The present disclosure relates to ophthalmic devices, such as wearable lenses, including contact lenses, implantable lenses, including inlays and onlays and any other type of device comprising optical components, and more particularly, to ophthalmic devices having an atoric surface for the correction of astigmatism.
Ophthalmic devices, such as contact lenses, currently are utilized to correct vision defects such as myopia (nearsightedness), hyperopia (farsightedness), presbyopia and astigmatism. However, properly designed lenses may be utilized to enhance vision as well as to correct vision defects.
Astigmatism is a type of refractive error in which the eye does not focus light symmetrically on the retina. Astigmatism significantly degrades the patient's retinal image quality and therefore their perceived quality of vision. In addition to an asymmetric blurring of the image, higher degrees of astigmatism may cause symptoms such as squinting, eye strain, fatigue, or even headaches. Astigmatism in the eye can originate from asymmetries about the optical axis of both the cornea and the crystalline lens.
A contact lens with cylindrical power may be employed to address astigmatism. Current contact lens designs correct the primary astigmatism, but induce secondary astigmatism that varies with the value of the spherical refraction. Secondary astigmatism, analogous to spherical aberration (SPHA), can impact the quality and consistency of vision even when the refractive error and the primary astigmatism are corrected. When the secondary astigmatism varies with spherical refraction, the product offering does not provide a consistent visual experience to all patients.
The present disclosure relates to ophthalmic devices that comprise atoric surfaces, which may be configured for the correction of astigmatism. In certain aspects, the present disclosure provides for contact lenses and a method for designing contact lenses that have zero secondary astigmatism and therefore provide improved and more consistent vision performance. Additionally, or alternatively, the spherical aberration of the contact lens can be specified to provide consistent vision.
The present disclosure relates to ophthalmic devices such as ophthalmic lenses.
An ophthalmic device may comprise an aspherical first surface and an atoric second surface, disposed opposite the first surface and configured to be disposed adjacent an eye of a user. The second surface may comprise a first conic constant along a first meridian and a second conic constant along a second meridian. The ophthalmic lens may be configured to minimize spherical aberration along the first meridian and the second meridian.
The foregoing and other features and advantages of the disclosure will be apparent from the following, more particular description of preferred embodiments of the disclosure, as illustrated in the accompanying drawings.
Ophthalmic devices may include implantable device and/or wearable devices, such as contact lenses. Conventional contact lenses comprise polymeric structures with specific shapes to correct various vision problems.
As part of a typical eye examination the Eye Care Professional (ECP) may determine the contact lens prescription required to correct the patients' refractive error. This prescription may specify the refractive power, cylindrical power, and/or cylinder axis of the contact lens, which may be used in determining the design or selection of a design of a contact lens.
Typical contact lens designs for the correction of astigmatism may comprise an optic zone that is a section of a spherical surface on the front of the lens and a section of a toric surface on the back of the lens. The spherical refraction may be determined by the radius of the front surface within the optic zone considering the lens thickness, the index of refraction, and/or the radius of the back surface along the sphere axis.
However, SPHA (e.g., primary and/or secondary astigmatism) may be introduced due to the refraction nature of the front spherical surface and the fact that the back surface is spherical along the two orthogonal meridians. SPHA can be corrected or controlled to provide a constant value (e.g., near constant) across different refractive powers by making the front surface within the optic zone aspheric. As described herein, SPHA may be corrected or controlled to provide comparatively less incremental change in power from a center to an edge of an atoric lens, when compared to a spherical lens.
The present disclosure relates to a lens design comprising an aspherical lens with aspherical first (e.g., front) surface and an atoric second (e.g., back) surface with different conic constants along the two orthogonal (sphere and cylinder) meridians to minimize the secondary astigmatism. As such, the lens design may be configured to correct the SPHA and secondary SPHA simultaneously in a contact lens intended for the correction of both refractive error and astigmatic error. Although reference is made to a lens having an atoric back surface that is disposed on or adjacent an eye of a wearer, alternatively a front surface of the lens may be atoric and may realize the same advantages as described herein over a spherical lens. As an example, an ophthalmic device in accordance with aspects of the present disclosure may be configured to correct ocular astigmatism along one or more meridians based upon the optical and surface configuration of the device, as detailed herein.
As shown in
As an example, a clinical data set referenced herein as the salmon data represents a data set taken across 10 sites, as described in “Normal-eye Zernike coefficients and root-mean-square wavefront errors,” J Cataract Refract Surg. 2006 December; 32(12):2064-74. The salmon data includes patient information such as gender, age, OD/OS, and other variables. The data represents measurements comprising spherical refraction, cylinder refraction, cylinder axis, and Zernike (pupil).
In accordance with aspects of the present disclosure, and based upon analysis of the salmon data, wavefront data was fitted along two meridian directions, resulting in the following equations for the two meridians:
θ1=a tan(Z(2,2)/Z(2,−2))/2
θ2=θ1+pi/2
Along each meridian direction, a quadratic equation was employed for fitting the data:
SA(θ1)=c1(θ1)+c2(θ1)*P(θ1)+c3(θ1)*P(θ1)2
SA(θ2)=c1(θ2)+c2(θ2)*P(θ2)+c3(θ2)*P(θ2)2
2nd astigmatism=SA(θ1)−SA(θ2)
As such, to correct secondary astigmatism, a lens design may be configured to meet the following relationships:
Lens SA(θ1)=0; SA(θ2)=0; and/or
Lens 2nd astg=SA(θ1)−SA(θ2)=0.
By considering the relationships of the spherical aberration described herein, ophthalmic lenses may be configured to correct the SPHA and secondary SPHA simultaneously in a contact lens intended for the correction of both refractive error and astigmatic error. Correct of the SPHA and secondary SPHA may be realized by providing a lens that exhibits a power variation along a meridian that is below a threshold (e.g., 0.05 D/mm̂2., 0.01 D/mm̂2, 0.005 D/mm̂2, 0.001 D/mm̂2). Correct of the SPHA and secondary SPHA may be realized by providing a lens that exhibits a power variation from center to edge of the lens that is comparatively less than the power variation exhibited by a substantially similar lens having the same radius but comprising a spherical surface.
In certain aspects, ocular astigmatism for a particular wearer or group of wearers may be such that a corrective lens may be targeted or customized to provide a target amount of SPHA (instead of configuring the lens for zero secondary astigmatism). As an example, various populations may be studied and the ocular characteristics of the wearers of the population may be aggregated (and/or further processed (e.g., averaged)).
In various aspects, the present disclosure may pertain to one or more of the following aspects.
Aspect 1: An ophthalmic lens comprising: a first surface; and an atoric second surface, disposed opposite the first surface, wherein the second surface comprises a first conic constant along a first meridian and a second conic constant along a second meridian, wherein the first meridian is orthogonal to the second meridian, and wherein the ophthalmic lens is configured to minimize spherical aberration along the first meridian and the second meridian.
Aspect 2: The ophthalmic lens according to aspect 1, wherein the ophthalmic lens comprises a contact lens, and wherein the first surface is a front surface and the second surface is a rear surface configured to be disposed adjacent an eye of a wearer.
Aspect 3: The ophthalmic lens according to aspect 1, wherein the ophthalmic lens comprises a contact lens, and wherein the first surface is a rear surface configured to be disposed adjacent an eye of a wearer and the second surface is a front surface.
Aspect 4: The ophthalmic lens according to any one of aspects 1-3, wherein the first surface comprises one of an aspherical surface, a spherical surface, or a diffractive surface.
Aspect 5: The ophthalmic lens according to any one of aspects 1-4, wherein the ophthalmic lens has a spherical power from −9 D to +6 D.
Aspect 6: The ophthalmic lens according to any one of aspects 1-5, wherein the ophthalmic lens has a cylindrical power from −0.75 D to −3.25 D.
Aspect 7: The ophthalmic lens according to any one of aspects 1-6, wherein the first meridian is a sphere meridian and the second meridian is a cylinder meridian.
Aspect 8: The ophthalmic lens according to any one of aspects 1-7, wherein the ophthalmic lens exhibits about zero spherical aberration along the first meridian.
Aspect 9: The ophthalmic lens according to any one of aspects 1-8, wherein the ophthalmic lens exhibits zero spherical aberration along the first meridian.
Aspect 10: The ophthalmic lens according to any one of aspects 1-9, wherein the ophthalmic lens exhibits less than 0.001 D/mm̂2 spherical aberration along the second meridian.
Aspect 11: The ophthalmic lens according to any one of aspects 1-9, wherein the ophthalmic lens exhibits less than 0.05 D/mm̂2 spherical aberration along the second meridian when configured to exhibit a cylindrical optical power of −3.25 D.
Aspect 12: The ophthalmic lens according to any one of aspects 1-9, wherein the ophthalmic lens exhibits less than 0.04 D/mm̂2 spherical aberration along the second meridian when configured to exhibit a cylindrical optical power of between −2.75 D and −3.25 D.
Aspect 13: The ophthalmic lens according to any one of aspects 1-9, wherein the ophthalmic lens exhibits less than 0.002 D/mm̂2 spherical aberration along the second meridian when configured to exhibit a cylindrical optical power of between −1.75 D and −3.25 D.
Aspect 14: The ophthalmic lens according to any one of aspects 1-9, wherein the ophthalmic lens exhibits less than 0.001 D/mm̂2 spherical aberration along the second meridian when configured to exhibit a cylindrical optical power of between −0.75 D and −3.25 D.
Aspect 15: An ophthalmic lens comprising: an aspherical front surface; and an atoric rear surface, disposed opposite the front surface, wherein the rear surface comprises a first conic constant along a sphere meridian and a second conic constant along a cylinder meridian, wherein the sphere meridian is orthogonal to the cylinder meridian, and wherein the ophthalmic lens is configured to minimize spherical aberration of the lens along the sphere meridian and the cylinder meridian.
Aspect 16: The ophthalmic lens according to aspect 15, wherein the ophthalmic lens comprises a contact lens.
Aspect 17: The ophthalmic lens according to aspect 16, wherein the contact lens comprises a soft or hybrid contact lens.
Aspect 18: The ophthalmic lens according to any one of aspects 15-17, wherein the ophthalmic lens has a spherical power from −9 D to +6 D.
Aspect 19: The ophthalmic lens according to any one of aspects 15-18, wherein the ophthalmic lens has a cylindrical power from −0.75 D to −3.25 D.
Aspect 20: The ophthalmic lens according to any one of aspects 15-19, wherein the ophthalmic lens exhibits about zero spherical aberration along the sphere meridian.
Aspect 21: The ophthalmic lens according to any one of aspects 15-20, wherein the ophthalmic lens exhibits zero spherical aberration along the sphere meridian.
Aspect 22: The ophthalmic lens according to any one of aspects 15-21, wherein the ophthalmic lens exhibits less than 0.001 D/mm̂2 spherical aberration along the cylinder meridian.
Aspect 23: The ophthalmic lens according to any one of aspects 15-21, wherein the ophthalmic lens exhibits less than 0.05 D/mm̂2 spherical aberration along the cylinder meridian when configured to exhibit a cylindrical optical power of −3.25 D.
Aspect 24: The ophthalmic lens according to any one of aspects 15-21, wherein the ophthalmic lens exhibits less than 0.04 D/mm̂2 spherical aberration along the cylinder meridian when configured to exhibit a cylindrical optical power of between −2.75 D and −3.25 D.
Aspect 25: The ophthalmic lens according to any one of aspects 15-21, wherein the ophthalmic lens exhibits less than 0.002 D/mm̂2 spherical aberration along the cylinder meridian when configured to exhibit a cylindrical optical power of between −1.75 D and −3.25 D.
Aspect 26: The ophthalmic lens according to any one of aspects 15-21, wherein the ophthalmic lens exhibits less than 0.001 D/mm̂2 spherical aberration along the cylinder meridian when configured to exhibit a cylindrical optical power of between −0.75 D and −3.25 D.
Aspect 27: An ophthalmic lens comprising: an aspherical first surface; and an atoric second surface, disposed opposite the first surface; wherein the second surface comprises a first conic constant along a first meridian and a second conic constant along a second meridian, wherein the first meridian is orthogonal to the second meridian, and wherein the ophthalmic lens exhibits less spherical aberration along the second meridian compared to a comparative lens consisting essentially of the same configuration as the ophthalmic lens but without the atoric second surface.
Aspect 28: The ophthalmic lens according to aspect 27, wherein the first surface is a front surface and the second surface is a rear surface configured to be disposed adjacent an eye of a wearer.
Aspect 29: The ophthalmic lens according to aspect 27, wherein the first surface is a rear surface configured to be disposed adjacent an eye of a wearer and the second surface is a front surface.
Aspect 30: The ophthalmic lens according to any one of aspects 27-29, wherein the ophthalmic lens has a spherical power from −9 D to +6 D.
Aspect 31: The ophthalmic lens according to any one of aspects 27-30, wherein the ophthalmic lens has a cylindrical power from −0.75 D to −3.25 D.
Aspect 32: The ophthalmic lens according to any one of aspects 27-31, wherein the first meridian is a sphere meridian and the second meridian is a cylinder meridian.
Aspect 33: The ophthalmic lens according to any one of aspects 27-32, wherein the ophthalmic lens exhibits about zero spherical aberration along the first meridian.
Aspect 34: The ophthalmic lens according to any one of aspects 27-33, wherein the ophthalmic lens exhibits zero spherical aberration along the first meridian.
Aspect 35: The ophthalmic lens according to any one of aspects 27-34, wherein the ophthalmic lens exhibits less than 0.001 D/mm̂2 spherical aberration along the second meridian.
Aspect 36: The ophthalmic lens according to any one of aspects 27-34, wherein the ophthalmic lens exhibits less than 0.05 D/mm̂2 spherical aberration along the second meridian when configured to exhibit a cylindrical optical power of −3.25 D.
Aspect 37: The ophthalmic lens according to any one of aspects 27-34, wherein the ophthalmic lens exhibits less than 0.04 D/mm̂2 spherical aberration along the second meridian when configured to exhibit a cylindrical optical power of between −2.75 D and −3.25 D.
Aspect 38: The ophthalmic lens according to any one of aspects 27-34, wherein the ophthalmic lens exhibits less than 0.002 D/mm̂2 spherical aberration along the second meridian when configured to exhibit a cylindrical optical power of between −1.75 D and −3.25 D.
Aspect 39: The ophthalmic lens according to any one of aspects 27-34, wherein the ophthalmic lens exhibits less than 0.001 D/mm̂2 spherical aberration along the second meridian when configured to exhibit a cylindrical optical power of between −0.75 D and −3.25 D.
Aspect 40: The ophthalmic lens according to any one of aspects 27-39, wherein the ophthalmic lens exhibits less power variation measured from a lens center to a lens edge as compared to the comparative lens.
Aspect 41: The ophthalmic lens according to any one of aspects 27-39, wherein the ophthalmic lens exhibits less power variation measured between a lens center to a position within an outer half of the lens radius, as compared to the comparative lens.
Aspect 42: The ophthalmic lens according to any one of aspects 27-41, wherein the comparative lens comprises an aspherical first surface and a non-atoric second surface.
Aspect 43: The ophthalmic lens according to any one of aspects 27-41, wherein the comparative lens comprises an aspherical first surface and a toric second surface.
Aspect 44: The ophthalmic lens according to any one of aspects 27-41, wherein the comparative lens comprises an aspherical first surface and an aspherical second surface.
Aspect 45: The ophthalmic lens according to any one of aspects 27-41, wherein the comparative lens comprises an aspherical first surface and a spherical second surface.
Aspect 46: An ophthalmic lens comprising: a first surface; and an atoric second surface, disposed opposite the first surface, wherein the second surface comprises a first conic constant along a first meridian and a second conic constant along a second meridian, wherein the first meridian is orthogonal to the second meridian, wherein the ophthalmic lens is configured to exhibit a zero spherical aberration along the first meridian and a target spherical aberration along the second meridian, and wherein the target spherical aberration along the second meridian is configured based on correction of a target ocular secondary astigmatism level.
Aspect 47: The ophthalmic lens according to aspect 46, wherein the ophthalmic lens comprises a contact lens, and wherein the first surface is a front surface and the second surface is a rear surface configured to be disposed adjacent an eye of a wearer.
Aspect 48: The ophthalmic lens according to aspect 46, wherein the ophthalmic lens comprises a contact lens, and wherein the first surface is a rear surface configured to be disposed adjacent an eye of a wearer and the second surface is a front surface.
Aspect 49: The ophthalmic lens according to any one of aspects 46-48, wherein the first surface comprises one of an aspherical surface, a spherical surface, or a diffractive surface.
Aspect 50: The ophthalmic lens according to any one of aspects 46-49, wherein the ophthalmic lens has a spherical power from −9 D to +6 D.
Aspect 51: The ophthalmic lens according to any one of aspects 46-50, wherein the ophthalmic lens has a cylindrical power from −0.75 D to −3.25 D.
Aspect 52: The ophthalmic lens according to any one of aspects 46-51, wherein the first meridian is a sphere meridian and the second meridian is a cylinder meridian.
Aspect 53: The ophthalmic lens according to any one of aspects 46-52, wherein the ophthalmic lens exhibits about zero spherical aberration along the first meridian.
Aspect 54: The ophthalmic lens according to any one of aspects 46-53, wherein the ophthalmic lens exhibits zero spherical aberration along the first meridian.
Aspect 55: The ophthalmic lens according to any one of aspects 46-54, wherein the target spherical aberration along the second meridian is less than 0.001 D/mm̂2.
Aspect 56: The ophthalmic lens according to any one of aspects 46-54, wherein the target spherical aberration along the second meridian is less than 0.05 D/mm̂2 when the ophthalmic lens is configured to exhibit a cylindrical optical power of −3.25 D.
Aspect 57: The ophthalmic lens according to any one of aspects 46-54, wherein the target spherical aberration along the second meridian is less than 0.04 D/mm̂2 when the ophthalmic lens is configured to exhibit a cylindrical optical power of between −2.75 D and −3.25 D.
Aspect 58: The ophthalmic lens according to any one of aspects 46-54, wherein the target spherical aberration along the second meridian is less than 0.002 D/mm̂2 when the ophthalmic lens is configured to exhibit a cylindrical optical power of between −1.75 D and −3.25 D.
Aspect 59: The ophthalmic lens according to any one of aspects 46-54, wherein the target spherical aberration along the second meridian is less than 0.001 D/mm̂2 spherical aberration along the second meridian when the ophthalmic lens is configured to exhibit a cylindrical optical power of between −0.75 D and −3.25 D.
Aspect 60: The ophthalmic lens according to any one of aspects 46-59, wherein the target spherical aberration along the second meridian is based on an inverse of the target ocular secondary astigmatism level.
Aspect 61: The ophthalmic lens according to any one of aspects 46-59, wherein the target spherical aberration along the second meridian is an inverse of the target ocular secondary astigmatism level.
Aspect 62: An ophthalmic lens comprising: a first surface; and an atoric second surface, disposed opposite the first surface, wherein the second surface comprises a first conic constant along a first meridian and a second conic constant along a second meridian, wherein the first meridian is orthogonal to the second meridian, wherein the ophthalmic lens is configured to exhibit a first target spherical aberration along the first meridian and a second target spherical aberration along the second meridian, wherein the first target spherical aberration along the first meridian is configured based on correction of a target ocular primary astigmatism level, and wherein the second target spherical aberration along the second meridian is configured based on correction of a target ocular secondary astigmatism level.
Aspect 63: The ophthalmic lens according to aspect 62, wherein the ophthalmic lens comprises a contact lens, and wherein the first surface is a front surface and the second surface is a rear surface configured to be disposed adjacent an eye of a wearer.
Aspect 64: The ophthalmic lens according to aspect 62, wherein the ophthalmic lens comprises a contact lens, and wherein the first surface is a rear surface configured to be disposed adjacent an eye of a wearer and the second surface is a front surface.
Aspect 65: The ophthalmic lens according to any one of aspects 62-64, wherein the first surface comprises one of an aspherical surface, a spherical surface, or a diffractive surface.
Aspect 66: The ophthalmic lens according to any one of aspects 62-65, wherein the ophthalmic lens has a spherical power from −9 D to +6 D.
Aspect 67: The ophthalmic lens according to any one of aspects 62-66, wherein the ophthalmic lens has a cylindrical power from −0.75 D to −3.25 D.
Aspect 68: The ophthalmic lens according to any one of aspects 62-67, wherein the first meridian is a sphere meridian and the second meridian is a cylinder meridian.
Aspect 69: The ophthalmic lens according to any one of aspects 62-68, wherein the first target spherical aberration is about zero.
Aspect 70: The ophthalmic lens according to any one of aspects 62-69, wherein the first target spherical aberration is zero.
Aspect 71: The ophthalmic lens according to any one of aspects 62-70, wherein the first target spherical aberration is based on an inverse of the target ocular primary astigmatism level.
Aspect 72: The ophthalmic lens according to any one of aspects 62-70, wherein the first target spherical aberration is an inverse of the target ocular primary astigmatism level.
Aspect 73: The ophthalmic lens according to any one of aspects 62-72, wherein the second target spherical aberration along the second meridian is less than 0.001 D/mm̂2.
Aspect 74: The ophthalmic lens according to any one of aspects 62-72, wherein the second target spherical aberration along the second meridian is less than 0.05 D/mm̂2 when the ophthalmic lens is configured to exhibit a cylindrical optical power of −3.25 D.
Aspect 75: The ophthalmic lens according to any one of aspects 62-72, wherein the second target spherical aberration along the second meridian is less than 0.04 D/mm̂2 when the ophthalmic lens is configured to exhibit a cylindrical optical power of between −2.75 D and −3.25 D.
Aspect 76: The ophthalmic lens according to any one of aspects 62-72, wherein the second target spherical aberration along the second meridian is less than 0.002 D/mm̂2 when the ophthalmic lens is configured to exhibit a cylindrical optical power of between −1.75 D and −3.25 D.
Aspect 77: The ophthalmic lens according to any one of aspects 62-72, wherein the second target spherical aberration along the second meridian is less than 0.001 D/mm̂2 spherical aberration along the second meridian when the ophthalmic lens is configured to exhibit a cylindrical optical power of between −0.75 D and −3.25 D.
Aspect 78: The ophthalmic lens according to any one of aspects 62-72, wherein the second target spherical aberration along the second meridian is based on an inverse of the target ocular secondary astigmatism level.
Aspect 79: The ophthalmic lens according to any one of aspects 62-72, wherein the second target spherical aberration along the second meridian is an inverse of the target ocular secondary astigmatism level.
Although shown and described in what is believed to be the most practical and preferred embodiments, it is apparent that departures from specific designs and methods described and shown will suggest themselves to those skilled in the art and may be used without departing from the spirit and scope of the disclosure. The present disclosure is not restricted to the particular constructions described and illustrated, but should be constructed to cohere with all modifications that may fall within the scope of the appended claims. Moreover, the recitation of the term comprising may include consisting essentially of and/or consisting of such that support is found herein for such terms by the use of the term comprising.