This disclosure relates to ophthalmic lenses and more particularly, to ophthalmic lenses and methods for correcting, slowing, reducing, and/or controlling the progression of myopia.
The discussion of the background in this disclosure is included to explain the context of the disclosed embodiments. This is not to be taken as an admission that the material referred to was published, known or part of the common general knowledge at the priority date of the embodiments and claims presented in this disclosure.
Myopia, commonly referred to as shortsightedness, is a disorder of the eye that results in distant objects focused in front of the retina. Accordingly, the image on the retina is not in focus and therefore, the image of the object is blurred. Optical correction strategies for myopia have employed using ophthalmic lenses to shift the image plane to the retina and provide clear vision. However, these strategies may not slow eye growth and therefore myopia continues to progress. More recently, a number of optical strategies were developed to slow the progression of myopia and these commonly employ myopic defocus at the central and/or peripheral retina, whilst attempting to simultaneously provide acceptable vision at the retina. These strategies, when incorporated in contact lens and spectacle lenses, may slow the progression of myopia to a certain extent.
Although optical strategies may slow the progression of myopia, the efficacy of such strategies may vary between individuals. Amongst other factors, the variation in efficacy between individuals for a particular ophthalmic lens design may be dependent on the pupil size of the individual. There is significant variation in pupil sizes between individuals. Furthermore, even for a given individual, there is a significant variation in pupil diameter in response to factors such as fixation distance, cognitive demand and luminance. Indeed with certain myopia control strategies such as Orthokeratology, a greater myopia control efficacy may be observed with larger than smaller pupils whereas no such difference in myopia progression may be observed with single vision contact lenses (Chen et al, Optom vis Sci, 89(11), 1636, 2012). This may be because in an eye with a larger pupil and wearing an orthokeratology lens, more of the peripheral retina may be exposed to myopic defocus compared to an eye with a smaller pupil and using an orthokeratology lens. Therefore, variation in pupil diameter may result in variation in the exposure to myopic defocus at the retinal plane. Additionally, lens designs especially contact lenses are designed for a certain pupil size and therefore a variation in the pupil size can affect (sometimes significantly) the retinal image quality and therefore the myopia control efficacy of the lens.
Accordingly, there is a need to provide an ophthalmic lens to slow the progression of myopia with a power profile that places the peak of the image in myopic defocus whilst providing acceptable vision and also provides a through focus modulation transfer function that is similar across various pupil diameters. The present disclosure is directed to solving these and other problems disclosed herein. The present disclosure is also directed to pointing out one or more advantages to using exemplary ophthalmic lenses and methods described herein.
The present disclosure is directed to overcoming and/or ameliorating one or more of the problems described herein.
The present disclosure is directed, at least in part, to ophthalmic lenses and/or methods for correcting, slowing, reducing, and/or controlling the progression of myopia.
The present disclosure is directed, at least in part, to ophthalmic lenses and/or methods with a power profile that results in a through focus retinal image quality curve on a model eye with zero aberrations and provides for distance viewing, a through focus retinal image quality (TFRIQ) curve with the peak of the curve positioned in front of the retinal image plane, i.e. in myopic defocus for all (or substantially all) pupil diameters ranging from about approximately 4 to 6 mms (e.g., about 4, 4.5, 5, 5.5, and/or 6 mm).
The present disclosure is directed, at least in part, to ophthalmic lenses and/or methods that provide, for distance viewing, a through focus retinal image quality (TFRIQ) curve with the peak of the curve positioned, e.g., slightly or substantially in front of the retinal image plane in myopic defocus for all (or substantially all) pupil diameters ranging from about approximately 4 to 6 mms (e.g., about 4, 4.5, 5, 5.5, and/or 6 mm) on a model eye with zero aberrations.
The present disclosure is directed, at least in part, to ophthalmic lenses and/or methods that provide, for distance viewing, a through focus retinal image quality curve with the peak of the curve positioned in front of the retinal image plane by about +0.3D to +0.75D (i.e. in myopic defocus) (e.g., by any combination of one or more of about +0.3, +0.35, +0.4, +0.45, +0.5, +0.55, +0.6, +0.65, +0.7, and +0.75) for all (or substantially all) pupil diameters ranging from about approximately 4 to 6 mms (e.g., about 4, 4.5, 5, 5.5, and/or 6 mm) on a model eye with zero aberrations.
The present disclosure is directed, at least in part, to ophthalmic lenses and/or methods that provide, for distance viewing, a through focus retinal image quality curve with the peak of the curve positioned in front of the retinal image plane at target vergence of about +0.3D to +0.75D (e.g., by any combination of one or more of about +0.3D, +0.35D, +0.4D, +0.45D, +0.5D, +0.55D, +0.6D, +0.65D, +0.7D, and +0.75D) for all (or substantially all) pupil diameters ranging from about approximately 4 to 6 mms (e.g., about 4, 4.5, 5, 5.5, and/or 6 mm) on a model eye with zero aberrations.
The present disclosure is directed, at least in part, to an ophthalmic lens (e.g., a contact lens) with a power profile that incorporates a plurality of lens powers to provide a through focus retinal image quality curve with the peak of the curve positioned in front of the retinal image plane at about +0.3 to +0.75D (i.e. in myopic defocus) (e.g., by any combination of one or more of about 0.3D, +0.35D, +0.4D, +0.45D, +0.5D, +0.55D, +0.6D, +0.65D, +0.7D, and +0.75D) for all (or substantially all) pupils of about 4 to 6 mms (e.g., about 4, 4.5, 5, 5.5, and/or 6 mm) in diameter on a model eye with zero aberrations.
The present disclosure is directed, at least in part, to an ophthalmic lens (e.g., a contact lens) with a power profile that incorporates a plurality of lens powers wherein some of the lens powers are designed to correct for distance refractive error of the eye and other powers (e.g., some or all of the other powers) are either approximately relatively positive or approximately relatively negative to the distance refractive error power or both and the ophthalmic lens is designed to provide a through focus retinal image quality the peak of the curve positioned in front of the retinal image plane at about +0.3 to about +0.75D (i.e. in myopic defocus) (e.g., by any combination of one or more of about 0.3D, +0.35D, +0.4D, +0.45D, +0.5D, +0.55D, +0.6D, +0.65D, +0.7D, and +0.75D) for all pupils of about 4 to 6 mms (e.g., about 4, 4.5, 5, 5.5, and/or 6 mm) in diameter on a model eye with zero aberrations.
The present disclosure is directed, at least in part, to an ophthalmic lens (e.g., a contact lens) with a power profile that incorporates a plurality of lens powers wherein some of the lens powers are designed to correct for distance refractive error of the eye and other powers (e.g., some or all of the other powers) are approximately relatively positive to the distance refractive error power and the ophthalmic lens is designed to provide a through focus retinal image quality curve with the peak of the curve positioned in front of the retinal image plane at about +0.3 to about +0.75D (i.e. in myopic defocus) (e.g., by any combination of one or more of about 0.3D, +0.35D, +0.4D, +0.45D, +0.5D, +0.55D, +0.6D, +0.65D, +0.7D, and +0.75D) for all pupils of about 4 to 6 mms (e.g., about 4, 4.5, 5, 5.5, and/or 6 mm) in diameter on a model eye with zero aberrations.
The present disclosure is directed, at least in part, to an ophthalmic lens (e.g., a contact lens) with a power profile that incorporates a plurality of lens powers wherein some of the lens powers are designed to correct for distance refractive error of the eye and other powers (e.g., some or all of the other powers) are either approximately relatively positive to the distance refractive error power or approximately relatively negative to the distance refractive error and the lens is designed to provide a through focus retinal image quality curve with the peak of the curve displaced in front of the retinal image plane at about +0.3 to +0.75D (i.e. in myopic defocus)) (e.g., by any combination of one or more of about 0.3D, +0.35D, +0.4D, +0.45D, +0.5D, +0.55D, +0.6D, +0.65D, +0.7D, and +0.75D) for all pupils of about 4 to 6 mms (e.g., about 4, 4.5, 5, 5.5, and/or 6 mm) in diameter on a model eye with zero aberrations and the lens provides good vision at all (or substantially all) distances irrespective of the pupil size (e.g., irrespective of pupil sizes in the range of about 4-6 mm).
Other features and advantages of the subject matter described herein will be apparent from the description and drawings, and from the claims.
Aspects of the embodiments described herein may be understood from the following detailed description when read with the accompanying figures.
The following disclosure provides many different embodiments, or examples, for implementing different features of the provided subject matter. Specific examples of components and arrangements are described below to simplify the present disclosure. These are, of course, merely examples and are not intended to be limiting. In addition, the present disclosure may repeat reference numerals and/or letters in the various examples. This repetition is for the purpose of simplicity and clarity and does not in itself dictate a relationship between the various embodiments and/or configurations discussed.
The subject headings used in the detailed description are included for the ease of reference of the reader and should not be used to limit the subject matter found throughout the disclosure or the claims. The subject headings should not be used in construing the scope of the claims or the claim limitations.
The term “about” as used in this disclosure is to be understood to be interchangeable with the term approximate or approximately.
The term “comprise” and its derivatives (e.g., comprises, comprising) as used in this disclosure is to be taken to be inclusive of features to which it refers, and is not meant to exclude the presence of additional features unless otherwise stated or implied.
The term “myopia” or “myopic” as used in this disclosure is intended to refer to an eye that is already myopic, is pre myopic, or has a refractive condition that is progressing towards myopia.
The term “stop signal” as used in this disclosure refers to an optical signal that may facilitate slowing, arresting, retarding, inhibiting, or controlling the growth of an eye and/or refractive condition of the eye.
The term “ophthalmic lens” as used in this disclosure is intended to include one or more of a spectacle lens or a contact lens.
The term “through focus through focus retinal image quality (TFRIQ)” (or “through focus RIQ or “RIQ”) as used in this disclosure refers to visual performance or the retinal image quality (RIQ) of the system and is a ratio of the peak value of an aberrated point spread function to an equivalent value in a diffraction limited point spread function and is measured on a scale of 1 to 0 wherein, the lower the RIQ, the poorer the optical performance. The through focus RIQ was determined for spatial frequencies ranging from about 0 cycles/degree to about 30 cycles/degree for wavelengths from about 550 nm to about 600 nms.
The term “model eye” as used in this disclosure refers to a Navarro-Escudero eye modified to mimic presbyopic eyes with no accommodation and the ray-tracing routines performed in a ray tracing program (i.e., ZEMAX, FOCUS software) with the aberration terms set to zero.
The term “multifocal” as used in this disclosure refers to an ophthalmic lens that has a plurality of focal lengths and/or powers.
This shift in retinal image curve and its peak may be evaluated using TFRIQ curve across various pupil sizes. In
Accordingly, it may be desirable to have an improved ophthalmic lens design that results in the shape of the through focus RIQ curve being substantially similar for various pupil diameters (e.g., pupil diameters that are normally encountered during the course of the day and/or between individuals, especially children with myopia). As discussed above with respect to
In some embodiments, the ophthalmic lens may result in TFRIQ peaks positioned in front of the retina, e.g., in myopic defocus with the peak of the through focus RIQ at 0.4 or above (e.g., above 0.3, 0.35, 0.4, 0.45, or 0.5) across the various pupil sizes (e.g., about 4, 4.5, 5, 5.5, and/or 6 mm). In certain embodiments, the peak of the through focus RIQ curve across all of the pupil diameters between 4 and 6 mms may be 0.4 or higher. In other embodiments, the peak of the through focus RIQ curve for most of the pupil diameters between 4 and 6 mms may be 0.4 or higher.
In some embodiments, the peak of the through focus RIQ is displaced in myopic defocus of approximately 1D or lower for all pupil diameters ranging from about approximately 4 mm to approximately 6 mms. In some embodiments, for pupil diameters ranging from 4 to 6 mms, the peak of the TFRIQ may be positioned between approximately 0.1 to 1.0D vergence and in myopic defocus, approximately 0.2 to 1.0D vergence and in myopic defocus, approximately 0.3 to 1.0D vergence and in myopic defocus, approximately 0.4 to 1.0D vergence and in myopic defocus, approximately 0.5 to 1.0D vergence and in myopic defocus, approximately 0.6 to 1.0D vergence and in myopic defocus, approximately 0.7 to 1.0D vergence and in myopic defocus, approximately 0.8 to 1.0D vergence and in myopic defocus, by approximately 0.3D or more, by approximately 0.4D or more, by approximately 0.5 D or more.
In some embodiments, the ophthalmic lens design may be achieved by modifying the power profile or the surface profile of the lens by changing the geometry with radii of curvature of the anterior or posterior surface, thickness or a combination of both. In some embodiments, the ophthalmic lens design can be achieved by modifying the refractive index of the lens, incorporation of varying refractive index material or a combination of one or more elements thereof. In some embodiments, the ophthalmic lens design may be achieved by addition or deletion of one or more of the higher order aberrations. In some embodiments, there may be other suitable techniques to create the optical power required to achieve an ophthalmic lens design as described herein.
Similarly
It will be understood that the embodiments disclosed and defined in this specification extends to all alternative combinations of two or more of the individual features mentioned or evident from the text or drawings. All of these different combinations constitute various alternative aspects of the present disclosure.
The foregoing outlines features of several embodiments so that those skilled in the art may better understand the aspects of the present disclosure. Those skilled in the art should appreciate that they may readily use the present disclosure as a basis for designing or modifying other processes and structures for carrying out the same purposes and/or achieving the same advantages of the embodiments introduced herein. Those skilled in the art should also realize that such equivalent constructions do not depart from the spirit and scope of the present disclosure, and that they may make various changes, substitutions, and alterations herein without departing from the spirit and scope of the present disclosure.
This application claims priority to U.S. Provisional Application No. 62/915,404, filed on Oct. 15, 2019. This application is related to International Application No. PCT/AU2013/000354, filed on Apr. 5, 2013 and published as WO 2013/149303 and to International Application No. PCT/AU2013/001137, filed on Oct. 4, 2013 and published as WO 2014/059465. These priority and related applications are herein incorporated by reference in their entirety.
Filing Document | Filing Date | Country | Kind |
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PCT/IB2020/059644 | 10/14/2020 | WO |
Number | Date | Country | |
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62915404 | Oct 2019 | US |