Intraocular multifocal lens method for correcting the aphakic eye

Information

  • Patent Grant
  • 5019099
  • Patent Number
    5,019,099
  • Date Filed
    Monday, April 16, 1990
    34 years ago
  • Date Issued
    Tuesday, May 28, 1991
    33 years ago
  • Inventors
  • Examiners
    • Frinks; Ronald
    Agents
    • Charmasson; Henri J. A.
Abstract
An intraocular lens, in form of a disk, intended to replace the crystalline lens of a patient's eye, in particular after a cataract extraction, comprises on its distal side an aspherical sector extending approximately from the midline of the disk over one quarter of the surface thereof. The rest of the distal side is spherical. The radius of curvature of the aspherical sector varies monotonously between the value of the radius of the spherical sectors and a lower value. Such a configuration allows light rays impinging on the intraocular lens to be refracted at different angles and provides both near and distance vision. The discontinuity at transition between the aspherical sector and the spherical sector is blocked out by dark or etched plastic to eliminate glare. The proximal side can either be a convex surface, a concave surface or a plane.
Description
Claims
  • 1. A method for the correction of the aphakic eye following extracapsular cataract extraction, comprising:
  • implanting a universally configured prosthetic lens against the vitreous humor the eye;
  • a face of one side of said lens comprising a substantially aspherical, convex surface whereof the radius of curvature decreases from a value at points of said surface nearest to the center of the lens, to a lower value at points of said surface farther away from the center of the lens;
  • said decreases occurring along both the vertical axis and the horizontal axis of the plane of said lens; and
  • said values being sufficiently apart to extend the refractive power of said lens to substantially accommodate any aphakic condition,
  • wherein said surface is constituted of a series of successive spherical sectors, whereof the radii of curvature decreases discretely from the value of the radius of a first spherical sector nearest to the center of the lens to a lower value of the radius of the spherical sector further away from the center of the lens.
  • 2. A method for the correction of the aphakic eye following extracapsular cataract extraction, comprising:
  • implanting a universally configured prosthetic lens against the vitreous humor of the eye;
  • a face of one side of said lens comprising a substantially aspherical, convex surface whereof the radius of curvature decreases from a value at points of said surface nearest to the center of the lens, to a lower value at points of said surface farther away from the center of the lens;
  • said decreases occurring along both the vertical axis and the horizontal axis of the plane of said lens; and
  • said values being sufficiently apart to extend the refractive power of said lens to substantially accommodate any aphakic condition,
  • wherein the radius of curvature in said surface is between 8 mm and 10 mm, and said lower value is between 7 and 9 mm.
  • 3. A method for the correction of the aphakic eye following extracapsular cataract extraction, comprising:
  • implanting a universally configured prosthetic lens against the vitreous humor of the eye;
  • a face of one side of said lens comprising a substantially aspherical, convex surface whereof the radius of curvature decreases from a value at points of said surface nearest to the center of the lens, to a lower value at points of said surface farther away from the center of the lens;
  • said decreases occurring along both the vertical axis and the horizontal axis of the plane of said lens; and
  • said values being sufficiently apart to extend the refractive power of said lens to substantially accommodate any aphakic condition,
  • wherein said surface includes a plurality of concentric aspherical and spherical sectors.
PRIOR APPLICATIONS

This is a continuation of application Ser. No. 232,140 filed Aug. 15, 1988, now U.S. Pat. No. 4,917,681, which in turn is a continuation of application Ser. No. 088,277 filed Aug. 24, 1987 now U.S. Pat. No. 4,769,033 which in turn is a continuation-in-part of application Ser. No. 069,197 filed July 2, 1987 now abandoned. The invention relates to aphakic lenses and more particularly to aphakic intraocular lenses. Intraocular lenses have been increasingly used in the last decade, in particular in aphakic patients after a cataract operation. Intraocular lenses provide many advantages over both spectacle and contact lenses. They permit a better elimination of perceptual problems and reduce image size disparity. Since the intraocular lens is intended to remain in situ, it eradicates the difficulties in inserting and removing contact lenses encountered by elderly patients. The use of an intraocular lens may also be advantageous for those working in unusual environments and for those whose visual requirements for occupation must be fulfilled. Presently, opthamologists and eye surgeons recommend that intraocular implant lens surgery be performed when the patient is not likely to manage a contact lens. According to Norman S. Jaffe et al, "Psudophakos", published by The C.V. Mosby Company, 1978, the majority of patients who undergo lens implant surgery in the United States receive implants whose power is estimated from the basic refraction of the eye. Experience has shown however that there are many pitfalls in estimating the basic refraction in this way, in view of the high of residual anisometropia and aniseikonia cases in patients thus corrected. More recently ophthalmologists surgeons have endeavored to design bifocal intraocular lenses (IOL hereafter) to focus both the near and far images on the retina. The "Ocular Surgery News", June 1, 1987, Volume 5, Number 11, reports the latest findings concerning bifocal IOL's. These IOL's, however, provide near and distance vision but do not provide a continuum in the dioptric range. To the best of the inventor's knowledge, there is not known any multifocal intraocular lens. It is therefore an object of this invention to provide a new multifocal intraocular lens with a full dioptric range. It is also another object of the present invention to produce an intraocular lens which can be easily and safely implanted in a patient's eye and which can provide optimal post-operative vision. Another object is to provide an intraocular lens which can be easily manufactured and can be produced at low cost. Another object of the present invention is also to furnish an intraocular lens which is more particularly designed for the surgical correction of aphakia following extracapsular cataract extraction. In accordance with the present invention, an intraocular lens has the general shape of a biconvex disk. The proximal side, to be placed against the vitreous humor is substantially spherical, whereas the distal side is composed of three sectors. The upper sector is essentially spherical and extends to the midsection of the disk. The center sector, adjacent the upper sector, extends therefrom to the lower quarter of the disk and is formed of an aspherical sector of decreasing radius of curvature. The lower sector is also essentially spherical. Such a configuration allows light rays impinging on the intraocular lens to be refracted at different angles. The focal plane thus varies continuously between a near focal plane for near objects an a far focal plane for distant objects, thereby permitting both near and far vision. The proximal side of the IOL can also be a plane or a concave surface in other embodiments of the present invention.

US Referenced Citations (10)
Number Name Date Kind
3866249 Flom Feb 1975
3950082 Volk Apr 1976
4418991 Breger Dec 1983
4450593 Poler May 1984
4504982 Burk Mar 1985
4640595 Volk Feb 1987
4666446 Koziol et al. May 1987
4710193 Volk Dec 1987
4769033 Nordan Sep 1988
4917681 Nordan Apr 1990
Non-Patent Literature Citations (3)
Entry
Norman S. Jaffe et al., "Pseudophakos", published by the C. U. Mosby Company, 1978, Chapter 6, pp. 58, 59, and 60.
Ocular Surgery News, Jun. 1, 1987, vol. 5, No. 11, pp. 1, 14 and 15, Article "No Near Corrections Needed by Almost 50 in Bifocal IOL Series".
Ocular Surgery News, Jun. 1, 1987, vol. 5, No. 11, pp. 1, 12 and 1, Article "Bifocal IOL Implanted in England; U.S. Trial May Begin this Month".
Continuations (1)
Number Date Country
Parent 232140 Aug 1988