EP0690997A1 - Kontaktlinse für die anpassung und korrektion von weitsichtigkeitseffekten - Google Patents

Kontaktlinse für die anpassung und korrektion von weitsichtigkeitseffekten

Info

Publication number
EP0690997A1
EP0690997A1 EP94912280A EP94912280A EP0690997A1 EP 0690997 A1 EP0690997 A1 EP 0690997A1 EP 94912280 A EP94912280 A EP 94912280A EP 94912280 A EP94912280 A EP 94912280A EP 0690997 A1 EP0690997 A1 EP 0690997A1
Authority
EP
European Patent Office
Prior art keywords
contact lens
optical
lens according
optical zone
zone
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP94912280A
Other languages
English (en)
French (fr)
Inventor
Colin M. Perrott
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Novartis AG
Original Assignee
PBH Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by PBH Inc filed Critical PBH Inc
Publication of EP0690997A1 publication Critical patent/EP0690997A1/de
Withdrawn legal-status Critical Current

Links

Classifications

    • GPHYSICS
    • G02OPTICS
    • G02CSPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
    • G02C7/00Optical parts
    • G02C7/02Lenses; Lens systems ; Methods of designing lenses
    • G02C7/04Contact lenses for the eyes
    • G02C7/041Contact lenses for the eyes bifocal; multifocal
    • G02C7/044Annular configuration, e.g. pupil tuned
    • GPHYSICS
    • G02OPTICS
    • G02CSPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
    • G02C7/00Optical parts
    • G02C7/02Lenses; Lens systems ; Methods of designing lenses
    • G02C7/04Contact lenses for the eyes
    • G02C7/041Contact lenses for the eyes bifocal; multifocal
    • G02C7/042Simultaneous type
    • GPHYSICS
    • G02OPTICS
    • G02CSPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
    • G02C7/00Optical parts
    • G02C7/02Lenses; Lens systems ; Methods of designing lenses
    • G02C7/04Contact lenses for the eyes
    • G02C7/041Contact lenses for the eyes bifocal; multifocal
    • G02C7/045Sectorial configuration

Definitions

  • the present invention relates to contact lens designed to accommodate and correct for the effects of presbyopia, myopia and hyperopia and, in particular, to such lenses which are provided with characteristics to compensate for defects associated with peripheral vision.
  • the optics of a lens used to correct vision ideally provide precise refractive correction and do not add to the natural aberrations within the eye.
  • good vision is dependent upon several factors: visual acuity, contrast sensitivity, high defocus perception threshold, good visual performance (speed and accuracy of recognition), tolerance to illuminant intensity, and tolerance to illuminant color.
  • Contact lenses provide an opportunity by which some of these effects are countered by appropriate optical design, since the lens and the eye are in close physical proximity, compared to spectacles, and optical alignment is consequently easier to achieve.
  • visual performance is degraded by contrast and object size reduction and is generally improved by higher illuminant intensity.
  • the illuminant intensity becomes the most dominant factor with respect to visual performance. For instance, a work force in its early forties will require 50 to 100% higher lighting levels than a work force in its early twenties to do the same visual tasks at the same efficiency level. Further, the younger population is highly tolerant to varying light levels, and with age the population becomes very sensitive to light level.
  • the human eye mechanism is designed to operate internally as a sphere, with the surface of the cornea, onto which a contact lens is placed, also being spherical. As will be appreciated, this is not always the case. This lack of sphericity in the surface of the cornea can cause problems in the optical performance of the human eye, as well as in the fitting of contact lenses. Consequently, over the years the industry has disclosed a way of compensating for this by what has become commonly called a toric lens.
  • toric contact lenses are contact lenses which are adapted to optically compensate for the non-sphericity of the cornea of the human eye. This can be done by building optical correction components into the back surface of the contact lens, that is the surface of the contact lens which is in contact with the cornea of the eye when fitted, or in the front surface of the contact lens.
  • One known approach for the design of contact lenses in an attempt to alleviate this problem employs an aspheric front surface on an otherwise conventional contact lens to compensate for the spherical aberration of the eye and therefore decrease the amount of blur such that the paraxial rays can be accommodated.
  • the preferred surface is preferably hyperbolic or parabolic (according to well established convention) and places a higher (approximately by ID) refractive power at the center of the lens, compared to the outer part of the optic zone.
  • this design approach results in a focal spot at the fovea for all rays entering the eye, giving the best depth of field and greatest image clarity.
  • This form of lens fit is known as an "aplanatic fit".
  • the design objective is to create an image of such a quality that blur originating in astigmatic distortion or accommodation loss via presbyopia can be tolerated without specific design attention.
  • the normal response of the eye to intense stimulation of the retinal detectors is a constriction of the iris.
  • the image With a reduced pupil size, the image is formed more or less exclusively at the paraxial focus. It approaches optical perfection. The best vision is always achieved in bright illumination.
  • age With age, the absorption and scattering of light inside the eye steadily reduces the intensity of stimulation at the retina for a given ambient light level and, so, the natural facility of achieving a pure paraxial focus is impaired, unless brighter lighting is used to compensate.
  • An aspect of the aplanatic fit is that the single focal spot is achieved for all pupil sizes. Therefore, the image quality is not degraded at larger pupil sizes.
  • this design concept provides a lens by which the quality of visual focus is made to be essentially independent of illuminant level.
  • the image of a distant object can also be blurred by virtue of spherical aberration, with peripheral rays being focussed in front of the retina.
  • Distant objects viewed by the eye are brought to focus at the fovea via the paraxial regions of the eye.
  • the complete field of proximate objects as close as 1 meter away is also focussed on the retina to some degree by virtue of the aberration.
  • the closest objects are framed via the peripheral focus.
  • the lens designer disables the natural indirect (or peripheral) vision. Only the field to which specific attention is directed is brought to focus. Objects peripheral to this scene will always be out of focus, the more so the closer they are. Response to the indirect field will be suppressed.
  • the present invention is concerned with alleviating this problem whilst providing the benefits of an aplanatic lens fit.
  • a contact lens designed to accommodate and correct for the effects of presbyopia in a wearer, which contact lens has a front surface, and a back surface which is in contact with the cornea of the eye of a wearer in use and which contact lens comprises: a primary or first optical zone which is provided with characteristics to compensate for spherical aberration in the eye of a wearer and has a first refractive power, said first optical zone being sized upon the characteristic of the wearer, and at least one other secondary optical zone having a spherical surface and having an optical refractive power no greater than that of the first optical zone; the configuration being such that at least one other secondary optical zone is provided to provide the wearer with an amount of peripheral vision.
  • FIGS. 1 and 2 illustrate different embodiments of contact lenses of this invention. Detailed Description of the Invention
  • contact lens described herein creates a contact lens which provides maximum clarity to the image with a reduced sensitivity to illuminant levels throughout the range of normally accepted standards of industrial and recreational lighting.
  • the secondary optical zone(s) is designed to preserve the peripheral vision for the wearer in the circumstances where this becomes essential, for example, in dim light or extreme fatigue. Without this feature, the lens would tend to create a tunnel vision effect, preventing the wearer from perceiving peripheral obstacles.
  • each zone provides supplementary intensity for the image held in focus via the other.
  • the difference between the refractive powers of the two zones is up to about 1 diopter, preferably up to about 0.7 to 0.8 diopter.
  • contact lenses made in accordance with the present invention enable a wearer to appreciate the benefits of an aplanatic fit lens in conditions of highlight intensity, whilst in low light or dim conditions appreciate the advantages of having acceptable peripheral vision.
  • the first optical zone comprises a central circular portion having a diameter of between 4 and 6 mm dependent upon the characteristics of the wearer
  • the at least one other secondary optical zone comprises an annular member which circumferentially surrounds said disc-like portion of the first optical zone and has an outer diameter of at least 8 mm.
  • the central optical zone has a diameter of between 4.5 and 5.5 mm
  • the outer optical zone has an outer diameter of at least 8 mm.
  • the front surface of the first optical zone (or central optical zone) has an aspheric curved surface.
  • this aspheric curved surface is parabolic or hyperbolic in shape.
  • the back surface of the first optical zone has an aspheric curved surface.
  • this aspheric curved surface is parabolic or hyperbolic in shape.
  • both the front and rear surfaces of the first optical zone are aspheric, the effects of the asphericity of both of the surfaces will combine to provide, and produce, the required effect in order to reduce the spherical aberration in the eye of the wearer.
  • the reduced effects of spherical aberration are enhanced or brought about by means of the inclusion of a volume of a second optical material in the contact lens.
  • This volume of a second optical material will have different optical properties to that of the remainder of the contact lens, such as a different refractive index.
  • the fusion of materials of different refractive index is described in Summerville, Plastic Contact Lens, Noyes Data Corporation, Park Ridge, New Jersey (1972), especially pages 69-71.
  • the difference in the optical properties between the volume of the second optical material and the material of the remainder of the contact lens can enhance the desired aplanatic effect and/or peripheral vision aspect of the present invention.
  • the volume of the second optical material is encased in the material of the remainder of the contact lens.
  • the volume of the second optical material can be provided as one or more segments of the contact lens which are in contact with at least one side of the material of the remainder of the contact lens.
  • the optical power of the first optical zone (or central optical zone) will vary in the range 0.5 to 0.75 diopters from the center of the contact lens.
  • the present invention can be shaped as a toric contact lens, either the back surface or the front surface of the contact lens or with purely spherical contact lenses.
  • any toricity correction in the contact lens is accommodated into the surface of the lens which is not otherwise optically corrected.
  • the limitation of the optical power variation to the range of 0.5 to 0.75 diopters from the center of the lens places less stringent demand on the eye to accommodate the signals received. Consequently, the lens will be more easily accepted.
  • the at least one other optical zone has an optical power which is between 0 and 1.5 diopters, most preferably 0 and 1 diopter, weaker than that of the first optical zone (or central optical zone).
  • Figure 1 shows a first embodiment of the invention
  • Figure 2 shows a second embodiment of the invention.
  • FIG. 1 With reference to Figure 1, there is shown a first basic design of a contact lens 1 made in accordance with the present invention.
  • the contact lens 1 has an optical zone 2 and a skirt section
  • the optical zone 2 of the contact lens 1 is the part of the contact lens 1 which when the contact lens 1 is correctly mounted on an eye, focuses light onto the retina.
  • the optical zone 2 comprises a central optical zone 4 and an outer optical zone 5 which circumferentially surrounds the central optical zone 4.
  • the central optical zone 4 and the outer optical zone 5 have a common axis about which, or in relation to which, they circumferentially extend.
  • the skirt section 3 is the part of the contact lens which, when the contact lens is on the wearer's eye, overlies at least the outer portion of the iris and a small part of the sclera adjacent the iris.
  • the section 3 helps to provide sufficient adhesion to hold the contact lens in place and in the correct alignment for optimum performance on the wearer's cornea.
  • the skirt section 3 of the contact lens 1 circumferentially surrounds the optical zone 2 so that the central optical zone 4, outer optical zone 5 and skirt section 3 are all coaxial with one another. Consequently, the outer part of the central optical zone 4 is in contact with the inner part of the outer optical zone 5 and the outer part of the outer optical zone 5 is in contact with the inner part of the skirt section 3.
  • the central optical zone 4 is configured to compensate for spherical aberration in the eye of a wearer and is of a refractive optical power O x and the outer optical zone 5 has an optical refractive power which is no greater than O x with a nominally spherical shape.
  • the contact lens 1 has two generic optical zones which are coaxial with each other, these are the optical zone 11 and the skirt section 12 which circumferentially extends around the optical zone 11.
  • the optical zone itself has two distinct areas of refractive optical power. These are the first optical zone 13 and the second optical zone 14.
  • the first optical zone 13 is the zone of the lens which provides the corrective refractive power Og and which has characteristics to compensate for spherical aberration in the eye of the wearer.
  • This zone 13 has an hour glass type shape which is formed by virtue of the fact that the optical zone 11 has diametrically opposed portions cut out from the overall circular configuration.
  • This second optical zone 14 has a refractive power which is no greater than that of the first optical zone 13.
  • the aplanatic type contact lens is designed with an optical power variation of 1 diopter across the lens from its center. With this range of optical power variation the accommodation of the human eye approaches a limit, and in some cases the human eye will not be able to make the necessary accommodation. This will limit the applicability of these lenses.
  • the at least one other optical zone is described as nominally spherical.
  • the other optical zone(s) shows characteristics with regard to light transmission which are far more spherical in behavior than those shown by the first optical zone (or central optical zone).
  • the other optical zone (or outer optical zone) will be spherical in its optical transmission properties.
  • nominal spherical is used to cover this situation and, as such, includes some asphericity.
  • the optical quality of any product is greatly dependent on the optical transmission properties of the material from which it is manufactured.
  • the contact lens is primarily intended for use by presbyopes or immediate prepresbyopes who are exhibiting the effects of presbyopia, and it is affecting their visual performance.
  • it is intended to avoid any unnecessary effects from scattering of the light by the material chosen for the contact lens. Therefore, even though contact lenses made in accordance with the present invention can be manufactured from any of the known materials from which contact lens are made, preferably only those of the highest optical transmission properties are used, for example, CSI (see US Patent Nos. 3,957,362 and 4,056,496) or rigid gas permeable materials.
EP94912280A 1993-03-27 1994-03-22 Kontaktlinse für die anpassung und korrektion von weitsichtigkeitseffekten Withdrawn EP0690997A1 (de)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB9306424A GB9306424D0 (en) 1993-03-27 1993-03-27 Contact lens designed to accommodate and correct for the effects of presbyopia
GB9306424 1993-03-27
PCT/US1994/003042 WO1994023327A1 (en) 1993-03-27 1994-03-22 Contact lens designed to accommodate and correct for the effects of presbyopia

Publications (1)

Publication Number Publication Date
EP0690997A1 true EP0690997A1 (de) 1996-01-10

Family

ID=10732880

Family Applications (1)

Application Number Title Priority Date Filing Date
EP94912280A Withdrawn EP0690997A1 (de) 1993-03-27 1994-03-22 Kontaktlinse für die anpassung und korrektion von weitsichtigkeitseffekten

Country Status (6)

Country Link
EP (1) EP0690997A1 (de)
JP (1) JPH08508588A (de)
AU (1) AU6490094A (de)
CA (1) CA2153492A1 (de)
GB (1) GB9306424D0 (de)
WO (1) WO1994023327A1 (de)

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US5786883A (en) * 1991-11-12 1998-07-28 Pilkington Barnes Hind, Inc. Annular mask contact lenses
HUP9601126A3 (en) * 1995-05-04 1999-10-28 Johnson & Johnson Vision Prod Concentric, aspheric, multifocal lens
US5650837A (en) * 1995-05-04 1997-07-22 Johnson & Johnson Vision Products, Inc. Rotationally stable contact lens designs
US5929969A (en) * 1995-05-04 1999-07-27 Johnson & Johnson Vision Products, Inc. Multifocal ophthalmic lens
US5662706A (en) * 1996-06-14 1997-09-02 Pbh, Inc. Variable transmissivity annular mask lens for the treatment of optical aberrations
US5905561A (en) * 1996-06-14 1999-05-18 Pbh, Inc. Annular mask lens having diffraction reducing edges
US5815239A (en) * 1996-12-05 1998-09-29 Chapman; Judith E. Contact lenses providing improved visual acuity
US5965330A (en) * 1996-12-06 1999-10-12 Pbh, Inc. Methods for fabricating annular mask lens having diffraction-reducing edges
FR2772489B1 (fr) * 1997-12-16 2000-03-10 Essilor Int Lentilles ophtalmiques multifocales a aberration spherique variable suivant l'addition et l'ametropie
US6244708B1 (en) 1998-09-28 2001-06-12 Bausch & Lomb Incorporated Contact lenses providing improved visual acuity
US6467903B1 (en) 2000-03-31 2002-10-22 Ocular Sciences, Inc. Contact lens having a uniform horizontal thickness profile
JP2004534964A (ja) 2001-04-27 2004-11-18 ノバルティス アクチエンゲゼルシャフト 自動レンズ設計及び製造システム
AU2003260369A1 (en) 2002-08-06 2004-02-25 Novartis Ag Contact lenses
EP2474854B1 (de) 2003-05-21 2017-09-27 Novartis AG Kontaktlinsen
US7628810B2 (en) 2003-05-28 2009-12-08 Acufocus, Inc. Mask configured to maintain nutrient transport without producing visible diffraction patterns
US20050046794A1 (en) 2003-06-17 2005-03-03 Silvestrini Thomas A. Method and apparatus for aligning a mask with the visual axis of an eye
US7101041B2 (en) 2004-04-01 2006-09-05 Novartis Ag Contact lenses for correcting severe spherical aberration
AR062067A1 (es) 2006-07-17 2008-10-15 Novartis Ag Lentes de contacto toricas con perfil de potencia optica controlado
CN102448404B (zh) 2009-08-13 2015-06-10 阿库福库斯公司 掩盖型眼内植入物和透镜
CN103118627B (zh) * 2010-07-26 2016-08-31 视力Crc有限公司 治疗眼部屈光不正
EP2785296B1 (de) 2011-12-02 2018-06-20 AcuFocus, Inc. Augenmaske mit selektiver spektraler übertragung
WO2013110059A1 (en) * 2012-01-20 2013-07-25 University Of Rochester System and method for designing wavefront-guided ophthalmic lenses
US9204962B2 (en) 2013-03-13 2015-12-08 Acufocus, Inc. In situ adjustable optical mask
US9427922B2 (en) 2013-03-14 2016-08-30 Acufocus, Inc. Process for manufacturing an intraocular lens with an embedded mask

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US3472581A (en) * 1966-09-26 1969-10-14 Leonard Bronstein Fused multifocal corneal contact lenses
FR2573876A1 (fr) * 1984-11-26 1986-05-30 Vinzia Francis Lentille multifocale, procede de preparation de cette lentille et utilisation comme lentille de contact ou comme implant intra-oculaire pour remplacer le cristallin
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Also Published As

Publication number Publication date
CA2153492A1 (en) 1994-10-13
WO1994023327A1 (en) 1994-10-13
AU6490094A (en) 1994-10-24
GB9306424D0 (en) 1993-05-19
JPH08508588A (ja) 1996-09-10

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