USRE32525E - Universal intraocular lens and a method of measuring an eye chamber size - Google Patents
Universal intraocular lens and a method of measuring an eye chamber size Download PDFInfo
- Publication number
- USRE32525E USRE32525E US06/797,656 US79765685A USRE32525E US RE32525 E USRE32525 E US RE32525E US 79765685 A US79765685 A US 79765685A US RE32525 E USRE32525 E US RE32525E
- Authority
- US
- United States
- Prior art keywords
- lens
- elements
- intraocular lens
- snag
- flexible
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
- A61F2/16—Intraocular lenses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
- A61F2/16—Intraocular lenses
- A61F2002/1681—Intraocular lenses having supporting structure for lens, e.g. haptics
- A61F2002/1683—Intraocular lenses having supporting structure for lens, e.g. haptics having filiform haptics
Definitions
- An intraocular lens is normally implanted in the anterior or posterior chamber of an eye following extraction of a cataractous lens. Since replaceable lenses are different for use in a posterior chamber than use in an anterior chamber, two different lenses must be kept in stock. In addition, the eye chamber could vary in size, again requiring additional varied sizes in stock.
- Shearing type lenses are utilized only for posterior chamber implantation. It is a plastic lens having two opposed flexible strands, one a superior loop and the other an inferior loop, wherein the free ends are arched and end in a point. This makes it extremely difficult for a surgeon to master the implantation of the superior loop during realignment or removal of the lens without injuring the delicate tissue of an eye.
- One of the main objects of this invention is to avoid this snagging point of the loop by replacing it with a snag resistant disc, ring or closed circular loop.
- Another object is to provide such a snag resistant strand so that both right and left handed surgeons may be able to use the same lens, thus eliminating the need for a specially designed lens for a left handed surgeon.
- Another object is to provide a universal lens that can be used in an anterior or posterior chamber of an eye and can be equally used in a small, medium or large eye chamber size, thus avoiding the stocking of a large number of different types and sizes by hospitals and surgeons.
- Another object is to provide just one type of universal lens for all eye transplants so that all surgeons will become familiar with it and greater safety can be provided for the patients.
- Another object is to so tangentially shape the flexible strand as to cause the lens to self-center when implanted.
- a further object is to use the distance between the ring edge and the lens edge to determine the size of an eye chamber.
- FIG. 1 is an illustration of the intraocular lens of this invention in a front elevational view
- FIG. 2 is a side elevational view of the lens of FIG. 1;
- FIG. 3 is another form of the lens in a front elevational view
- FIG. 4 is a cross-sectional schematic view of a human eye with the lens of this invention implanted in the posterior chamber;
- FIG. 5 is a similar cross-sectional schematic view of a human eye with the same lens implanted in an anterior chamber;
- FIG. 6A to D is a schematic cross-sectional view to illustrate how the eye chamber is measured for size.
- intraocular lens 10 of this invention having a lens body 12 measuring 6 mm in diameter and centration openings 17 that measure 0.25 mm in diameter which may be used for alignment of the lens during implantation of the lens.
- the lens is formed of clinical quality of polymethymethacrylate and has an overall length of 13.5 mm inclusive of the flexible strands 14 which are tangentially curved towards the lens circumference to the left on the superior strand while the inferior strand is tangentially curved to the right. This enables a surgeon to implant the lens with minimal force and permits the lens to be self-centering.
- the snag resistant looped disc 16 and strand 14 are integrally molded to the body of the lens.
- the thickness of the strand is 0.25 mm and the lens thickness is 0.85 mm as shown in FIG. 2.
- FIG. 3 there is shown another form of the intraocular lens 10' of this invention.
- the body 21 of the lens and the resilient strands 25 supporting the snag resistant rings 23 are integrally molded to the lens body, however to provide a sturdier base 24, the shape is molded into a triangular design which supports the flexible strand and said strand is shaped to be tangential to the lens circumference.
- this lens is an actual commercial model and upon implantation, it automatically becomes self centered.
- this ring be at least three times greater than the width of the flexible strand and at least one-fifth as great as the width of the lens to result in smoothly guiding the snag resistant ring across the iris or other eye tissue when implanting the lens in either an anterior or posterior chamber which is small, medium or large.
- this lens is implanted into a posterior chamber as shown in FIG. 4, the snag resistant free end rings will snugly fit into the pocket found near the stationary zone of the iris 26.
- the lens when so implanted is self-centering and the rings lie in a plane sufficiently close to the plane of the lens so that the rings and the lens can snugly fit into the eye chamber without causing any spring back or buldging forward which would injure delicate eye tissue.
- the lens of this invention can dispense with such holes because with the ring structure and the tangentially shaped resilient strands, the .[.right.]. .Iadd.ring .Iaddend.is self centerable.
- FIG. 5 there is shown the implantation of this novel lens into an anterior chamber of an eye.
- the snag resistant free end of the tangential strand fits snugly in the corners between the mobile zone of the iris 26 and the cornea 27.
- the lens is again self centering because of the same factors present in the posterior implantation.
- FIG. 6 there is shown a schematic illustration of how to measure the size of an eye chamber.
- the lens of this invention having a lens body whose diameter is 6 mm and whose ring diameter is 2.5 mm.
- such a lens is implanted in an eye chamber 33. The distance between the loop and the lens edge is measured to be 1 mm. When added together, it measures a 13 mm eye chamber size which is a large chamber size.
- a 12 mm eye chamber is measured which is a medium chamber size.
- the eye chamber measures 11 mm which is a small chamber size. To aid in sighting for measuring, it is helpful to slightly tint the snag resistant rings, however they could also be clear.
- the most important advantage is the provision of a snag resistant loop which prevents injury to delicate eye tissue during implantation, centration, or removal of the lens.
- the lens of the Shearing type requires more maneuvers, skill and a longer learning process for surgeons to master when inserting the superior loop of the lens, thus resulting in increasing the chance for injuring delicate eye tissue. These objections are eliminated when the snag resistant lens of this invention is used. It would be relatively easy for a surgeon to master the implantation, centration or removal of this lens without injury to delicate eye tissue.
- Another advantage is that only a small force is needed by the surgeon to position the superior snag resistant ring during implantation.
- the tangentially curved resilient strands and the snag free loose end of the strand transfers this force into a circular movement of the lens body resulting in self centering of the lens with avoidance of undue pressure on the zonules below.
- the lens of the invention is one that is a universal lens, a surgeon who is a novitiate will find this lens especially helpful because this lens is not only self-centering but also needs only minimal manipulation during implantation in an eye chamber.
- Implantation of this new lens avoids the spring back which is present in the Shearing type lens which results in decentration.
- This lens because of its tangentially formed strands, changes the downward force into a circular motion, thus avoiding any spring back landing to cause decentration.
- All conventional posterior lenses are more easily implanted through a dilated pupil.
- the new snag free lens can be implanted through a dilated or a miotic pupil with equal ease.
- the surgeon may decide to use this lens in the anterior chamber to avoid aborting the implantation procedure. This cannot be done with any of the prior art lenses. However, it can be done if the surgeon is using the lens of this invention.
- the lens of this invention is the first universal lens implant since it can be implanted in any size of eye chamber, in a posterior chamber or in an anterior chamber. A tremendous saving in the stocking of an unduly large supply of lenses for surgeons and hospitals. Only the snag resistant lens of this invention need be stocked. No necessity now to stock many different sizes, a posterior lens and an anterior lens. All the different lenses have now been replaced with only one lens, a universally useful lens.
- this novel lens can be used to determine the size of an eye chamber. This has never been possible before this lens. By merely measuring the distance between the edge of the loop and the edge of the lens with a microscopic chronometer and adding thereto the diameter of the ring and lens, the size of an eye chamber can be determined. No lens in the prior art is capable of effecting this result.
- the ring which is approximately circular, could also be elliptical and would thus be equally useful with all the accompanying advantages so long as it is snag resistant.
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- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
Description
Claims (10)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US06797656 USRE32525F1 (en) | 1980-04-01 | 1985-11-13 | Universal intraocular lens and a method of measuring an eye chamber size |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13624380A | 1980-04-01 | 1980-04-01 | |
US06797656 USRE32525F1 (en) | 1980-04-01 | 1985-11-13 | Universal intraocular lens and a method of measuring an eye chamber size |
Related Parent Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US13624380A Continuation-In-Part | 1980-04-01 | 1980-04-01 | |
US06/261,953 Reissue US4435855A (en) | 1980-04-01 | 1981-05-08 | Universal intraocular lens and a method of measuring an eye chamber size |
Publications (2)
Publication Number | Publication Date |
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USRE32525E true USRE32525E (en) | 1987-10-20 |
USRE32525F1 USRE32525F1 (en) | 1989-05-09 |
Family
ID=26834152
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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US06797656 Expired - Lifetime USRE32525F1 (en) | 1980-04-01 | 1985-11-13 | Universal intraocular lens and a method of measuring an eye chamber size |
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US (1) | USRE32525F1 (en) |
Cited By (73)
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EP0413057A1 (en) * | 1989-08-18 | 1991-02-20 | Chiron Adatomed Pharmazeutische und Medizintechnische Gesellschaft mbH | Posterior chamber intraocular lens |
US5928282A (en) * | 1997-06-13 | 1999-07-27 | Bausch & Lomb Surgical, Inc. | Intraocular lens |
WO2000069370A1 (en) * | 1999-05-14 | 2000-11-23 | Portney Valdemar | Iris fixated intraocular lens and instrument for attaching same to an iris |
US6190410B1 (en) | 1999-04-29 | 2001-02-20 | Bausch & Lomb Surgical, Inc. | Intraocular lenses |
US6200344B1 (en) | 1999-04-29 | 2001-03-13 | Bausch & Lomb Surgical, Inc. | Inraocular lenses |
US6228115B1 (en) | 1998-11-05 | 2001-05-08 | Bausch & Lomb Surgical, Inc. | Intraocular lenses with improved axial stability |
US6342058B1 (en) | 1999-05-14 | 2002-01-29 | Valdemar Portney | Iris fixated intraocular lens and instrument for attaching same to an iris |
US6398809B1 (en) | 2000-04-12 | 2002-06-04 | Bausch & Lomb Incorporated | Intraocular lens |
US6406494B1 (en) | 1999-04-30 | 2002-06-18 | Allergan Sales, Inc. | Moveable intraocular lens |
US20020116062A1 (en) * | 1999-05-14 | 2002-08-22 | Valdemar Portney | Iris fixated intraocular lens suitable for use with attaching instrument |
US6461384B1 (en) | 1999-06-17 | 2002-10-08 | Bausch & Lomb Incorporated | Intraocular lenses |
US6475240B1 (en) | 2000-02-02 | 2002-11-05 | Advanced Medical Optics, Inc. | Anterior chamber intraocular lens and methods for reducing pupil ovalling |
US6478821B1 (en) | 2000-01-12 | 2002-11-12 | Advanced Medical Optics, Inc. | Iris fixated intraocular lens and method of implantation |
US6537317B1 (en) | 2000-05-03 | 2003-03-25 | Advanced Medical Optics, Inc. | Binocular lens systems |
US6547822B1 (en) | 2000-05-03 | 2003-04-15 | Advanced Medical Optics, Inc. | Opthalmic lens systems |
US6551354B1 (en) | 2000-03-09 | 2003-04-22 | Advanced Medical Optics, Inc. | Accommodating intraocular lens |
US6554859B1 (en) | 2000-05-03 | 2003-04-29 | Advanced Medical Optics, Inc. | Accommodating, reduced ADD power multifocal intraocular lenses |
US6576012B2 (en) | 2001-03-28 | 2003-06-10 | Advanced Medical Optics, Inc. | Binocular lens systems |
US6599317B1 (en) | 1999-09-17 | 2003-07-29 | Advanced Medical Optics, Inc. | Intraocular lens with a translational zone |
US6616692B1 (en) | 1999-04-30 | 2003-09-09 | Advanced Medical Optics, Inc. | Intraocular lens combinations |
US6616693B1 (en) | 2000-05-03 | 2003-09-09 | Advanced Medical Optics, Inc. | Flexible fixation members for angle-supported anterior chamber intraocular lenses |
US6638305B2 (en) | 2001-05-15 | 2003-10-28 | Advanced Medical Optics, Inc. | Monofocal intraocular lens convertible to multifocal intraocular lens |
US6645246B1 (en) | 1999-09-17 | 2003-11-11 | Advanced Medical Optics, Inc. | Intraocular lens with surrounded lens zone |
US6660035B1 (en) | 2000-08-02 | 2003-12-09 | Advanced Medical Optics, Inc. | Accommodating intraocular lens with suspension structure |
US20040068317A1 (en) * | 2002-10-07 | 2004-04-08 | Knight Patricia M. | Anterior chamber intraocular lens with size and position indicators |
US20040116937A1 (en) * | 2002-12-12 | 2004-06-17 | Valdemar Portney | IOL insertion tool with forceps |
US6755859B2 (en) | 2000-12-11 | 2004-06-29 | Bausch & Lomb Incorporated | Iris fixated intraocular lenses |
US6790232B1 (en) | 1999-04-30 | 2004-09-14 | Advanced Medical Optics, Inc. | Multifocal phakic intraocular lens |
US20040186568A1 (en) * | 2003-03-21 | 2004-09-23 | Advanced Medical Optics, Inc. | Foldable angle-fixated intraocular lens |
US6972033B2 (en) | 2002-08-26 | 2005-12-06 | Advanced Medical Optics, Inc. | Accommodating intraocular lens assembly with multi-functional capsular bag ring |
US20050283163A1 (en) * | 2004-06-04 | 2005-12-22 | Valdemar Portney | Intraocular lens implanting instrument |
US7025783B2 (en) | 2002-01-14 | 2006-04-11 | Advanced Medical Optics, Inc. | Accommodating intraocular lens with integral capsular bag ring |
US20060271187A1 (en) * | 2001-01-25 | 2006-11-30 | Gholam-Reza Zadno-Azizi | Materials for use in accommodating intraocular lens system |
US7326246B2 (en) | 2002-01-14 | 2008-02-05 | Advanced Medical Optics, Inc. | Accommodating intraocular lens with elongated suspension structure |
US20080269642A1 (en) * | 2007-04-24 | 2008-10-30 | Advanced Medical Optics, Inc. | Angle indicator for capsular bag size measurement |
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US7871437B2 (en) | 2006-12-22 | 2011-01-18 | Amo Groningen B.V. | Accommodating intraocular lenses and associated systems, frames, and methods |
US8002827B2 (en) | 2007-04-24 | 2011-08-23 | Abbott Medical Optics Inc. | Systems and methods for ocular measurements |
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USD702346S1 (en) * | 2007-03-05 | 2014-04-08 | Nulens Ltd. | Haptic end plate for use in an intraocular assembly |
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1985
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Non-Patent Citations (6)
Title |
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"Nuevos Modelos de Lentes Plasticas de Camara Anterior" by Joaquin Barraquer et al, Anales del Instituto Barraquer, Sep. 1961, pp. 345-351, (FIG. 9 on p. 348). |
Nuevos Modelos de Lentes Plasticas de Camara Anterior by Joaquin Barraquer et al, Anales del Instituto Barraquer, Sep. 1961, pp. 345 351, (FIG. 9 on p. 348). * |
The Intraocular Implant Lens Development and Results with Special Reference to the Binkhorst Lens, by Marcel E. Nordlohne, The Williams & Wilkins Co., 1975 (Book) pp. 14 20. * |
The Intraocular Implant Lens Development and Results with Special Reference to the Binkhorst Lens, by Marcel E. Nordlohne, The Williams & Wilkins Co., 1975 (Book) pp. 14-20. |
The Linstrom Centrex Style 20 Posterior Chamber Lens, Surgidev Corp., Santa Barbara, Calif. * |
The Rayner Choyce Mark VIII Anterior Chamber Implant Catalogue No. 469, Rayner & Keeler Limited (3 pages). * |
Cited By (120)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
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