The present invention relates generally to ophthalmic lenses, and more particularly, to intraocular lenses (IOLs) that provide enhanced vision via controlled variation of the phase shift across a transition region provided on at least one of the lens surfaces.
Intraocular lenses (IOLs) are routinely implanted in patients' eyes during cataract surgery to replace the natural crystalline lens. The optical power of the natural crystalline lens can vary under the influence of the ciliary muscles to provide accommodation for viewing objects at different distances from the eye. Many IOLs, however, provide a monofocal power with no provision for accommodation. Multifocal IOLs are also known that provide a distance optical power as well as a near optical power (e.g., by employing diffractive structures), thereby providing a degree of pseudoaccommodation.
There is, however, still a need for improved IOLs that can provide pseudo-accommodative optical power while providing sharp optical images over a wide range of pupil sizes. In designing IOLs and lenses generally, optical performance can be determined by measurements using a so-called “model eye” or by calculations, such as predictive ray tracing. Typically, such measurements and calculations are performed based on light from a narrow selected region of the visible spectrum to minimize chromatic aberrations. This narrow region is known as the “design wavelength.”
In one aspect, the present invention provides an ophthalmic lens (e.g., an IOL) that includes an optic having an anterior surface and a posterior surface disposed about an optical axis. At least one of the surfaces (e.g., the anterior surface) has a profile characterized by superposition of a base profile and an auxiliary profile. The auxiliary profile can include at least two regions (e.g., an inner region and an outer region) and one or more transition regions between the regions, where an optical path difference across the transition region (i.e., the optical path difference between the inner and the outer radial boundaries of the transition region) corresponds to a non-integer fraction (e.g., ½) of a design wavelength (e.g., a wavelength of about 550 nm).
The transition region of the auxiliary profile can extend from an inner radial boundary to an outer radial boundary. In many embodiments, the inner radial boundary of the transition region corresponds to an outer radial boundary of the inner region and the outer radial boundary of the transition region correspond to an inner radial boundary of the outer region of the auxiliary profile. In many embodiments, the transition region can be adapted to provide a monotonic change in optical path difference relative to its inner radial boundary as a function of increasing radial distance from the optical axis. A monotonic change in the optical path difference can be characterized by a continuous increase or decrease as a function of radial distance, which in some cases is interspersed with regions of no change (plateau regions). By way of example, the monotonic change can be characterized by a linear change or by a succession of linear changes separated by one or more plateaus.
In some embodiments, the profile (Zsag) of the surface formed as superposition of a base profile and an auxiliary profile can be defined by the following relation:
Zsag=Zbase+Zaux,
wherein,
Zsag denotes a sag of the surface relative to the optical axis as a function of radial distance from that axis, and wherein,
wherein,
r denotes a radial distance from the optical axis,
c denotes a base curvature of the surface,
k denotes a conic constant,
a2 is a second order deformation constant,
a4 is a fourth order deformation constant,
a6 is a sixth order deformation constant, and wherein,
wherein,
r1 denotes an inner radial boundary of the transition region,
r2 denotes an outer radial boundary of the transition region, and
wherein,
Δ is defined by the following relation:
wherein,
n1 denotes an index of refraction of material forming the optic,
n2 denotes an index of refraction of a medium surrounding the optic,
λ denotes a design wavelength (e.g., 550 nm), and
α denotes a non-integer fraction (e.g., ½).
In some other embodiments, the profile (Zsag) of the lens surface having the auxiliary profile can be defined by the following relation:
Zsag=Zbase+Zaux
wherein,
Zsag denotes a sag of the surface relative to the optical axis as a function of radial distance from that axis, and wherein,
wherein,
r denotes a radial distance from the optical axis,
c denotes a base curvature of the surface,
k denotes a conic constant,
a2 is a second order deformation constant,
a4 is a fourth order deformation constant,
a6 is a sixth order deformation constant, and wherein,
wherein
r denotes the radial distance from an optical axis of the lens,
r1a denotes the inner radius of a first substantially linear portion of transition region of the auxiliary profile,
r1b denotes the outer radius of the first linear portion,
r2a denotes the inner radius of a second substantially linear portion of the transition region of the auxiliary profile, and
r2b denotes the outer radius of the second linear portion, and wherein
each of Δ1 and Δ2 can be defined in accordance with the following relation:
wherein,
n1 denotes an index of refraction of material forming the optic,
n2 denotes an index of refraction of a medium surrounding the optic,
λ denotes a design wavelength (e.g., 550 nm),
α1 denotes a non-integer fraction (e.g., ½), and
α2 denotes a non-integer fraction (e.g., ½).
By way of example, in the above relations, the base curvature c can be in a range of about 0.0152 mm−1 to about 0.0659 mm−1, and the conic constant k can be in a range of about −1162 to about −19, a2 can be in a range of about −0.00032 mm−1 to about 0.0 mm−1, a4 can be in a range of about 0.0 mm−3 to about −0.000053 (minus 5.3×10−5) mm−3, and a6 can be in a range of about 0.0 mm−5 to about 0.000153 (1.53×10−4) mm−5.
In another aspect, an ophthalmic lens (e.g., an IOL) is disclosed that includes an optic having an anterior surface and a posterior surface disposed about an optical axis. At least one of those surfaces includes at least one inner refractive region, at least one outer refractive region, and a refractive transition region that extends from an outer radial boundary of the inner region to an inner radial boundary of the outer region. The transition region is adapted such that a phase of radiation incident thereon at a design wavelength (e.g., 550 nm) varies monotonically from said inner radial boundary to said outer radial boundary so as to generate a phase shift between those boundaries that is characterized by a non-integer fraction of that design wavelength. While in some cases the non-integer fraction is less than one, in other cases it is greater than one.
In some embodiments, the anterior and the posterior surfaces exhibit base profiles adapted to impart a nominal refractive optical power, e.g., a power in a range of about −15 to about +50 Diopters, to the lens.
In a related aspect, the surface having the transition region can have a radial diameter in a range of about 1 mm to about 5 mm, and the transition region can be in the form of an annular region having a radial width in a range of about 0 to about 1 mm.
In another aspect, in the above ophthalmic lens, the optic exhibits a through-focus modulation transfer function that is asymmetric relative to a focal plane of the optic for aperture sizes in a range of about 1.5 mm to about 6 mm.
In another aspect, an ophthalmic lens (e.g., an IOL) is disclosed that includes an optic having an anterior surface and a posterior surface disposed about an optical axis, where each surface includes a base surface profile. A pattern of surface variations are superimposed on the base surface profile of at least one of the surfaces so as to generate a transition region extending between an inner and an outer surface region. The transition region causes the optic to exhibit an asymmetric through-focus modulation transfer function of light incident on the optic (e.g., light having a design wavelength (e.g., 550 nm)) through an aperture having a diameter in a range of about 1.5 mm to about 6 mm.
In some embodiments, the above lens can exhibit a depth of field in a range of about 0.25 Diopters to about 1.75 Diopters for light incident thereon through an aperture having a diameter in a range of about 1.5 mm to about 6 mm for said design wavelength.
In some embodiments, the above lens can exhibit a substantially symmetric through-focus modulation transfer function for light at the design wavelength incident on the optic through an aperture having a diameter less than about 2 mm while exhibiting an asymmetric through-focus modulation transfer function for greater apertures. In some cases, the optic exhibits a depth-of-field in a range of about 0.25 D to about 1.75 D for light incident thereon through an aperture having a diameter in a range of about 1.5 mm to about 6 mm for the design wavelength.
In another aspect, the invention provides an ophthalmic lens (e.g., an IOL), which comprises an optic having an anterior surface and a posterior surface, where each surface has a base profile such that the profiles cooperatively impart a nominal optical power to the optic. At least one of the surfaces has a profile defined by addition of an auxiliary surface profile to its nominal surface profile, where the auxiliary profile is characterized by a central region, an outer region and a transition region extending between the inner and the outer regions. The auxiliary profile is adapted to cause a shift between an effective optical power and said nominal optical power for light having a design wavelength and incident on the optic through an aperture having a size in a selected range, e.g., a shift in a range of about 0.25 D to about 1.75 D. The effective optical power can be characterized by the peak of a through-focus modulation transfer function of the optic at said design wavelength and said aperture.
In a related aspect, in the above lens, the auxiliary profile is adapted to enhance the depth of field of the optic.
In another aspect, an ophthalmic lens (e.g., an IOL), is disclosed that includes an optic having an anterior surface and a posterior surface disposed about an optical axis. At least one of the surfaces includes at least an inner refractive region and at least an outer refractive region, where the profile of that surface is configured to impart a monotonically changing phase shift to incident radiation (e.g., incident radiation at a design wavelength) from an outer boundary of the inner region to an inner boundary of the outer region to provide a phase shift between the two boundaries that is a non-integer fraction of a design wavelength (e.g., 550 nm). In some cases, the surface profile is configured such that the phase shift would occur over a radial distance in a range of about 0.75 mm to about 2.5 mm. Further, in some cases, the phase shift can effect an extension of the depth-of-focus exhibited by the optic by a value in a range of about 0.25 D to about 1.75 D.
In a related aspect, the radial derivative of the profile of that surface at the outer boundary of the inner region exhibits a discontinuity.
Further understanding of the invention can be obtained by reference to the following detailed description and the accompanying drawings, which are described briefly below.
The present invention is generally directed to ophthalmic lenses (such as IOLs) and methods for correcting vision that employ such lenses. In the embodiments that follow, the salient features of various aspects of the invention are discussed in connection with intraocular lenses (IOLs). The teachings of the invention can also be applied to other ophthalmic lenses, such as contact lenses. The term “intraocular lens” and its abbreviation “IOL” are used herein interchangeably to describe lenses that are implanted into the interior of the eye to either replace the eye's natural lens or to otherwise augment vision regardless of whether or not the natural lens is removed. Intracorneal lenses and phakic intraocular lenses are examples of lenses that may be implanted into the eye without removal of the natural lens. In many embodiments, the lens can include a controlled pattern of surface modulations that selectively impart an optical path difference between an inner and an outer portion of the lens's optic such that the lens would provide sharp images for small and large pupil diameters as well as pseudo-accommodation for viewing objects with intermediate pupil diameters.
The exemplary IOL 10 also includes one or more fixation members 1 and 2 (e.g., haptics) that can facilitate its placement in the eye.
In this embodiment, each of the anterior and the posterior surfaces includes a convex base profile, though in other embodiments concave or flat base profiles can be employed. While the profile of the posterior surface is defined solely by a base profile, the profile of the anterior surface is defined by addition of an auxiliary profile to its base profile so as to generate the aforementioned inner, outer and the transition regions, as discussed further below. The base profiles of the two surfaces in combination with the index of refraction of the material forming the optic can provide the optic with a nominal optical power. The nominal optical power can be defined as the monofocal refractive power of a putative optic formed of the same material as the optic 12 with the same base profiles for the anterior and the posterior surface but without the aforementioned auxiliary profile of the anterior surface. The nominal optical power of the optic can also be viewed as the monofocal refractive power of the optic 12 for small apertures with diameters less than the diameter of the central region of the anterior surface.
The auxiliary profile of the anterior surface can adjust this nominal optical power such that the optic's actual optical power, as characterized, e.g. by a focal length corresponding to the axial location of the peak of a through-focus modulation transfer function calculated or measured for the optic at a design wavelength (e.g., 550 nm), would deviate from the lens's nominal optical power, particularly for aperture (pupil) sizes in an intermediate range, as discussed further below. In many embodiments, this shift in the optical power is designed to improve near vision for intermediate pupil sizes. In some cases, the nominal optical power of the optic can be in a range of about −15 D to about +50 D, and preferably in a range of about 6 D to about 34 D. Further, in some cases, the shift caused by the auxiliary profile of the anterior surface to the optic's nominal power can be in a range of about 0.25 D to about 2.5 D.
With continued reference to
In many embodiments, the transition region 22 of the anterior surface 14 can be shaped such that a phase of radiation incident thereon would vary monotonically from its inner boundary (IB) to its outer boundary (OB). That is, a non-zero phase difference between the outer region and the inner region would be achieved via a progressive increase or a progressive decrease of the phase as a function of increasing radial distance from the optical axis across the transition region. In some embodiments, the transition region can include plateau portions, interspersed between portions of progressive increase or decrease of the phase, in which the phase can remain substantially constant.
In many embodiments, the transition region is configured such that the phase shift between two parallel rays, one of which is incident on the outer boundary of the transition region and the other is incident on the inner boundary of the transition region, can be a non-integer rational fraction of a design wavelength (e.g., a design wavelength of 550 nm). By way of example, such a phase shift can be defined in accordance with the following relation:
wherein,
A designates an integer,
B designates a non-integer rational fraction, and
λ designates a design wavelength (e.g., 550 nm).
By way of example, the total phase shift across the transition region can be
etc, where λ represents a design wavelength, e.g., 550 nm. In many embodiments, the phase shift can be a periodic function of the wavelength of incident radiation, with a periodicity corresponding to one wavelength.
In many embodiments, the transition region can cause a distortion in the wavefront emerging from the optic in response to incident radiation (that is, the wavefront emerging from the posterior surface of the optic) that can result in shifting the effective focusing power of the lens relative to its nominal power. Further, the distortion of the wavefront can enhance the optic's depth of focus for aperture diameters that encompass the transition region, especially for intermediate diameter apertures, as discussed further below. For example, the transition region can cause a phase shift between the wavefront emerging from the outer portion of the optic and that emerging from its inner portion. Such a phase shift can cause the radiation emerging from optic's outer portion to interfere with the radiation emerging from the optic's inner portion at the location at which the radiation emerging from the optic's inner portion would focus, thus resulting in an enhanced depth-of-focus, e.g., as characterized by an asymmetric MTF (modulation transfer function) profile referenced to the peak MTF. The term “depth-of-focus” and “depth-of-field” can be used interchangeably and are known and readily understood by those skilled in the art as referring to the distances in the object and image spaces over which an acceptable image can be resolved. To the extent that any further explanation may be needed, the depth-of-focus can refer to an amount of defocus relative to a peak of a through-focus modulation transfer function (MTF) of the lens measured with a 3 mm aperture and green light, e.g., light having a wavelength of about 550 nm, at which the MTF exhibits a contrast level of at least about 15% at a spatial frequency of about 50 lp/mm. Other definitions can also be applied and it should be clear that depth of field can be influenced by many factors including, for example, aperture size, chromatic content of the light forming the image, and base power of the lens itself.
By way of further illustration,
By way of illustration, in this implementation, the base profile of the anterior and/or the posterior surfaces can be defined by the following relation:
wherein,
c denotes the curvature of the profile,
k denotes the conic constant, and
wherein,
ƒ(r2,r4,r6, . . . ) denotes a function containing higher order contributions to the base profile. By way of example, the function ƒ can be defined by the following relation:
ƒ(r2,r4,r6, . . . )=a2r2+a4r4+a6r6+ . . . Eq. (3)
wherein,
a2 is a second order deformation constant,
a4 is a fourth order deformation constant, and
a6 is a sixth order deformation constant. Additional higher order terms can also be included.
By way of example, in some embodiments, the parameter c can be in a range of about 0.0152 mm−1 to about 0.0659 mm−1, the parameter k can be in range of about −1162 to about −19, a2 can be in a range of about −0.00032 mm−1 to about 0.0 mm−1, a4 can be in a range of about 0.0 mm−3 to about −0.000053 (minus 5.3×10−5) mm−3, and a6 can be in a range of about 0.0 mm−5 to about 0.000153 (1.53×10−4) mm−5.
The use of certain degree of asphericity in the anterior and/or posterior base profile as characterized, e.g., by the conic constant k, can ameliorate spherical aberration effects for large aperture sizes. For large aperture sizes, such asphericity can somewhat degree counteract the optical effects of the transition region, thus leading to a shaper MTF. In some other embodiments, the base profile of one or both surfaces can be toric (that is, it can exhibit different radii of curvatures along two orthogonal directions along the surface) to ameliorate astigmatic aberrations.
As noted above, in this exemplary embodiment, the profile of the anterior surface 14 can be defined by superposition of a base profile, such as the profile defined by the above Equation (1), and an auxiliary profile. In this implementation, the auxiliary profile (Zaux) can be defined by the following relation:
wherein,
r1 denotes an inner radial boundary of the transition region,
r2 denotes an outer radial boundary of the transition region, and
wherein,
Δ is defined by the following relation:
wherein,
n1 denotes an index of refraction of material forming the optic,
n2 denotes an index of refraction of a medium surrounding the optic,
λ denotes a design wavelength, and
α denotes a non-integer fraction, e.g., ½.
In other words, in this embodiment, the profile of the anterior surface (Zsag) is defined by a superposition of the base profile (Zbase) and the auxiliary profile (Zaux) as defined below, and shown schematically in
Zsag=Zbase+Zaux Eq. (6)
In this embodiment, the auxiliary profile defined by the above relations (4) and (5) is characterized by a substantially linear phase shift across the transition region. More specifically, the auxiliary profile provides a phase shift that increases linearly from the inner boundary of the transition region to its outer boundary with the optical path difference between the inner and the outer boundaries corresponding to a non-integer fraction of the design wavelength.
In many embodiments, a lens according to the teachings of the invention, such the above lens 10, can provide good far vision performance by effectively functioning as a monofocal lens without the optical effects caused by the phase shift for small pupil diameters that fall within the diameter of the lens's central region (e.g., for a pupil diameter of 2 mm). For medium pupil diameters (e.g., for pupil diameters in a range of about 2 mm to about 4 mm (e.g., a pupil diameter of about 3 mm)), the optical effects caused by the phase shift (e.g., changes in the wavefront exiting the lens) can lead to enhanced functional near and intermediate vision. For large pupil diameters (e.g., for pupil diameters in a range of about 4 mm to about 5 mm), the lens can again provide good far vision performance as the phase shift would only account for a small fraction of the anterior surface portion that is exposed to incident light.
By way of illustration,
More specifically, in each of the
The optical effect of the phase shift can be modulated by varying various parameters associated with that region, such as, its radial extent and the rate at which it imparts phase shift to incident light. By way of example, the transition region defined by the above relation (3) exhibits a slope defined by
which can be varied so as to adjust the performance of an optic having such a transition region on a surface thereof, particularly for intermediate pupil sizes.
By way of illustration,
By way of providing a reference from which the optical effects of the transition region can be more readily understood,
As the transition region becomes steeper (its radial extent remains fixed at 0.01 mm) so as to provide a ΔZ=1.5 microns (
In fact, the MTF pattern is repeated for every design wavelength. By way of example, in an embodiment in which the design wavelength is 550 nm and the optic is formed of Acrysof material (cross-linked copolymer of 2-phenylethyl acrylate and 2-phenylethyl methacrylate) ΔZ=2.5 microns. For example, the MTF curve shown in
Optical Path Difference (OPD)=(n2−n1)ΔZ Eq. (7)
wherein
n1 represent the index of refraction of the material from which the optic is formed, and
n2 represents the index of refraction of the material surrounding the optic. Thus, for n2=1.552, and n1=1.336, and a ΔZ of 2.5 microns, an OPD corresponding to 1λ is achieved for a design wavelength of about 550 nm. In other words, the exemplary MTF plots shown in
A transition region according to the teachings of the invention can be implemented in a variety of ways, and is not restricted to the above exemplary region that is defined by the relation (4). Further, while in some cases the transition region comprises a smoothly varying surface portion, in other cases it can be formed by a plurality of surface segments separated from one another by one or more steps.
As shown schematically in
Zsag=Zbase+Zaux
wherein the base profile (Zbase) can be defined in accordance with the above relation (2). The auxiliary profile (Zaux) is, however, defined by the following relation:
wherein r denotes the radial distance from an optical axis of the lens, and parameters r1a, r1b, r2a and r2b are depicted in
r1a denotes the inner radius of a first substantially linear portion of the transition region of the auxiliary profile,
r1b denotes the outer radius of the first linear portion,
r2a denotes the inner radius of a second substantially linear portion of the transition region of the auxiliary profile, and
r2b denotes the outer radius of the second linear portion, and wherein each of Δ1 and Δ2 can be defined in accordance with the above relation (8).
With continued reference to
The profile of the posterior surface 30 can be defined by the above relation (2) for Zbase with appropriate choices of the various parameters, including the radius of curvature c. The radius curvature of the base profile of the anterior surface together with the curvature of the posterior surface, as well as the index of refraction of the material forming the lens, provides the lens with a nominal refractive optical power, e.g., an optical power in a range of about −15 D to about +50 D, or in a range of about 6 D to about 34 D, or in a rang of about 16 D to about 25 D.
The exemplary IOL 24 can provide a number of advantages. For example, it can provide sharp far vision for small pupil sizes with the optical effects of the two-step transition region contributing to the enhancement of functional near and intermediate vision. Further, in many implementations, the IOL provides good far vision performance for large pupil sizes. By way of illustration,
The MTF plots show that for a pupil diameter of about 2 mm, which is equal to the diameter of the central portion of the anterior surface, the optic provides a monofocal refractive power and exhibits a relatively small depth of focus (defined as full width at half maximum) of about 0.5 D. In other words, it provides good far vision performance. As the pupil size increases to about 3 mm, the optical effects of the transition region become evident in the through-focus MTF. In particular, the 3-mm MTF is significantly broader than the 2-mm MTF, indicating an enhancement in the depth-of-field.
With continued reference to
A variety of techniques and materials can be employed to fabricate the IOLs of the invention. For example, the optic of an IOL of the invention can be formed of a variety of biocompatible polymeric materials. Some suitable biocompatible materials include, without limitation, soft acrylic polymers, hydrogel, polymethylmethacrylate, polysulfone, polystyrene, cellulose, acetate butyrate, or other biocompatible materials. By way of example, in one embodiment, the optic is formed of a soft acrylic polymer (cross-linked copolymer of 2-phenylethyl acrylate and 2-phenylethyl methacrylate) commonly known as Acrysof. The fixation members (haptics) of the IOLs can also be formed of suitable biocompatible materials, such as those discussed above. While in some cases, the optic and the fixation members of an IOL can be fabricated as an integral unit, in other cases they can be formed separately and joined together utilizing techniques known in the art.
A variety of fabrication techniques known in the art, such as a casting, can be utilized for fabricating the IOLs. In some cases, the fabrication techniques disclosed in pending patent application entitled “Lens Surface With Combined Diffractive, Toric and Aspheric Components,” filed on Dec. 21, 2007 and having a Ser. No. 11/963,098 can be employed to impart desired profiles to the anterior and posterior surfaces of the IOL.
Those having ordinary skill in the art will appreciate that various changes can be made to the above embodiments without departing from the scope of the invention.
This application claims priority to U.S. Patent Application Ser. No. 61/080,790 filed on Jul. 15, 2008. The present invention is related to U.S. patent application entitled “Accommodative IOL with Toric Optic and Extended Depth of Focus,” which is concurrently filed herewith. This application is herein incorporated by reference.
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