ES2633262T3 - Lente intraocular con pequeña incisión y característica anti-OCP - Google Patents

Lente intraocular con pequeña incisión y característica anti-OCP Download PDF

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Publication number
ES2633262T3
ES2633262T3 ES05855127.6T ES05855127T ES2633262T3 ES 2633262 T3 ES2633262 T3 ES 2633262T3 ES 05855127 T ES05855127 T ES 05855127T ES 2633262 T3 ES2633262 T3 ES 2633262T3
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posterior
anterior
optics
concave
concave region
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ES05855127.6T
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Inventor
Jerome Vaudant
Gary A. Richardson
Griffith E. Altmann
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Bausch and Lomb Inc
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Bausch and Lomb Inc
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16—Intraocular lenses
    • A61F2/1613—Intraocular 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
    • A61F2/1616—Pseudo-accommodative, e.g. multifocal or enabling monovision
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16—Intraocular lenses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29D—PRODUCING PARTICULAR ARTICLES FROM PLASTICS OR FROM SUBSTANCES IN A PLASTIC STATE
    • B29D11/00—Producing optical elements, e.g. lenses or prisms
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29D—PRODUCING PARTICULAR ARTICLES FROM PLASTICS OR FROM SUBSTANCES IN A PLASTIC STATE
    • B29D11/00—Producing optical elements, e.g. lenses or prisms
    • B29D11/00932—Combined cutting and grinding thereof
    • B29D11/00942—Combined cutting and grinding thereof where the lens material is mounted in a support for mounting onto a cutting device, e.g. a lathe, and where the support is of machinable material, e.g. plastics
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29D—PRODUCING PARTICULAR ARTICLES FROM PLASTICS OR FROM SUBSTANCES IN A PLASTIC STATE
    • B29D11/00—Producing optical elements, e.g. lenses or prisms
    • B29D11/02—Artificial eyes from organic plastic material
    • B29D11/023—Implants for natural eyes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16—Intraocular lenses
    • A61F2/1613—Intraocular 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/0077—Special surfaces of prostheses, e.g. for improving ingrowth
    • A61F2002/009—Special surfaces of prostheses, e.g. for improving ingrowth for hindering or preventing attachment of biological tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16—Intraocular lenses
    • A61F2002/1681—Intraocular lenses having supporting structure for lens, e.g. haptics
    • A61F2002/1689—Intraocular lenses having supporting structure for lens, e.g. haptics having plate-haptics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16—Intraocular lenses
    • A61F2002/16965—Lens includes ultraviolet absorber
    • A61F2002/1699—Additional features not otherwise provided for

Landscapes

  • Health & Medical Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Engineering & Computer Science (AREA)
  • Vascular Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Transplantation (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Manufacturing & Machinery (AREA)
  • Mechanical Engineering (AREA)
  • Prostheses (AREA)

Abstract

Una lente intraocular (32) que se implanta en un ojo humano, que comprende: a) una óptica (34) de lente que tiene superficies (34a, 34b) anterior y posterior de la óptica opuestas y un eje óptico que se extiende desde dicha superficie (34a) anterior hasta dicha superficie (34b) posterior; b) una región (42) cóncava posterior que se integra suavemente en y se sitúa radialmente hacia fuera de dicha superficie (34b) posterior de la óptica; c) una región (46) cóncava anterior que se integra suavemente en y se sitúa radialmente hacia fuera de dicha superficie (34a) anterior de la óptica, donde el radio de dicha región (46) cóncava anterior es sustancialmente igual al radio de dicha región (42) cóncava posterior y en la que dichas regiones (46, 42) cóncavas anterior y posterior están situadas opuestas entre sí; d) una superficie (44) más externa del borde periférico situada radialmente hacia fuera de dichas regiones (46, 42) cóncavas anterior y posterior, encontrándose dicha superficie (44) más externa del borde periférico sustancialmente paralela a dicho eje óptico; y e) un borde (40) afilado que se extiende posteriormente definido por un ángulo "A" y que se extiende 360° en torno a dicha superficie (34b) posterior de la óptica y definido por una primera y segunda superficies (40a, 40b), teniendo dicho ángulo "A" un eje de vértice que se extiende sustancialmente paralelo a dicho eje óptico, integrándose suavemente dicha primera superficie (40a) en dicha región (42) cóncava posterior, y cruzándose dicha segunda superficie (40b) con la superficie (44) más externa del borde periférico y formando las dos entre sí un ángulo obtuso "B"; en la que dicho borde (40) afilado presiona contra el saco capsular posterior y opera para inhibir la opacificación capsular posterior (OCP).

Description

imagen1
imagen2
imagen3
imagen4
imagen5
6). Así mismo, se observará que el grosor G3 de la óptica, medido entre las regiones 46, 42 cóncavas anterior y posterior, es menor que el grosor G1 del háptico. La región 46 cóncava anterior aumenta la estabilidad in situ de la LIO, impidiendo que la LIO se abombe anteriormente (es decir, hacia la córnea) y por lo tanto también ayuda a mantener el borde 40 afilado acoplado de manera firme a la pared posterior del saco capsular. Esto crea una barrera 5 frente a la migración interior de las CEL y se inhibe, por lo tanto, la aparición de OPC. El borde 40 afilado también proporciona un área de material adicional en el lado posterior de la LIO, en comparación con el lado anterior de la LIO que equilibra la región 42 cóncava posterior, pues la LIO se abombará posteriormente a pesar que de la región 42 cóncava posterior, como se ha comentado anteriormente, reduzca la dimensión total de la óptica 34 para permitir que pase a través de una incisión de sub 3 mm. Dicho de otra forma, aunque la región 46 cóncava anterior actúe 10 para hacer que la LIO se abombe posteriormente, la región 42 cóncava posterior no hace que la LIO se abombe anteriormente debido al material adicional sobre el lado posterior, proporcionado por el borde 40 afilado posterior. La separación del háptico 36-39 desde el límite posterior 44p del borde posterior 44 más externo también ayuda a mantener el abombamiento posterior. Así mismo, se observará que el grosor G3 de la óptica, medido entre las regiones 46, 42 cóncavas anterior y posterior, es menor que el grosor G1 del háptico (véanse los valores
15 proporcionados anteriormente), que también contribuye a proporcionar la resistencia y estabilidad de la LIO in situ.
Se proporciona así una LIO única y un método para elaborar una LIO lo suficientemente pequeña para pasar por una incisión de sub 3 mm, y suficientemente fuerte para permanecer estable en el ojo, e incluye un borde afilado que sustancialmente inhibe la OCP, tal y como se ha descrito anteriormente.
20
Tabla de dimensiones
GC
Preferentemente entre aproximadamente 0,50 mm para una lente de +10,00 D (dioptrías) y aproximadamente 1,1 mm para una lente de +30,00 D
R1 y R2, donde R1 es sustancialmente igual a R2
Preferentemente de entre aproximadamente 0,15 mm y 0,5 mm, más preferentemente de entre aproximadamente 0,20 mm y 0,40 mm, y más preferentemente de aproximadamente 0,30 mm
G1
Preferentemente de entre aproximadamente 0,20 mm y 0,40 mm, más preferentemente de entre aproximadamente 0,25 mm y 0,35 mm, y más preferentemente de aproximadamente 0,30 mm
G2
Preferentemente de entre aproximadamente 0,25 mm y 0,50 mm, más preferentemente de entre aproximadamente 0,30 mm y 0,40 mm, y más preferentemente de aproximadamente 0,37 mm
G3
Preferentemente de entre aproximadamente 0,10 mm y 0,3 mm y más preferentemente de aproximadamente 0,20 mm
A1
Preferentemente de entre aproximadamente 0,05 mm y 0,25 mm, más preferentemente de entre aproximadamente 0,10 mm y 0,20 mm, y más preferentemente de aproximadamente 0,13 mm
Ángulo "A"
Preferentemente de entre aproximadamente 70 y 120 grados, más preferentemente de entre aproximadamente 80 y 100 grados, y más preferentemente de aproximadamente 90 grados
Ángulo "B"
Preferentemente de entre aproximadamente 110 y 150 grados, más preferentemente de entre aproximadamente 120 y 140 grados, y más preferentemente de aproximadamente 130 grados
Ángulo "C"
Preferente y sustancialmente de 90 grados
Ángulo "D"
Preferentemente de entre aproximadamente 120 y 160 grados, más preferentemente de entre aproximadamente 130 y 150 grados, y más preferentemente de aproximadamente 140 grados
7

Claims (1)

  1. imagen1
    imagen2
ES05855127.6T 2004-12-29 2005-12-21 Lente intraocular con pequeña incisión y característica anti-OCP Active ES2633262T3 (es)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US11/025,405 US7569073B2 (en) 2004-12-29 2004-12-29 Small incision intraocular lens with anti-PCO feature
US25405 2004-12-29
PCT/US2005/046516 WO2006071713A1 (en) 2004-12-29 2005-12-21 Small incision intraocular lens with anti-pco feature

Publications (1)

Publication Number Publication Date
ES2633262T3 true ES2633262T3 (es) 2017-09-20

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US (2) US7569073B2 (es)
EP (1) EP1830746B1 (es)
JP (1) JP4838267B2 (es)
KR (1) KR101276938B1 (es)
CN (1) CN101090679B (es)
AU (1) AU2005322156B2 (es)
CA (1) CA2594513C (es)
ES (1) ES2633262T3 (es)
PL (1) PL1830746T3 (es)
TW (1) TWI380804B (es)
WO (1) WO2006071713A1 (es)

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EP1830746B1 (en) 2017-07-05
US20090265000A1 (en) 2009-10-22
CA2594513C (en) 2011-08-02
TW200624100A (en) 2006-07-16
TWI380804B (zh) 2013-01-01
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EP1830746A1 (en) 2007-09-12
WO2006071713A1 (en) 2006-07-06
US7569073B2 (en) 2009-08-04
JP4838267B2 (ja) 2011-12-14
AU2005322156A1 (en) 2006-07-06
KR101276938B1 (ko) 2013-06-19
CN101090679B (zh) 2012-12-19
US20060142855A1 (en) 2006-06-29
US7931686B2 (en) 2011-04-26
CA2594513A1 (en) 2006-07-06
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CN101090679A (zh) 2007-12-19
AU2005322156B2 (en) 2011-06-23

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