US20070019155A1 - Contact lenses - Google Patents
Contact lenses Download PDFInfo
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- US20070019155A1 US20070019155A1 US11/536,305 US53630506A US2007019155A1 US 20070019155 A1 US20070019155 A1 US 20070019155A1 US 53630506 A US53630506 A US 53630506A US 2007019155 A1 US2007019155 A1 US 2007019155A1
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- contact lens
- lens
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- 230000002093 peripheral effect Effects 0.000 claims abstract description 88
- 230000008859 change Effects 0.000 claims abstract description 14
- 230000000087 stabilizing effect Effects 0.000 claims abstract description 3
- 230000003287 optical effect Effects 0.000 claims description 16
- 239000000463 material Substances 0.000 claims description 8
- 239000000017 hydrogel Substances 0.000 claims description 7
- 229920001296 polysiloxane Polymers 0.000 claims description 5
- 229920002818 (Hydroxyethyl)methacrylate Polymers 0.000 claims description 3
- WOBHKFSMXKNTIM-UHFFFAOYSA-N Hydroxyethyl methacrylate Chemical compound CC(=C)C(=O)OCCO WOBHKFSMXKNTIM-UHFFFAOYSA-N 0.000 claims description 3
- 210000000744 eyelid Anatomy 0.000 abstract description 17
- 230000006641 stabilisation Effects 0.000 abstract description 13
- 238000011105 stabilization Methods 0.000 abstract description 13
- 230000007246 mechanism Effects 0.000 abstract description 7
- 230000009471 action Effects 0.000 abstract description 2
- 230000003993 interaction Effects 0.000 description 10
- 230000004397 blinking Effects 0.000 description 6
- 210000004087 cornea Anatomy 0.000 description 6
- 201000009310 astigmatism Diseases 0.000 description 5
- 230000007704 transition Effects 0.000 description 5
- 230000008901 benefit Effects 0.000 description 3
- 230000007423 decrease Effects 0.000 description 3
- 210000000887 face Anatomy 0.000 description 3
- NIXOWILDQLNWCW-UHFFFAOYSA-M Acrylate Chemical compound [O-]C(=O)C=C NIXOWILDQLNWCW-UHFFFAOYSA-M 0.000 description 1
- 206010020675 Hypermetropia Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 210000000795 conjunctiva Anatomy 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 235000012489 doughnuts Nutrition 0.000 description 1
- 229940082150 encore Drugs 0.000 description 1
- 230000004438 eyesight Effects 0.000 description 1
- 201000006318 hyperopia Diseases 0.000 description 1
- 230000004305 hyperopia Effects 0.000 description 1
- 230000007794 irritation Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 208000001491 myopia Diseases 0.000 description 1
- 230000004379 myopia Effects 0.000 description 1
- 208000014733 refractive error Diseases 0.000 description 1
- 229920002379 silicone rubber Polymers 0.000 description 1
- -1 siloxane acrylate Chemical class 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 150000003673 urethanes Chemical class 0.000 description 1
Images
Classifications
-
- 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
-
- 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
- G02C7/048—Means for stabilising the orientation of lenses in the eye
Definitions
- the present invention relates to contact lenses and, in particular, to an improved ballast, preferably a prism ballast, for toric lenses that imposes a low-torque rotational correction on the lens.
- Astigmatism is a defect in the eye that is corrected by a lens with a non-spherical prescription.
- the prescription which is usually expressed as cylinder on the patient's prescription order, causes at least a portion of the surface of the lens to have the shape of the toric segment.
- a torus is a surface or object defined by the rotation of a circle about an axis other than its own.
- a donut has a toroidal shape.
- the toric portion of the lens is a small oval-shaped section of the toroid, with a major axis and a minor axis.
- proper rotational orientation of the lens must be maintained.
- other lenses for instance that provide bifocal or multi-focal correction, are non-axi-symmetric and thus have a particular orientation outside of which performance suffers.
- Astigmatism is often associated with other refractive errors such as myopia or hypermetropia, and so toric contact lenses often also provide some spherical correction, negative or positive.
- the concave or posterior surface of a contact lens generally has a spherical configuration, where the lens is used to correct astigmatism the posterior surface will usually have the toric configuration. That is, the curved portion of the posterior surface of the lens has a major axis and a minor axis. The radius of curvature of the posterior surface of the lens is larger in the major-axis direction than in the minor-axis direction.
- the major diameter of the toric surface is generally smaller in diameter than the overall lens, and is cut into a starting spherical base curve.
- anterior and/or posterior surface(s) of the optical zone may include a spherical portion that contributes to a distance refractive correction.
- the spherical correction is typically provided on the exterior or anterior surface.
- certain prescriptions provide the toric curve on the anterior surface, with the spherical correction also on the anterior surface, or on the posterior surface.
- toric contact lenses While spectacle lenses are held rigidly in place by a frame, toric contact lenses must be stabilized so that the cylindrical correction is stabilized in substantially the correct position on the eye.
- Soft contact lenses which had been designed for use to correct astigmatism are well-known in the art. Generally, these lenses rely on some type of ballasting or stabilizing method to cause the lens to be properly oriented in the eye.
- the ballast is typically provided on a contact lens by incorporating structures either on the front surface or on the back surface, or spread between both surfaces. Such orientation structures utilize eyelid forces generated during blinking. As the eyelids wipe across the contact lens, they tend to squeeze the lens down and against the cornea and displace elevated surface features.
- a so-called “wedge” or “prism” ballast may be utilized wherein the lower or inferior portion of the lens is relatively thicker than the upper or superior portion.
- the upper eyelid which undergoes greater movement than the lower eyelid, and thus exerts greater influence on the contact lens, tends to displace the inferior portion of the contact lens downward, inherently rotating the contact lens over the cornea into the intended orientation.
- the lens may incorporate a so-called “periballast” (short for peripheral ballast) stabilization that involves a ballast region surrounding but excluding the central optic.
- prism ballast see U.S. Pat. Nos. 4,573,774, 5,125,728, and 5,020,898, and PCT Publication No. WO 98/45749.
- Another orientation structure for contact lenses includes the provision of thin superior and inferior zones relative to a thicker central zone. Such structures are shown in U.S. Pat. Nos. 4,095,878, and 5,650,837.
- channels or ridges may be provided on the contact lens, such as seen in PCT publication No. AU 92/00290.
- U.S. Pat. No. 5,020,898 describes a toric contact lens with ballast distributed outside the anterior optical zone such that the ballast thickens from the top of the lens to two points of maximum thickness proximate the lower peripheral edge.
- U.S. Pat. No. 5,125,728 also describes a ballast portion that increases from a superior part of the lens to a maximum thickness in the lower periphery on each side thereof.
- the maximum thickness of the ballast is located as close as possible to the lens edge so that these portions fit over the peripheral cornea and conjunctiva to limit lens rotation.
- a ballast-free corridor of least resistance is provided in the vertical mid-section of the lens above and below the central optical area. The patent asserts that the ballast-free corridor in combination with the thicker ballast and thicker portions close to the lens periphery provides an improved stabilization mechanism.
- PCT Publication No. WO 98/45749 describes a ballast lens with a prism through the optical zone.
- the anterior and posterior optical zone diameters are selected such that when combined to form a lens, the thickness at the superior and inferior junctions of the optical zone on the anterior face is controlled.
- reducing the overall thickness across the toric contact lens for the physiological benefit of the wearer ease of manufacture
- reducing the lens parameter inventory clinical performance including wearer comfort and consistency of fitting between refractive powers.
- wearer comfort in general, the thinner the lens and the smoother the surface, the more comfort will be provided.
- toric contact lens designs orientation is highly variable and/or uncomfortable, for a given design, between individual toric lens wearers.
- patient factors also influence the orientation of a toric contact lens on the eye and contribute to this variability in lens orientation.
- Patient factors such as blink characteristics and ocular parameters such as eyelid, corneal, and conjuctival shape and anatomy may result in undesired interaction (for example, asymmetry) or insufficient interaction with the contact lens.
- many of the problems associated with prior art mechanisms may be attributed to problems with failure of the stabilization mechanism to maximize eyelid interaction and reduce the variability of lens orientation between individuals.
- a contact lens having improved thickness and ballast arrangement is provided.
- the contact lens of the present invention reduces the known variability of lens orientation from individual to individual. Further, the lenses of the present invention provide more effective interaction between the stabilization mechanism and the eyelid during blinking, and preferably include a peripheral zone that is required for wearer comfort.
- the present invention provides a contact lens, including a contact lens body having a generally spherical base curvature with a convex anterior face, a concave posterior face, and a peripheral edge therebetween.
- a peripheral zone is defined adjacent the peripheral edge of the anterior face.
- the body has a thickness between the anterior face and the posterior face and is non-axi-symmetric so as to define a superior edge and an inferior edge.
- a vertical meridian is defined from the superior edge toward the inferior edge and a horizontal meridian is defined perpendicular thereto.
- the anterior face defines a plurality of zones thereon, including an inner zone circumscribed by the peripheral zone, and an optic zone defined generally in the middle of the inner zone.
- the lens includes a prism ballast portion whereby the thickness increases parallel to the vertical meridian from the superior edge toward the inferior edge in at least a ballast portion of the inner zone.
- the inner zone comprises a superior portion between the optic zone and the superior extent of the inner zone, an inferior portion between the optic zone and the inferior extent of the inner zone, and an intermediate portion between the superior and inferior portions.
- the ballast portion is defined within one or more of the superior, intermediate, and inferior portions and has a series of consecutive horizontal cross-sections exclusive of the peripheral zone and optic zone spanning a distance along the vertical meridian of at least 20% of the smallest dimension of the superior, intermediate, and inferior portions as measured along the vertical meridian, wherein each horizontal cross-section has a substantially uniform thickness not varying by more than about 30 ⁇ m or 20%, whichever is greater in absolute terms. In one embodiment, the thickness of the contact lens in each of the consecutive horizontal cross-sections does not vary by more than about 15 ⁇ m or about 10%, whichever is greater in absolute terms.
- the ballast portion is defined wholly within only one of the superior, intermediate, and inferior portions. In another embodiment, the ballast portion is defined wholly within only two of the superior, intermediate, and inferior portions. In still another embodiment, the ballast portion is defined within all three of the superior, intermediate, and inferior portions, or comprises the entire inner zone.
- a rate of change of thickness in the tapered peripheral zone is less than about 250 ⁇ m/mm, more preferably less than about 200 ⁇ m/mm.
- a contact lens of the present invention comprises a contact lens body having a generally spherical base curvature with a convex anterior face, a concave posterior face, and a peripheral edge therebetween.
- a peripheral zone is defined adjacent the peripheral edge of the lens that tapers thinner toward the peripheral edge of the lens.
- the lens body has a thickness between the anterior face and the posterior face and is non-axi-symmetric so as to define a superior edge and an inferior edge.
- a vertical meridian is defined from the superior edge toward the inferior edge and a horizontal meridian is defined perpendicular thereto.
- the anterior face defines a plurality of zones thereon, including an inner zone circumscribed by the peripheral zone and having a prism ballast portion therein, and an optic zone defined generally in the middle of the inner zone, wherein the thickness increases parallel to the vertical meridian from the superior edge toward the inferior edge in at least the prism ballast portion of the inner zone.
- the distance between the inner zone and the peripheral edge is less than about 1.4 mm.
- a molded contact lens includes a fully molded contact lens body (i.e., molded on both the anterior and posterior faces) having the general features as described above.
- the molded lens has a prism ballast portion in the inner zone and, along a 225° meridian, the distance between the inner zone and the peripheral edge is less than about 1.8 mm.
- the distance between the inner zone and the peripheral edge is less than about 2.1 mm, while along a 180° meridian, the distance between the inner zone and the peripheral edge is less than about 1.3 mm.
- a band circumscribed by the peripheral zone and around the optic zone is substantially annular.
- a superior distance A is defined along the vertical meridian and within the inner zone from the optic zone to the peripheral zone.
- An inferior distance B is defined along the vertical meridian and within the inner zone from the optic zone to the peripheral zone.
- the band is annular within the range of 0.33 A ⁇ B ⁇ A, while for all prism ballasted lenses the annular band is within the range of 0.55 A ⁇ B ⁇ A.
- FIG. 1 is a schematic front elevational view of a contact lens according to the present invention illustrating various zones defined thereon;
- FIG. 2 (A-A′ to E-E′) illustrate a series of horizontal cross-sections taken through the lens of FIG. 1 ;
- FIG. 3 is a graph showing the varying thickness of the contact lens of FIG. 1 taken along a vertical meridian Z-Z′;
- FIG. 4 a is a schematic diagram of the contact lens of the present invention having an exemplary topographical numerical thickness map superimposed thereon;
- FIG. 4 b is a graph of a portion of the contact lens of the present invention illustrating a discontinuity and angular relationship between zones thereon;
- FIGS. 5 a - 5 d are elevational views of contact lenses of the present invention each having a spherical anterior optical zone and varying regions of substantially uniform horizontal thickness;
- FIGS. 6 a - 6 d are elevational views of contact lenses of the present invention each having a toric anterior optical zone and varying regions of substantially uniform horizontal thickness;
- FIG. 7 is a schematic front elevational view of a contact lens having a number of meridian lines superimposed thereon for reference.
- FIG. 8 is a schematic front elevational view of a contact lens of the prior art illustrating various zones defined thereon.
- the present invention provides stabilized contact lenses, especially contact lenses having a cylindrical correction for astigmatism. More broadly, the present invention provides contact lenses having elevated surfaces thereon that interact with the blinking action of the eyelids to rotationally stabilize the lens.
- the rotational stability is useful for any contact lens that is non-axi-symmetric. For example, the rotational orientation of toric lenses or multifocal lenses must be maintained for proper correction. It should be understood, however, that rotational stability may also be desirable for other specialized lenses.
- lenses of the present invention have been flattened.
- Contact lenses typically possess an underlying spherical curvature, with the anterior face being convex, and the posterior face being concave.
- the various surfaces and optic zones are then either molded or machined from the base sphere.
- the elevational views shown herein are flattened, with the base sphere removed. In this way, the lines of shading corresponding to the underlying spherical curvature are removed so that the particular surfaces and thicknesses of the present invention can be more clearly illustrated.
- lenses of the present invention have a negative spherical power distance correction, and a toric surface for cylindrical correction.
- the lens 20 includes a lens body of suitable soft or rigid material.
- Soft contact lenses are typically made of a hydrophilic material such as hydroxyethylmethacrylate, metallo-organic substances, silicone rubbers, silicone hydrogels, urethanes, etc.
- a rigid gas-permeable material such as siloxane acrylate or fluorosiloxane acrylate may be used.
- the lens body has an overall spherical curvature with a concave posterior face adapted to contact the cornea opposite an outwardly-facing convex anterior face.
- the lens 20 includes an optic zone 22 , a peripheral zone 24 , and an inner zone 26 circumscribed by the peripheral zone, wherein the optic zone 22 forms a portion of the inner zone 26 .
- the inner zone 26 may be defined between the optic zone and the peripheral zone.
- the optic zone 22 may be circular, toroidal, or other special shapes.
- the peripheral zone 24 may have a uniform radial dimension (width), or the radial dimension may vary. In the exemplary illustrated embodiment, the peripheral zone 24 has a narrower radial dimension at a superior end 30 , and a wider radial dimension at an inferior end 32 .
- the inner zone 26 has a circular periphery or ballast periphery 34 that is slightly offset toward the top of the lens 20 along a vertical meridian or centerline Z-Z′ therethrough. It should be noted that the clear delineations in the drawings between the optic zone 22 peripheral zone 24 and inner zone 26 should not be taken to imply that there is a discontinuity or corner at those locations, and in fact the exemplary lens of the present invention possesses gradually curved transitions between the zones.
- a lens edge 36 defines the intersection of the anterior and posterior faces.
- the peripheral zone 24 desirably exhibits a taper so as to be thinner at the lens edge 36 than at the circular ballast periphery 34 .
- the peripheral zone 24 preferably defines a partial conical surface (albeit, superimposed on the underlying spherical curvature).
- the peripheral zone 24 may define a partial spherical or other curvature (i.e., shape), for example, any suitable curvature.
- lens 20 Various features of the lens 20 are believed to enhance wearer comfort in comparison to other similar lenses. Indeed, certain clinical trials resulted in findings that patients responded more favorably to questions designed to ascertain a comfort level of lenses made according to the present invention than with respect to questions on the comfort level of similar lenses.
- the inner zone 26 may be segregated into three parts along the vertical meridian Z-Z′. Specifically, a superior portion 40 extends between the upper extent of the ballast periphery 34 and the upper extent of the optic zone 22 , delineated by an imaginary line 42 , perpendicular to the vertical meridian Z-Z′. An intermediate portion 44 extends between the perpendicular line 42 and a second perpendicular line 46 at the lower extent of the optic zone 22 . Finally, an inferior portion 48 extends between the perpendicular line 46 and the lower extent of the ballast periphery 34 . The optic zone 22 thus lies entirely within the intermediate portion 44 .
- the superior portion 40 , intermediate portion 44 , and inferior portion 48 are used in the present application to segregate the inner zone 26 into discrete areas in which specific ballast surfaces can be provided. It should be understood, however, that the dividing lines 42 , 46 between the areas may be shifted, or may be non-linear, for that matter.
- the present invention concerns particular ballast or prism ballast surfaces/thicknesses in one or more portions of the inner zone 26 , which portions may be defined in a number of ways. Therefore, the reader will understand that the portions 40 , 44 , and 48 are shown as exemplary only.
- iso-thickness ballast surfaces are formed in at least 20% (measured as a percent of the vertical dimension), preferably at least 50%, and more preferably at least 100%, of at least one of the portions 40 , 44 , and 48 .
- an iso-thickness prism ballast portion is defined within one or more of the superior, intermediate, and inferior portions 40 , 44 , and 48 as a series of consecutive horizontal cross-sections exclusive of the peripheral zone and optic zone spanning a distance along the vertical meridian of at least 20% of the smallest dimension of the superior, intermediate, and inferior portions as measured along the vertical meridian.
- ballast surfaces are provided in at least two, more preferably all three of the portions 40 , 44 , and 48 .
- the present invention pertains to contact lenses having rotational stabilization mechanisms thereon, including those with ballasts, e.g., prism ballasts, periballasts, and so-called “dynamically stabilized” lenses.
- a ballasted lens provides some raised surface contour over which the eyelid wipes to re-orient the lens, generally about its optical axis.
- a prism ballast provides a wedge or tapered ballast for interaction with the eyelids even in the optic, while a periballast is exclusive of the optic.
- Dynamic stabilization involves superior and inferior flats on the lens leaving a thickened midsection to interact with the eye, as seen in U.S. Pat. No. 4,095,878. Those of skill in the art will also recognize that there may be other such stabilization mechanisms with which the present invention could be advantageously used.
- FIG. 1 also illustrates a number of representative cross-sectional lines A-A′, B-B′, C-C′, D-D′, and E-E′ extending perpendicularly with respect to the vertical meridian Z-Z′ (i.e., horizontally). These sections are illustrated in FIG. 2 , with the base spherical curvature shown.
- the present invention provides that consecutive horizontal cross-sections shown in FIG. 2 that possess ballast each has a substantially uniform or iso-thickness, except in the optic zone 22 and peripheral zone 24 .
- one of the cross-sections in FIG. 2 having ballast, such as D-D′ has a substantially uniform thickness.
- all of the cross sections shown in FIG. 2 that possess ballast may have a uniform thickness except in the optic zone 22 and peripheral zone 24 .
- the sections of substantially uniform thickness do not vary in thickness within one section by more than about 30 ⁇ m or about 20% whichever is greater in absolute terms.
- the thickness of the sections varies by no more than about 15 ⁇ m or about 10%, such as by no more than about 10 ⁇ m or about 7%, whichever is greater. Such variations will be understood to be sufficiently small that the sections can still be regarded as being of “substantially uniform” thickness.
- the contact lens 20 has a so-called prism ballast superimposed thereon within the entire inner zone 26 . That is, from the intersection of the ballast periphery 34 with the vertical meridian Z-Z′ at the top of the lens 20 , to the intersection between the same two lines at the bottom of the lens, the thickness generally increases.
- This thickness distribution along the vertical meridian Z-Z′ is graphically illustrated in FIG. 3 , with the superior end 30 of the peripheral zone 24 shown at the right and the inferior end 32 shown at the left. Starting at the right side, the taper of the peripheral zone 24 within the superior end 30 from the edge 36 to the upper extent of the ballast periphery 34 is seen.
- the thickness gradually increases to the horizontal line 42 .
- the thickness further increases through the optic zone 22 to the horizontal line 46 .
- the greatest thickness is in the inferior portion 48 to the lower extent of the ballast periphery 34 .
- the lens again tapers downward within the peripheral zone 24 between the ballast periphery 34 to the inferior edge 36 .
- the thickness distribution represented in FIG. 3 thus corresponds to a prism ballast within the lens 20 that extends through all of the superior portion 40 , intermediate portion 44 , and inferior portion 48 . Indeed, even the optic zone 22 exhibits this prism ballast.
- the present invention provides a prism ballast in at least one of these portions 40 , 44 , 48 having horizontal cross-sections of uniform thickness. Therefore, as seen in FIG. 2 , all of the cross-sections illustrated have uniform thicknesses along their widths, except in the peripheral zone 24 .
- the thickness of each cross-section increases from cross-section A-A′ to cross-section E-E′.
- the uniform thickness in the horizontal cross-sections helps to stabilize lenses of the present invention, in contrast to previous lenses. More specifically, lenses of the present invention are suitable for a greater number of wearers than those of the prior art because of the lower torque exerted by the eyelids on the lens by virtue of the uniform thickness or iso-thickness configuration.
- the iso-thickness ballast arrangement maximizes eyelid interaction by achieving an even contact across each section of the lens as the eyelid travels down and up the lens during blinking. In contrast, the eyelid generates more rotational torque during a normal blink when interacting with horizontal lens sections of non-uniform thickness, as in the prior art.
- the lens-eyelid interaction should be maximized across the lens (i.e., across each horizontal cross-section) so that the lens is squeezed into the desired orientation (overall orientation) and undergoes minimal fluctuation during blinking (interblink orientation).
- Prior art lenses having narrow peaks or points of maximum thickness on either side of the vertical meridian are more likely to create a non-uniform lens-eyelid interaction across horizontal sections.
- the horizontal distance between peaks of maximum thickness in the prior art lenses typically increases from a superior portion to the horizontal midline, and then decreases from the mid-line to the inferior portion. This further varies the lens-eyelid interaction forces.
- the uniform thicknesses in the horizontal cross-sections of the lens 20 have proven to enhance performance of the lenses in comparison to other similar lenses in terms of maintaining a correct rotational orientation in the eye.
- Clinical trials have shown that there is less variability in the position of a location mark on the lens over time. For example, groups of 20 people at a time were studied to determine the positions of location marks over time on various lenses in the eye, and the standard deviations of the positions of the location marks were determined. The results are that the standard deviation for lenses of the present invention are measurably smaller than in other lenses, meaning the present lenses had less rotational instability in the eye.
- Exemplary values for the thickness of the contact lens 20 having the distribution as seen in FIG. 3 are provided in the topographical depiction of FIG. 4 a .
- the contact lens 20 shown in FIG. 4 a is generally circular.
- the inner zone 26 is divided by horizontal and vertical grid lines into a plurality of discrete units.
- Each horizontal row of units has a uniform thickness throughout the inner zone 26 .
- the thickness along a vertical column of units generally increases from the superior to the inferior.
- horizontal row 50 has a uniform thickness of 140 ⁇ m other than in the optic zone.
- Vertical column 52 has a thickness of 70 ⁇ m at the top, gradually increases to 280 ⁇ m, and begins to decrease just prior to the inferior portion of the peripheral zone 24 .
- the values provided in FIG. 4 a are exemplary and are suitable for a soft hydrogel contact lens.
- the values for lenses made of other materials may vary depending on the optical or other properties of the particular material.
- the discrete units mapped in FIG. 4 a represent the average thickness within each unit. That is, the thickness down the lens 20 changes gradually, rather than at a stepped border between units. More generally, although the present application describes distinct zones or portions in contact lenses, those zones are shown for clarity of description of the invention only. It will be appreciated by those skilled in the art that there are no sharp distinctions between these different zones of the lens, but that they are instead smoothly blended into one another.
- FIG. 4 a also illustrates the decreasing thickness or taper of the lens 20 through the peripheral zone 24 .
- the thickness decreases from 210-140-70 ⁇ m. This is also seen in the graph of FIG. 3 .
- This taper within the peripheral zone 24 provides a so-called comfort zone around the edge of the lens 20 . Because of the reduced thickness, movement of the eyelids across the contact lens is facilitated, and there is less irritation. Specifically, the eyelids more easily travel over the tapered peripheral zone 24 than if there were a more abrupt thickness change.
- the lens 20 has a corneal fitting relationship to maintain the lens centered on the cornea.
- the preferred lens has a diameter sufficient to achieve corneal coverage, and optimum stability is provided so that the lens does not become loose and unstable with gaze and blinking, which may influence the comfort and vision of the wearer.
- the sagittal depth (concave depth of the posterior face) for an optimum lens-cornea fitting relationship is between about 3.0 and 5.0 mm over a lens diameter of between about 13.0 mm and 16.0 mm.
- the lens diameter is more preferably between about 13.5-14.8 mm.
- a preferred thickness of the lens edge 36 is less than about 120 ⁇ m, more preferably about 90 ⁇ m. In this respect, the thickness is measured radially with respect to the curvature of the anterior face.
- the extreme outermost extent of the edge 36 may incorporate a preferred rounding of the anterior edge corner.
- a plurality of meridian lines may be defined through the center of the lens.
- the rate of change in lens radial thickness from the end of the ballast zone 34 to the lens edge 36 (i.e., in the peripheral zone 24 ) is less than about 250 ⁇ m/mm along any meridian of the lens.
- the rate of change of thickness along any meridian and within the peripheral zone 24 is less than about 250 ⁇ m/mm. More preferably, the rate of change in the peripheral zone 24 is less than about 200 ⁇ m/mm.
- FIG. 7 shows various meridians through the optical axis and around the lens in degrees, starting at the 3:00 o'clock position and moving counterclockwise.
- the point of maximum thickness along any horizontal meridian corresponds to the thickness along the entire horizontal meridian excluding the optical zone. Therefore, the beginning of the inner zone 26 and the point of maximum thickness along any meridian always lies on the ballast periphery 34 .
- the maximum thickness changes around the ballast periphery 34 .
- the distance between the point of maximum thickness (e.g., the ballast periphery 34 ) and the lens edge 36 is no greater than about 1.4 mm, regardless of the thickness.
- the maximum thickness along the 225° meridian in accordance with the present invention is between about 200-400 ⁇ m, preferably between about 250-350 ⁇ m, and more preferably about 320 ⁇ m.
- the distance between the point of maximum thickness (e.g., the ballast periphery 34 ) and the lens edge 36 is no greater than 1.8 mm, also regardless of the thickness, though a thickness of about 320 ⁇ m is preferred.
- the distance between the point of maximum thickness (e.g., the ballast periphery 34 ) and the peripheral edge is less than about 1.8 mm, and desirably, along a 270° meridian, the distance between the point of maximum thickness and the peripheral edge is less than about 2.1 mm.
- the distance between the inner zone and the peripheral edge is less than about 1.3 mm.
- the peripheral zone 24 of the lenses of the present invention is relatively narrow in comparison to the prior art ballasted lenses, yet because of the preferred thicknesses the comfort taper angle in the peripheral zone 24 is relatively shallow, as mentioned above.
- the preferred lens of the present invention has smooth, rounded transitions between different portions thereon, discrete boundaries or corners are not excluded.
- the transition between the peripheral zone 24 and the inner zone 26 may be defined by a rounded corner or discontinuity at the circular ballast periphery 34 .
- An example of the transition between the ballast area 26 and the peripheral zone 24 (i.e., at 34 ) along the meridian Z-Z′ is seen in FIG. 3 .
- FIGS. 5 a - 5 d illustrate several variations of the contact lens of the present invention having different ballast portions defined within the ballast zone.
- FIG. 5 a shows a contact lens 70 having a ballast portion 72 defined within the superior portion of the inner zone. Again, the inner zone lies between an optic zone 74 and a peripheral zone 76 .
- FIG. 5 b illustrates a contact lens 80 of the present invention having a ballast portion 82 defined within both the superior and intermediate portions of the inner zone.
- FIG. 5 c shows a contact lens 90 having a ballast portion 92 defined within the entire inner zone, through the superior, intermediate, and inferior portions thereof.
- FIG. 5 d illustrate a contact lens 100 having a ballast portion 102 defined only within the inferior portion of the inner zone.
- ballast portion defined wholly within either the intermediate or inferior portions of the inner zone, or within the intermediate and inferior portions combined, exclusive of the superior portion.
- the ballast portion could surround the optic zone in a so-called “periballast” arrangement, or could continue through the optic zone in a so-called “prism ballast” arrangement.
- FIGS. 6 a - 6 d illustrate a number of other contact lenses of the present invention having a cylindrical correction on the anterior face thereof. More specifically, a toric optic zone 110 is shown in each of the lenses oriented along a major axis 112 that is rotated with respect to the superior-inferior axis of the lens. The need for proper ballasting for the lenses is thus apparent to maintain the proper offset orientation of the axis 112 .
- FIG. 6 a shows a contact lens 120 having a ballast portion 122 beginning in the superior portion and continuing through both the intermediate and inferior portions of the inner zone.
- FIG. 6 b shows a contact lens 130 having a ballast portion 132 located entirely within the inferior portion of the inner zone.
- FIG. 6 c depicts a contact lens 140 having a ballast portion 142 wholly within the intermediate portion of the inner zone.
- FIG. 6 d shows a lens 150 having a ballast portion 152 only within the superior portion of the inner zone.
- FIG. 8 shows a prism ballast lens of the prior art (CooperVision Frequency Xcel (Encore) Toric) with lines demarking the transitions between various zones drawn.
- an optic zone 200 is separated from a ballast zone 202 by a generally circular inner line 204
- the ballast zone is separated from a peripheral zone 206 by a generally circular outer line 208 .
- the inner line 204 is approximately centered as expected on the optical axis OA
- the outer line 208 is offset upward along the vertical meridian 210 .
- the ballast zone 202 is wider in the superior region than the inferior.
- the superior radial width A of the ballast zone 202 is significantly greater than the inferior radial width B.
- the superior radial width A is more than twice the inferior radial width B.
- the lenses of the present invention have an inner zone 26 that is substantially annular, with a radial dimension A that is within about 300% of the radial width B. That is, for molded prism ballasted lenses the band is annular and the relationship 0.33 A ⁇ B ⁇ A holds. Alternatively, for all prism ballasted lenses the annular band is within the range of 0.55 A ⁇ B ⁇ A.
- a contact lens of present invention may have an optic power of about between about ⁇ 8 to about +8 diopters, although this range is not to be considered limiting.
- the contact lenses according to the present invention may also comprise stabilization features other than the uniform thickness ballast arrangement.
- the peripheral zone may include a flattened region for dynamic stabilization, or the lens may incorporate a periballast stabilization outside of the central optic.
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Abstract
A contact lens having a rotational stabilization mechanism thereon, such as prism ballast, and a thickness profile that reduces the torque imparted on the lens by the action of the eyelids, especially for stabilizing toric lenses. The prism ballast is provided on one or more portions of the anterior face of the lens such that the lens body has a uniform thickness of within 10% along horizontal cross-sections. The anterior face of the lens may be segregated into a peripheral zone, an inner zone circumscribed by the peripheral zone, and a central optic zone. The prism ballast portion is provided within the inner zone, which may be further subdivided into a superior portion, an intermediate portion proximate the optic zone, and an inferior portion. The ballast portion increases in thickness along a superior-inferior line parallel to a vertical meridian, and has a substantially uniform thickness perpendicular thereto. The peripheral zone may be tapered, and have a rounded edge. The rate of thickness change across any portion of the peripheral zone is less than about 250 μm/mm.
Description
- This is a continuation of application Ser. No. 11/188,190, filed Jul. 22, 2005, which is a continuation of application Ser. No. 10/827,168, filed Apr. 19, 2004, now U.S. Pat. No. 6,971,746, which is a continuation of application Ser. No. 10/171,718, filed Jun. 14, 2002, now U.S. Pat. No. 6,857,740, which is a continuation of application Ser. No. 09/818,244, filed Mar. 27, 2001, now U.S. Pat. No. 6,467,903, which claims the benefit of U.S. provisional application No. 60/193,493, filed Mar. 31, 2000. The disclosure of each of these applications is incorporated in its entirety herein by reference.
- The present invention relates to contact lenses and, in particular, to an improved ballast, preferably a prism ballast, for toric lenses that imposes a low-torque rotational correction on the lens.
- Astigmatism is a defect in the eye that is corrected by a lens with a non-spherical prescription. The prescription, which is usually expressed as cylinder on the patient's prescription order, causes at least a portion of the surface of the lens to have the shape of the toric segment. A torus is a surface or object defined by the rotation of a circle about an axis other than its own. For example, a donut has a toroidal shape. The toric portion of the lens is a small oval-shaped section of the toroid, with a major axis and a minor axis. As a result of this non-axi-symmetric configuration, proper rotational orientation of the lens must be maintained. It should be noted that other lenses, for instance that provide bifocal or multi-focal correction, are non-axi-symmetric and thus have a particular orientation outside of which performance suffers.
- Astigmatism is often associated with other refractive errors such as myopia or hypermetropia, and so toric contact lenses often also provide some spherical correction, negative or positive. While the concave or posterior surface of a contact lens generally has a spherical configuration, where the lens is used to correct astigmatism the posterior surface will usually have the toric configuration. That is, the curved portion of the posterior surface of the lens has a major axis and a minor axis. The radius of curvature of the posterior surface of the lens is larger in the major-axis direction than in the minor-axis direction. The major diameter of the toric surface is generally smaller in diameter than the overall lens, and is cut into a starting spherical base curve. Additionally, the anterior and/or posterior surface(s) of the optical zone may include a spherical portion that contributes to a distance refractive correction. The spherical correction is typically provided on the exterior or anterior surface. Of course, certain prescriptions provide the toric curve on the anterior surface, with the spherical correction also on the anterior surface, or on the posterior surface.
- While spectacle lenses are held rigidly in place by a frame, toric contact lenses must be stabilized so that the cylindrical correction is stabilized in substantially the correct position on the eye. Soft contact lenses which had been designed for use to correct astigmatism are well-known in the art. Generally, these lenses rely on some type of ballasting or stabilizing method to cause the lens to be properly oriented in the eye. The ballast is typically provided on a contact lens by incorporating structures either on the front surface or on the back surface, or spread between both surfaces. Such orientation structures utilize eyelid forces generated during blinking. As the eyelids wipe across the contact lens, they tend to squeeze the lens down and against the cornea and displace elevated surface features.
- A so-called “wedge” or “prism” ballast may be utilized wherein the lower or inferior portion of the lens is relatively thicker than the upper or superior portion. As a result, the upper eyelid, which undergoes greater movement than the lower eyelid, and thus exerts greater influence on the contact lens, tends to displace the inferior portion of the contact lens downward, inherently rotating the contact lens over the cornea into the intended orientation. Alternatively, the lens may incorporate a so-called “periballast” (short for peripheral ballast) stabilization that involves a ballast region surrounding but excluding the central optic.
- For examples of prism ballast, see U.S. Pat. Nos. 4,573,774, 5,125,728, and 5,020,898, and PCT Publication No. WO 98/45749. Another orientation structure for contact lenses includes the provision of thin superior and inferior zones relative to a thicker central zone. Such structures are shown in U.S. Pat. Nos. 4,095,878, and 5,650,837. Alternatively, channels or ridges may be provided on the contact lens, such as seen in PCT publication No. AU 92/00290.
- U.S. Pat. No. 5,020,898 describes a toric contact lens with ballast distributed outside the anterior optical zone such that the ballast thickens from the top of the lens to two points of maximum thickness proximate the lower peripheral edge.
- U.S. Pat. No. 5,125,728 also describes a ballast portion that increases from a superior part of the lens to a maximum thickness in the lower periphery on each side thereof. The maximum thickness of the ballast is located as close as possible to the lens edge so that these portions fit over the peripheral cornea and conjunctiva to limit lens rotation. A ballast-free corridor of least resistance is provided in the vertical mid-section of the lens above and below the central optical area. The patent asserts that the ballast-free corridor in combination with the thicker ballast and thicker portions close to the lens periphery provides an improved stabilization mechanism.
- Finally, PCT Publication No. WO 98/45749 describes a ballast lens with a prism through the optical zone. The anterior and posterior optical zone diameters are selected such that when combined to form a lens, the thickness at the superior and inferior junctions of the optical zone on the anterior face is controlled.
- In addition to the relative ability of a lens to orient consistently on cornea, other factors affect the performance of the various stabilization structures. For example, some structures are better than others with respect to one or more of the following: reducing the overall thickness across the toric contact lens for the physiological benefit of the wearer, ease of manufacture, reducing the lens parameter inventory, clinical performance including wearer comfort and consistency of fitting between refractive powers. With respect to wearer comfort, in general, the thinner the lens and the smoother the surface, the more comfort will be provided. In addition, it is known to provide a periphery on the lens that is relatively thin and shaped for added comfort.
- The principal limitation of existing toric contact lens designs is that orientation is highly variable and/or uncomfortable, for a given design, between individual toric lens wearers. Besides the lens design and lens material, patient factors also influence the orientation of a toric contact lens on the eye and contribute to this variability in lens orientation. Patient factors such as blink characteristics and ocular parameters such as eyelid, corneal, and conjuctival shape and anatomy may result in undesired interaction (for example, asymmetry) or insufficient interaction with the contact lens. However, many of the problems associated with prior art mechanisms may be attributed to problems with failure of the stabilization mechanism to maximize eyelid interaction and reduce the variability of lens orientation between individuals.
- Despite much effort in this area, there is still a need for a toric contact lens that has more consistent stabilization features between individuals.
- In accordance with the present invention, a contact lens having improved thickness and ballast arrangement is provided. The contact lens of the present invention reduces the known variability of lens orientation from individual to individual. Further, the lenses of the present invention provide more effective interaction between the stabilization mechanism and the eyelid during blinking, and preferably include a peripheral zone that is required for wearer comfort.
- In one aspect, therefore, the present invention provides a contact lens, including a contact lens body having a generally spherical base curvature with a convex anterior face, a concave posterior face, and a peripheral edge therebetween. A peripheral zone is defined adjacent the peripheral edge of the anterior face. The body has a thickness between the anterior face and the posterior face and is non-axi-symmetric so as to define a superior edge and an inferior edge. Further, a vertical meridian is defined from the superior edge toward the inferior edge and a horizontal meridian is defined perpendicular thereto. The anterior face defines a plurality of zones thereon, including an inner zone circumscribed by the peripheral zone, and an optic zone defined generally in the middle of the inner zone. Additionally, the lens includes a prism ballast portion whereby the thickness increases parallel to the vertical meridian from the superior edge toward the inferior edge in at least a ballast portion of the inner zone. The inner zone comprises a superior portion between the optic zone and the superior extent of the inner zone, an inferior portion between the optic zone and the inferior extent of the inner zone, and an intermediate portion between the superior and inferior portions. The ballast portion is defined within one or more of the superior, intermediate, and inferior portions and has a series of consecutive horizontal cross-sections exclusive of the peripheral zone and optic zone spanning a distance along the vertical meridian of at least 20% of the smallest dimension of the superior, intermediate, and inferior portions as measured along the vertical meridian, wherein each horizontal cross-section has a substantially uniform thickness not varying by more than about 30 μm or 20%, whichever is greater in absolute terms. In one embodiment, the thickness of the contact lens in each of the consecutive horizontal cross-sections does not vary by more than about 15 μm or about 10%, whichever is greater in absolute terms.
- In one embodiment, the ballast portion is defined wholly within only one of the superior, intermediate, and inferior portions. In another embodiment, the ballast portion is defined wholly within only two of the superior, intermediate, and inferior portions. In still another embodiment, the ballast portion is defined within all three of the superior, intermediate, and inferior portions, or comprises the entire inner zone.
- In a preferred embodiment, a rate of change of thickness in the tapered peripheral zone is less than about 250 μm/mm, more preferably less than about 200 μm/mm.
- In an alternative embodiment, a contact lens of the present invention comprises a contact lens body having a generally spherical base curvature with a convex anterior face, a concave posterior face, and a peripheral edge therebetween. A peripheral zone is defined adjacent the peripheral edge of the lens that tapers thinner toward the peripheral edge of the lens. The lens body has a thickness between the anterior face and the posterior face and is non-axi-symmetric so as to define a superior edge and an inferior edge. A vertical meridian is defined from the superior edge toward the inferior edge and a horizontal meridian is defined perpendicular thereto. The anterior face defines a plurality of zones thereon, including an inner zone circumscribed by the peripheral zone and having a prism ballast portion therein, and an optic zone defined generally in the middle of the inner zone, wherein the thickness increases parallel to the vertical meridian from the superior edge toward the inferior edge in at least the prism ballast portion of the inner zone. Along a 225° meridian, the distance between the inner zone and the peripheral edge is less than about 1.4 mm.
- In accordance with one aspect of the invention, a molded contact lens includes a fully molded contact lens body (i.e., molded on both the anterior and posterior faces) having the general features as described above. As before, the molded lens has a prism ballast portion in the inner zone and, along a 225° meridian, the distance between the inner zone and the peripheral edge is less than about 1.8 mm. Alternatively, or desirably in addition, and along a 270° meridian, the distance between the inner zone and the peripheral edge is less than about 2.1 mm, while along a 180° meridian, the distance between the inner zone and the peripheral edge is less than about 1.3 mm.
- Desirably, a band circumscribed by the peripheral zone and around the optic zone is substantially annular. Namely, a superior distance A is defined along the vertical meridian and within the inner zone from the optic zone to the peripheral zone. An inferior distance B is defined along the vertical meridian and within the inner zone from the optic zone to the peripheral zone. For molded prism ballasted lenses the band is annular within the range of 0.33 A≦B≦A, while for all prism ballasted lenses the annular band is within the range of 0.55 A≦B≦A.
- Each and every feature described herein, and each and every combination of two or more of such features, is included within the scope of the present invention provided that the features included in such a combination are not mutually inconsistent.
- The invention, together with additional features and advantages thereof, may best be understood by reference to the following description taken in connection with the accompanying illustrative drawings in which like parts bear like reference numerals.
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FIG. 1 is a schematic front elevational view of a contact lens according to the present invention illustrating various zones defined thereon; -
FIG. 2 (A-A′ to E-E′) illustrate a series of horizontal cross-sections taken through the lens ofFIG. 1 ; -
FIG. 3 is a graph showing the varying thickness of the contact lens ofFIG. 1 taken along a vertical meridian Z-Z′; -
FIG. 4 a is a schematic diagram of the contact lens of the present invention having an exemplary topographical numerical thickness map superimposed thereon; -
FIG. 4 b is a graph of a portion of the contact lens of the present invention illustrating a discontinuity and angular relationship between zones thereon; -
FIGS. 5 a-5 d are elevational views of contact lenses of the present invention each having a spherical anterior optical zone and varying regions of substantially uniform horizontal thickness; -
FIGS. 6 a-6 d are elevational views of contact lenses of the present invention each having a toric anterior optical zone and varying regions of substantially uniform horizontal thickness; -
FIG. 7 is a schematic front elevational view of a contact lens having a number of meridian lines superimposed thereon for reference; and -
FIG. 8 is a schematic front elevational view of a contact lens of the prior art illustrating various zones defined thereon. - The present invention provides stabilized contact lenses, especially contact lenses having a cylindrical correction for astigmatism. More broadly, the present invention provides contact lenses having elevated surfaces thereon that interact with the blinking action of the eyelids to rotationally stabilize the lens. The rotational stability is useful for any contact lens that is non-axi-symmetric. For example, the rotational orientation of toric lenses or multifocal lenses must be maintained for proper correction. It should be understood, however, that rotational stability may also be desirable for other specialized lenses.
- In the following description, a number of surfaces and thicknesses of the contact lenses of the present invention will be described with reference to schematic elevational views of the lenses, in that the lenses have been flattened. Contact lenses typically possess an underlying spherical curvature, with the anterior face being convex, and the posterior face being concave. The various surfaces and optic zones are then either molded or machined from the base sphere. For simplicity, the elevational views shown herein are flattened, with the base sphere removed. In this way, the lines of shading corresponding to the underlying spherical curvature are removed so that the particular surfaces and thicknesses of the present invention can be more clearly illustrated. In a preferred embodiment, lenses of the present invention have a negative spherical power distance correction, and a toric surface for cylindrical correction.
- An
exemplary contact lens 20 of the present invention is thus shown in schematic elevational view inFIG. 1 flattened without shading to illustrate various zones thereon. Thelens 20 includes a lens body of suitable soft or rigid material. Soft contact lenses are typically made of a hydrophilic material such as hydroxyethylmethacrylate, metallo-organic substances, silicone rubbers, silicone hydrogels, urethanes, etc. Alternatively, a rigid gas-permeable material such as siloxane acrylate or fluorosiloxane acrylate may be used. The lens body has an overall spherical curvature with a concave posterior face adapted to contact the cornea opposite an outwardly-facing convex anterior face. - With reference to
FIG. 1 , thelens 20 includes anoptic zone 22, aperipheral zone 24, and aninner zone 26 circumscribed by the peripheral zone, wherein theoptic zone 22 forms a portion of theinner zone 26. Alternatively, theinner zone 26 may be defined between the optic zone and the peripheral zone. As will be described further herein, theoptic zone 22 may be circular, toroidal, or other special shapes. Theperipheral zone 24 may have a uniform radial dimension (width), or the radial dimension may vary. In the exemplary illustrated embodiment, theperipheral zone 24 has a narrower radial dimension at asuperior end 30, and a wider radial dimension at aninferior end 32. Stated another way, theinner zone 26 has a circular periphery orballast periphery 34 that is slightly offset toward the top of thelens 20 along a vertical meridian or centerline Z-Z′ therethrough. It should be noted that the clear delineations in the drawings between theoptic zone 22peripheral zone 24 andinner zone 26 should not be taken to imply that there is a discontinuity or corner at those locations, and in fact the exemplary lens of the present invention possesses gradually curved transitions between the zones. - A
lens edge 36 defines the intersection of the anterior and posterior faces. Theperipheral zone 24 desirably exhibits a taper so as to be thinner at thelens edge 36 than at thecircular ballast periphery 34. In this regard, theperipheral zone 24 preferably defines a partial conical surface (albeit, superimposed on the underlying spherical curvature). Alternatively, theperipheral zone 24 may define a partial spherical or other curvature (i.e., shape), for example, any suitable curvature. - Various features of the
lens 20 are believed to enhance wearer comfort in comparison to other similar lenses. Indeed, certain clinical trials resulted in findings that patients responded more favorably to questions designed to ascertain a comfort level of lenses made according to the present invention than with respect to questions on the comfort level of similar lenses. - The
inner zone 26 may be segregated into three parts along the vertical meridian Z-Z′. Specifically, asuperior portion 40 extends between the upper extent of theballast periphery 34 and the upper extent of theoptic zone 22, delineated by animaginary line 42, perpendicular to the vertical meridian Z-Z′. Anintermediate portion 44 extends between theperpendicular line 42 and a secondperpendicular line 46 at the lower extent of theoptic zone 22. Finally, aninferior portion 48 extends between theperpendicular line 46 and the lower extent of theballast periphery 34. Theoptic zone 22 thus lies entirely within theintermediate portion 44. - The
superior portion 40,intermediate portion 44, andinferior portion 48 are used in the present application to segregate theinner zone 26 into discrete areas in which specific ballast surfaces can be provided. It should be understood, however, that thedividing lines inner zone 26, which portions may be defined in a number of ways. Therefore, the reader will understand that theportions portions inferior portions portions - The present invention pertains to contact lenses having rotational stabilization mechanisms thereon, including those with ballasts, e.g., prism ballasts, periballasts, and so-called “dynamically stabilized” lenses. A ballasted lens provides some raised surface contour over which the eyelid wipes to re-orient the lens, generally about its optical axis. A prism ballast provides a wedge or tapered ballast for interaction with the eyelids even in the optic, while a periballast is exclusive of the optic. Dynamic stabilization involves superior and inferior flats on the lens leaving a thickened midsection to interact with the eye, as seen in U.S. Pat. No. 4,095,878. Those of skill in the art will also recognize that there may be other such stabilization mechanisms with which the present invention could be advantageously used.
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FIG. 1 also illustrates a number of representative cross-sectional lines A-A′, B-B′, C-C′, D-D′, and E-E′ extending perpendicularly with respect to the vertical meridian Z-Z′ (i.e., horizontally). These sections are illustrated inFIG. 2 , with the base spherical curvature shown. The present invention provides that consecutive horizontal cross-sections shown inFIG. 2 that possess ballast each has a substantially uniform or iso-thickness, except in theoptic zone 22 andperipheral zone 24. For example, one of the cross-sections inFIG. 2 having ballast, such as D-D′, has a substantially uniform thickness. Alternatively, all of the cross sections shown inFIG. 2 that possess ballast may have a uniform thickness except in theoptic zone 22 andperipheral zone 24. - Desirably, the sections of substantially uniform thickness do not vary in thickness within one section by more than about 30 μm or about 20% whichever is greater in absolute terms. In one embodiment, the thickness of the sections varies by no more than about 15 μm or about 10%, such as by no more than about 10 μm or about 7%, whichever is greater. Such variations will be understood to be sufficiently small that the sections can still be regarded as being of “substantially uniform” thickness.
- In an exemplary embodiment of the present invention, the
contact lens 20 has a so-called prism ballast superimposed thereon within the entireinner zone 26. That is, from the intersection of theballast periphery 34 with the vertical meridian Z-Z′ at the top of thelens 20, to the intersection between the same two lines at the bottom of the lens, the thickness generally increases. This thickness distribution along the vertical meridian Z-Z′ is graphically illustrated inFIG. 3 , with thesuperior end 30 of theperipheral zone 24 shown at the right and theinferior end 32 shown at the left. Starting at the right side, the taper of theperipheral zone 24 within thesuperior end 30 from theedge 36 to the upper extent of theballast periphery 34 is seen. In thesuperior portion 40, the thickness gradually increases to thehorizontal line 42. The thickness further increases through theoptic zone 22 to thehorizontal line 46. The greatest thickness is in theinferior portion 48 to the lower extent of theballast periphery 34. The lens again tapers downward within theperipheral zone 24 between theballast periphery 34 to theinferior edge 36. - The thickness distribution represented in
FIG. 3 thus corresponds to a prism ballast within thelens 20 that extends through all of thesuperior portion 40,intermediate portion 44, andinferior portion 48. Indeed, even theoptic zone 22 exhibits this prism ballast. Importantly, the present invention provides a prism ballast in at least one of theseportions FIG. 2 , all of the cross-sections illustrated have uniform thicknesses along their widths, except in theperipheral zone 24. Of course, because of the increasing thickness in the superior-inferior direction parallel to the vertical meridian Z-Z′, the thickness of each cross-section increases from cross-section A-A′ to cross-section E-E′. - The uniform thickness in the horizontal cross-sections helps to stabilize lenses of the present invention, in contrast to previous lenses. More specifically, lenses of the present invention are suitable for a greater number of wearers than those of the prior art because of the lower torque exerted by the eyelids on the lens by virtue of the uniform thickness or iso-thickness configuration. The iso-thickness ballast arrangement maximizes eyelid interaction by achieving an even contact across each section of the lens as the eyelid travels down and up the lens during blinking. In contrast, the eyelid generates more rotational torque during a normal blink when interacting with horizontal lens sections of non-uniform thickness, as in the prior art. This is because for a lens to orient appropriately on the eye the lens-eyelid interaction should be maximized across the lens (i.e., across each horizontal cross-section) so that the lens is squeezed into the desired orientation (overall orientation) and undergoes minimal fluctuation during blinking (interblink orientation).
- Prior art lenses, having narrow peaks or points of maximum thickness on either side of the vertical meridian are more likely to create a non-uniform lens-eyelid interaction across horizontal sections. In addition, the horizontal distance between peaks of maximum thickness in the prior art lenses typically increases from a superior portion to the horizontal midline, and then decreases from the mid-line to the inferior portion. This further varies the lens-eyelid interaction forces.
- The uniform thicknesses in the horizontal cross-sections of the
lens 20 have proven to enhance performance of the lenses in comparison to other similar lenses in terms of maintaining a correct rotational orientation in the eye. Clinical trials have shown that there is less variability in the position of a location mark on the lens over time. For example, groups of 20 people at a time were studied to determine the positions of location marks over time on various lenses in the eye, and the standard deviations of the positions of the location marks were determined. The results are that the standard deviation for lenses of the present invention are measurably smaller than in other lenses, meaning the present lenses had less rotational instability in the eye. - Exemplary values for the thickness of the
contact lens 20 having the distribution as seen inFIG. 3 are provided in the topographical depiction ofFIG. 4 a. It is understood that thecontact lens 20 shown inFIG. 4 a is generally circular. InFIG. 4 a, theinner zone 26 is divided by horizontal and vertical grid lines into a plurality of discrete units. Each horizontal row of units has a uniform thickness throughout theinner zone 26. On the other hand, the thickness along a vertical column of units generally increases from the superior to the inferior. For example,horizontal row 50 has a uniform thickness of 140 μm other than in the optic zone.Vertical column 52 has a thickness of 70 μm at the top, gradually increases to 280 μm, and begins to decrease just prior to the inferior portion of theperipheral zone 24. The values provided inFIG. 4 a are exemplary and are suitable for a soft hydrogel contact lens. The values for lenses made of other materials may vary depending on the optical or other properties of the particular material. - It will be understood by the reader that the discrete units mapped in
FIG. 4 a represent the average thickness within each unit. That is, the thickness down thelens 20 changes gradually, rather than at a stepped border between units. More generally, although the present application describes distinct zones or portions in contact lenses, those zones are shown for clarity of description of the invention only. It will be appreciated by those skilled in the art that there are no sharp distinctions between these different zones of the lens, but that they are instead smoothly blended into one another. -
FIG. 4 a also illustrates the decreasing thickness or taper of thelens 20 through theperipheral zone 24. For example, at the inferior midpoint, the thickness decreases from 210-140-70 μm. This is also seen in the graph ofFIG. 3 . This taper within theperipheral zone 24 provides a so-called comfort zone around the edge of thelens 20. Because of the reduced thickness, movement of the eyelids across the contact lens is facilitated, and there is less irritation. Specifically, the eyelids more easily travel over the taperedperipheral zone 24 than if there were a more abrupt thickness change. - In an exemplary embodiment, the
lens 20 has a corneal fitting relationship to maintain the lens centered on the cornea. The preferred lens has a diameter sufficient to achieve corneal coverage, and optimum stability is provided so that the lens does not become loose and unstable with gaze and blinking, which may influence the comfort and vision of the wearer. The sagittal depth (concave depth of the posterior face) for an optimum lens-cornea fitting relationship is between about 3.0 and 5.0 mm over a lens diameter of between about 13.0 mm and 16.0 mm. The lens diameter is more preferably between about 13.5-14.8 mm. A preferred thickness of thelens edge 36 is less than about 120 μm, more preferably about 90 μm. In this respect, the thickness is measured radially with respect to the curvature of the anterior face. The extreme outermost extent of theedge 36 may incorporate a preferred rounding of the anterior edge corner. - A plurality of meridian lines may be defined through the center of the lens. In a preferred embodiment, for maximum wearer comfort, the rate of change in lens radial thickness from the end of the
ballast zone 34 to the lens edge 36 (i.e., in the peripheral zone 24) is less than about 250 μm/mm along any meridian of the lens. For example, in the topographical map ofFIG. 4 a, the rate of change of thickness along any meridian and within theperipheral zone 24 is less than about 250 μm/mm. More preferably, the rate of change in theperipheral zone 24 is less than about 200 μm/mm. - The advantageous interaction between the
peripheral zone 24 and the iso-thickness is further exemplified in the proximity to thelens edge 36 of the point of maximum thickness, as variously measured around the lens. To illustrate this principle,FIG. 7 shows various meridians through the optical axis and around the lens in degrees, starting at the 3:00 o'clock position and moving counterclockwise. Of course, with iso-thickness in theinner zone 26, the point of maximum thickness along any horizontal meridian corresponds to the thickness along the entire horizontal meridian excluding the optical zone. Therefore, the beginning of theinner zone 26 and the point of maximum thickness along any meridian always lies on theballast periphery 34. However, because of the preferred ballasting, the maximum thickness changes around theballast periphery 34. - For prism ballasted lenses in accordance with the present invention, and along the 225° meridian, the distance between the point of maximum thickness (e.g., the ballast periphery 34) and the
lens edge 36 is no greater than about 1.4 mm, regardless of the thickness. For any type of ballasted lens, the maximum thickness along the 225° meridian in accordance with the present invention is between about 200-400 μm, preferably between about 250-350 μm, and more preferably about 320 μm. Along the 270° meridian, the distance between the point of maximum thickness (e.g., the ballast periphery 34) and thelens edge 36 is no greater than 1.8 mm, also regardless of the thickness, though a thickness of about 320 μm is preferred. For fully molded prism ballasted lenses (i.e., molded on both the anterior and posterior faces), and along a 225° meridian, the distance between the point of maximum thickness (e.g., the ballast periphery 34) and the peripheral edge is less than about 1.8 mm, and desirably, along a 270° meridian, the distance between the point of maximum thickness and the peripheral edge is less than about 2.1 mm. Also, along a 180° meridian, the distance between the inner zone and the peripheral edge is less than about 1.3 mm. In general, theperipheral zone 24 of the lenses of the present invention is relatively narrow in comparison to the prior art ballasted lenses, yet because of the preferred thicknesses the comfort taper angle in theperipheral zone 24 is relatively shallow, as mentioned above. - Although the preferred lens of the present invention has smooth, rounded transitions between different portions thereon, discrete boundaries or corners are not excluded. For example, the transition between the
peripheral zone 24 and theinner zone 26 may be defined by a rounded corner or discontinuity at thecircular ballast periphery 34. An example of the transition between theballast area 26 and the peripheral zone 24 (i.e., at 34) along the meridian Z-Z′ is seen inFIG. 3 . -
FIGS. 5 a-5 d illustrate several variations of the contact lens of the present invention having different ballast portions defined within the ballast zone. For purpose of explanation, the reader will refer back toFIG. 1 for the definition of the various portions (i.e., superior, intermediate, and inferior) of theinner zone 26.FIG. 5 a shows acontact lens 70 having aballast portion 72 defined within the superior portion of the inner zone. Again, the inner zone lies between anoptic zone 74 and aperipheral zone 76.FIG. 5 b illustrates acontact lens 80 of the present invention having aballast portion 82 defined within both the superior and intermediate portions of the inner zone.FIG. 5 c shows acontact lens 90 having aballast portion 92 defined within the entire inner zone, through the superior, intermediate, and inferior portions thereof. Finally,FIG. 5 d illustrate acontact lens 100 having aballast portion 102 defined only within the inferior portion of the inner zone. - Other variations not shown include a ballast portion defined wholly within either the intermediate or inferior portions of the inner zone, or within the intermediate and inferior portions combined, exclusive of the superior portion. Also, the ballast portion could surround the optic zone in a so-called “periballast” arrangement, or could continue through the optic zone in a so-called “prism ballast” arrangement.
-
FIGS. 6 a-6 d illustrate a number of other contact lenses of the present invention having a cylindrical correction on the anterior face thereof. More specifically, atoric optic zone 110 is shown in each of the lenses oriented along amajor axis 112 that is rotated with respect to the superior-inferior axis of the lens. The need for proper ballasting for the lenses is thus apparent to maintain the proper offset orientation of theaxis 112. -
FIG. 6 a shows acontact lens 120 having aballast portion 122 beginning in the superior portion and continuing through both the intermediate and inferior portions of the inner zone.FIG. 6 b shows acontact lens 130 having aballast portion 132 located entirely within the inferior portion of the inner zone.FIG. 6 c depicts acontact lens 140 having aballast portion 142 wholly within the intermediate portion of the inner zone. Finally,FIG. 6 d shows alens 150 having aballast portion 152 only within the superior portion of the inner zone. -
FIG. 8 shows a prism ballast lens of the prior art (CooperVision Frequency Xcel (Encore) Toric) with lines demarking the transitions between various zones drawn. Specifically, anoptic zone 200 is separated from aballast zone 202 by a generally circularinner line 204, and the ballast zone is separated from aperipheral zone 206 by a generally circularouter line 208. While theinner line 204 is approximately centered as expected on the optical axis OA, theouter line 208 is offset upward along thevertical meridian 210. As a result, theballast zone 202 is wider in the superior region than the inferior. Specifically, the superior radial width A of theballast zone 202 is significantly greater than the inferior radial width B. Indeed, the superior radial width A is more than twice the inferior radial width B. - In contrast, as seen in
FIG. 1 , the lenses of the present invention have aninner zone 26 that is substantially annular, with a radial dimension A that is within about 300% of the radial width B. That is, for molded prism ballasted lenses the band is annular and the relationship 0.33 A≦B≦A holds. Alternatively, for all prism ballasted lenses the annular band is within the range of 0.55 A≦B≦A. - It will be appreciated that the present invention may be embodied in lenses having varying optical powers. For example, a contact lens of present invention may have an optic power of about between about −8 to about +8 diopters, although this range is not to be considered limiting.
- Additionally, the contact lenses according to the present invention may also comprise stabilization features other than the uniform thickness ballast arrangement. For example, the peripheral zone may include a flattened region for dynamic stabilization, or the lens may incorporate a periballast stabilization outside of the central optic.
- While this invention has been described with respect to various specific examples and embodiments, it is to be understood that the invention is not limited thereto and that it can be variously practiced within the scope of the following claims.
Claims (60)
1. A contact lens, comprising:
an anterior surface, a posterior surface, a peripheral edge, and a thickness defined as a distance between the anterior surface and the posterior surface;
a toric optic zone;
a second zone circumscribing the toric optic zone, the second zone comprising a region of maximum thickness along a 225 degree meridian of the contact lens,
wherein along the 225 degree meridian, the distance between the region of maximum thickness and the peripheral edge is less than about 1.4 mm.
2. The contact lens of claim 1 which is a fully molded contact lens.
3. The contact lens of claim 1 which is a soft contact lens.
4. The contact lens of claim 3 , further comprising a hydrophilic material.
5. The contact lens of claim 3 which is made from a hydroxyethylmethacrylate.
6. The contact lens of claim 1 which is a silicone hydrogel contact lens.
7. The contact lens of claim 6 , wherein the peripheral edge comprises a rounded edge surface.
8. The contact lens of claim 1 which is a rotationally stabilized contact lens.
9. The contact lens of claim 8 which is a contact lens selected from the group consisting of prism ballasted contact lenses, periballasted contact lenses, and dynamically stabilized contact lenses.
10. The contact lens of claim 8 , wherein the second zone further comprises a midsection of the contact lens having a greater thickness relative to a superior section and an inferior section of the second zone.
11. The contact lens of claim 1 , wherein the second zone further comprises a second region of maximum thickness along a 270 degree meridian, and along the 270 degree meridian, the distance between the second region of maximum thickness and the peripheral edge is less than about 2.1 mm.
12. The contact lens of claim 1 , wherein the second zone further comprises a second region of maximum thickness along a 180 degree meridian, and along the 180 degree meridian, the distance between the second region of maximum thickness and the peripheral edge is less than about 1.3 mm.
13. The contact lens of claim 1 , wherein the second zone further comprises a second region of maximum thickness along a 270 degree meridian, and a third region of maximum thickness along a 180 degree meridian, and along the 270 degree meridian, the distance between the second region of maximum thickness and the peripheral edge is less than about 2.1 mm, and along the 180 degree meridian, the distance between the third region of maximum thickness and the peripheral edge is less than about 1.3 mm.
14. The contact lens of claim 1 , wherein the second zone comprises at least one region having a substantially uniform horizontal thickness.
15. The contact lens of claim 1 , wherein, along the 225 degree meridian, a rate of change of thickness from the region of maximum thickness to the peripheral edge is less than about 250 μm/mm.
16. The contact lens of claim 15 , wherein, along the 225 degree meridian, a rate of change of thickness from the region of maximum thickness to the peripheral edge is less than about 200 μm/mm.
17. The contact lens of claim 1 , wherein the maximum thickness along the 225 degree meridian of the lens is between about 200-400 μm.
18. The contact lens of claim 17 , wherein the maximum thickness along the 225 degree meridian of the lens is between about 250-350 μm.
19. A contact lens, comprising:
a silicone hydrogel lens body comprising an anterior surface, a posterior surface, a peripheral edge, and a thickness defined as a distance between the anterior surface and the posterior surface;
a toric optic zone;
a second zone circumscribing the toric optic zone, the second zone comprising a region of maximum thickness along a 180 degree meridian of the contact lens,
wherein along the 180 degree meridian, the distance between the region of maximum thickness and the peripheral edge is less than about 1.3 mm.
20. The contact lens of claim 19 which is a fully molded contact lens.
21. The contact lens of claim 19 , wherein the peripheral edge comprises a rounded edge surface.
22. The contact lens of claim 19 which is a rotationally stabilized contact lens.
23. The contact lens of claim 22 which is a contact lens selected from the group consisting of prism ballasted contact lenses, periballasted contact lenses, and dynamically stabilized contact lenses.
24. The contact lens of claim 22 , wherein the second zone further comprises a midsection of the contact lens having a greater thickness relative to a superior section and an inferior section of the second zone.
25. The contact lens of claim 19 , wherein the second zone further comprises a second region of maximum thickness along a 270 degree meridian, and along the 270 degree meridian, the distance between the second region of maximum thickness and the peripheral edge is less than about 2.1 mm.
26. The contact lens of claim 19 , wherein the second zone further comprises a second region of maximum thickness along a 225 degree meridian, and along the 225 degree meridian, the distance between the second region of maximum thickness and the peripheral edge is less than about 1.8 mm.
27. The contact lens of claim 19 , wherein the second zone comprises at least one region having a substantially uniform horizontal thickness.
28. The contact lens of claim 19 , wherein, along any meridian, a rate of change of thickness from the region of maximum thickness to the peripheral edge is less than about 250 μm/mm.
29. The contact lens of claim 28 , wherein the rate of change of thickness is less than about 200 μm/mm.
30. A contact lens, comprising:
a rotationally stabilized silicone-hydrogel contact lens body comprising a centrally located optic zone surrounding an optical axis of the lens body, and an optic circumscribing zone comprising at least one region having a substantially uniform horizontal thickness effective in rotationally stabilizing the lens body about the optical axis of the lens body when placed on an eye of an individual.
31. The contact lens of claim 30 , wherein the lens body further comprises a ballast.
32. The contact lens of claim 30 , wherein the lens body includes a midsection having a greater thickness relative to a superior section and an inferior section of the lens body.
33. The contact lens of claim 30 , wherein the lens body has a maximum thickness at a region located between the optic zone and an inferior edge of the lens body.
34. The contact lens of claim 30 , wherein the lens body is non-axisymmetric.
35. The contact lens of claim 30 which is a toric contact lens.
36. The contact lens of claim 30 , wherein, along a 225° meridian, the distance between the optic circumscribing zone and the peripheral edge is less than about 1.8 mm.
37. A contact lens, comprising:
a non-axisymmetric lens body comprising an anterior surface; a posterior surface; a peripheral edge; an optic zone; and a ballast having a ballast periphery,
wherein along a 225 degree meridian of the lens body, the distance between the ballast periphery and the peripheral edge is less than about 1.4 mm.
38. The contact lens of claim 37 which is a fully molded contact lens.
39. The contact lens of claim 37 which is a soft contact lens.
40. The contact lens of claim 39 , further comprising a hydrophilic material.
41. The contact lens of claim 39 which is made from a hydroxyethylmethacrylate.
42. The contact lens of claim 37 which is a silicone hydrogel contact lens.
43. The contact lens of claim 42 , wherein the peripheral edge comprises a rounded edge surface.
44. The contact lens of claim 37 which is a contact lens selected from the group consisting of prism ballasted contact lenses, periballasted contact lenses, and dynamically stabilized contact lenses.
45. The contact lens of claim 37 , wherein, along a 270 degree meridian of the lens body, the distance between the ballast periphery and the peripheral edge is less than about 2.1 mm.
46. The contact lens of claim 37 , wherein, along a 180 degree meridian of the lens body, the distance between the ballast periphery and the peripheral edge is less than about 1.3 mm.
47. The contact lens of claim 37 , wherein the lens body further comprises a second zone circumscribing the optic zone and comprising at least one region having a substantially uniform horizontal thickness.
48. The contact lens of claim 37 , wherein, along the 225 degree meridian, a rate of change of thickness from the ballast periphery to the peripheral edge is less than about 250 μm/mm.
49. The contact lens of claim 48 , wherein the rate of change of thickness is less than about 200 μm/mm.
50. The contact lens of claim 37 , wherein the maximum thickness along the 225 degree meridian of the lens body is between about 200-400 μm.
51. The contact lens of claim 50 , wherein the maximum thickness along the 225 degree meridian of the lens body is between about 250-350 μm.
52. A contact lens, comprising:
a non-axisymmetric silicone hydrogel lens body comprising an anterior surface; a posterior surface; a peripheral edge; an optic zone; and a ballast having a ballast periphery,
wherein along the 180 degree meridian, the distance between the ballast periphery the peripheral edge is less than about 1.3 mm.
53. The contact lens of claim 52 which is a fully molded contact lens.
54. The contact lens of claim 52 , wherein the peripheral edge comprises a rounded edge surface.
55. The contact lens of claim 52 which is a contact lens selected from the group consisting of prism ballasted contact lenses, periballasted contact lenses, and dynamically stabilized contact lenses.
56. The contact lens of claim 52 , wherein along a 270 degree meridian of the lens body, the distance between the ballast periphery and the peripheral edge is less than about 2.1 mm.
57. The contact lens of claim 52 , wherein along a 225 degree meridian of the lens body, the distance between the ballast periphery and the peripheral edge is less than about 1.8 mm.
58. The contact lens of claim 52 , wherein the lens body further comprises a second zone circumscribing the optic zone and comprising at least one region having a substantially uniform horizontal thickness.
59. The contact lens of claim 52 , wherein, along any meridian, a rate of change of thickness from the ballast periphery to the peripheral edge is less than about 250 μm/mm.
60. The contact lens of claim 59 , wherein the rate of change of thickness is less than about 200 μm/mm.
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