FI79619C - Intraocular lens - Google Patents
Intraocular lens Download PDFInfo
- Publication number
- FI79619C FI79619C FI845177A FI845177A FI79619C FI 79619 C FI79619 C FI 79619C FI 845177 A FI845177 A FI 845177A FI 845177 A FI845177 A FI 845177A FI 79619 C FI79619 C FI 79619C
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- Prior art keywords
- lens
- intraocular
- parts
- different refractive
- substance
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- 0 C[C@](*)CCN Chemical compound C[C@](*)CCN 0.000 description 1
Classifications
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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
- A61F2/1618—Multifocal lenses
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- G—PHYSICS
- G02—OPTICS
- G02C—SPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
- G02C7/00—Optical parts
- G02C7/02—Lenses; Lens systems ; Methods of designing lenses
- G02C7/04—Contact lenses for the eyes
- G02C7/041—Contact lenses for the eyes bifocal; multifocal
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- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Physics & Mathematics (AREA)
- General Health & Medical Sciences (AREA)
- Vascular Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Transplantation (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Cardiology (AREA)
- General Physics & Mathematics (AREA)
- Optics & Photonics (AREA)
- Prostheses (AREA)
Description
1 796191 79619
IntraokulaarilineeiIntraokulaarilineei
Keksinnön kohteena on silmän sisään sovitettava intraokulaa-rilinssi, joka on multifokaali, eli koostuu ainakin kahdesta osasta, joilla on eri taittovoima.The invention relates to an intraocular lens which can be fitted into the eye and which is multifocal, i.e. consists of at least two parts with different refractive forces.
Kaihi leikkauksen yhteydessä poistetaan useimmiten mykiö. Tällöin on mykiön toiminta korvattava esim. silmälaseilla tai piilolinsseillä. Silmälasit ovat kuitenkin tällöin hyvin vahvat ja siksi paksut ja painavat. Myös piilolinssien käyttö on usein hankalaa, eivätkä ne sovellu kaikille kaihi leikkauspotilaille johtuen niiden aiheuttamasta ärsytyksestä.In cataract surgery, the lens is most often removed. In this case, replace the lens with, for example, glasses or contact lenses. However, the glasses are then very strong and therefore thick and heavy. Contact lenses are also often difficult to use and are not suitable for all cataract surgery patients due to the irritation they cause.
Siksi on viime vuosina alettu käyttää kaihileikkauksen yhteydessä silmän sisälle sovitettavaa linssiä, nk. intraokulaari-linssiä korvaamaan mykiötä. Linssit jaetaan ryhmiin esimerkiksi linssin sijainnin perusteella, jolloin puhutaan kammio-kulmaan tukeutuvista, värikalvoon tukeutuvista ja takakammio-linsseistä. Tällöin linssin yhteyteen sovitettu kiinnityselin tukeutuu vastaavaan kammioon. Linssin optiikkaosa valmistetaan yleensä polymetyylimetakrylaatista (perspex) joko sorvaamalla tai valamalla. Linssit voidaan myös luokitella kanna-tinkorvakkeiden materiaalin ja muotoilun perusteella. Kanna-tinkorvake saattaa olla polypropyleeniä, joko kirkasta tai värillistä, yleensä sinistä.Therefore, in recent years, an intraocular lens, the so-called intraocular lens, has been used in cataract surgery to replace the lens. The lenses are divided into groups based on, for example, the location of the lens, in which case we speak of ventricular-angle-based, iris-based, and posterior-chamber lenses. In this case, the fastening member arranged in connection with the lens rests on a corresponding chamber. The optical part of the lens is usually made of polymethyl methacrylate (perspex) either by turning or casting. Lenses can also be classified based on the material and design of the heel lugs. The heel plaster lug may be made of polypropylene, either clear or colored, usually blue.
Kaikille aikaisemmin tunnetuille linsseille on ominaista sfäärinen optiikka, joka on toteutettu linssin etu- ja takapinnan kuperuudella. Näillä sfäärisillä intraokulaari1 insseillä on se haitta, että ne muodostavat tarkan kuvan vain yhdeltä etäisyydeltä. Jos linssi siten on preoperatiivisesti suunniteltu korjaamaan potilaan kaukonäkö, on potilaan käytettävä lukulaseja lähityöskentelyssä. Vastaavasti voidaan linssi suunnitella korjaamaan potilaan lähinäkö, mikäli potilas käyttää suurimman osan ajastaan esimerkiksi lukemiseen, kirjoittamiseen tai vastaavaan lähityöskentelyyn.All previously known lenses are characterized by spherical optics realized by the convexity of the front and back surfaces of the lens. These spherical intraocular1 inserts have the disadvantage that they form an accurate image from only one distance. Thus, if the lens is preoperatively designed to correct the patient's farsightedness, the patient must wear reading glasses for close-up work. Similarly, the lens can be designed to correct a patient's near vision if the patient spends most of his or her time reading, writing, or similar close-up work, for example.
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Keksinnön tarkoituksena on tarjota intraokulaarilineei, joka korjaa potilaan näöntarkkuuden sekä lähelle että kauas. Tällainen multifokaali intraokulaarilineei <B10L> aikaansaadaan keksinnön mukaisesti siten, että linssin eri taittovoimaiset osat ovat toisiinsa nähden kiinteitä ja ne ovat samankeskisiä tai symmetrisiin alueisiin jaettuja.It is an object of the invention to provide an intraocular line that corrects a patient's visual acuity both near and far. Such a multifocal intraocular line <B10L> is provided according to the invention in such a way that the different refractive parts of the lens are fixed relative to each other and are concentric or divided into symmetrical areas.
Mikäli keksinnön mukaisesti linssi on jaettu kahteen osaan, ensimmäiseen ja toiseen osaan, toinen osa voi sijaita esim. linssin keskiosassa, sen pääakselilla, jolloin ensimmäisen osan muodostaa linssin perifeerinen osa.If, according to the invention, the lens is divided into two parts, a first part and a second part, the second part can be located e.g. in the central part of the lens, on its main axis, whereby the first part is formed by the peripheral part of the lens.
Linssin halkaisija on noin 6 mm. Edellä mainitussa tapauksessa keskeinen osa on 1,8-2,3 mm. Tällä järjestelyllä aikaansaadaan kaksi kuvaa verkkokalvolle, joista, tilanteesta riippuen, aivot painottavat tärkeämpää. Keksinnön mukaisesti voidaan myös sovittaa useampia osia linssiin, jolloin aikaansaadaan vastaavasti useampia tarkkoja kuvia verkkokalvolle.The diameter of the lens is about 6 mm. In the above case, the central part is 1.8-2.3 mm. This arrangement provides two images to the retina, of which, depending on the situation, the brain emphasizes more importance. According to the invention, it is also possible to fit several parts into the lens, whereby more precise images are obtained on the retina, respectively.
Keksinnön mukaisesti on linssin ensimmäinen osa ensimmäistä ainetta ja linssin toinen osa on toista ainetta, jolla toisella aineella on eri taittokerroin kuin ensimmäisellä aineella. Keksinnön mukaisesti on linssin toinen osa tällöin edullisesti linssin keskelle muodostettu reikä, ontelo tai syvennys. Reikä voi ulottua linssin läpi, jolloin aikaansaadaan nk. neulanreikä. Linssin keskellä ei välttämättä tarvitse olla reikää, vaan siihen voidaan sovittaa linssin pääakse-lin suuntainen holkki, joka muodostaa mainitun neulanreiän.According to the invention, the first part of the lens is a first substance and the second part of the lens is a second substance, the second substance having a different refractive index than the first substance. According to the invention, the second part of the lens is then preferably a hole, cavity or recess formed in the middle of the lens. The hole can extend through the lens, creating a so-called needle hole. It is not necessary to have a hole in the middle of the lens, but a sleeve parallel to the main axis of the lens, which forms said needle hole, can be fitted to it.
Keskeinen osa taittaa valon lähelle ja perifeerinen osa kauas tai päinvastoin. Keskeisen osan kokoa muuttamalla voidaan saavuttaa optimaalinen tasapaino samanaikaisesti näkyvän kauko-ja lähikuvan välillä.The central part folds close to the light and the peripheral part far or vice versa. By resizing the central part, an optimal balance can be achieved between the remote and close-up images displayed simultaneously.
On myös keksinnön mukaisesti mahdollista painottaa toinen silmä lähinäköä ja toinen kaukonäköä varten.It is also possible according to the invention to emphasize one eye for near vision and the other for farsightedness.
Keksinnön mukaisesti voidaan linssi tehdä myös asfääriseksi, jolloin linssin ensimmäisellä osalla on eri taittovoima kuin sen toisella osalla.According to the invention, the lens can also be made aspherical, in which case the first part of the lens has a different refractive power than the second part thereof.
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Keksintöä selitetään seuraavassa lähemmin viittaamalla oheisiin kuvioihin, joissa kuvio 1 esittää silmää, jossa on tavanomainen intraokulaari-linssi, kuvio 2 esittää silmää, jossa on bifokaali intraokulaarilins-ei , kuviot 3-11 esittävät bifokaali tai multifokaali intraokulaa-rilinssejä, jotka on jaettu kahteen tai useampaan osaan, jotka aikaansaavat eri taittovoiman.The invention will now be described in more detail with reference to the accompanying figures, in which Figure 1 shows an eye with a conventional intraocular lens, Figure 2 shows an eye with a bifocal intraocular lens, Figures 3-11 show bifocal or multifocal intraocular lenses divided into two or more. into several parts which produce different refractive power.
Kuviossa 1 on silmään 1 sovitettu tavanomainen intraokulaari-linsei 2, joka on sovitettu kaukonäköä varten. Tällöin kaukaa tulevat valonsäteet 6 ja 6' taittuvat aivan oikein yhteen pisteeseen 3 silmän verkkokalvolla. Sitä vastoin läheltä tulevat valonsäteet 7 ja 7' taittuvat pisteeseen 4 ja muodostavat silmän verkkokalvolle epäselvän kuvan alueelle 5.Figure 1 shows a conventional intraocular lens 2 fitted to the eye 1, adapted for farsightedness. In this case, the light rays 6 and 6 'coming from afar are exactly refracted at one point 3 on the retina of the eye. In contrast, the nearby light rays 7 and 7 'refract at point 4 and form a blurred image in the area 5 of the retina of the eye.
Kuviossa 2 nähdään miten intraokulaarilinssi 2, joka on jaettu kahteen osaan 8 ja 9 taittaa sekä kaukaa tulevat säteet 6 ja 6' että läheltä tulevat säteet 7 ja 7' vastaavasti linssin alueissa 8 ja 9 yhteen ja samaan pisteeseen 3 silmän 1 verkkokalvolla. Tällöin aivot voi painottaa joko lähikuvaa tai kau-kokuvaa, jolloin molemmat näkyvät tarkkoina.Figure 2 shows how an intraocular lens 2 divided into two parts 8 and 9 refracts both distal rays 6 and 6 'and near rays 7 and 7' in the lens regions 8 and 9, respectively, to one and the same point 3 on the retina of the eye 1. In this case, the brain can emphasize either a close-up image or a long-distance image, so that both are displayed accurately.
Kuvioissa 3 ja 4 on esitetty bifokaali intraokulaarilinssi, joka on asfäärinen, jolloin linssin perifeerisellä osalla 8 on tietty polttoväli, ja linssin keskeisellä osalla 9 tästä Poikkeava polttoväli. Näin saadaan myös kaksi kuvaa verkkokalvolle.Figures 3 and 4 show a bifocal intraocular lens which is aspherical, the peripheral part 8 of the lens having a certain focal length, and the central part 9 of the lens having a different focal length. This also gives two images for the retina.
Kuviossa 5 on esitetty linssi, jonka keskialueelle 9 on sovitettu kappale, joka on ainetta, jolla on suurempi taittovoima kuin perifeerisellä osalla 8. Näin aikaansaadaan tasaisen kaarevuuden omaavalla linssillä kaksi eri kuvaa verkkokalvolle.Figure 5 shows a lens with a body in the central region 9 of a material having a higher refractive power than the peripheral part 8. Thus, with a lens of uniform curvature, two different images are obtained on the retina.
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Kuvio 6 esittää linssiä, jonka keskialueelle on sovitettu nk. neulanreikä. Tämä voidaan aikaansaada joko yksinkertaisesti tekemällä pieni reikä linssin läpi, jolloin tämä toimii neulanreikäkamerasta tuttuun tapaan linssinä. Perifeerinen osa 8 muodostaa tällöin linssin toisen osan, jolla on toinen polttoväli. Neulanreikä voidaan aikaansaada myös linssin keskelle sijoitetulla putkella 10, joka rajaa neulanreikäalueen 9.Figure 6 shows a lens with a so-called needle hole fitted in the central region. This can be accomplished either simply by making a small hole through the lens, whereby this acts as a lens in a manner familiar from a pinhole camera. The peripheral part 8 then forms a second part of the lens with a second focal length. The needle hole can also be provided by a tube 10 placed in the middle of the lens, which delimits the needle hole area 9.
Kuvion 7 mukainen linssi on jaettu moneen osaan, jotka sijaitsevat samankeskdsesti linssin akselin ympäri. Tällöin joka toisella osalla 11 on keskenään sama polttoväli, ja joka toisella osalla 12 on sama polttoväli. Tällöin esimerkiksi osat 11 voivat olla sovitettu lähinäköä ja osat 12 kaukonäköä varten.The lens of Figure 7 is divided into a plurality of parts located concentrically about the axis of the lens. In this case, every other part 11 has the same focal length, and every other part 12 has the same focal length. In this case, for example, the parts 11 may be adapted for near vision and the parts 12 for far vision.
Kuvion 8 linssi on jaettu myös useihin alueisiin, nämä alueet sijaitsevat säteettäisesti vuorotellen. Tällöin alue 11 voi olla sovitettu kaukonäköä ja alue 12 lähinäköä varten.The lens of Figure 8 is also divided into several areas, these areas being located radially alternately. In this case, the area 11 can be adapted for far vision and the area 12 for near vision.
Kuviossa 9 on esitetty linssi, jossa linssin kaarevuus muuttuu jatkuvasti. Tällöin aikaansaadaan jatkuva fokusointitarkkuus eri etäisyyksillä.Figure 9 shows a lens in which the curvature of the lens is constantly changing. This provides continuous focusing accuracy at different distances.
Kuvio 10 esittää difraktiotyyppisen linssin. Tässä on linssiin muodostettu samankeskiset renkaat, joiden paksuus pienenee määrällä, joka vastaa puolen aallonpituuden optista etäisyyttä. Näin ollen puoliaaltoalueet 13 ja kokoaaltoalueet 14 aikaansaavat kaksi eri kuvaa silmän verkkokalvolle.Figure 10 shows a diffraction type lens. This lens is formed with concentric rings, the thickness of which is reduced by an amount corresponding to the optical distance of half a wavelength. Thus, the half-wave regions 13 and the full-wave regions 14 provide two different images on the retina of the eye.
Käyttämällä kuvion 11 mukaista nk. "Fresnel"-linssiä voidaan linssin paksuutta, ja täten painoa vähentää. Tässä käytetään samankeskisiä Fresnel-prismoja 15, joiden prismateho lisääntyy ulospäin mentäessä linssissä.By using the so-called "Fresnel" lens according to Fig. 11, the thickness of the lens, and thus the weight, can be reduced. Here, concentric Fresnel prisms 15 are used, the prism power of which increases as it goes outward in the lens.
Claims (10)
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FI845177A FI79619C (en) | 1984-12-31 | 1984-12-31 | Intraocular lens |
PCT/FI1985/000103 WO1986003961A1 (en) | 1984-12-31 | 1985-12-30 | Intraocular lens |
EP19860900672 EP0243365A1 (en) | 1984-12-31 | 1985-12-30 | Intraocular lens |
AU53158/86A AU5315886A (en) | 1984-12-31 | 1985-12-31 | Intraocular lens |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FI845177A FI79619C (en) | 1984-12-31 | 1984-12-31 | Intraocular lens |
FI845177 | 1984-12-31 |
Publications (4)
Publication Number | Publication Date |
---|---|
FI845177A0 FI845177A0 (en) | 1984-12-31 |
FI845177L FI845177L (en) | 1986-07-01 |
FI79619B FI79619B (en) | 1989-09-29 |
FI79619C true FI79619C (en) | 1990-01-10 |
Family
ID=8520128
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
FI845177A FI79619C (en) | 1984-12-31 | 1984-12-31 | Intraocular lens |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP0243365A1 (en) |
AU (1) | AU5315886A (en) |
FI (1) | FI79619C (en) |
WO (1) | WO1986003961A1 (en) |
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US8862447B2 (en) | 2010-04-30 | 2014-10-14 | Amo Groningen B.V. | Apparatus, system and method for predictive modeling to design, evaluate and optimize ophthalmic lenses |
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CA2770074C (en) | 2009-08-03 | 2017-09-05 | Abbott Medical Optics Inc. | Intraocular lens for providing accomodative vision |
CA2784771C (en) | 2009-12-18 | 2018-12-04 | Hendrik A. Weeber | Single microstructure lens, systems and methods |
AU2011336183B2 (en) | 2010-12-01 | 2015-07-16 | Amo Groningen B.V. | A multifocal lens having an optical add power progression, and a system and method of providing same |
US9084674B2 (en) | 2012-05-02 | 2015-07-21 | Abbott Medical Optics Inc. | Intraocular lens with shape changing capability to provide enhanced accomodation and visual acuity |
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Family Cites Families (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3037425A (en) * | 1957-04-09 | 1962-06-05 | Carle John Trevor De | Bifocal corneal contact lens |
US3279878A (en) * | 1964-04-20 | 1966-10-18 | Plastic Contact Lens Company | Bi-focal corneal contact lens |
US4010496A (en) * | 1975-10-01 | 1977-03-08 | Neefe Charles W | Bifocal lens which positions within the anterior chamber |
GB2105866B (en) * | 1981-07-29 | 1985-05-09 | Lynell Med Tech Inc | Intraocular and extraocular lens construction and making by selective erosion |
US4435856A (en) * | 1982-04-14 | 1984-03-13 | Esperance Francis A L | Bifocal intraocular lens structure and spectacle actuation frame |
US4512040A (en) * | 1982-06-09 | 1985-04-23 | Mcclure Hubert L | Bifocal intraocular lens |
DE3381691D1 (en) * | 1982-10-13 | 1990-08-02 | Ng Trustees & Nominees Ltd | BIFOCAL CONTACT LENSES. |
DE3332313A1 (en) * | 1983-09-07 | 1985-04-04 | Titmus Eurocon Kontaktlinsen GmbH, 8750 Aschaffenburg | MULTIFOCAL, ESPECIALLY BIFOCAL, INTRAOCULAR ARTIFICIAL EYE LENS |
-
1984
- 1984-12-31 FI FI845177A patent/FI79619C/en not_active IP Right Cessation
-
1985
- 1985-12-30 EP EP19860900672 patent/EP0243365A1/en active Pending
- 1985-12-30 WO PCT/FI1985/000103 patent/WO1986003961A1/en unknown
- 1985-12-31 AU AU53158/86A patent/AU5315886A/en not_active Abandoned
Also Published As
Publication number | Publication date |
---|---|
FI845177L (en) | 1986-07-01 |
FI79619B (en) | 1989-09-29 |
EP0243365A1 (en) | 1987-11-04 |
FI845177A0 (en) | 1984-12-31 |
AU5315886A (en) | 1986-07-29 |
WO1986003961A1 (en) | 1986-07-17 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
MM | Patent lapsed | ||
MM | Patent lapsed |
Owner name: VANNAS, ANTTI |