formula according to Alvarez, t=A(xy2+x3/3, see US3305294 for details and notations). Such lenses can also provide, by movement of at least one of the optical elements, a variable extension of accommodation, and/or variable focus, and/or variable spherical aberration. Such movement can be achieved, but not restricted to, principles as disclosed in US2009062912 and W02005084587, and the same concept, with various adaptations in, for example, US2014074233, WO2014058316, EP2765952, NL2012257278, US2010131955, US2010106245, NL1029548 and references made therein and related documents, which principles have now been shown to function well in the human eye. The present document discloses an accommodative combination to be implanted in the sulcus plane of the human eye with the combination comprising, firstly, at least one accommodative lens , also: lens’, having an optical axis with the lens comprising at least two optical elements of which at least one element is adapted to translate in at least one direction perpendicular to the optical axis with the optical surfaces of at least two elements adapted to vary at least one optical aberration of the lens with a degree of variation which is dependent on the degree of shift of the at least one of the optical elements, with the primary aberration to be varied being accommodation, meaning: variable defocus of the eye the combination also comprising, secondly, at least one supportive ring adapted to be implanted in the sulcus plane of the eye. The supportive ring can be independent, meaning: not any component of the supportive ring is coupled to any component of the lens, or, alternatively, the supportive ring can be dependent, meaning: that at least one component of the supportive ring is firmly coupled to at least one component of the lens, with, for example, a pin-in hole connection. The supportive ring coupled to the sclera of the eye, for example, with the supportive ring firmly coupled to the sclera of the eye by anchors penetrating into the sclera of the eye. The at least one haptic of the lens can be coupled to a natural component of the eye which component is the ciliary mass of the eye, or alternatively, the at least one haptic of the lens can be coupled to the capsular bag of the eye, or, alternatively, the at least one haptic of the lens can be coupled to a natural component of the eye which component is the zonula network of the eye, or, alternatively, the at least one haptic of the lens can be coupled to a natural component of the eye which component is the iris of the eye, or, alternatively, the at least one haptic is adapted to can translate at least one of the optical elements by liquid pressure generated in the posterior chamber of the eye, or, alternatively, the at least one haptic is coupled to a MEMS, meaning: micro-electro-mechanical system, which MEMS is adapted to provide movement of at least one optical element of the lens. The accommodative combination can comprises at least one haptic adapted to urge the optical element back to a resting position, a position of decreased optical power, when the driving means are inactive. Also, the optical elements can also comprise at least one optical surface adapted to correct for any fixed optical disorder of the eye, with the the fixed optical disorder can be presbyopia, meaning: ‘reading far-sightedness’. Also, the accommodative combination is adapted for implant in the human eye can correct for at least one variable optical disorder of the eye other than defocus. The accommodative combination can correct for any variable disorder which is is a variable disorder generated by the lens, and, also, the accommodative combination can provide correction of any combination of at least one variable and at least one fixed disorder of the eye. The accommodative combination, the supportive ring and the lens, can comprise at least one toric optical surface to provide correction of astigmatism of the eye with the lens and the supportive ring both comprising at least one coupling component to fix the rotational angle of the lens versus the rotational angle of the supportive ring.
权利要求:
Claims (18) [1] A accommodating combination adapted to be implanted in the sulcus face of the human eye, the combination comprising firstly at least one accommodating lens, also "lens", with an optical axis, the lens comprising at least two optical elements at least one element of which is adapted to shift in at least one direction perpendicular to the optical axis, the optical surfaces of at least two elements being adapted to vary at least one optical aberration of the lens with a degree of variation depending on the degree of shift of the at least one of the optical elements, the primary aberration to be varied being accommodation, which means: variable defocus of the eye, characterized in that the combination also comprises, secondly, at least one support ring, which is adapted to be implanted in the sulcus face of the eye. [2] Accommodating combination according to claim 1, characterized in that the support ring is independent, which means: not every component of the support ring is coupled to a component of the lens. [3] Accommodating combination according to claim 1, characterized in that the support ring is dependent, which means: at least one component of the support ring is coupled to at least one component of the lens. [4] Accommodating combination according to claim 1-2, characterized in that the support ring is coupled to the sclera of the eye. [5] Accommodating combination according to claim 4, characterized in that the support ring is firmly connected to the sclera of the eye by means of anchors. [6] Accommodating combination according to any of claims 1-5, characterized in that at least one haptic is coupled to a natural component of the eye, the component being the ciliary mass of the eye. [7] Accommodating combination according to any combination of claims 1-5, characterized in that the at least one haptic is coupled to a natural component of the eye, the component being the capsule bag of the eye. [8] 8. Accommodating combination according to any combination of claims 1-5, characterized in that at least one haptic is coupled to a natural component of the eye, the component being the zonula network of the eye. [9] 9. Accommodating combination according to any combination of claims 1-5, characterized in that at least one haptic is coupled to a natural component of the eye, the component being the iris of the eye. [10] Accommodating combination according to any combination of claims 1-5, characterized in that at least one haptic is adapted to shift at least one of the optical elements by means of fluid pressure generated in the posterior chamber of the eye. [11] 11. Accommodating combination according to any combination of claims 1-6, characterized in that at least one haptic is coupled to a MEMS, which comprises: micro-electromechanical system, wherein the MEMS is adapted to move at least one optical element of to provide the lens. [12] Accommodating combination as claimed in any of the foregoing claims, characterized in that the accommodating combination comprises at least one haptic adapted to push the optical element back to a rest position, a position of reduced optical strength, when the drive means are inactive . [13] Accommodating combination according to any combination of the preceding claims, characterized in that the optical elements also comprise at least one optical surface, which is adapted to correct a fixed optical disorder of the eye. [14] Accommodating combination according to any combination of the preceding claims, characterized in that the fixed optical disorder is presbyopia, which means: "hyperopia". [15] Accommodating combination according to any combination of the preceding claims, characterized in that the accommodating combination is adapted for implantation in the human eye to correct at least one variable optical disorder of the eye other than defocus. [16] Accommodating combination according to claim 15, characterized in that the variable disorder is a variable disorder generated by the lens. [17] Accommodating combination according to any combination of claims 1 to 16, characterized in that the lens is adapted to provide correction of any combination of at least one variable and at least one fixed disorder of the eye. [18] Accommodating intraocular accommodating combination according to any combination of the preceding claims, characterized in that the support ring and the lens, wherein the lens comprises at least one toric optical surface adapted to provide correction of astigmatism of the eye, wherein the support ring and the The lens both comprise at least one coupling component, which is adapted to fix the angle of rotation of the lens relative to the angle of rotation of the support ring.
类似技术:
公开号 | 公开日 | 专利标题 US10004595B2|2018-06-26|Accommodating intraocular lens US20200046490A1|2020-02-13|Dual optic, curvature changing accommodative iol JP6959244B2|2021-11-02|Dual optical unit type curvature change adjustable IOL with fixed, non-adjustable refractive power state JP6321675B2|2018-05-09|Curvature change control intraocular lens TWI511718B|2015-12-11|Two-element system to provide an ease of accommodation with variable-spherical aberration control JP4486122B2|2010-06-23|Two optical elements that form a lens with variable optical power in combination for use as an intraocular lens US7144423B2|2006-12-05|Intraocular multifocal lens AU2009341430B2|2015-04-16|Multizonal lens with extended depth of focus TWI552735B|2016-10-11|Accommodating intraocular lens using trapezoidal phase shift US20050060032A1|2005-03-17|Accommodating intraocular lens JP2011528272A|2011-11-17|Adjustable IOL with annular optics and extended depth of focus JP2011511671A|2011-04-14|Adjustable IOL with dynamic spherical aberration CN108472128A|2018-08-31|Improved accommodating intraocular lens RU2740081C2|2021-01-11|Ophthalmic lens with increased depth of focus Zeng et al.2018|Advances and challenges of intraocular lens design WO2019022608A1|2019-01-31|Accommodating intraocular lens with free form optical surfaces NL2022203B1|2021-02-16|Accommodative combination to position a lens in the sulcus of the human eye NL2023333B1|2021-09-23|Accommodating lens for sulcus plane and capsular bag NL2027301B1|2021-10-26|Mechanical means for accommodative intraocular lens NL2025405B1|2021-05-31|Accommodating intraocular lens with elastically contracting haptics NL2009597C2|2014-09-04|Accommodating intraocular lenses with artificial pupil. NL2022753B1|2021-06-17|Accommodating intraocular lens combination comprising a variable lens and a variable sulcal insert WO2021034187A1|2021-02-25|Accommodative intraocular lens combination with independent fixed and variable power lens sections WO2020197386A1|2020-10-01|Intraocular lens combination for restoration of refraction and accommodation NL2027718A|2021-10-20|Method to customize accommodating intraocular lens
同族专利:
公开号 | 公开日 NL2022203B1|2021-02-16|
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申请号 | 申请日 | 专利标题 NL2020245|2018-01-09| 相关专利
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