This application is a National Stage Application of International Application Number PCT/GB2007/004505, filed Nov. 26, 2007; which claims priority to Great Britain Application No. 0623657.4, filed Nov. 27, 2006; which are incorporated herein by reference in their entirety.
This invention relates to an intraocular lens, and in particular to a lens intended for use as supplementary to an existing such lens positioned within the lenticular capsule.
Intraocular lenses generally comprise an optic and one or more haptics, and are typically placed in the lenticular capsule, to replace the natural lens. Many types of such intraocular lenses and configurations are known. Unsatisfactory placement or degradation of the lens, or degradation of the eye such that the lens is no longer especially effective, cannot readily be ameliorated by lens replacement.
It is also known to introduce a secondary lens in the sulcus. For example, a “multi-focal piggyback lens” is available from Zeiss under the name Acor®, and is intended for the simultaneous correction of residual ametropia and presbyopia. It comprises a convexo-concave optic, wherein both faces of the optic are curved in the same sense with respect to the plane defined by the rim of the optic, and haptics which lie in that plane. The distal ends of the haptics are intended to come into contact with the ciliary sulcus, typically at a diameter of 12.5-13.5 mm.
According to the present invention, an intraocular lens comprises an optic and two or more haptics, wherein the optic is convexo-concave, i.e. both faces are curved in the same sense with respect to the plane defined by the rim of the optic, wherein the haptics lie at an angle with respect to said plane and on the same side thereof as the optic faces, and wherein each haptic has a smooth, undulating radially outer edge.
The use of a lens according to the invention comprises its insertion into the ciliary sulcus of a subject who already has an intraocular lens within the lenticular capsule. The outer surface of the optic of the existing lens and the inner surface of the optic of the supplementary lens can have substantially the same curvature.
The angulation of the haptics is intended to minimise or prevent uveal contact with the lens, while the shaping of the haptics should prevent rotation, and their length should ensure good positioning within the sulcus, while minimising the pressure exerted by the haptics on the sulcus. The undulation may be continued along the length of the haptic, to the haptic/optic junction, in order to reduce the force of the lens, having a large haptic diameter on the sulcus.
One characteristic of a lens of the present invention is that the haptics lie at an angle to the plane defined by the rim of the optic. This angle is usually at least 5 or 8°, and typically no more than 15 or 20°. Most preferably, it is about 10°.
In a lens of the invention, it is intended that a radially outer edge of each haptic should come into contact with the sulcus. The length of the contact surface, or at least the distance between the points of contact, may be at least 1 mm, e.g. up to 4 mm or more, for a given size of sulcus, e.g. a diameter of 12.5-13.5 mm.
Another characteristic of the invention is that the radially outer edge of each haptic is smooth and undulating. The purpose of this shaping is both to minimise damage to the sulcus wall and to minimise rotation of the lens. Rotation may undesirably affect the corrective properties of the optic.
The maximum dimension of a lens according to the invention, which may be the distance between two opposed radially outer edges of opposed haptics, may be at least 10 or 12 mm, e.g. up to 14 or 15 mm. It will of course typically be determined having regard to the size of the patient's sulcus. Lenses of different sizes may be provided for a surgeon's use.
The optic may be essentially of a conventional type. It may be, for example, 5 to 8 mm in diameter.
The invention will now be described by way of example only with reference to the accompanying drawings, in which:
As shown in
Number | Date | Country | Kind |
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0623657.4 | Nov 2006 | GB | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/GB2007/004505 | 11/26/2007 | WO | 00 | 4/30/2009 |
Publishing Document | Publishing Date | Country | Kind |
---|---|---|---|
WO2008/065362 | 6/5/2008 | WO | A |
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0195881 | Jan 1986 | EP |
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Number | Date | Country | |
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20100070030 A1 | Mar 2010 | US |