CN216168088U - Artificial lens fixed in posterior capsule hole - Google Patents

Artificial lens fixed in posterior capsule hole Download PDF

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CN216168088U
CN216168088U CN202122512846.1U CN202122512846U CN216168088U CN 216168088 U CN216168088 U CN 216168088U CN 202122512846 U CN202122512846 U CN 202122512846U CN 216168088 U CN216168088 U CN 216168088U
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posterior
optical part
anterior
optical
arc
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解正高
蒋峰
秦勤
刘亚军
张文文
陈菲菲
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Nanjing Drum Tower Hospital
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Nanjing Drum Tower Hospital
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Abstract

The utility model relates to an artificial lens fixed in a posterior capsule hole in the field of medical ophthalmology implanting devices, which comprises an anterior optical part and a posterior optical part and is characterized in that the anterior optical part and the posterior optical part are connected through a transition neck, a pair of connecting climbers are arranged in the radial symmetrical direction of the periphery of the anterior optical part, a pair of arc-shaped flanges which are outwards protruded radially are arranged in the radial symmetrical direction of the periphery of the posterior optical part, after the artificial lens is implanted into a lens capsule, the transition neck is clamped in the posterior capsule hole at the arc center of a posterior capsule, the posterior optical part is positioned at the rear side of the posterior capsule hole, and the arc-shaped flanges are adhered to the rear side of the posterior capsule. The artificial lens is particularly suitable for correcting the light bending error after various cataract operations of children, old people and the like, can prevent the occurrence of posterior cataract to the maximum extent, and keeps the transparency of the visual axis for the whole life.

Description

一种固定于后囊膜孔的人工晶状体An intraocular lens fixed in the posterior capsular hole

技术领域technical field

本实用新型涉及医用眼科植入器件领域,特别涉及一种固定于后囊膜孔的人工晶状体。The utility model relates to the field of medical ophthalmic implant devices, in particular to an artificial lens fixed to a posterior capsule hole.

背景技术Background technique

现有技术中,常规的人工晶状体均为单片凸透镜式的光学区,植入白内障患者的晶状体囊袋内,以代替原有的浑浊的晶状体,使患者重新视物清晰,重获光明。这种单片式人工晶状体对于后发障和儿童白内障患者适用性差,一般单片的晶状体光学区的周部还设有2-3个连接攀,用于与囊袋固定,固定效果也不理想,术后运动时容易发生光学区移动,使光学区透镜的焦点前后移动而视物不清。并且单片式人工晶状体整体植入囊袋内,术发一段时间发生后发障时,后囊膜区混浊,手术操作是观察很不方便,同时手术中需要从玻璃体侧操作,切除部后玻璃体,对患者创伤较大,术后效果不稳定,特别是对儿童白内障患者来说也不理想。In the prior art, conventional intraocular lenses are single-piece convex lens optical zones, which are implanted in the lens capsular bag of cataract patients to replace the original cloudy lens, so that patients can see clearly and regain light. This single-piece intraocular lens has poor applicability for patients with posterior cataracts and children with cataracts. Generally, there are 2-3 connecting climbers around the optic zone of the single-piece lens for fixing with the capsular bag, and the fixation effect is not ideal. , It is easy to move the optical zone during postoperative exercise, so that the focus of the lens in the optical zone moves back and forth and the vision is unclear. In addition, the single-piece intraocular lens is implanted into the capsular bag as a whole. When the failure occurs after a period of surgery, the posterior capsular area is cloudy, and the surgical operation is very inconvenient to observe. At the same time, the operation needs to be performed from the vitreous side during the operation. , It is more traumatic to the patient, and the postoperative effect is unstable, especially for children with cataract.

实用新型内容Utility model content

本实用新型针对现有技术中人工晶状体植入后固定不稳并且不适合后发障术者的问题,提供一种固定于后囊膜孔的人工晶状体,以防止术后发障的发生和光学区焦点不稳。Aiming at the problem of unstable fixation after implantation of the intraocular lens in the prior art and being unsuitable for post-traumatic surgery, the utility model provides an intraocular lens fixed in the posterior capsular hole, so as to prevent the occurrence of postoperative post-traumatic disorder and prevent the occurrence of optical defects. Area focus is unstable.

本实用新型的目的是这样实现的,一种固定于后囊膜孔的人工晶状体,包括前光学部和后光学部,其特征在于,所述前光学部和后光学部之间通过过渡颈连接,所述前光学部外周径向对称方向设有一对连接攀,所述后光学部外周径向对称方向设有一对径向外凸的弧形飞边,所述人工晶状体植入晶状体囊袋后,过渡颈卡装于后囊袋弧中心的后囊膜孔内,所述后光学部位于后囊膜孔后侧,所述弧形飞边贴固后囊膜的后侧。The purpose of the present utility model is achieved in this way, an intraocular lens fixed to the posterior capsular hole, including an anterior optical part and a posterior optical part, characterized in that the anterior optical part and the posterior optical part are connected by a transition neck , a pair of connecting flaps are arranged in the radially symmetrical direction of the outer periphery of the front optical part, and a pair of radially outwardly convex arc flashes are arranged in the radially symmetrical direction of the outer periphery of the rear optical part. After the intraocular lens is implanted in the lens capsular bag , the transition neck is clamped in the posterior capsular hole in the center of the posterior capsular arc, the rear optical part is located at the rear side of the posterior capsular hole, and the arc-shaped flashing edge is attached to the rear of the posterior capsular membrane.

本实用新型的人工晶状体设置前光学部和后光学部,并在两光学部之间置过渡颈,植入囊袋后过渡颈固定于后囊膜孔内,连接攀固定在囊袋内确保前光学部在囊袋内的固定性,后光学部周部的飞边将后囊袋挑起,使后囊膜孔稳定的卡在过渡颈周部,防止光学部的焦点移动。并且过渡颈始终固套在后囊膜孔内,使该过渡颈对应的后面囊袋部位始终保持透明,术后即使有后发障发生后导致后囊膜区混浊,该后囊膜孔对应的中心区域始终透明,从而最大程度的避免术后后发障的发生。光学部位于后囊袋后方玻璃体前方,即使后囊袋周边发生后发障而混浑,其中心区域的始终透明,患者仍然可以有一定的视物能力,最终进行后发障手术时也不需要切除玻璃的操作,保证的玻璃体的完整性。因此,本实用新型的人工晶状体特别适用于矫正儿童、老年人等各种类型白内障手术后屈光不正,并能最大程度阻止后发障的发生,终身保持视轴的透明性。The intraocular lens of the utility model is provided with a front optical part and a rear optical part, and a transition neck is arranged between the two optical parts. For the fixation of the optical part in the capsular bag, the flash at the periphery of the posterior optical part lifts the posterior capsular bag, so that the posterior capsular hole is stably stuck in the periphery of the transition neck, preventing the focus of the optical part from moving. And the transition neck is always fixed in the posterior capsular hole, so that the posterior capsular bag corresponding to the transition neck is always transparent. The central area is always transparent, so as to avoid the occurrence of postoperative complications to the greatest extent. The optical part is located in front of the vitreous behind the posterior capsular bag. Even if the posterior capsular bag is surrounded by posterior obstruction and is turbid, the central area is always transparent, and the patient can still have a certain visual ability. The operation of excising the glass ensures the integrity of the vitreous body. Therefore, the intraocular lens of the present utility model is particularly suitable for correcting refractive errors after various types of cataract operations for children and the elderly, and can prevent the occurrence of later cataracts to the greatest extent, and maintain the transparency of the visual axis for life.

作为本实用新型的改进,所述连接攀与弧形飞边沿圆周方向交错布置。As an improvement of the present utility model, the connecting pads and the arc-shaped flash are staggered along the circumferential direction.

进一步地,每个所述弧形飞边向外凸出1.5~2.0mm。Further, each of the arc-shaped flash edges protrudes outward by 1.5-2.0 mm.

为便于与后囊膜孔的套固,所述过渡颈的外周设有内凹的弧槽,所述弧槽向晶状体径向中心方向内凹的深度为0.8~1.0mm。In order to facilitate the fixation with the posterior capsular hole, the outer periphery of the transition neck is provided with a concave arc groove, and the arc groove has a concave depth of 0.8-1.0 mm toward the radial center direction of the lens.

进一步地,所述前光学部的前侧设有向前凸的弧形的光学面,所述后光学部设有向后凸的弧形的光学面,所述前光学部的光学面的曲率半径大于后光学部的光学面的曲率半径。Further, the front side of the front optical portion is provided with a forward convex arc-shaped optical surface, the rear optical portion is provided with a backward convex arc-shaped optical surface, and the curvature of the optical surface of the front optical portion is The radius is larger than the radius of curvature of the optical surface of the rear optical portion.

附图说明Description of drawings

图1为本实用新型的固定于后囊膜孔的人工晶状体的后视图。FIG. 1 is a rear view of the intraocular lens fixed to the posterior capsular hole of the present invention.

图2为图1沿A-A的剖面图。FIG. 2 is a cross-sectional view taken along the line AA in FIG. 1 .

图3为图1沿B-B的剖面图。FIG. 3 is a cross-sectional view taken along the line BB in FIG. 1 .

其中,1前光学部;1A前光学面;2后光学部;2A后光学面;3连接攀;4弧形飞边;5过渡颈。Among them, 1 front optical part; 1A front optical surface; 2 rear optical part; 2A rear optical surface; 3 connecting climbing; 4 arc flash; 5 transition neck.

具体实施方式Detailed ways

如图1-图2所示为本实用新型的固定于后囊膜孔的人工晶状体,包括前光学部1和后光学部2,前光学部1的前侧设有向前凸的弧形的前光学面1A,后光学部2设有向后凸的弧形的后光学面2A,其国前光学面1A的曲率半径大于后光学面2A的曲率半径;前光学部1和后光学部2之间通过过渡颈5连接,前光学部1外周径向对称方向设有一对连接攀3,后光学部2外周径向对称方向设有一对径向外凸的弧形飞边4,并且连接攀3与弧形飞边4沿圆周方向交错布置。本结构的人工晶状体植入晶状体囊袋后,过渡颈5卡装于后囊袋弧中心的后囊膜孔内,后光学部2位于后囊膜孔后侧,弧形飞边4贴固后囊膜的后侧。As shown in Fig. 1-Fig. 2, the intraocular lens fixed to the posterior capsular hole of the present invention includes an anterior optical portion 1 and a posterior optical portion 2. The front side of the anterior optical portion 1 is provided with a forward convex arcuate The front optical surface 1A and the rear optical part 2 are provided with a rear optical surface 2A that is convex to the rear, and the curvature radius of the front optical surface 1A is greater than the curvature radius of the rear optical surface 2A; the front optical part 1 and the rear optical part 2 They are connected by a transition neck 5, a pair of connecting flanges 3 are arranged on the outer circumference of the front optical part 1 in a radially symmetrical direction, and a pair of radially outward convex arc flashes 4 are arranged on the outer circumference of the rear optical part 2 in a radially symmetrical direction, and the connecting flanges are connected. 3 and arc-shaped flash edges 4 are staggered in the circumferential direction. After the intraocular lens of this structure is implanted into the lens capsular bag, the transition neck 5 is clamped in the posterior capsular hole in the center of the arc of the posterior capsular bag, the posterior optical part 2 is located behind the posterior capsular hole, and the arc-shaped flash 4 is fixed after the the posterior side of the capsule.

为适应眼内结构及植入操作,本实用新型的人工晶状体中,每个弧形飞边4向外凸出1.5~2.0mm;过渡颈5的外周设有内凹的弧槽,弧槽向晶状体径向中心方向内凹的深度为0.8~1.0mm。In order to adapt to the intraocular structure and implantation operation, in the intraocular lens of the present invention, each arc-shaped flash 4 protrudes outward by 1.5-2.0 mm; The concave depth of the lens in the radial center direction is 0.8-1.0 mm.

进行本实用新型的人工晶状体植入术时,首先,制作好角膜主切口和侧切口后,向前房内注射适量黏弹剂,用撕囊镊制作与前光学部外径相适应(约7.0mm)的前囊膜孔,分别进行水分离和水分层,超声乳化吸除晶状体核和部分皮质,注/吸针头抽吸干净残留晶状体皮质。放出适量前房内的灌注液,向前房及后房注射适量黏弹剂,使晶状体后囊呈水平位,用撕囊镊制作与过渡颈直径相适应的(约为5.0mm)的后囊膜孔;向囊袋内补充注射黏弹剂,使囊袋完全张开;将装有本实用新型的人工晶状体的推注器头部插入到囊袋内,缓缓推出人工晶状体,将前光学部1朝向前房,用晶状体定位钩将人工晶状体植入晶状体囊袋内;再用定位钩顶压前光学部1前缘使后光学部2穿过后囊膜孔,并且使其两个弧形飞边4置于后囊膜孔之后。注/吸针头抽吸干净囊袋内及前房内黏弹剂,角膜层间注射平衡盐液密闭角膜主切口和侧切口,结束手术。When performing the intraocular lens implantation of the present invention, first, after making the main incision and side incision of the cornea, inject an appropriate amount of viscoelastic into the anterior chamber, and use capsulorhexis forceps to make the outer diameter of the anterior optic (about 7.0 mm) of the anterior capsular hole, water separation and water stratification were performed, respectively, the lens nucleus and part of the cortex were removed by phacoemulsification, and the residual lens cortex was cleaned with an injection/suction needle. Release an appropriate amount of perfusate in the anterior chamber, inject an appropriate amount of viscoelastic agent into the anterior chamber and posterior chamber to make the posterior lens capsule in a horizontal position, and use capsulorhexis forceps to make a posterior capsule suitable for the diameter of the transition neck (about 5.0mm). film hole; inject viscoelastic agent into the capsular bag to fully open the capsular bag; insert the head of the injector equipped with the intraocular lens of the present utility model into the capsular bag, slowly push out the intraocular lens, and insert the front optical lens into the capsular bag. Part 1 is facing the anterior chamber, and the intraocular lens is implanted into the lens capsular bag with the lens positioning hook; then use the positioning hook to press the anterior edge of the anterior optical part 1 to make the posterior optical part 2 pass through the posterior capsular hole, and make the two arcs. Flash 4 is placed behind the posterior capsular hole. The injection/suction needle sucked the viscoelastic agent in the capsular bag and the anterior chamber, and injected balanced salt solution between the corneal layers to seal the main incision and lateral incision of the cornea, and the operation was ended.

完成植入后,从工晶状体的前光学部1位于囊袋内,连接攀3支撑于前囊膜内,后光学部3位于后囊膜的后侧,过渡颈5与后囊膜孔套固,弧形飞边4支撑于后囊膜的后侧,实现人工晶状体的稳固支撑,避免运动时晶状体的光学焦点移位。并且过渡颈5始终固套在后囊膜孔内,使该过渡颈对应的后面囊袋部位始终保持透明,术后即使有后发障发生后导致后囊膜区混浊,该后囊膜孔对应的中心区域始终透明,从而确保后发障手术的观察和激光操作。植入后,后光学部2位于后囊膜的后方玻璃体前方,进行后发障手术时不需要切除玻璃的操作,保证的玻璃体的完整性。此结构的人工晶状体特别适合易发后发障者或儿童白内障患者。After the implantation is completed, the anterior optic portion 1 of the IOL is located in the capsular bag, the connecting limb 3 is supported in the anterior capsule, the posterior optic portion 3 is located at the back side of the posterior capsule, and the transition neck 5 is fixed with the posterior capsular hole. , the arc-shaped flash edge 4 is supported on the back side of the posterior capsule, so as to realize the stable support of the intraocular lens and avoid the optical focus shift of the lens during movement. And the transition neck 5 is always fixed in the posterior capsular hole, so that the posterior capsular bag part corresponding to the transition neck is always kept transparent. The central area of is always transparent, thus ensuring the observation and laser manipulation of the posterior barrier surgery. After implantation, the posterior optical part 2 is located in front of the posterior vitreous body of the posterior capsule, and the operation of excising the glass is not required during the posterior barrier surgery, so as to ensure the integrity of the vitreous body. The intraocular lens of this structure is especially suitable for those who are prone to post-complication or children with cataracts.

Claims (5)

1. The artificial lens fixed in the posterior capsular sac hole comprises an anterior optical part and a posterior optical part and is characterized in that the anterior optical part and the posterior optical part are connected through a transition neck, a pair of connecting climbers are arranged in the radial symmetric direction of the periphery of the anterior optical part, a pair of arc-shaped flanges which protrude outwards in the radial symmetric direction of the periphery of the posterior optical part are arranged in the radial symmetric direction of the periphery of the posterior optical part, after the artificial lens is implanted into the lens capsular sac, the transition neck is clamped in the posterior capsular sac hole in the arc center of the posterior capsular sac, the posterior optical part is positioned on the rear side of the posterior capsular sac hole, and the arc-shaped flanges are attached to the rear side of the posterior capsular sac.
2. The intraocular lens affixed to the posterior capsule aperture of claim 1, wherein the attachment tabs are circumferentially staggered from the arcuate flyers.
3. The intraocular lens fixed to the posterior capsular sac hole according to claim 1, wherein each of the arcuate flashes protrudes outwardly by 1.5 to 2.0 mm.
4. The intraocular lens fixed on the posterior capsular sac hole according to claim 1, wherein the outer circumference of the transition neck is provided with an inward-concave arc groove, and the depth of the inward concave arc groove towards the radial center of the lens is 0.8-1.0 mm.
5. The intraocular lens fixed to the posterior capsule aperture according to claim 1, wherein the anterior optical portion has an anterior convexly curved optical surface on the anterior side thereof, the posterior optical portion has a posteriorly convexly curved optical surface, and the anterior optical portion has a larger radius of curvature than the posterior optical portion.
CN202122512846.1U 2021-10-19 2021-10-19 Artificial lens fixed in posterior capsule hole Active CN216168088U (en)

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