The present invention relates to a rigid contact lens, and particularly to a contact lens for correcting visual losses in keratoconus and other cases as well as for bridging central corneal epithelial defects.
There are various known technical procedures for the correction of visual losses. The most frequently used procedures are the fitting of spectacles and the fitting of contact lenses.
There are people among the population who suffer from keratoconus, that is a change in the structure of the corneal tissue where parts of the cornea are protruding. Furthermore, there are persons who, due to other conditions, suffer from a formation of central corneal scars resulting in a permanent central epithelial defect. In most of these cases, it is not possible to correct these persons' visual losses by means of spectacle glasses to a satisfactory degree. For that reason, use is frequently made of contact lenses to correct such visual losses.
Contact lenses, however, cannot be used without any difficulties either because, in the most cases, a rotationally symmetric or toric surface is placed onto the irregular corneal surface. Therein, too flatly fitted conventional contact lenses frequently and particularly pose the problem of an excessive mechanical pressure being exerted on the irregular corneal surface. This may result in a deteriorated state of the cornea and is also felt to be painful by the persons wearing the contact lenses. Usually, these known contact lenses are fitted according to a three-point touch method or according to a contour technique with apical bridging.
In order to bypass the problem of the high mechanical pressure on the irregular corneal surface, use is made of contact lenses which, in the central optical zone on their rear surface that is facing the eye, comprise a spherical surface with a radius that is less than that of the irregular corneal surface. Such a contact lens is, for example, described in EP 0 235 328 B1. Therein, bridging of the sensible central corneal zone is achieved. However, this procedure is to disadvantage in that, as a result of the reduction in radius of the central optical zone on the rear surface that is facing the eye, the optical effect of the contact lens must become considerably stronger for thickness compensation purposes, said reduction in radius being, in part, very pronounced. For example, the thickness of a fully corrected contact lens having a radius of r0=6.5 mm and −10.00 dpt changes to −14.25 dpt when the radius is changed to r0=6.00 mm. Although such a steeper lens has the same optical effect on the eye, the visual acuity of the person wearing the contact lens becomes markedly worse, as has been described in literature (Zadnik, K.; Mutti, D. O.; American Journal of Optometry and Physiological Optics, September 1987, 698ff.). Often, the person wearing the contact lens even desires a higher dioptric value than that calculated from the change in radius.
EP 0 722 573 B1 has disclosed a contact lens which comprises on its side facing the eye a spherical central optical section to which is adjoining an aspherical peripheral region which is adjusted to the shape of the cornea. This contact lens results in the problems described above.
The present invention aims at creating a contact lens which allows a reduction of the load applied to an irregular corneal surface while, at the same time, achieving a good or improved visual acuity.
This problem is solved by a rigid contact lens according to Claim 1. Further developments of the invention are characterized in the subordinate claims.
With the contact lens according to the invention, it is achieved that the sagittal depth of the central optical zone is increased as compared with a conventional spherical or toric central optical zone, thus allowing bridging of an irregular region of the cornea while, at the same time, allowing selection of a central curvature radius in the center of the central optical zone in the same manner as for a contact lens for a regular cornea. Hence, if it is intended to bridge an irregular region of the cornea, it is not necessary to increase the thickness of the contact lens.
Thus, the structure according to the invention permits to adjust the rear surface of the contact lens such that it meets the contour of an irregular cornea. This reduces or eliminates the latter's mechanical pressure load, and the contact lens represents a least possible physiological load. As a result, the visual capacity of the eye is not worsened by wearing the contact lens, not even in an advanced stage of keratoconus, but is kept on a constant level or is improved.
Furthermore, the central optical zone may be rotationally symmetric or non-rotationally symmetric, depending on the particular requirement.
Further elements and appropriate features result from the description of exemplary embodiments by means of the accompanying drawings. In the figures,
a to 3d are schematic views illustrating the curvature course of the central optical zone of the contact lens of
Below, a first embodiment of the present invention will be described with reference made to
As shown in
Below, the geometry of the central optical zone will be described on the basis of the schematic views shown in
At first, the curvature course of known contact lenses is described on the basis of
Now, the curvature course of the illustrated embodiment of the present invention will be described on the basis of
c schematically illustrates the central optical zone 4 with an elliptic-oblong curvature course. Over its entire diameter d0ellip, the central optical zone 4 comprises an elliptic-oblong curvature course and, at its secondary apex 21 which coincides with the center Z of the central optical zone 4, has a curvature radius rellip-oblong which corresponds to the radius rSAC of the secondary apex circle SAC. The sagittal depth sellip of the central optical zone 4 according to the embodiment is defined by the eccentricity e of the basic ellipse and the diameter d0ellip of the central optical zone 4. Therein, the eccentricity of the basic ellipse preferrably ranges from −0.3 to −0.9. The following applies to the sagittal depth and the elliptic-oblong course:
sellip=a·(1−√{square root over (1−(d0ellip/2b)2)})
wherein
and b=a·√{square root over (1−q)}.
d schematically shows the spherical curvature course of the central optical zone 4′, as compared with the elliptic-oblong curvature course of the central optical zone according to the embodiment. Therein, the radius rSAC of the secondary apex circle SAC of the central optical zone 4 has been selected to be equal to the spherical radius rsph of the central optical zone 4′ of the known contact lens (rSAC=rsph), while the diameters d0ellip and d0sph of the central optical zone 4 and the central optical zone 4′ have been selected to be equal to each other (d0sph=d0ellip). As can be seen from
b and 3c each are a merely two-dimensional sectional view of the central optical zones 4′ and 4, whereas the real contact lenses naturally comprise a three-dimensional extension. According to the embodiment described, the central optical zones 4 and 4′ each comprise a design that is rotationally symmetric in relation to the central optical axis X. The rear surface may be rotationally symmetric or non-rotationally symmetric, depending on the particular requirement.
The front surface 2 of the contact lens 1 has a spherical or aspherical, rotationally symmetric or toric design or a design of a combination thereof such that, together with the rear surface 3, it generates the necessary dioptric effect, thus resulting in optimum imaging conditions for the eye while the contact lens is worn.
Below, operation of the contact lens described will be illustrated in an exemplary embodiment based on
As shown in
Owing to the oblong curvature course of the central optical zone 4, the contact lens 1, as compared with a contact lens made for a regularly curved cornea, does not comprise an increased curvature radius in the region of the center Z of the central optical zone 4, with the result that it is not necessary to design an increased optical effect of the contact lens and that the drawbacks disclosed above of the known contact lenses for keratoconus are not incurred. By the contact lens 1 allowing bridging of the irregularly curved region 32 of the cornea 31, the mechanical pressure and, hence, the load applied to the changed cornea are reduced, thus preventing the state of the cornea from deteriorating.
Further embodiments and variants
Although an elliptic-oblong curvature course of the central optical zone 4 has been described in the above embodiment, the contact lens may also comprise a different curvature course in this zone. Therein, however, it is important to ensure that the curvature course is not spherical but aspheric-oblong. That means that the central optical zone 4 comprises the least curvature, i.e. the largest curvature radius, in its center Z and that the curvature increases with increasing distance from the center Z, i.e. the curvature radius is becoming smaller, so that, with equal diameter do and equal curvature radius rz in the center Z, the sagittal depth of the central optical zone 4 is in excess of that of a spherical curvature course. Therein, the central optical zone 4 comprises an aspherical course over its entire surface.
With such a curvature course of the central optical zone 4, the curvature radius may, as has been described in the example above, be elliptic-oblong or the curvature course may be an aspherical curvature course of a higher order. In the simplest case, the rear surface 3 and its central optical zone 4 are, therein, designed rotationally symmetric about the central optical axis X. It is, however, possible to select a different curvature course, resulting from a combination of rotationally symmetric, toric, asymmetric, peripherally eccentric and/or quadrant-different designs.
The peripheral region 5 that is adjoining the central optical zone 4 may have a spherical design with a multitude of curves or an aspherical design, so that it can be fitted to the contour of the cornea in an optimum manner.
It is advantageous to design the central optical zone with a high degree of symmetry, if this is possible with the geometry of the eye to be treated, since this allows to achieve an optimum imaging behavior of the contact lens.
Without further elaboration, it is believed that one skilled in the art can, using the preceding description, utilize the present invention to its fullest extent. The preceding preferred specific embodiments are, therefore, to be construed as merely illustrative, and not limitative of the remainder of the disclosure in any way whatsoever.
In the foregoing and in the examples, all temperatures are set forth uncorrected in degrees Celsius and, all parts and percentages are by weight, unless otherwise indicated.
The entire disclosures of all applications, patents and publications, cited herein and of corresponding European application No. 05018424.1, filed Aug. 24, 2005, are incorporated by reference herein.
The preceding examples can be repeated with similar success by substituting the generically or specifically described reactants and/or operating conditions of this invention for those used in the preceding examples.
From the foregoing description, one skilled in the art can easily ascertain the essential characteristics of this invention and, without departing from the spirit and scope thereof, can make various changes and modifications of the invention to adapt it to various usages and conditions.
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