CN113873968A - High definition and extended depth of field intraocular lens - Google Patents

High definition and extended depth of field intraocular lens Download PDF

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CN113873968A
CN113873968A CN202080028121.0A CN202080028121A CN113873968A CN 113873968 A CN113873968 A CN 113873968A CN 202080028121 A CN202080028121 A CN 202080028121A CN 113873968 A CN113873968 A CN 113873968A
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intraocular lens
virtual aperture
lens
optical
zone
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E·J·沙文
J·J·西蒙斯
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Z Optics Inc
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Z Optics Inc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
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    • A61F2/02Prostheses implantable into the body
    • A61F2/14Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16Intraocular lenses
    • A61F2/1613Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
    • A61F2/1637Correcting aberrations caused by inhomogeneities; correcting intrinsic aberrations, e.g. of the cornea, of the surface of the natural lens, aspheric, cylindrical, toric lenses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/14Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16Intraocular lenses
    • A61F2/1613Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
    • A61F2/1616Pseudo-accommodative, e.g. multifocal or enabling monovision
    • A61F2/1618Multifocal lenses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/14Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16Intraocular lenses
    • A61F2002/1681Intraocular lenses having supporting structure for lens, e.g. haptics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/14Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16Intraocular lenses
    • A61F2002/16965Lens includes ultraviolet absorber
    • A61F2002/1699Additional features not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F2009/00885Methods or devices for eye surgery using laser for treating a particular disease
    • A61F2009/00887Cataract
    • A61F2009/00889Capsulotomy

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Abstract

The invention discloses a virtual aperture integrated into an intraocular lens. The light rays that intersect the virtual aperture are widely scattered on the retina, thereby effectively preventing the light rays from reaching a level detectable on the retina. The use of a virtual aperture helps to eliminate monochrome and chromatic aberrations, resulting in a high-definition retinal image. For a given definition of acceptable vision, the depth of field is increased over a larger diameter optical area. In addition, thinner intraocular lenses can be produced because the optical zone can have a smaller diameter. This in turn allows for a smaller corneal incision and easier implantation surgery.

Description

High definition and extended depth of field intraocular lens
Priority requirement
This application claims priority from us patent application 16/380,622 entitled "high definition and extended depth of field intraocular lens" filed on 4/10/2019. The contents of the above referenced application are incorporated herein by reference in their entirety.
Background
The human eye often suffers from aberrations such as defocus and astigmatism, which must be corrected to provide acceptable vision to maintain a high quality of life. Correction of these defocus and astigmatism aberrations can be accomplished using a lens. The lens may be located at the lens plane, the corneal plane (contact lens or corneal implant), or placed in the eye as a phakic (lens intact) or aphakic (aphakic) intraocular lens (IOL).
The human eye often has high order aberrations, such as spherical aberration, in addition to the basic aberrations of defocus and astigmatism. Chromatic aberrations, i.e. aberrations due to wavelength variations in the visible spectral range, are also present in the eye. These higher order aberrations and chromatic aberrations can negatively affect the visual quality of the person. The negative effects of higher order aberrations and chromatic aberration increase with increasing pupil size. Vision with these aberrations removed is commonly referred to as High Definition (HD) vision.
Presbyopia is a condition where the eye loses the ability to focus on objects at different distances. Aphakic eyes have presbyopia. A standard monofocal intraocular lens implanted in an aphakic eye will restore vision at a single focal length. To provide good vision over a range of distances, a number of options are available, including the use of monofocal intraocular lenses in combination with bifocal or progressive addition spectacles. Monocular intraocular lens systems are another option for restoring near and far vision-one eye has a different focal length setting than the other eye, providing a binocular sum of two foci and providing mixed vision.
Single vision (Monovision) is currently the most common method of presbyopia correction, attempting to achieve binocular vision from far to near by correcting for both the dominant eye, which is hyperopic, and the non-dominant eye, which is myopic. Further, the IOL may be bifocal or multifocal. Most intraocular lenses are designed to have one or more focal regions distributed over an additional range. However, using an element with a set of discrete focal points is not the only possible design strategy: it is also contemplated to use elements with extended depth of field (EDOF), i.e., elements that produce a continuous focal segment that spans the desired addition. These methods are not entirely acceptable because stray light from the various focal regions can degrade a person's vision.
There is a need in the art for improved virtual aperture IOLs to overcome these limitations.
Disclosure of Invention
A virtual aperture integrated into an intraocular lens (IOL) is disclosed. This structure and arrangement allows light rays that intersect the virtual aperture and are widely scattered on the retina, thereby effectively preventing light from reaching detectable levels on the retina. The virtual aperture helps to eliminate monochrome and chromatic aberrations, resulting in a high-definition retinal image. For a given definition of acceptable vision, the depth of field increases over a larger diameter optical zone IOL. Eyes with cataracts may develop secondary problems due to ocular disease that is not well corrected by injury, previous ophthalmic surgery, or normal IOL design. Examples of eyes with complications include: asymmetric astigmatism, keratoconus, post-operative corneal transplantation, asymmetric pupil, very high astigmatism, etc. Our virtual-iris IOL design will be very effective in providing enhanced vision compared to normal large-optic IOLs, since it can remove unwanted aberrations.
It is an object of the present invention to teach a method of making thinner IOLs because the optical zone can have a smaller diameter, which allows for smaller corneal incisions and easier implantation surgery. Eyes with cataracts may develop secondary problems due to ocular disease that is not well corrected by injury, previous ophthalmic surgery, or normal IOL design. Examples of eyes with complications include: asymmetric astigmatism, keratoconus, post-operative corneal transplantation, asymmetric pupil, very high astigmatism, etc. The disclosed virtual-iris IOL design is effective in providing enhanced vision compared to normal large-optic IOLs due to its ability to remove unwanted aberrations.
It is another object of the present invention to teach a virtual aperture IOL that exhibits reduced monochromatic and chromatic aberrations, as well as an extended depth of field, while providing sufficient contrast for the resolution of the image over a selected range of distances.
It is a further object of the present invention to teach a virtual aperture IOL that provides a smaller central thickness than other isopowered IOLs.
It is another object of the invention to teach a virtual aperture that can be implemented as an alternating high power positive and negative lens profile.
It is a further object of the invention to teach a virtual aperture that can be implemented as a high power negative lens surface.
It is another object of the invention to teach a virtual aperture that can be implemented as a high power negative lens surface in combination with an alternating high power positive and negative lens profile.
It is yet another object of the invention to teach a virtual aperture that can be implemented as a prismatic profile in combination with alternating high power positive and negative lens profiles.
It is another object of the present invention to overcome these limitations by providing a phakic or aphakic intraocular lens which, while: provides defocus and astigmatism correction, reduces high order and chromatic aberrations, and provides an extended depth of field to improve vision quality.
It is another object of the present invention to teach a virtual aperture that can be used for phakic or aphakic IOLs, corneal implants, contact lenses, or for corneal laser surgery (LASIK, PRK, etc.) procedures to provide an extended depth of field and/or to provide a high definition field of view.
It is yet another object of the present invention to provide an IOL for an eye having complications such as asymmetric astigmatism, keratoconus, post-operative corneal transplants, asymmetric pupil, very high astigmatism, and the like.
It is a further object of the present invention to provide an IOL capable of removing unwanted aberrations to provide enhanced vision as compared to normal large optic IOLs.
It is another object of the invention to teach replacing the virtual aperture with an actual opaque aperture and achieve the same optical benefits as the virtual aperture.
Other objects and further advantages and benefits associated with the present invention will become apparent to those skilled in the art from the ensuing description, embodiments and claims.
Drawings
FIG. 1 illustrates a basic method of reducing monochromatic aberrations using pupil size;
FIG. 2(A & B) shows a basic method of using pupil size to reduce chromatic aberration;
FIG. 3(A & B) illustrates the basic concept of virtual aperture limiting effective pupil size;
FIG. 4 shows a virtual aperture as a high power lens portion integrated into an IOL;
fig. 5 shows a virtual aperture as a negative lens portion;
fig. 6(a & B) shows a virtual aperture as a negative lens (or prism) portion in combination with a high power lens portion;
FIG. 7(A & B) illustrates the use of a virtual aperture to prevent negative effects of small viewing zones;
FIG. 8 shows an example of a lens A with an oval optical zone and an example of a lens B with a circular optical zone;
FIG. 9 shows an azimuthally symmetric radial profile;
FIG. 10 shows a symmetrical radial distribution of comparison elements A, B, C, D and E;
FIG. 11 illustrates a two-dimensional lens region; and
fig. 12 illustrates the geometry of one of the two-dimensional high power lenses.
Detailed Description
Detailed embodiments of the present invention are disclosed herein; however, it is to be understood that the disclosed embodiments are merely exemplary of the invention, which can be embodied in various forms. Therefore, specific functional and structural details disclosed herein are not to be interpreted as limiting, but merely as a basis for the claims and as a representative basis for teaching one skilled in the art to variously employ the present invention in virtually any appropriately detailed structure.
Fig. 1 illustrates a single converging lens 1 centered on an optical axis 2. The incident ray 3 is parallel to the optical axis and will intersect the focal point 4 of the lens. If the viewing plane 5 is located at a greater distance from the focal point, the incident ray will continue until it intersects the viewing plane. If we were tracing all incident rays with the same ray height as the incident ray 3, we would locate a blur circle 6 on the viewing plane. Other incident rays having a ray height less than the incident ray 3 will fall within the blur circle 6. One of the rays is incident ray 7, which is closer to the optical axis than incident ray 3. The incident ray 7 also intersects the focal point 4 and then intersects the viewing plane 5. Tracing all incident rays with a ray height equal to the incident ray 7 traces a circle of confusion 8 smaller than the circle of confusion 6.
The optical principle presented here is that as the height of a parallel incident ray decreases, the corresponding blur circle decreases. This simple relationship is suitable for the human eye. In other words, for a given amount of defocus (power error) in the eye, vision improves as the height of the incident light decreases. This principle is used when someone squints their eyes in an attempt to see out-of-focus objects more clearly.
The traces in fig. 1 are for a single wavelength of incident light. For polychromatic light, in this case three wavelengths, we have the situation in fig. 2. It is well known that the components of the eye, like typical optical materials, decrease in refractive index with increasing wavelength. In fig. 2A, the converging lens 21 has an optical axis 22. The incident light ray 23 consists of three wavelengths of blue (450nm), green (550nm) and red (650nm) light. Due to the different refractive indices of the three wavelengths, blue light 24 is refracted more than green light 25, and green light is refracted more than red light 26. If the green light is focused, it will then pass through the viewing plane 27 at the optical axis. The dispersion of these three rays results in a chromatic blur circle 28 in the viewing plane. In fig. 2B, the light incident on the color line 29 is lower in height than the color line 23 in fig. 2A. This results in a smaller circle of chromatic blur 33 at the viewing plane. Thus, as with the monochrome of FIG. 1, as the color light level decreases, the color blur decreases.
Fig. 1 and 2 illustrate that reducing the height of rays (reducing the pupil diameter) reduces the monochromatic and chromatic aberrations at the retina, thereby improving visual quality. Described another way, the depth of field increases as the light height decreases.
Fig. 3A shows a converging lens 34 having an optical axis 2 and an aperture 35. The incident ray 36 passes through the aperture and hence the lens focal point 37 and intersects the viewing plane 38 where it traces a small circle of confusion 39. The incident ray 40 is blocked by the aperture and therefore cannot continue to the viewing plane to form a larger blur circle 41. An aperture that limits the height of the incident light reduces the blur on the viewing plane. In FIG. 3B, we illustrate the "virtual aperture" we describe. That is, it is not an aperture that really blocks light, but the optical effect is almost the same. The light rays 43 propagating through the virtual aperture 42 are widely spread out and therefore contribute little to stray light (blur light) at any one point on the observation plane. This is the primary mechanism of operation of the IOL invention. Occasionally, within months to years after cataract surgery and intraocular lens implantation, a disease known as Posterior Capsule Opacification (PCO) can develop in the clear posterior capsule and can affect vision quality. It has been reported that the incidence of PCO is 5% to 50% in eyes receiving cataract surgery and intraocular lens implantation. Treatment to remove PCO typically involves post-capsulotomy with a Nd: YAG laser. In this case, the laser is focused through the IOL to perform the capsulotomy. If the virtual aperture is opaque, e.g. a real aperture, the process will be disabled. The disclosed virtual aperture is intentionally designed to provide the benefits of a small aperture while allowing YAG capsulotomy to treat PCO.
FIG. 4 illustrates the basic layout of an IOL employing a virtual aperture. In this figure, the central optical zone 46 provides correction for defocus, astigmatism, and any other correction required by the lens. Generally, for an intraocular lens using a virtual aperture, the central optical zone is smaller in diameter than a conventional intraocular lens. This results in a smaller central thickness, which makes the intraocular lens easier to implant and allows for a smaller corneal incision during surgery. The virtual aperture 48 is located at the more distal periphery and the IOL haptics 50 are located at the more distal periphery. The virtual aperture is connected to the optical zone by a transition zone 47 and the haptic elements are connected to the virtual aperture by a transition zone 49. The transition regions 47 and 49 are designed to ensure one side of the zero and first order continuity transition regions of the surface. A common method of achieving this is a polynomial function, such as a cubic bessel function. Methods of conversion such as these are known to those skilled in the art.
In a preferred embodiment, the virtual aperture area 48 is a series of high power positive and negative lens profiles. Thus, the rays that intersect this region are widely dispersed downstream of the IOL. These distributions may be implemented as continuous conic sections, polynomials (e.g., Bezier functions), rational splines, diffraction distributions, or other similar distributions, as long as the entire region properly redirects and/or disperses the refracted rays. It is preferred to use a high power distribution that is smooth rather than a diffractive distribution because this simplifies the manufacture of IOLs on high precision lathes or using molds. As is known to those skilled in the art, the posterior side of the haptic elements should include a squared-off edge to inhibit cell growth that causes posterior capsule opacification.
Fig. 5 shows another distribution of the virtual aperture area 51, i.e. a divergent lens distribution. Note that this requires a thicker edge profile than the method in fig. 4. In fig. 6A, we show a preferred high power alternating positive and negative lens distribution and a close-up of the incident and transmitted light rays. Fig. 6B illustrates the effect of combining the distribution in 6A with the underlying prism or negative lens. In this case, the emergent rays are not only widely scattered, but they are also directed away from the macula or central vision portion of the retina of the eye, again at the expense of wider lens edges.
Figure 7A shows a high power IOL60, typically having a relatively small optical diameter and a large central thickness. When the pupil of the eye is larger than the optic zone, the incident light ray 64 may miss the optic entirely and intersect the haptic elements 61 only on the way to the retina 63. This situation can cause noticeable artifacts in the peripheral vision of the eye. Incident light rays 62 that intersect the optic zone as expected are properly refracted into the central vision of the retina. In fig. 7B, we illustrate the same optics, but now with a virtual aperture 65 between the optics and the haptic elements. In this case, the incident light rays 64 that intersect the lens outside the optical zone are dispersed on the retina without causing significant artifacts.
Taken together, these characteristics of an IOL incorporating a virtual aperture can be accurately characterized as High Definition (HD) and extended depth of field (EDOF).
The basic layout of the virtual iris IOL is shown in fig. 4. In a preferred embodiment, the central optical zone 46 has a diameter of 3.0mm and the virtual aperture 48 has a width of 1.5 mm. Thus, the combination of the central optical zone and the virtual aperture is a 6.0 mm diameter optic, similar to a common commercially available IOL.
Spherical, toric and zero aberration vision zones. A significant proportion of cataract patients have astigmatic corneas. After removal of the lens, the residual optical system of the astigmatic corneal eye is preferably corrected with a toric or astigmatic lens. For these patients, the central optic portion of our lens is toric to provide better vision correction. Furthermore, even if the optical part is small, some spherical aberration can be corrected. Thus, the best correcting optic zone will provide spherical aberration correction for all lenses and toric correction for those suffering from corneal astigmatism.
Toric correction is readily performed by those skilled in the art by providing two principal powers in two principal directions aligned with the corneal astigmatism of the eye.
Spherical aberration of a spherical lens or toric lens is corrected by employing a conical profile on one or more surfaces of the lens. Such a lens is said to have zero aberration because the monochromatic aberration in the lens is zero for a coaxial distant object. The apex radius Ra of the cone distribution calculates the required paraxial power of the lens as usual. The conic constant K is then selected based on the refractive index of the lens material, the lens center thickness, and the shape of the front and back surfaces of the lens.
In case the correction is astigmatism, at least one of the lens surface shapes is biconical with a conical profile in two orthogonal main directions. In a preferred embodiment, the toric lens has an equal bi-convex design in which each surface is a biconic surface. The non-toric optical element has an equal biconvex design, where each surface is a conical surface. In the case of a biconical or conical surface, the optimal conic constant K for the surface is determined using ray tracing as known to those skilled in the art.
A plurality of focal points. Some patients may prefer multifocal optics to provide vision correction for a particular distance. One example is bifocal optics, which typically provide focusing capabilities for near and distance vision. Another example is trifocal optics that provide focusing power for near, intermediate, and far vision. In either case, to implement a multifocal IOL, the optical regions are modified to create these focal regions using refractive or diffractive optical regions, and the virtual aperture remains outside the last focal region.
In some applications, the virtual aperture may appear as an annular area with an optical zone on each side of the annular area. The shape of the annular virtual aperture can also be free-form, for example to accommodate an astigmatic optic zone or an asymmetric haptic element region. This is illustrated in fig. 8. In the figure, lens a represents an elliptical optical area, so the internal distribution of the virtual aperture must be adapted to this shape. The inner haptic area distribution is circular, and thus the outer virtual aperture distribution is circular. In this figure, lens B depicts the optical area as a circle, so the distribution within the virtual aperture is circular. The inner haptic element distribution is elliptical, and thus the outer virtual aperture distribution is elliptical. In each case, there is a transition region between each region to smoothly connect the regions so that visual artifacts are not introduced into the eye. Alternatively, the transition region may have an iris width such that the inner and outer virtual aperture distributions may be of any desired shape.
The IOL designs contemplated herein may be made from any biocompatible optical material commonly used for IOLs, including hard and soft materials. They may also be manufactured using CNC machines or molds or other methods for manufacturing IOLs. The virtual apertures may be implemented as a one-dimensional distribution symmetrical in the azimuthal direction or as a two-dimensional distribution of tiny lens areas.
In fig. 9, an azimuthally symmetric radial profile is shown. The distributions may all be the same or adjusted in the azimuthal direction. These distributions may be refractive or diffractive in nature. Although eight different radial distributions are illustrated, the radial distributions are continuous in the azimuthal direction. The radial profile may have alternating positive and negative powers, all positive powers or all negative power portions. The connections between all power supply regions are smooth to prevent visual artifacts.
In fig. 10, other symmetrical radial profiles are shown, including a combination of planar, negative power, and sloped bottom shapes, in addition to or instead of the high power curve shown in fig. 8. Referring to fig. 10, element a depicts a simple planar base shape. In fig. 10, element B depicts the negative power base shape. Such a generally negative power profile may be represented by a sphere, a cone, or a portion of a higher order curve (e.g., a polynomial). FIG. 10, element C depicts the segmented negative power profile of element B, where the curve has been segmented to resemble a Fresnel lens to keep the overall lens thickness small. Fig. 10, element D depicts a ramp base shape profile, while fig. 10, element E depicts a segmented version of the ramp base shape, where the ramp has been segmented like a fresnel lens to keep the overall lens thickness small. Although the piecewise distributions of elements C and E are illustrated with distinct discontinuities, in practice, the boundaries of the segments are implemented using a smoothing function (e.g., rounded corners or bezier curves) to prevent observable artifacts caused by sharp discontinuities. Further, as described elsewhere herein, the smooth transition region is located between the optic zone and the virtual aperture. These basic shapes can be used in combination with or instead of the high power features to increase the effectiveness of the virtual aperture.
FIG. 11 illustrates a two-dimensional lens region oriented with polar coordinate sampling. The high power lenses alternate in both radial and azimuthal directions with positive and negative powers. Two positive power lenses and two negative power lenses are shown. The actual geometry of these two-dimensional aurora lenses is of the order of the radial distribution.
Alternatively, the two-dimensional high power lenses may be all positive lenses or all negative lenses. In this case, the high power lenses are separated by small smooth transition regions (e.g., continuous polynomial interpolators such as bezier curves) to prevent visual artifacts. This is the preferred two-dimensional high power lens configuration when there are multiple lens sampling rates in the azimuth direction. In this case, the single lens looks like a small pillow, which is above the base for positive power lenses and below the base for negative power lenses.
Fig. 12 illustrates the geometry of one of the two-dimensional high power lenses. In the upper right part of the figure we show a front view of a high power lens. There is a central high power optical zone and a surrounding transition zone. The radial extent of this region is given by r, the width of the transition region by t, and the azimuth angle by θ. At the bottom left of the figure we show a side view of one of the shot distributions. The middle part represents a high power light area, and the curves at the two sides represent transition areas. The interface between the optical zone and the transition zone has zero and first order continuity. At the edge of the lens boundary, the transition coincides with the virtual iris base shape (usually a perpendicular line on the IOL). There is also zero order and first order continuity between the lens edge, the transition curve (typically a polynomial curve) and the edge. This small high power lens region is shaped such that the radial extent r is approximately equal to the arc length of the central portion of the region.
The central optical zone can be designed using standard IOL design concepts to provide spherical, cylindrical and axial correction, as well as higher order corrections such as spherical aberration control. These design concepts are known to those skilled in the art.
The preferred virtual aperture profile shown in FIG. 4 has alternating positive and negative lens profiles with focal lengths on the order of +/-1.5 mm. The lens surface distributions may be generated using conic sections, polynomials (e.g., cubic bezier splines), rational splines, and combinations of these and other curves. The geometry of the lens distribution is selected to adequately disperse the transmitted light through the retina while being relatively easy to manufacture on a high precision lathe or die process. It is also possible to place a smooth surface on one distribution (e.g. the front surface) and a small high power lens distribution on the other distribution (e.g. the back surface).
Using the preferred virtual aperture distribution shown in FIG. 4, the edge thickness of the IOL and the center thickness of the central optical zone can be very small, even for high power IOLs. The material of the optic is the same as that used for other soft or hard intraocular lens designs.
Intraocular lens designs provide very good, high-definition distance vision, and the extent of "clear vision" can be controlled by specifications on the meaning of "clear vision" (e.g., 20/40 acuity), as well as the relative magnitude of "clear vision". A central viewing zone and a virtual aperture width. A simple equation [ Smith G, relationship between spherical defocus and vision, Optomery Vis. Sci.68,591-8,1991] gives the method of estimating vision given pupil diameter and spherical defocus in equations (1a and 1 b).
A=k D E (1a)
Figure BDA0003298430480000091
A-the acuity in arc minutes (a-Sd/20), i.e. the minimum resolution angle
k is a constant determined by clinical studies with an average of 0.65
D is the diameter of the pupil (mm)
E ═ spherical optical power
Sd ═ Snellen denominator
The second equation is assumed to be more accurate for low levels of optical focus misalignment and gives reasonable results.
For E-0, a-1 arc or 20/20.
Solving for (1b) of E yields equation (2).
Figure BDA0003298430480000101
Equation (1b) tells us the vision a at a given focal power and pupil diameter D for the depth of field range (Ex 2).
Equation (2) gives the depth of field range (in power) for a given acuity a and pupil diameter D. For example, for:
20/40, acuteness of A40/20 2 minutes arc
D is 3.0mm
k=0.65
Figure BDA0003298430480000102
The depth of field is 2E 1.8D. With the use of (1b),
Figure BDA0003298430480000103
the concept of virtual aperture may be used for phakic or aphakic IOLs, corneal implants, contact lenses, or for corneal laser surgery (LASIK, PRK, etc.) procedures to provide an extended depth of field and/or to provide high definition vision. Furthermore, the virtual aperture can be replaced by an actual opaque aperture and the same optical advantages as the virtual aperture are achieved.
It is to be understood that while a certain form of the invention is illustrated, it is not to be limited to the specific form or arrangement herein described and shown. It will be apparent to those skilled in the art that various changes may be made without departing from the scope of the invention and the invention is not to be considered limited to what is shown and described in the specification and any drawings/figures included herein.
Those skilled in the art will readily appreciate that the present invention is well adapted to carry out the objects and obtain the ends and advantages mentioned, as well as those inherent therein. The embodiments, methods, procedures and techniques described herein are presently representative of the preferred embodiments, are intended as examples and are not intended as limitations on the scope. Variations thereof and other uses will occur to those skilled in the art which are encompassed within the spirit of the invention and are defined by the scope of the appended claims. While the invention has been described in connection with certain preferred embodiments, it should be understood that the invention as claimed should not be unduly limited to such specific embodiments. Indeed, various modifications of the described modes for carrying out the invention which are obvious to those skilled in the art are intended to be within the scope of the following claims.

Claims (25)

1. An intraocular lens for providing improved vision by distributing defocused light rays, caused by aberrations in which light affects an individual's eye, uniformly across the individual's retina, comprising:
an intraocular lens having a virtual aperture at a first perimeter of the intraocular lens and connected to an optic zone by a transition zone, and haptic elements at a second perimeter and connected to the virtual aperture by the transition zone, the transition zone having zero and one order continuity;
the virtual aperture may be implemented as a high power positive and negative lens, wherein rays intersecting the transition region and the virtual aperture are uniformly distributed on the retina using refraction to reduce monochromaticity, chromatic aberration, and defocus due to focal length variation, thereby enhancing the depth of field of an individual.
2. The intraocular lens of claim 1, wherein the virtual aperture is constructed and arranged to allow posterior capsule opacification treatment using a Nd: YAG laser.
3. The intraocular lens of claim 1, wherein the optical zone is constructed and arranged to correct spherical aberration.
4. The intraocular lens of claim 1 wherein the optic zone lens surface shape is a bi-conical shape constructed and arranged to correct astigmatism.
5. The intraocular lens of claim 1, wherein the virtual aperture provides contrast for image resolution within a selected distance range.
6. The intraocular lens of claim 1, wherein the virtual aperture can be implemented using one-dimensional or two-dimensional optical distributions.
7. The intraocular lens of claim 1 having an optical profile on at least one side of the intraocular lens.
8. The intraocular lens of claim 7, wherein the optical profile has positive optical power.
9. The intraocular lens according to claim 7, wherein the optical profile has a negative optical power.
10. The intraocular lens according to claim 7 wherein said optical profile has alternating positive and negative powers.
11. The intraocular lens of claim 1 having a virtual aperture area shaped to improve light scattering.
12. The intraocular lens of claim 1, wherein the optical zone provides one or more powers.
13. The intraocular lens of claim 1, wherein the virtual aperture comprises a variably-shaped transition zone.
14. The intraocular lens of claim 1, wherein the lens is comprised of a biocompatible material.
15. An intraocular lens for providing improved vision by distributing defocused light rays, caused by aberrations in the individual's eye that are caused by light affecting, uniformly across the individual's retina, comprising:
an intraocular lens constructed of a biocompatible material having a virtual aperture located at a first perimeter of the intraocular lens and connected to an optic zone by a transition zone, and haptic elements located at a second perimeter and connected to the virtual aperture by the transition zone, the transition zone having zero and first order continuity;
the virtual aperture has an optical profile selected from the group consisting of continuous conic, polynomial, rational spline and diffractive profiles in combination with alternating high power positive and negative lens profiles, wherein rays intersecting the transition region and the virtual aperture are uniformly distributed across the retina with refraction to reduce monochromaticity, chromatic aberration and defocus due to focal length variations, thereby enhancing the depth of field of the individual.
16. The intraocular lens of claim 15, wherein the virtual aperture is constructed and arranged to allow posterior capsule opacification treatment using a Nd: YAG laser.
17. The intraocular lens of claim 15, wherein the optical zone is constructed and arranged to correct spherical aberration.
18. The intraocular lens of claim 15, wherein the optic zone lens surface shape is a bi-conical configuration and arrangement to correct astigmatism.
19. The intraocular lens of claim 15, wherein the virtual aperture provides contrast for image resolution within a selected distance range.
20. The intraocular lens according to claim 15, wherein the optical distribution is one-dimensional or two-dimensional.
21. The intraocular lens of claim 15, wherein the optical profile is located on one side of the intraocular lens.
22. The intraocular lens of claim 15, wherein the optical profile is on both sides of the intraocular lens.
23. The intraocular lens of claim 15, wherein the virtual aperture area is shaped to improve light scattering.
24. The intraocular lens of claim 15, wherein the virtual aperture comprises a variably-shaped transition zone.
25. The intraocular lens of claim 15, wherein the optical zone provides one or more powers.
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