NL2023333A - Accommodating lens for sulcus plane and capsular bag - Google Patents

Accommodating lens for sulcus plane and capsular bag Download PDF

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Publication number
NL2023333A
NL2023333A NL2023333A NL2023333A NL2023333A NL 2023333 A NL2023333 A NL 2023333A NL 2023333 A NL2023333 A NL 2023333A NL 2023333 A NL2023333 A NL 2023333A NL 2023333 A NL2023333 A NL 2023333A
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Netherlands
Prior art keywords
lens construction
basic lens
optical
eye
construction
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NL2023333A
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Dutch (nl)
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NL2023333B1 (en
Inventor
Pieter Van Lawick Willem
Nikolaevich Simonov Aleksey
Christiaan Rombach Michiel
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Akkolens Int B V
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Publication of NL2023333B1 publication Critical patent/NL2023333B1/en

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Abstract

The invention relates to a basic lens construction for an accommodating intraocular lens to be implanted at the sulcus plane of the eye, or, alternatively, to be implanted in the 5 the capsular bag of the eye. The construction can be fitted, if required, With rounded edges for the sulcus plane to prevent iris chafing, or, alternatively, Which construction can be fitted With square edges for the capsular bag, to prevent migration of epithelial cells.

Description

© 2023333 © A OCTROOIAANVRAAG © Aanvraagnummer: 2023333 © Int. Cl.:
A61F 2/16 (2019.01) (22) Aanvraag ingediend: 17 juni 2019 (30) Voorrang:
juni 2018 NL 2021184 © Aanvraag ingeschreven:
januari 2020 © Aanvraag gepubliceerd:
januari 2020 © Aanvrager(s):
AKKOLENS INTERNATIONAL B.V. te Breda © Uitvinder(s):
Willem Pieter van Lawickte Breda
Aleksey Nikolaevich Simonov te Den Haag
Michiel Christiaan Rombach te Breda © Gemachtigde:
ir. H.Th. van den Heuvel c.s. te 's-Hertogenbosch
54) Accommodating lens for sulcus plane and capsular bag
57) The invention relates to a basic lens construction for an accommodating intraocular lens to be implanted at the sulcus plane of the eye, or, alternatively, to be implanted in the the capsular bag of the eye. The construction can be fitted, if required, with rounded edges for the sulcus plane to prevent iris chafing, or, alternatively, which construction can be fitted with square edges for the capsular bag, to prevent migration of epithelial cells.
A 2023333
Deze publicatie komt overeen met de oorspronkelijk ingediende stukken.
Accommodating lens for sulcus plane and capsular bag
Summary
Disclosed is a basic lens construction for an accommodating intraocular lens to be implanted at the sulcus plane of the eye, or, alternatively, to be implanted in the the capsular bag of the eye. The construction can be fitted, if required, with rounded edges for the sulcus plane to prevent iris chafing, or, alternatively, which construction can be fitted with square edges for the capsular bag, to prevent migration of epithelial cells.
Text
Intraocular lenses, IOLs, for example monofocal and multifocal lenses are well known to treat cataract, cloudiness of the natural lens, by removal of the natural lens to be replaced by an artificial polymer lens, or, alternatively, to treat presbyopia, reading farsightedness, in a transparent but non accommodating natural lens. Such intraocular lenses can be designed for a specific position in the eye which can be in the posterior chamber of the eye, inside the remnants of the capsular bag from which the natural lens is removed, or, alternatively, in the posterior chamber of the eye, at the sulcus plane of the eye, in front of the remnants of the capsular bag and directly behind the iris, or, alternatively, in the anterior chamber of the eye, in front of the iris.
Monofocal IOLs offer the eye a fixed focus and restore sharp vision in combination with, for example, reading spectacles or progressive focus spectacles. Accommodating IOLs restore sharp vision at a range of distances, up to reading distance, by focusing the eye without the need for spectacles.
[1] The present document discloses a basic lens construction for an accommodating intraocular lens to be surgically implanted in the human eye with the same basic lens construction adapted to be implanted at the sulcus plane of the eye, or, alternatively, inside the remnants of the capsular bag, remnants meaning the capsular bag from which the natural lens is removed through a generally round hole, capsulorhexis, in the anterior section of the bag.
[2-3] Such basic lens construction can be designed for implantation in the capsular bag and comprise square edges to prevent migration of epithelial cells into the remnants of the capsular bag, for example, the posterior section of the capsular bag which cells can cause opafication, PCO, or, alternatively, the basic lens construction can be designed for implantation at the sulcus plane and comprise round edges to prevent scraping, chafing, of pigment particles from the posterior surface of the iris.
[4] Such basic lens construction for an accommodating intraocular lens can comprise an optical axis with the construction comprising (i) at least one optical component comprising at least two optical elements of which at least one element is adapted to translate in at least one direction largely perpendicular to the optical axis with at least one combination of at least two free-form optical surfaces, with at least one surface fitted to each optical element with the combination adapted to vary at least one optical aberration of the lens with the degree of variation dependent on the degree of shift of the at least one of the optical elements. Free-form means surfaces which are rotational asymmetrical and shaped according to at least one Zernike polynomial and (ii) with the basic lens construction comprising at least one spring component to translate movement of at least one natural component of the eye to movement of at least one of the optical elements of the basic lens construction. Such accommodating lenses are known from, but not restricted to, the documents W02005084587, NL2015616 and NL2012133.
[5-7] Such lens comprises at least one combination of free-form optical surfaces is adapted to provide variable correction for at least one optical aberration, which variable aberration can be variable defocus, with varying defocus meaning accommodation, or, any other variable aberration, or, any combination of variable aberrations.
[8-10] Such lens provides said variable correction by translation, movement, of at least one of the optical elements which translation can be shift, a slide, of at least one of the optical elements in a direction largely perpendicular to the optical axis, or, alternatively, rotation of at least one of the optical elements, or, alternatively, a combination of any at least two movements.
[11-15] Translation of the at least one optical element of such lens can be achieved by coupling at least one component of the basic lens to at least one natural component of the eye to drive such translation which component can be, for example, the ciliary mass/ciliary muscle of the eye, or, the capsular bag of the eye, or, the zonular network of the eye.
Alternatively, the translation can be driven by an intraocular artificial component, for example a micro electromechanical system, MEMS to which at least one section of the basic lens construction is coupled.
[16-17] The method for basic lens construction comprises the implantation of the lens construction at the sulcus plane, in front of the remnants of the capsular bag, or, alternatively, implantation inside the remnants of the capsular bag.
Such accommodating basic lens construction can comprise at least one spring haptic adapted to urge at least one optical element back to a resting position, a position of decreased optical power, when the driving means are inactive, or, alternatively, comprise at least one haptic adapted to urge the optical element back to a resting position, a position of decreased optical power, when the driving means are active.
In addition, the basic lens construction can also comprise at least one fixed power optical surface to correct for any fixed optical disorder of the eye, for example, presbyopia, also: reading far-sightedness.
In addition, the basic lens construction can comprise a combination of optical surfaces to correct for any combination of fixed optical disorders and variable optical disorders of which a variable optical disorder can be a disorder generated by the lens construction.
Fig. 1 and 2 show the basic lens construction with, in this example, the two optical elements, 1, the optical component with four optical surfaces comprising one anterior optical surface, 2, which can be fitted with, for example, a, generally weak power spherical lens and two intra lenticular surfaces each fitted with at least one free-form optical surface, and one posterior optical surface (backside of the construction, not shown in this illustration), which can be fitted with a, generally strong power spherical lens and elastic hinges, 3, which allow the optical elements to, in this example, slide/move versus each other and which allow the optical elements, in this example, to return to the resting state after the accommodative driving force, from, for example, the ciliary mass of the eye has receded, and fenestrations, 4, which allow intraocular fluids to freely flow from the posterior ocular chamber to the anterior optical chamber, and the connection bridge, 5, between the mechanical section of the construction, the hinges, and the optical section of the construction, the optical elements, and the barrel of the construction, 6, which barrel couples the construction to the component of the eye which drives movement of the optical elements.
So, in summary, the present document discloses a basic lens construction for an accommodating intraocular lens, a lens adapted to be implanted in the human eye with the basic lens construction lens adapted to be implanted in the sulcus of the eye, or, alternatively, to be implanted in the remnants of the capsular bag of the eye which construction can have, if required, but not necessarily so, rounded edges, or, alternatively, square edges, or, alternatively, a combination of rounded edges and square edges, with an example of such lens construction being a basic lens construction comprising an optical axis with the construction comprising at least two optical elements of which at least one element is adapted to translate in at least one direction largely perpendicular to the optical axis with at least one combination of at least two free-form optical surfaces adapted to vary at least one optical aberration of the lens with the degree of variation dependent on the degree of movement of the at least one of the optical elements which elements comprise a combination of free-form optical surfaces is adapted to provide variable correction of at least one variable optical aberration. The method for basic lens construction comprises implantation of the lens construction at the sulcus plane, or, alternatively, comprises implantation the lens construction inside the capsular bag.

Claims (17)

ConclusiesConclusions 1. Basislensconstructie voor een accomoderende intra-oculaire lens, een lens aangepast om geïmplanteerd te worden in het menselijk oog, met het kenmerk dat de basislensconstructie is aangepast om geïmplanteerd te worden in het straallichaam van het oog, of als alternatief, in de overblijfselen van de capsulaire zak van het oog.A basic lens construction for an accommodating intraocular lens, a lens adapted to be implanted in the human eye, characterized in that the basic lens construction is adapted to be implanted in the ray body of the eye, or alternatively, in the remains of the capsular pocket of the eye. 2. Basislensconstructie voor implantatie in de capsulaire zak volgens conclusie 1, met het kenmerk dat de basislensconstructie randen omvat welke randen rechthoekig zijn.Basic lens construction for implantation in the capsular bag according to claim 1, characterized in that the basic lens construction comprises edges which edges are rectangular. 3. Basislensconstructie voor implantatie in het straallichaam volgens conclusie 1, met het kenmerk dat de basislensconstructie randen omvat welke randen afgerond zijn.Basic lens construction for implantation in the jet body according to claim 1, characterized in that the basic lens construction comprises edges which edges are rounded. 4. Basislensconstructie volgens elke combinatie van conclusies 1-3, met het kenmerk dat de basislensconstructie een optische as omvat en de constructie omvat tenminste twee optische elementen waarvan tenminste een element is aangepast om te verplaatsen in tenminste een richting die grotendeels loodrecht staat op de optische as, met tenminste een combinatie van tenminste twee vrije-vorm optische oppervlakken die zijn aangepast om tenminste een optische afwijking van de lens te variëren waarbij de mate van variatie afhankelijk is van de mate van beweging van tenminste een van de optische elementen.4. Basic lens construction according to any combination of claims 1-3, characterized in that the basic lens construction comprises an optical axis and the construction comprises at least two optical elements of which at least one element is adapted to move in at least one direction that is substantially perpendicular to the optical axis, with at least a combination of at least two free-form optical surfaces adapted to vary at least one optical deviation from the lens, the amount of variation depending on the amount of movement of at least one of the optical elements. 5. Basislensconstructie volgens conclusie 4, met het kenmerk dat de combinatie van vrije-vorm optische oppervlakken is aangepast om een variabele correctie te verschaffen van tenminste een variabele optische afwijking.5. Basic lens construction as claimed in claim 4, characterized in that the combination of free-form optical surfaces is adapted to provide a variable correction of at least one variable optical deviation. 6. Basislensconstructie volgens conclusie 5, met het kenmerk dat de combinatie van vrije-vorm optische oppervlakken is aangepast om een variabele correctie te verschaffen van een variabele onscherpte afwijking.6. Basic lens construction as claimed in claim 5, characterized in that the combination of free-form optical surfaces is adapted to provide a variable correction of a variable blur deviation. 7. Basislensconstructie volgens conclusie 5 of 6, met het kenmerk dat de combinatie van vrije-vorm optische oppervlakken is aangepast om een variabele correctie te verschaffen voor tenminste een afwijking anders dan onscherpte.7. Basic lens construction as claimed in claim 5 or 6, characterized in that the combination of free-form optical surfaces is adapted to provide a variable correction for at least one deviation other than blur. 8. Basislensconstructie volgens conclusie 4-7, met het kenmerk dat de verplaatsing van tenminste een van de optische elementen elke combinatie kan zijn van tenminste een beweging in een vlak dat grotendeels loodrecht staat op de optische as.8. Basic lens construction as claimed in claims 4-7, characterized in that the displacement of at least one of the optical elements can be any combination of at least one movement in a plane that is substantially perpendicular to the optical axis. 9. Basislensconstructie volgens conclusie 8, met het kenmerk dat de verplaatsing van tenminste een van de optische elementen een verschuiving is van tenminste een optische element.9. Basic lens construction as claimed in claim 8, characterized in that the displacement of at least one of the optical elements is a displacement of at least one optical element. 10. Basislensconstructie volgens conclusie 8, met het kenmerk dat de verplaatsing van tenminste een van de optische elementen een rotatie is van tenminste een optische element.10. Basic lens construction according to claim 8, characterized in that the displacement of at least one of the optical elements is a rotation of at least one optical element. 11. Basislensconstructie volgens elke combinatie van conclusies 1-10, met het kenmerk dat tenminste een haptisch element is gekoppeld aan tenminste een natuurlijk component van het oog.A basic lens construction according to any combination of claims 1-10, characterized in that at least one haptic element is coupled to at least one natural component of the eye. 12. Basislensconstructie volgens conclusie 11, met het kenmerk dat de natuurlijke component de ciliaire massa is van het oog.12. Basic lens construction as claimed in claim 11, characterized in that the natural component is the ciliary mass of the eye. 13. Basislensconstructie volgens conclusie 11, met het kenmerk dat de natuurlijke component de capillaire zak is van het oog.Basic lens construction according to claim 11, characterized in that the natural component is the capillary pocket of the eye. 14. Basislensconstructie volgens conclusie 11, met het kenmerk dat de natuurlijke component het zonulaire netwerk is van het oog.A basic lens construction according to claim 11, characterized in that the natural component is the zonular network of the eye. 15. Basislensconstructie volgens elke combinatie van conclusies 1-14, met het kenmerk dat de tenminste ene sectie van de lens is gekoppeld aan een MEMS.Basic lens construction according to any combination of claims 1-14, characterized in that the at least one section of the lens is coupled to a MEMS. 16. Toepassing van een basislensconstructie, met het kenmerk dat de toepassing de implantatie van de lensconstructie in het vlak van het straallichaam omvat.Use of a basic lens construction, characterized in that the application comprises the implantation of the lens construction in the plane of the beam body. 17. Toepassing van een basislensconstructie, met het kenmerk dat de toepassing de implantatie van de lensconstructie binnen de capsulaire zak omvat.The use of a basic lens construction, characterized in that the application comprises the implantation of the lens construction within the capsular bag. 1/11/1
NL2023333A 2018-06-26 2019-06-17 Accommodating lens for sulcus plane and capsular bag NL2023333B1 (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4023191A1 (en) 2021-01-05 2022-07-06 Akkolens International B.V. Combination of lens holder and lens injector cartridge for intraocular lens with multiple optical elements
WO2023038525A1 (en) * 2021-09-10 2023-03-16 Akkolens International B.V. Intraocular add-on lens for correction of refraction and extended depth of field

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4023191A1 (en) 2021-01-05 2022-07-06 Akkolens International B.V. Combination of lens holder and lens injector cartridge for intraocular lens with multiple optical elements
WO2023038525A1 (en) * 2021-09-10 2023-03-16 Akkolens International B.V. Intraocular add-on lens for correction of refraction and extended depth of field

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