Embodiments of the present disclosure relate generally to diffractive ophthalmic lenses, and particular embodiments provide methods, devices, and systems for mitigating or treating vision conditions such as presbyopia, often by determining a desired multifocal power profile and selecting a geometry of the diffractive profile that results in a diffractive multifocal lens shape according to the desired power profile and to various parameters of the patient's eye. Embodiments also relate to vision treatment techniques and in particular embodiments, to ophthalmic lenses such as, for example, contact lenses, corneal inlays or onlays, or intraocular lenses (IOLs) including, for example, phakic IOLs and piggyback IOLs (i.e. IOLs implanted in an eye already having an IOL).
Presbyopia is a condition that affects the accommodation properties of the eye. As objects move closer to a young, properly functioning eye, the effects of ciliary muscle contraction and zonular relaxation allow the lens of the eye to change shape, and thus increase its optical power and ability to focus at near distances. This accommodation can allow the eye to focus and refocus between near and far objects.
Presbyopia normally develops as a person ages, and is associated with a natural progressive loss of accommodation. The presbyopic eye often loses the ability to rapidly and easily refocus on objects at varying distances. The effects of presbyopia usually become noticeable after the age of 45 years. By the age of 65 years, the crystalline lens has often lost almost all elastic properties and has only limited ability to change shape.
Along with reductions in accommodation of the eye, age may also induce clouding of the lens due to the formation of a cataract. A cataract may form in the hard central nucleus of the lens, in the softer peripheral cortical portion of the lens, or at the back of the lens. Cataracts can be treated by the replacement of the cloudy natural lens with an artificial lens. An artificial lens replaces the natural lens in the eye, with the artificial lens often being referred to as an intraocular lens or “IOL”.
Multifocal IOLs may, for example, rely on a diffractive optical surface to direct portions of the light energy toward differing focal distances, thereby allowing the patient to clearly see both near and far objects. Multifocal ophthalmic lenses (including contact lenses or the like) have also been proposed for treatment of presbyopia without removal of the natural crystalline lens. Diffractive optical surfaces, either monofocal or multifocal, may also be configured to provide reduced chromatic aberration.
Diffractive monofocal and multifocal lenses can make use of a material having a given refractive index and a surface curvature which provide a refractive power. Diffractive lenses have a diffractive profile which confers the lens with a diffractive power that contributes to the overall optical power of the lens. The diffractive profile is typically characterized by a number of diffractive zones. When used for ophthalmic lenses these diffractive zones are typically annular lens zones, or echelettes, spaced about the optical axis of the lens. Each echelette may be defined by an optical zone, a transition zone between the optical zone and an optical zone of an adjacent echelette, and echelette geometry. The echelette geometry includes an inner and outer diameter and a shape or slope of the optical zone, a height or step height, and a shape of the transition zone. The surface area or diameter of the echelettes largely determines the diffractive power(s) of the lens and the step height of the transition between echelettes largely determines the light distribution between the different powers. Together, these echelettes form a diffractive profile.
A multifocal diffractive profile of the lens may be used to mitigate presbyopia by providing two or more optical powers; for example, one for near vision and one for far vision. The lenses may also take the form of an intraocular lens placed within the capsular bag of the eye, replacing the original lens, or placed in front of the natural crystalline lens. The lenses may be in the form of a contact lens, most commonly a bifocal contact lens, or in any other form mentioned herein.
Multifocal (e.g. diffractive) intraocular lenses (IOLs) are intended to provide a patient with improved vision at different distances, such as near, intermediate and far. The near vision may generally correspond to vision provided when objects are at a distance of equal or less than 1.5 feet from a subject eye. Intermediate vision may generally correspond to vision for objects at a distance between about 1.5 feet and about 5-6 feet from a subject eye. Far vision may generally correspond to vision for objects at any distance greater than about 5-6 feet from a subject eye. Such characterizations of near, intermediate, and far vision correspond to those addressed in Morlock R, Wirth R J, Tally S R, Garufis C, Heichel C W D, Patient-Reported Spectacle Independence Questionnaire (PRSIQ): Development and Validation. Am J Ophthalmology 2017; 178:101-114.
Since multifocal IOLs provide multiple focal lengths, the focused image on the retina originating from the focal length that corresponds to the particular viewing distance is overlapping with unfocused images originating from the other focal lengths. This can create visual artifacts for the patient. Also, the transitions between echelettes in a diffractive multifocal may cause glare, halo, or similar visual artifacts; and the severity of said artifacts may increase with an increased number of echelettes. Furthermore, conventional approaches typically provide for near and far vision, but achieve unsatisfactory visual performance at intermediate distances. Relatedly, increasing the number of focal lengths in an IOL can exacerbate the aforementioned visual artifacts. Therefore, multifocal conventional ophthalmic approaches may fail to adequately improve visual performance at intermediate distances.
Embodiments herein described include IOLs with a first surface and a second surface disposed about an optical axis, and a diffractive profile imposed on one of the first surface or the second surface. The diffractive profile includes a repetitive pattern of at least two echelettes. At least one of the at least two diffractive echelettes in the repetitive pattern is connected to an adjacent echellete by a step height of zero. The zero-step-height transition between at least one adjacent pair of diffractive echelettes is effective to reduce optical aberrations for a user, particularly straylight at the far vision.
Embodiments herein described also include multifocal ophthalmic lenses that have diffractive echelettes directing light to multiple focal lengths in ascending proportions, such that the least light is directed to the near focal length and/or such that the most light is directed to the far focal length. In some cases, at least 50% of the light that passes through the lens can be directed toward the far focal length; and no more than 20% of the light that passes through the lens can be directed toward the near focal length. One or more intermediate focal lengths may be provided.
Embodiments herein described also include ophthalmic lenses that have an optical surface disposed about an optical axis. A diffractive profile is imposed on the optical surface. The diffractive profile includes a set of at least two echelettes, with at least one of the at least two echelettes of the set being connected to an adjacent echelette with a step height of zero, and the set is repeated on the optical surface.
Embodiments herein described also include manufacturing systems for making an ophthalmic lens. Such manufacturing system can include an input that accepts an ophthalmic lens prescription for a patient eye. A module can generate a diffractive profile including a repetitive pattern of at least two echelettes, and at least one of the echelettes in the repetitive pattern is connected to an adjacent echelette by a step height of zero. A manufacturing assembly may fabricate the ophthalmic lens based on the diffractive profile. A manufacturing system may also include an input that accepts an ophthalmic lens prescription for a patient eye. A module can generate a diffractive profile configured to cause a distribution of light among at least three focal lengths including a near focal length, an intermediate focal length, and a far focal length, such that, a first portion of the distribution is directed to the near focal length, a second portion of the distribution is directed to the far focal length, and a third portion of the distribution is directed to the intermediate focal length, the first portion being less than the second portion and less than the third portion. A manufacturing assembly may fabricate the ophthalmic lens based on the diffractive profile.
Embodiments herein described also include methods of designing an intraocular lens. Such methods can include defining a diffractive profile and generating a diffractive lens surface based on the diffractive profile. The diffractive profile can include a repetitive pattern of at least two echelettes, and at least one of the at least two echelletes in the repetitive pattern is connected to an adjacent echelette by a step height of zero. The diffractive profile may also be configured such that a first portion of the distribution is directed to the near focal length, a second portion of the distribution is directed to the far focal length, and a third portion of the distribution is directed to the intermediate focal length, the first portion being less than the second portion and less than the third portion.
Contemporary Lens Shapes and Diffractive Profiles
Each major face of lens 11, including the anterior (front) surface and posterior (back) surface, generally has a refractive profile, e.g. biconvex, plano-convex, plano-concave, meniscus, etc. The two surfaces together, in relation to the properties of the surrounding aqueous humor, cornea, and other optical components of the overall optical system, define the effects of the lens 11 on the imaging performance by eye E. Conventional, monofocal IOLs have a refractive power based on the refractive index of the material from which the lens is made, and also on the curvature or shape of the front and rear surfaces or faces of the lens. One or more support elements may be configured to secure the lens 11 to a patient's eye.
Multifocal lenses may optionally also make special use of the refractive properties of the lens. Such lenses generally include different powers in different regions of the lens so as to mitigate the effects of presbyopia. For example, as shown in
Rather than relying entirely on the refractive properties of the lens, multifocal diffractive IOLs or contact lenses can also have a diffractive power, as illustrated by the IOL 18 shown in
The diffractive profile of a diffractive multifocal lens directs incoming light into a number of diffraction orders. As light enters from the front of the eye, the multifocal lens 18 directs light to form a far field focus 15a on retina for viewing distant objects and a near field focus 15b for viewing objects close to the eye. Depending on the distance from the source of light 13, the focus on retina 16 may be the near field focus 15b instead. Typically, far field focus 15a is associated with 0th diffractive order and near field focus 15b is associated with the 1st diffractive order, although other orders may be used as well.
Bifocal ophthalmic lens 18 typically distributes the majority of light energy into two viewing orders, often with the goal of splitting imaging light energy about evenly (50%:50%), one viewing order corresponding to far vision and one viewing order corresponding to near vision, although typically, some fraction goes to non-viewing orders.
Corrective optics may be provided by phakic IOLs, which can be used to treat patients while leaving the natural lens in place. Phakic IOLs may be angle supported, iris supported, or sulcus supported. The phakic IOL can be placed over the natural crystalline lens or piggy-backed over another IOL. It is also envisioned that the present disclosure may be applied to inlays, onlays, accommodating IOLs, pseudophakic IOLs, other forms of intraocular implants, spectacles, and even laser vision correction.
When fitted onto the eye of a subject or patient, the optical axis of lens 20 is generally aligned with the optical axis of eye E. The curvature of lens 20 gives lens 20 an anterior refractive profile and a posterior refractive profile. Although a diffractive profile may also be imposed on either anterior face 21 and posterior face 22 or both,
Conventional multifocal diffractive lenses typically provide for near and far field vision, neglecting visual performance at intermediate distances. Providing for an additional intermediate focal length by way of additional optical zones, e.g. by providing sets of at least two echelettes, can help to improve the visual performance at intermediate distances. However, as the number of optical zones increases, the risk of visual artifacts also increases. For example, in a quadrifocal diffractive lens having a near focal length, multiple intermediate focal lengths, and a far focal length; visual artifacts such as halos or glare may be visible to a user due to one or more of the boundaries between the optical zones.
Exemplary Multifocal Lens Shapes:
The diffractive profile of the diffractive multifocal IOL 30 may provide for the additional focal length beyond the near focal length and far focal lengths described above by employing sets of multiple echelettes. For example, the plurality of concentric diffractive echelettes forming the diffractive profile may be split up into sets of at least two echelettes. The sets are repeating over the optic. The sets of echelettes can direct light 13 toward the near field focus 15b and toward the intermediate field focus 15c. As described above with respect to diffractive multifocal IOLs, the far focus 15a may typically be with a 0th diffractive order, while the near field focus 15b may be associated with a 2nd diffractive order. The intermediate focus 15c may be associated with the 1st diffractive order. However, different configurations are possible. For example, a diffractive multifocal IOL may instead be configured to direct light to the far focal length 15a in the 1st diffractive order, while directing light to the intermediate and near focal lengths 15c and 15b by way of 2nd and 3rd diffractive orders of the echelettes. In other embodiments (a quadrifocal embodiment), an additional intermediate focus (a second intermediate focus) may be provided. Greater or lesser numbers of focuses may be provided as desired in other embodiments.
Each echelette is connected with each neighboring echelette, where present, by a transition zone. For example, the first echelette 406 connects with the second echelette 408 by a first transition zone 420; and the second echelette 408 connects with the third echelette 410 by a second transition zone 422. The transition zones 420, 422 are step heights Δ1, Δ2 from trailing edges of one echelette to leading edges of the next echelette. The first echelette 406 also transitions from a minimum height by third transition zone 418.
The arrangement of the set of three echelettes 406, 408, 410 in a diffractive profile in
In a generalized case, where a profile height is maximum at ρi-1 and minimum at ρi, the initial maximum profile height 510 may be expressed as a sum of a step height Δi-1 and a step offset Δi-1o. The step offset is the height offset of the transition zone from the underlying base curve. The following maximum profile height 512 can be expressed as a sum of the following step height Δ1 and following step offset Δio. The slope of profile Δpi(ρ) (506) can be expressed in a generalized form as follows.
A diffractive profile can provide for multiple focal lengths (or foci) by providing different echelette geometries in series. For example, a diffractive profile having four focal lengths, as described above, can be created by providing three different diffractive echelettes in series (forming a set of three different diffractive echelettes). The three different diffractive echelettes can be repeated, leading to repeated sets of the three different diffractive echelettes, and a diffractive profile over a portion or all of a lens surface. In conventional lenses, the diffractive profile is repeated in a saw-tooth configuration, as shown in
According to certain embodiments of the present disclosure, a diffractive profile can be modified by manipulating the step heights Δi and following step offsets Δio between echelettes of different echelettes in a set of echelettes. For example,
In the diffractive lens profile 600 of
A typical transition zone having a nonzero step height can cause unintended redirection or concentration of light behind the lens, which may contribute to various forms of dysphotopsia. For example, nonzero step height transition zones may cause straylight, halos, glare, or other optical aberrations to appear in the far focal length. As any of the transition zones may cause such optical aberrations, reducing the number of nonzero step-height transition zones can cause a significant reduction in the incidence of such optical aberrations.
In some embodiments, the reduction in optical aberrations may be enhanced by increasing the amount of light directed toward the far and intermediate focal lengths compared to the amount of light directed toward the near focal length. For example, a diffractive profile may be configured wherein a nonzero percentage of light is diverted to each of a near focal length, an intermediate focal length, and a far focal length, and the amount of light directed to the near focal length can be smaller than the amount directed to any other focal length. According to some embodiments, the echelettes may be arranged to direct light to the far focal length in the 0th diffraction orders, the intermediate in the 1st diffractive order, and the near focal length receives light via the 2nd diffractive order. In other embodiments, the echelettes may be arranged to direct light to the far focal length in the 1st diffractive order, the intermediate focal length in the 2nd diffractive order, and the near focal length receives light by way of the 3rd diffractive order. In some cases, the amount of light directed to the far focal length can be greater than half of the total distribution of light that passes through the lens. The amount of light directed to the near focal length may generally be no more than 20% of the total distribution of light that passes through the lens. A through-focus point spread function (PSF) of such an embodiment is illustrated in
In the exemplary diffractive lens surface 800, the radius (r) is shown on the X axis 804 and a profile height (Δ) is shown on the Y axis 802.
The diffractive lens surface 800 includes the set 803a of three echelettes 806a, 810a, 814a. The three echelettes 806a, 810a, 814a are the echelettes 606, 608, 610 shown in
The echelettes are defined in part by transition zones bounding each respective echelette. For example, regarding the first set 803a, the first echellette 806a is separated from the second echelette 810a by the first transition zone 808a; the second echelette 810a is separated from the third echelette 814a by a second transition zone 812a. The third echelette 814a is separated from the first echelette 806b of the second set 803b by the transition zone 816 between the sets 803a, 803b. Similarly, regarding the second set 803b, the first echellette 806b is separated from the second echelette 810b by the first transition zone 808b; the second echelette 810b is separated from the third echelette 814b by a second transition zone 812b. The third echelette 814b is separated from the first echelette 806c of the third set 803c by the transition zone 818 between the sets 803b, 803c. Regarding the third set 803c, the first echellette 806c is separated from the second echelette 810c by the first transition zone 808c; the second echelette 810c is separated from the third echelette 814c by a second transition zone 812c. The pattern repeats across the additional sets of echelettes.
As with conventional diffractive lenses, some of the transition zones (e.g. zones 812a, 816, 812b, 818) may have a nonzero step height. However, in accordance with embodiments, at least one pair of echelettes (e.g. zones 806a, 810a) is separated by a transition zone 808a having a step height of zero. At least one of the echelettes is connected to an adjacent echelette by a step height of zero. As the echelettes repeat across sets, further adjacent echelettes (e.g. echelettes 806b and 810b; 806c and 810c) may be separated by transition zones having step heights of zero (e.g. transition zones 808b, 808c).
Although the exact number of repeating sets shown in
As discussed above, the positioning of the minimized or zero step height may be adjusted. The example in
A concave or convex transition may influence the performance of the profile, and the manufacturability. The size or extent of concave transitions may be minimized if lens is manufactured by molding. In contrast, the size or extent of convex transitions may be minimized if the lens is manufactured by lathe cutting.
Any of the embodiments of lens profiles discussed herein may be apodized to produce a desired result. The apodization may result in the step heights and step offsets of the repeated sets being varied according to the apodization. The sets, however, are still considered to be repeating sets over the optic of the lens.
The structures and methods discussed herein may be used to produce a lens having any number of focal lengths (monofocal, bifocal, trifocal, quadrifocal, etc.), and the diffractive profiles discussed herein may be used to produce any number of focal points (at least one focal point). The diffractive profiles may be applied to cover an annulus of the first surface or the second surface. The lens may be characterized as a monofocal lens or extended depth of focus lens.
Systems and Methods for Determining Lens Shape:
The system 1100 includes a user input module 1102 configured to receive user input defining aspects of the user of a lens and of the lens itself. Aspects of a lens may include anatomical dimensions like pupil size performance, and lens dimensions, among other attributes, and a diffractive lens prescription, which may be a multifocal prescription. A lens prescription can include, for example, a preferred optical power or optical power profile for correcting far vision and an optical power or optical power profile for near vision. In some cases, a lens prescription can further include an optical power or optical power profile for correcting intermediate vision at two, or in some cases more than two intermediate foci, which may fall between the optical powers or ranges of optical powers described above. A pupil size performance can include a pupil radius of a patient and the visual field to be optimized. These parameters can also be related to patient's life style or profession, so that the design incorporates patient's visual needs as a function of the pupil size. Lens dimensions can include a preferred radius of the total lens, and may further include preferred thickness, or a preferred curvature of one or the other of the anterior surface and posterior surface of the lens.
A diffractive surface modeling module 1104 can receive information about the desired lens from the user input module 1102, and can determine aspects of a multizonal lens. For example, the modeling module 1104 can determine the shape of one or more echelettes of the diffractive profile of a diffractive lens, including the positioning, width, step height, and curvature needed to fulfill the prescription for each set of the echelettes, as well as the positioning of each set of echelettes. The multizonal diffractive surface modeling module 1104 can further determine the shapes of transition steps between echelettes. For example, transition steps may be smoothed or rounded to help mitigate optical aberrations caused by light passing through an abrupt transition. Such transition zone smoothing, which may be referred to as a low scatter profile, can provide for reductions in dysphotopsia by reducing the errant concentration of incident light behind the lens by the transition zones. By way of further example, echelette ordering, echelette offsets, and echelette boundaries may be adjusted to adjust the step heights between some adjacent echelettes. In particular, the multizonal diffractive surface modeling module can determine echelette offsets to set one or more step heights at echelette transitions to zero, or approximately zero, by these or similar methods.
The diffractive surface modeling module 1104 can be configured to generate performance criteria 1112, e.g. via modeling optical properties in a virtual environment. Performance criteria can include the match of the optical power profile of the multizonal lens with the desired optical power profile based on the lens prescription. The performance criteria can also include the severity of diffractive aberrations caused by lens surface. In some cases, the multizonal surface modeling module 1104 can provide a lens surface to a lens fabrication module for facilitating the production of a physical lens, which can be tested via a lens testing module 1110 for empirically determining the performance criteria 1112, so as to identify optical aberrations and imperfections not readily discerned via virtual modeling, and to permit iteration.
A refractive surface modeling module 1106 can receive information from the user input 1102 and multifocal surface modeling modules 1104 in order to determine refractive aspects of the lens. For example, provided with a multifocal prescription and a set of diffractive powers that can be generated by a diffractive profile, the refractive surface modeling module 1106 can provide a refractive geometry configured to provide a base power which, when combined with the diffractive surface, meets the requirements of the lens prescription. The refractive surface modeling module 1106 can also generate performance criteria 1112, and can contribute to providing a lens surface to a lens fabrication module 1108 for facilitating the production of the physical lens.
The process 1200 includes receiving an input indicative of a diffractive lens prescription (act 1202). The input can include, e.g., a desired optical power profile for correcting impaired distance vision, a desired optical power profile for correcting impaired intermediate distance vision, a desired optical power profile for accommodating near vision, and any suitable combination of the above. Based on a desired optical power profile, a diffractive profile can be generated including a repetitive pattern of at least two echelettes (act 1204). At least one of the at least two echelettes in the repetitive pattern may be connected to an adjacent echelette by a step height of zero (act 1206).
The diffractive lens profile of the multizonal diffractive lens surface may be used in combination with a known refractive base power. To that end, a refractive lens surface may be generated having a base power that, in combination with the diffractive lens surface, meets the diffractive lens prescription (act 1208). A total lens surface can be generated based on both the refractive lens surface and the diffractive lens surface (act 1210). The refractive lens surface can include a refractive lens curvature on the anterior surface of the lens, the posterior surface of the lens, or both. Instructions can be generated to fabricate an intraocular lens based on the generated total lens surface (act 1212).
Computational Methods:
User interface input devices 1362 may include a keyboard, pointing devices such as a mouse, trackball, touch pad, or graphics tablet, a scanner, foot pedals, a joystick, a touchscreen incorporated into the display, audio input devices such as voice recognition systems, microphones, and other types of input devices. User input devices 1362 will often be used to download a computer executable code from a tangible storage media embodying any of the methods of the present disclosure. In general, use of the term “input device” is intended to include a variety of conventional and proprietary devices and ways to input information into computer system 1322.
User interface output devices 1364 may include a display subsystem, a printer, a fax machine, or non-visual displays such as audio output devices. The display subsystem may be a cathode ray tube (CRT), a flat-panel device such as a liquid crystal display (LCD), a projection device, or the like. The display subsystem may also provide a non-visual display such as via audio output devices. In general, use of the term “output device” is intended to include a variety of conventional and proprietary devices and ways to output information from computer system 1322 to a user.
Storage subsystem 1356 can store the basic programming and data constructs that provide the functionality of the various embodiments of the present disclosure. For example, a database and modules implementing the functionality of the methods of the present disclosure, as described herein, may be stored in storage subsystem 1356. These software modules are generally executed by processor 1352. In a distributed environment, the software modules may be stored on a plurality of computer systems and executed by processors of the plurality of computer systems. Storage subsystem 1356 typically comprises memory subsystem 1358 and file storage subsystem 1360. Memory subsystem 1358 typically includes a number of memories including a main random access memory (RAM) 1370 for storage of instructions and data during program execution.
Various computational methods discussed above, e.g. with respect to generating a multizonal lens surface, may be performed in conjunction with or using a computer or other processor having hardware, software, and/or firmware. The various method steps may be performed by modules, and the modules may comprise any of a wide variety of digital and/or analog data processing hardware and/or software arranged to perform the method steps described herein. The modules optionally comprising data processing hardware adapted to perform one or more of these steps by having appropriate machine programming code associated therewith, the modules for two or more steps (or portions of two or more steps) being integrated into a single processor board or separated into different processor boards in any of a wide variety of integrated and/or distributed processing architectures. These methods and systems will often employ a tangible media embodying machine-readable code with instructions for performing the method steps described above. Suitable tangible media may comprise a memory (including a volatile memory and/or a non-volatile memory), a storage media (such as a magnetic recording on a floppy disk, a hard disk, a tape, or the like; on an optical memory such as a CD, a CD-R/W, a CD-ROM, a DVD, or the like; or any other digital or analog storage media), or the like.
This application claims priority to, and the benefit of, under U.S.C. § 119(e) of U.S. Provisional Appl. No. 62/525,965, filed on Jun. 28, 2017, which is incorporated herein by reference in its entirety.
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Number | Date | Country | |
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20190004331 A1 | Jan 2019 | US |
Number | Date | Country | |
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62525965 | Jun 2017 | US |