JP6023378B1 - 眼内レンズ及び眼内レンズのハプティック - Google Patents
眼内レンズ及び眼内レンズのハプティック Download PDFInfo
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- JP6023378B1 JP6023378B1 JP2016082804A JP2016082804A JP6023378B1 JP 6023378 B1 JP6023378 B1 JP 6023378B1 JP 2016082804 A JP2016082804 A JP 2016082804A JP 2016082804 A JP2016082804 A JP 2016082804A JP 6023378 B1 JP6023378 B1 JP 6023378B1
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- 210000000695 crystalline len Anatomy 0.000 claims abstract description 208
- 230000000007 visual effect Effects 0.000 claims abstract description 48
- 210000004240 ciliary body Anatomy 0.000 claims abstract description 28
- 201000009310 astigmatism Diseases 0.000 claims description 9
- 238000006073 displacement reaction Methods 0.000 abstract description 5
- 210000001508 eye Anatomy 0.000 description 49
- 230000001886 ciliary effect Effects 0.000 description 37
- 210000001519 tissue Anatomy 0.000 description 13
- 230000008602 contraction Effects 0.000 description 6
- 238000003780 insertion Methods 0.000 description 5
- 230000037431 insertion Effects 0.000 description 5
- 238000010586 diagram Methods 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 230000001154 acute effect Effects 0.000 description 3
- 210000004087 cornea Anatomy 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 241000135309 Processus Species 0.000 description 2
- 239000002775 capsule Substances 0.000 description 2
- 239000012212 insulator Substances 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 239000011347 resin Substances 0.000 description 2
- 229920005989 resin Polymers 0.000 description 2
- 208000002177 Cataract Diseases 0.000 description 1
- 206010020675 Hypermetropia Diseases 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 210000002159 anterior chamber Anatomy 0.000 description 1
- 210000005252 bulbus oculi Anatomy 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 229920001971 elastomer Polymers 0.000 description 1
- 239000000806 elastomer Substances 0.000 description 1
- 230000004305 hyperopia Effects 0.000 description 1
- 201000006318 hyperopia Diseases 0.000 description 1
- 208000001491 myopia Diseases 0.000 description 1
- 230000004379 myopia Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000004304 visual acuity Effects 0.000 description 1
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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
- A61F2/1602—Corrective lenses for use in addition to the natural lenses of the eyes or for pseudo-phakic eyes
- A61F2/1605—Anterior chamber lenses for use in addition to the natural lenses of the eyes, e.g. iris fixated, iris floating
- A61F2/1608—Iris fixated, e.g. by clamping iris tissue, by suturing to the iris
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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
-
- 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
- A61F2/02—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
- A61F2/1624—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 having adjustable focus; power activated variable focus means, e.g. mechanically or electrically by the ciliary muscle or from the outside
- A61F2/1635—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 having adjustable focus; power activated variable focus means, e.g. mechanically or electrically by the ciliary muscle or from the outside for changing shape
-
- 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
- A61F2/1602—Corrective lenses for use in addition to the natural lenses of the eyes or for pseudo-phakic eyes
- A61F2/161—Posterior chamber lenses for use in addition to the natural lenses of the 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
- A61F2/1624—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 having adjustable focus; power activated variable focus means, e.g. mechanically or electrically by the ciliary muscle or from the outside
- A61F2/1629—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 having adjustable focus; power activated variable focus means, e.g. mechanically or electrically by the ciliary muscle or from the outside for changing longitudinal position, i.e. along the visual axis when implanted
-
- 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
- A61F2002/1682—Intraocular lenses having supporting structure for lens, e.g. haptics having mechanical force transfer mechanism to the lens, e.g. for accommodating 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
- 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
- A61F2002/1681—Intraocular lenses having supporting structure for lens, e.g. haptics
- A61F2002/16903—Having means to temporarily stabilize haptic
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- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
Description
患者の眼内の虹彩より後方に配置されるレンズと、
レンズから患者の視軸に関する径方向の外側に径方向に沿って延びる弾性変形可能な板状の脚部と、
脚部から眼内の水晶体と毛様体を繋ぐ複数のチン氏帯の間に向けて突出する突起部と、
を備え、
突起部は、複数のチン氏帯に挟まれて保持されることにより、複数のチン氏帯を通じて毛様体から水晶体に伝達される力が突起部を通じて脚部に伝達されることを特徴とする。
患者の眼内の虹彩より後方に配置されるレンズを患者の眼内に保持する眼内レンズのハプティックであって、
レンズから患者の視軸に関する径方向の外側に径方向に沿って延びる弾性変形可能な板状の脚部と、
脚部から眼内の水晶体と毛様体を繋ぐ複数のチン氏帯の間に向けて突出する突起部と、
を備え、
突起部は、複数のチン氏帯に挟まれて保持されることにより、複数のチン氏帯を通じて毛様体から水晶体に伝達される力が突起部を通じて脚部に伝達されることを特徴とする。
3 ハプティック 3a 本体(脚部)
3b 突出部 3c 凹部
3d 第1突起(突起部) 3e 第2突起(突起部)
4 眼 5 角膜
6 眼房 7 虹彩
8 毛様体 9 毛様体突起
10 チン氏帯 11 水晶体
12 毛様溝 C 視軸
L1 距離(第1距離) L2 距離(第2距離)
Claims (14)
- 患者の眼内の虹彩より後方に配置されるレンズと、
前記レンズから前記患者の視軸に関する径方向の外側に前記径方向に沿って延びる弾性変形可能な板状の脚部と、
前記脚部から前記眼内の水晶体と毛様体を繋ぐ複数のチン氏帯の間に向けて突出する突起部と、
を備え、
前記突起部は、前記複数のチン氏帯に挟まれて保持されることにより、前記複数のチン氏帯を通じて前記毛様体から前記水晶体に伝達される力が前記突起部を通じて前記脚部に伝達されることを特徴とする眼内レンズ。 - 前記突起部として、第1突起と第2突起を備え、
前記視軸回りに前記第1突起と前記第2突起が位置する請求項1に記載の眼内レンズ。 - 前記視軸に沿う方向から見て、前記視軸と前記第1突起との第1距離と、前記視軸と前記第2突起との第2距離が異なる請求項2に記載の眼内レンズ。
- 前記第1突起が前記視軸回りに複数形成される請求項3に記載の眼内レンズ。
- 前記第2突起が前記視軸回りに複数形成される請求項3又は4に記載の眼内レンズ。
- 前記視軸に沿う方向から見て、前記視軸と前記第1突起との第1距離と、前記視軸と前記第2突起との第2距離が等しい請求項2に記載の眼内レンズ。
- 前記レンズは、前記患者の乱視を矯正するレンズである請求項1ないし6のいずれか1項に記載の眼内レンズ。
- 患者の眼内の虹彩より後方に配置されるレンズを前記患者の前記眼内に保持する眼内レンズのハプティックであって、
前記レンズから前記患者の視軸に関する径方向の外側に前記径方向に沿って延びる弾性変形可能な板状の脚部と、
前記脚部から前記眼内の水晶体と毛様体を繋ぐ複数のチン氏帯の間に向けて突出する突起部と、
を備え、
前記突起部は、前記複数のチン氏帯に挟まれて保持されることにより、前記複数のチン氏帯を通じて前記毛様体から前記水晶体に伝達される力が前記突起部を通じて前記脚部に伝達されることを特徴とする眼内レンズのハプティック。 - 前記突起部として、第1突起と第2突起を備え、
前記視軸回りに前記第1突起と前記第2突起が位置する請求項8に記載の眼内レンズのハプティック。 - 前記視軸に沿う方向から見て、前記視軸と前記第1突起との第1距離と、前記視軸と前記第2突起との第2距離が異なる請求項9に記載の眼内レンズのハプティック。
- 前記第1突起が前記視軸回りに複数形成される請求項10に記載の眼内レンズのハプティック。
- 前記第2突起が前記視軸回りに複数形成される請求項10又は11に記載の眼内レンズのハプティック。
- 前記視軸に沿う方向から見て、前記視軸と前記第1突起との第1距離と、前記視軸と前記第2突起との第2距離が等しい請求項9に記載の眼内レンズのハプティック。
- 前記レンズは、前記患者の乱視を矯正するレンズである請求項8ないし13のいずれか1項に記載の眼内レンズのハプティック。
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2016082804A JP6023378B1 (ja) | 2016-04-18 | 2016-04-18 | 眼内レンズ及び眼内レンズのハプティック |
EP17785701.8A EP3446659B1 (en) | 2016-04-18 | 2017-03-14 | Intraocular lens and haptic for intraocular lens |
US16/090,384 US10470873B2 (en) | 2016-04-18 | 2017-03-14 | Intraocular lens and haptic for intraocular lens |
PCT/JP2017/010098 WO2017183359A1 (ja) | 2016-04-18 | 2017-03-14 | 眼内レンズ及び眼内レンズのハプティック |
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JP2016082804A JP6023378B1 (ja) | 2016-04-18 | 2016-04-18 | 眼内レンズ及び眼内レンズのハプティック |
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JP6023378B1 true JP6023378B1 (ja) | 2016-11-09 |
JP2017192424A JP2017192424A (ja) | 2017-10-26 |
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US (1) | US10470873B2 (ja) |
EP (1) | EP3446659B1 (ja) |
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DE202018103444U1 (de) * | 2018-06-19 | 2019-06-21 | Cesar C. Carriazo | Haltevorrichtung zum Halten eines Optikimplantats an einem Wandbereich in einem Augeninnenraum eines Auges und Optikvorrichtung mit einer Haltevorrichtung und einem Optikimplantat |
EP4076276B1 (de) * | 2019-12-20 | 2023-10-18 | Carl Zeiss Meditec AG | Intraokularlinse |
US11759309B2 (en) | 2020-04-29 | 2023-09-19 | Long Bridge Medical, Inc. | Devices to support and position an intraocular lens within the eye and methods of use |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2003512889A (ja) * | 1998-10-27 | 2003-04-08 | マイヌ テレシステム,エルエルシー | 遠屈折性または回折性形状用水晶体変換システム |
JP2016005521A (ja) * | 2014-06-20 | 2016-01-14 | 株式会社中京メディカル | 眼内レンズ |
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Publication number | Priority date | Publication date | Assignee | Title |
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US5489302A (en) * | 1994-05-24 | 1996-02-06 | Skottun; Bernt C. | Accommodating intraocular lens |
US6506212B2 (en) * | 2000-07-07 | 2003-01-14 | Medennium, Inc. | Anatomically compatible posterior chamber phakic refractive lenses |
US20080109078A1 (en) * | 2006-10-20 | 2008-05-08 | Implantable Vision, Inc. | Posterior chamber phakic intraocular lens |
US20080281415A1 (en) * | 2007-03-13 | 2008-11-13 | C&C Vision International Limited | Second elastic hinge accommodating intraocular lens |
JP5436618B2 (ja) | 2012-06-05 | 2014-03-05 | 株式会社中京メディカル | 眼内レンズ |
WO2014137306A1 (en) * | 2013-03-06 | 2014-09-12 | Semsettin Bilak | Sutureless scleral fixation lens |
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- 2017-03-14 US US16/090,384 patent/US10470873B2/en active Active
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JP2003512889A (ja) * | 1998-10-27 | 2003-04-08 | マイヌ テレシステム,エルエルシー | 遠屈折性または回折性形状用水晶体変換システム |
JP2016005521A (ja) * | 2014-06-20 | 2016-01-14 | 株式会社中京メディカル | 眼内レンズ |
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US20190076238A1 (en) | 2019-03-14 |
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EP3446659A1 (en) | 2019-02-27 |
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