The present invention relates generally to multifocal ophthalmic lenses, and more particularly, to multifocal intraocular lenses that can provide refractive and diffractive optical focusing powers.
Intraocular lenses are routinely implanted in patients' eyes during cataract surgery to replace a clouded natural crystalline lens. Some IOLs employ diffractive structures to provide a patient with not only a far-focus power but also a near-focus power. In other words, such IOLs provide the patient with a degree of accommodation (sometimes referred to as “pseudoaccommodation”). Although patients having such IOLs generally enjoy the versatile focusing properties of these lenses, a small percentage make observations about the clarity of their far vision, especially in photoopic conditions.
Accordingly, there is still a need for enhanced multifocal ophthalmic and, in particular, multifocal intraocular lenses.
In one aspect, the present invention provides an intraocular lens (IOL), which comprises an optic having an anterior surface and a posterior surface, where the optic includes a central refractive region for providing one refractive focusing power. A diffractive region is disposed on at least one of the lens surfaces for providing a near and far diffractive focusing power. In many cases, the refractive and diffractive far focusing powers are substantially equal.
In a related aspect, in the above IOL, one of the surfaces (e.g., the anterior surface) includes a central refractive region that is surrounded by a diffractive region, which is in turn surrounded by an outer refractive region. In some cases, the central refractive region can have a diameter in a range of about 0.5 mm to about 2 mm.
In another aspect, the diffractive region includes a plurality of diffractive zones (e.g., 2 to 20 zones) that are separated from one another by a plurality of steps. While in some cases the steps exhibit substantially uniform heights, in others their heights can be non-uniform. For example, the steps can be apodized such that their heights decrease as a function of increasing radial distance from a center of the optic. Alternatively, the apodized steps can exhibit increasing heights as a function of increasing radial distance from the center of the optic—that is the steps can be “reverse apodized.” In another case, the step heights can increase from an inner radial boundary of the diffractive region to an intermediate location in that region followed by a decrease to the region's outer radial boundary, and vice versa.
In another aspect, a multifocal ophthalmic lens (e.g., an IOL) is disclosed, which includes an optic having an anterior surface and a posterior surface configured such that the optic includes a central refractive and an outer refractive region. In addition, a diffractive region is disposed on at least one of the surfaces to provide two diffractive focusing powers.
In some cases, in the above ophthalmic lens, the central and the outer refractive regions provide different refractive powers, e.g., the central region can provide a far-focusing power and the outer refractive region can provide a near-focusing power or vice versa. The diffractive region can, in turn, provide diffractive near and far focusing powers corresponding to the refractive near and far focusing powers provided by the central and the outer regions.
In another aspect, a multifocal ophthalmic lens is disclosed that includes an optic having a central refractive region for providing a near-focus optical power and a diffractive region for providing a diffractive far-focus and a diffractive near-focus optical power. In many cases, the refractive and the diffractive near-focus powers are substantially equal.
In another aspect, the invention provides an ophthalmic lens (e.g., an IOL) that includes an optic having a central refractive region for providing a refractive far-focus optical power, and a diffractive region disposed on at least one surface of the optic for providing a diffractive near-focus and a diffractive intermediate-focus optical power. In some cases, the optic can also include an outer refractive region that contributes refractively to the lens's far-focus or near-focus power.
Further understanding of various aspects of the invention can be obtained by reference to the following detailed description in conjunction with the associated drawings, which are discussed briefly below.
The present invention generally provides multifocal ophthalmic lenses, e.g., multifocal intraocular lenses, that employ a refractive region for providing a refractive focusing power and a diffractive region for providing two diffractive focusing powers. In many cases, the refractive focusing power provided by the lens corresponds to a far-focus optical power that is substantially equal to one of the diffractive focusing powers while the other diffractive power corresponds to a near-focus optical power. As such, in many cases, the focusing properties of the lenses are dominated by their far-focus ability, especially for small pupil sizes. 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.
The anterior surface 14 includes a central refractive region 18, which is surrounded by an annular diffractive region 20, and an outer refractive region 22. In many implementations, the central refractive region 18 can have a radius (Rc) relative to the optical axis OA in a range of about 0.25 mm to about 1 mm—though other radii can also be employed. In this exemplary embodiment, the posterior surface 16 does not include any diffractive structures, though in other embodiments it can include such structures. As discussed further below, the central refractive region 18 of the anterior surface contributes to the refractive focusing power of the optic, which corresponds in this embodiment to the IOL's far-focus optical power. By way of example, in some cases, the optic's distance power can be in a range of about −5 to about +55 Diopters and more typically in a range of about 6 to about 34 Diopters, or in a range of about 18 to about 26 Diopters.
In this example, the base profiles of both the anterior surface 14 and the posterior surface 16 are substantially spherical with curvatures that are chosen, together with the index of refraction of the material forming the optic, such that the central refractive region of the IOL would function effectively as a monofocal refractive lens with a desired focusing power, e.g., one in the aforementioned range. In other words, for small pupil sizes, the IOL provides a single refractive focusing power.
In some other implementations, one or both lens surfaces can exhibit aspherical base profiles adapted to control aberrations such as by reducing the depth-of-focus (e.g., to facilitate the generation of a sharp refractive focus). By way of example, an IOL in accordance with such an embodiment can comprising an optic having an anterior surface and a posterior surface. The anterior surface can include a refractive central region that generates, in cooperation with the posterior surface, a refractive optical power. Similar to the previous embodiment, a diffractive region can surround the refractive central region. The diffractive region can, in turn, be surrounded by a refractive outer region. In such an embodiment, the anterior surface has an aspheric base profile. In other words, the base profile of the anterior surface differs from a putative spherical profile. In many implementations, the asphericity of the base profile is designed to facilitate the generation of a single refractive focus by the central refractive region of the lens by controlling aberrations. For example, the aspheric base profile of the anterior surface can be characterized by a negative conic constant, which can be selected based on the refractive power of the lens, that controls aberration effects such that the central refractive portion of the lens would provide a sharp refractive focus. By way of example, the conic constant can be in a range of about −10 to about −1000 (e.g., −27). Though in this embodiment, the base profile of the posterior surface is substantially spherical, in other embodiments, the base profile of the posterior surface can also exhibit a selected degree of asphericity such that the combined aspherical profiles of the two surfaces would facilitate the generation of a single refractive focus by the central portion of the lens. In other implementations, the central refractive zone can have a spherical profile in order to facilitate the generation of a single refractive focus, even when the surface has an otherwise aspheric base profile.
Referring again to
The exemplary IOL 10 also includes a plurality of fixation members (e.g., haptics) 11 that facilitate placement of the IOL in a patient's eye. The fixation members 11 can also be formed of suitable polymeric materials, such as polymethylmethacrylate, polypropylene and the like.
As noted above, the optic 12 also includes a diffractive region 20, which is disposed on its anterior surface 14, though in other embodiments it can be disposed on the posterior surface or on both surfaces. The diffractive region 20 forms an annular region surrounding the central refractive region 18 of the optic's anterior surface. In this exemplary embodiment, the diffractive region 20 provides a far-focus optical power as well as a near-focus power. In this example, the far-focus optical power provided by the diffractive structure is substantially similar to the refractive focusing power provided by the IOL's central refractive region. The near-focus optical power provided by the diffractive region can be, e.g., in a range of about 1 D to about 4 D, though other values can also be used. In some implementations, the diffractive region 20 can have a width (w) in a range of about 0.5 mm to about 2 mm, though other values can also be employed.
Although in some embodiments the diffractive region can extend to the outer boundary of the optic 12, in this embodiment, the diffractive region is truncated. More specifically, the diffractive region is disposed between the lens's central refractive region 18 and its outer refractive region 22. Similar to the refractive central region, the outer refractive region provides a single refractive focusing power, which in this case is substantially equal to the refractive power provided by the central region. In other words, the IOL's central and the outer refractive regions contribute only to the lens's far-focus power, while the diffractive region (herein also referred to as the zonal diffractive region) directs light energy incident thereon into both the far and near foci of the lens.
As shown schematically in
The steps are positioned at the radial boundaries of the diffractive zones. In this exemplary embodiment, the radial location of a zone boundary can be determined in accordance with the following relation:
r
i
2
=r
0
2+2iλƒ Equation (1),
wherein
i denotes the zone number
r0 denotes the radius of the central refractive zone,
λ denotes the design wavelength, and
ƒ denotes a focal length of the near focus.
In some embodiments, the design wavelength λ is chosen to be 550 nm green light at the center of the visual response.
With continued reference to
wherein
λ denotes the design wavelength (e.g., 550 nm),
n2 denotes the refractive index of the material from which the lens is formed,
n1 denotes the refractive index of a medium in which the lens is placed,
and ƒapodize represents a scaling function whose value decreases as a function of increasing radial distance from the intersection of the optical axis with the anterior surface of the lens. For example, the scaling function can be defined by the following relation:
wherein
ri denotes the radial distance of the ith zone,
rin denotes the inner boundary of the diffractive region as depicted schematically in
rout denotes the outer boundary of the diffractive region as depicted schematically in
exp is a value chosen based on the relative location of the apodization zone and a desired reduction in diffractive element step height. The exponent exp can be selected based on a desired degree of change in diffraction efficiency across the lens surface. For example, exp can take values in a range of about 2 to about 6.
As another example, the scaling function can be defined by the following relation:
wherein
ri denotes the radial distance of the ith zone, and
rout denotes the radius of the apodization zone.
Referring again to
In use, the central refractive region provides a single far focus refractive power such that the IOL 10 effectively functions as a monofocal refractive lens for small pupil sizes, that is the pupil sizes less than or equal to the radial size of the central refractive region. For larger pupil sizes, while the central region continues to provide a single far-focus optical power, the diffractive region begins to contribute to the IOL's focusing power by providing two diffractive focusing powers: one substantially equal to the refractive far-focus power of the central region and the other corresponding to a near-focus power. As the pupil size increases further, the outer refractive region 22 also contributes—refractively—to the far-focus power of the lens. The fraction of the light energy distributed to the near focus relative to the far focus can be adjusted, e.g., via the sizes of the central and outer refractive regions as well as the parameters (e.g., step heights) associated with the diffractive region. Further, in cases in which the step heights are apodized, this fraction can change as a function of the pupil size. For example, the decrease in the step heights of the diffractive structure results in an increase in the fraction of the light energy transmitted to the far focus by the diffractive structure as the pupil size increases.
By way of further illustration,
The apodization of the diffractive region is not limited to the one discussed above. In fact, a variety of apodization of the step heights can be employed. By way of example, with reference to
Such an apodization of the step heights is herein referred to as “reverse apodization.” Similar to the previous embodiment, the diffractive region contributes not only to the IOL's far-focus optical power but also to its near-focus power, e.g., the near-focus power can be in a range of about 1 to about 4 D. However, unlike the previous embodiment, the percentage of the incident light energy transmitted by the diffractive region to the far focus decreases as the pupil size increases (due to the increase in the step heights as a function of increasing radial distance from the optical axis).
In other embodiments, the step heights in the diffractive region can increase from the region's inner boundary to reach a maximum value at an intermediate location within that region followed by a decrease to the region's outer boundary. By way of example,
By way of illustration,
In yet other embodiments, the step heights separating different zones of the diffractive region can be substantially uniform (e.g., within manufacturing tolerances). By way of illustration,
By way of example, in some implementations of an IOL having a substantially uniform step height, which provides a selected phase shift at each zone boundary, the radial location of a zone boundary can be determined in accordance with the following relation:
r
i
2
=r
0
2+2iλƒ Eq. (5)
wherein
i denotes the zone number (i=0 denotes the central zone)
λ denotes the design wavelength,
ƒ denotes a focal length of the near focus, and
r0 denotes the radius of the central zone
In some embodiments, the design wavelength λ is chosen to be 550 nm green light at the center of visual response. In some cases, the radius of the central zone (r0) can be set to be √{square root over (λƒ)}.
Further, the step height between adjacent zones can be defined in accordance with the following relation:
wherein
λ denotes the design wavelength (e.g., 550 nm),
n2 denotes the refractive index of the material from which the lens is formed,
n1 denotes the refractive index of the medium in which the lens is placed, and b is a fraction, e.g., 0.5 or 0.7.
In some embodiments, the diffractive region can extend from the outer boundary of the central refractive region to the outer boundary of the optic. By way of example,
Although in the above embodiments the central region provides a far-focus optical power, in other embodiments, the central region can provide a near-focus optical power with the diffractive region providing the optic's far-focus optical power while also contributing—diffractively—to its near-focus optical power. By way of example, with reference to
The fraction of the light energy directed by the diffractive region of the IOL 74 into the near and far foci can be adjusted, e.g., based on the needs of the patient. By way of example, in many implementations of the IOL 74, the diffractive region is adapted to direct most of the light energy into the far-focus, as the refractive portions of the lens direct the light incident thereon to the IOL's near focus. By way of example, the ratio of the light energy directed to the far focus relative to that directed to near focus by the diffractive region can be in range of about 2 to about 4. A pending U.S. patent application entitled “Truncated Diffractive Intraocular Lenses” having a Ser. No. 11/444,112 filed on Aug. 23, 2006, which is herein incorporated by reference in its entirety, discloses various ways of adjusting a diffractive structure to shift the ratio of the light energy directed to the near and far-foci of a multifocal ophthalmic lens.
In some other embodiments, the IOL's central refractive region can provide a far-focus refractive power while the diffractive region provides a near-focus and an intermediate-focus power. By way of illustration,
In some other embodiments, an IOL can include a central refractive region, an annular diffractive region disposed on a surface thereof, and an outer refractive region, where the central and the outer refractive regions provide different refractive focusing powers. By way of example, as shown schematically in
In some cases, the base profile of at least one of the lens surfaces can exhibit a selected degree of asphericity to control aberrations, such as to control depth-of-focus. For example, the anterior surface on which a diffractive region is disposed can exhibit a spherical profile while the posterior surface exhibits a certain degree of asphericity. By way of example, further teachings regarding configuring one or more of the lens surfaces to have aspherical profiles can be found in pending U.S. patent application entitled “Intraocular Lens” having a Ser. No. 11/397332, filed on Apr. 4, 2006, which is herein incorporated by reference.
In other cases, at least one of the lens surfaces can have a toric base profile (a profile characterized by two different curvatures along two orthogonal directions of the surface) to help correct astigmatism.
In some embodiments, the biocompatible polymeric material of the optic can be impregnated one or more dyes such that the lens can provide some degree of filtering of blue light. Some examples of such dyes are provided in U.S. Pat. Nos. 5,528,322 (entitled “Polymerizable Yellow Dyes And Their Use In Ophthalmic Lenses”), 5,470,932 (entitled “Polymerizable Yellow Dyes And Their Use In Ophthalmic Lenses”), 5,543,504 (entitled “Polymerizable Yellow Dyes And Their Use In Ophthalmic Lenses), and 5,662,707 (entitled “Polymerizable Yellow Dyes And Their Use In Ophthalmic Lenses), all of which are herein incorporated by reference.
A variety of known manufacturing techniques can be employed to form a ophthalmic lens (e.g., an IOL) in accordance with the teachings of the invention. For example, such techniques can be employed to initially form a refractive optic and subsequently generate an annular diffractive region on one of the surfaces of the optic such that the diffractive region would surround an central refractive region of the surface.
Those having ordinary skill in the art will appreciate the certain modifications can be made to the above embodiments without departing from the scope of the invention.
This application claims priority under 35 U.S.C. §119 to U.S. Provisional Patent Application No. 60/997,279, filed Oct. 2, 2007, the entire contents of which are incorporated herein by reference.
Number | Date | Country | |
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60997279 | Oct 2007 | US |