WO2000030566A1 - Dispositif d'implantation intra-oculaire dans la chambre posterieure et conditionnement de ce dispositif - Google Patents

Dispositif d'implantation intra-oculaire dans la chambre posterieure et conditionnement de ce dispositif Download PDF

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Publication number
WO2000030566A1
WO2000030566A1 PCT/US1999/026013 US9926013W WO0030566A1 WO 2000030566 A1 WO2000030566 A1 WO 2000030566A1 US 9926013 W US9926013 W US 9926013W WO 0030566 A1 WO0030566 A1 WO 0030566A1
Authority
WO
WIPO (PCT)
Prior art keywords
posterior chamber
chamber intraocular
ring
intraocular lens
lens
Prior art date
Application number
PCT/US1999/026013
Other languages
English (en)
Inventor
Thomas J. Chambers
Original Assignee
Staar Surgical Company, Inc.
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Staar Surgical Company, Inc. filed Critical Staar Surgical Company, Inc.
Priority to AU17129/00A priority Critical patent/AU1712900A/en
Publication of WO2000030566A1 publication Critical patent/WO2000030566A1/fr

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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
    • A61F2/1691—Packages or dispensers for intraocular lenses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16—Intraocular lenses
    • A61F2/1602—Corrective lenses for use in addition to the natural lenses of the eyes or for pseudo-phakic eyes
    • A61F2/161—Posterior chamber lenses for use in addition to the natural lenses of the eyes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16—Intraocular lenses
    • A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16—Intraocular lenses
    • A61F2002/1681—Intraocular lenses having supporting structure for lens, e.g. haptics
    • A61F2002/1689—Intraocular lenses having supporting structure for lens, e.g. haptics having plate-haptics

Definitions

  • the present invention is directed to a posterior chamber intraocular implant for
  • posterior chamber implant device can be a posterior chamber intraocular lens, posterior chamber intraocular ring, and/or the combination of
  • a posterior chamber intraocular lens is a posterior chamber intraocular lens and a
  • posterior chamber implant device can include a
  • posterior chamber intraocular lens connected to or provided with a posterior chamber intraocular ring.
  • the present invention is also directed to packaging the posterior chamber
  • the phacoemulsification apparatus typically includes a hollow phacoemulsification needle driven by an ultrasonic hand piece.
  • phacoemulsification needle is surrounded with a resilient coaxial sleeve made of
  • the phacoemulsification apparatus includes a liquid supply such as a bag or
  • a suitable solution e.g., balance salt solution, b.s.s.
  • the bottle or bag are located during the surgery above the patient's eye
  • the phacoemulsification needle and sleeve are inserted through the small incision during
  • the phacoemulsification apparatus includes a vacuum supply such as a peristaltic pump, which is connected to the hand piece by an aspiration line.
  • the hand piece is configured to fluidly connect the aspiration line to a liquid passageway through
  • infusion line and circulated within the eye is withdrawn through the lumen of the
  • hollow phacoemulsification needle during operation to remove particles of the natural crystalline lens being disintegrated by the phacoemulsification needle when contacting or nearly contacting the natural crystalline lens.
  • IOL intraocular lens
  • the phacoemulsification step and/or intraocular lens insertion step may be
  • capsular bag and or damage (e.g., stress damage, tears, broken posterior wall, damage
  • a first object of the present invention is to provide an improved posterior chamber implant device.
  • a second object of the present invention is to provide an improved posterior
  • a third object of the present invention is to provide a posterior chamber
  • intraocular lens and posterior chamber intraocular ring configured to prevent rotation
  • a fourth object of the present invention is to provide a posterior chamber
  • intraocular ring configured to cooperate with a posterior chamber intraocular lens
  • a fifth object of the present invention is to provide a posterior chamber
  • intraocular ring configured to shape and size of the eyes, in particular the sulcus and
  • a sixth object of the present invention is to provide a posterior chamber intraocular lens and posterior chamber intraocular ring configured to reduce or
  • a seventh object of the present invention is to provide a posterior chamber intraocular ring configured to have an oblong-shaped configuration when implanted in
  • An eighth object of the present invention is to provide a posterior chamber
  • intraocular lens and posterior chamber intraocular ring configured to reduce or
  • a ninth object of the present invention is to provide a posterior chamber intraocular lens and posterior chamber intraocular ring configured to reduce opacification of the capsular bag.
  • a tenth object of the present invention is to provide a posterior chamber intraocular lens and posterior chamber intraocular ring configured to cooperate together once implanted.
  • An eleventh object of the present invention is to provide a posterior chamber intraocular lens connected to an posterior chamber intraocular ring.
  • a twelfth object of the present invention is to provide a plate-type posterior chamber intraocular lens connected to a posterior chamber intraocular tension ring.
  • a thirteenth object of the present invention is to provide a separate posterior chamber intraocular lens and separate posterior chamber intraocular ring configured to connect together when implanted in an eye.
  • a fourteenth object of the present invention is to provide packing for containing both an intraocular lens and an intraocular ring.
  • the present invention is directed to a posterior chamber intraocular ring configured to be inserted into the eye.
  • the posterior chamber intraocular ring is configured to be inserted into the eye.
  • the natural crystalline lens of the eye during cataract surgery or for use as a sulcus tension ring to be inserted into the sulcus prior to, during, or after a step of implanting a phakic intraocular lens over the natural crystalline lens.
  • crystalline lens may facilitate stabilization of the capsular bag in preparation of the lens
  • the capsular tension ring may provide a more uniform distribution of forces (e.g., elimination of point forces) to the connecting zonules reducing the amount of trauma and/or actual damage to the zonules during the lens
  • the capsular tension ring may also reduce the risk of
  • the capsular tension ring can be inserted into the eye prior to the step of
  • apparatus according to the present invention can be used to insert and implant the
  • capsular tension ring according to the present invention while the natural crystalline structure
  • the capsular tension ring can be inserted during or after the step of removing the natural crystalline lens. Specifically, the capsular tension ring can be inserted 1) after a portion of the anterior wall of the capsular bag (e.g., by capsularhexis) has been removed, 2) when a portion of the natural crystalline lens is removed, or 3) after the entire lens has been explanted.
  • the capsular tension ring can be implanted by making a small incision through the wall of the eye ball proximate to the capsular bag and inserting one of the capsular tension ring through the small incision.
  • the capsular tension ring is further insert by an injecting apparatus or manually by instrumentation (e.g., gripping forceps), and threaded around the natural crystalline lens and inside the capsular bag. This implantation procedure can be implemented prior to, during, or after the lens removal step.
  • the capsular tension ring can be inserted into the capsular bag by making a small incision in the eye anterior of the capsular bag (i.e., anterior or posterior chamber) and then manipulating the capsular tension ring through the anterior opening in the capsular bag for placement therein.
  • the posterior chamber intraocular ring according to the present invention is preferably configured to prevent rotation of the posterior chamber intraocular lens relative thereto.
  • the posterior chamber intraocular ring can be round when inserted (i.e., closed) into the eye, but may include additional structure to contact, interfere, engage, or connect in some manner with the intraocular lens
  • the posterior chamber intraocular ring can be
  • the oblong-shaped posterior chamber intraocular ring prevents any significant rotation of the posterior chamber intraocular lens relative to the oblong-shaped posterior chamber intraocular ring, and most preferably prevents any relative rotation
  • the posterior chamber intraocular ring according to the present invention is
  • posterior chamber intraocular ring according to the present invention
  • intraocular ring prevents the rotation of the toric intraocular lens.
  • connection configured to connect with the intraocular lens
  • the connection can be reversible (e.g., interference fit, frictional engagement) or can be permanent (e.g., adhesive bonding, heat welding, ultrasonic welding, molding, heat staking).
  • the combined structure can be
  • the entire ring/lens is one structure formed by molding a uniform composition (e.g., silicone, acrylic, polyamide)
  • a uniform composition e.g., silicone, acrylic, polyamide
  • the ring/lens can be made of a silicone based
  • composition lens portion and a polyamide ring molded into edge portions of the lens portion.
  • the posterior chamber intraocular rings according to the present invention can be any posterior chamber intraocular rings according to the present invention.
  • posterior chamber intraocular rings can have uniform cross-sectional shapes and
  • chamber intraocular rings can have different cross-sectional shapes and/or dimensions.
  • posterior chamber intraocular ring can have various surface finishes (e.g., smooth, roughened, circular ridges, transverse ridges, matrix of protrusions and/or
  • the posterior chamber intraocular ring is preferably deformable to allow
  • the posterior chamber intraocular ring can be inserted through the small incision with a posterior chamber intraocular ring injecting apparatus to be described herein, or can
  • the capsular tension ring according to the present invention can be configured to promote or prevent fibrosis by surface texturing and/or coating with chemical agents or compositions.
  • the capsular tension rings can be impregnated, coated, treated or
  • the packaging system according to the present invention is configured for
  • intraocular lens can be stored side-by-side, above-below, concentric (i.e., intraocular
  • the packaging disposed within capsular tension ring) within the packaging.
  • system is preferably sterilized and maintains the posterior chamber intraocular ring and
  • posterior chamber intraocular ring posterior
  • chamber intraocular ring or both are preloaded in a surgical instrument configured for
  • a cartridge portion which can be preloaded and then inserted into a cartridge receiver of the surgical instrument then readied for operation.
  • Figure 1 is side planar view of a first embodiment of a posterior chamber intraocular ring according to the present invention.
  • Figure 2 is side planar view of a second embodiment of a posterior chamber intraocular ring according to the present invention.
  • Figure 3 is side planar view of a third embodiment of a posterior camber intraocular ring according to the present invention.
  • Figure 4 is side planar view of a fourth embodiment of a posterior chamber
  • intraocular ring according to the present invention.
  • Figure 5 is side planar view of a fifth embodiment of a posterior chamber
  • FIG. 6 is side planar view of a sixth embodiment of a posterior chamber
  • intraocular ring according to the present invention.
  • Figure 7 is side planar diagrammatic view of a seventh embodiment of a
  • Figure 8 is side planar diagrammatic view of an eighth embodiment of a
  • Figure 9 is side planar diagrammatic view of a ninth embodiment of a posterior
  • Figure 10 is side planar diagrammatic view of a tenth embodiment of a
  • Figure 11 is side planar diagrammatic view of an eleventh embodiment of a
  • Figure 12 is side planar diagrammatic view of a twelfth embodiment of a
  • FIG. 13 is side planar diagrammatic view of a thirteenth embodiment of a posterior chamber intraocular ring according to the present invention.
  • Figure 14 is side planar diagrammatic view of a fourteenth embodiment of a posterior chamber intraocular ring according to the present invention.
  • Figure 15 is side planar view of a capsular tension ring type of a capsular tension ring according to the present invention. The ring is shown in a compressed
  • Figure 16 is end view of the capsular tension ring according to the present invention shown in Figure 15.
  • Figure 17 is front view of the capsular bag of an eye implanted with a capsular
  • Figure 18 is a top planar view of a posterior chamber intraocular lens/ring
  • Figure 19 is an edge view of the posterior chamber intraocular lens/ring shown
  • Figure 20 is a top planar view of a posterior chamber intraocular lens/ring according to the present invention.
  • Figure 21 is an edge view of the posterior chamber intraocular lens/ring shown in Fig. 20.
  • Figure 22 is a transverse cross-section view of an embodiment of a posterior chamber intraocular ring according to the present invention.
  • Figure 23 is a transverse cross-section view of a posterior chamber intraocular ring according to the present invention.
  • Figure 24 is a transverse cross-section view of a posterior chamber intraocular ring according to the present invention.
  • Figure 25 is a transverse cross-section view of a posterior chamber intraocular ring according to the present invention.
  • Figure 26 is a transverse cross-section view of a posterior chamber intraocular ring according to the present invention.
  • Figure 27 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 28 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 29 is a transverse cross-section view of a posterior chamber intraocular ring according to the present invention.
  • Figure 30 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 31 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 32 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 33 is a transverse cross-section view of a posterior chamber intraocular ring according to the present invention.
  • Figure 34 is a transverse cross-section view of a posterior chamber intraocular ring according to the present invention.
  • Figure 35 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 36 is a transverse cross-section view of a posterior chamber intraocular ring according to the present invention.
  • Figure 37 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 38 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 39 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 40 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 41 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 42 is a transverse cross-section view of a posterior chamber intraocular ring according to the present invention.
  • Figure 43 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 44 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 45 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 46 is a transverse cross-section view of a posterior chamber intraocular ring according to the present invention.
  • Figure 47 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 48 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 49 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 50 is a transverse cross-section view of a posterior chamber intraocular
  • Figure 51 is a side elevational view of a portion of a posterior chamber
  • intraocular ring according to the present invention.
  • Figure 52 is a side elevational view of a portion of a posterior chamber
  • intraocular ring according to the present invention.
  • Figure 53 is a side elevational view of a portion of a posterior chamber
  • Figure 54 is a side elevational view of a portion of a posterior chamber intraocular ring according to the present invention.
  • Figure 55 is a side elevational view of a portion of a posterior chamber
  • intraocular ring according to the present invention.
  • Figure 56 is a side elevational view of a portion of a posterior chamber intraocular ring according to the present invention.
  • Figure 57 is a side elevational view of a portion of a posterior chamber intraocular ring according to the present invention.
  • Figure 58 is a side elevational view of a portion of a posterior chamber
  • intraocular ring according to the present invention.
  • Figure 59 is a side elevational view of a portion of a posterior chamber
  • intraocular ring according to the present invention.
  • Figure 60 is a side elevational view of a portion of a posterior chamber
  • Figure 61 is a perspective of a posterior chamber intraocular lens/ring
  • Intraocular Ring an intraocular ring configured for implantation into the eye.
  • the intraocular ring can be configured for implantation in any portion of the eye, including by not limited to cornea, sclera, anterior chamber, posterior chamber, sulcus,
  • the intraocular rings can be configured to be tension or
  • Posterior Chamber particular chamber of the eye located between iris and
  • Intraocular Lens any of a variety of lenses configured for implantation
  • Intraocular lens include anterior chamber lenses,
  • posterior chamber lenses capsular posterior chamber lens, aphal ic lens, phakic lens (e.g., INTRAOCULAR CONTACT LENS manufactured by Staar Surgical Company
  • the intraocular lens can be substantially rigid (e.g., PMMA) or deformable (e.g.,
  • the intraocular lens can be three (3) piece lens
  • Posterior Chamber Intraocular Lens an intraocular lens configured
  • Aphakic Intraocular Lens an intraocular lens configured for replacement of
  • Phakic Intraocular Lens an intraocular lens configured for providing an
  • Company of Monrovia, California is an example of a phakic lens.
  • a plurality of preferred posterior chamber intraocular rings according to the present disclosure
  • these intraocular rings are suitable and configured (i.e., shaped, sized, biocompatible, surface finish, sterile, etc.) for placement in the posterior chamber of the eye.
  • these intraocular rings i.e., shaped, sized, biocompatible, surface finish, sterile, etc.
  • the preferred posterior chamber intraocular rings have the following features:
  • the posterior chamber intraocular ring can prevent rotation of the anterior chamber intraocular ring
  • intraocular lens For example, in the embodiments shown in Figs. 1-6 the inner edges of the ring portions themselves engage with edges of the
  • the posterior chamber intraocular ring is provided with connection
  • portions are provided to edges to engage with edges of the posterior
  • the posterior chamber intraocular lens to prevent rotation. Further, the posterior chamber intraocular lens can be directly connected to the posterior
  • posterior chamber intraocular lens and/or ring can be provided with attachable connection portions to allow connection after implantation
  • the present invention have an overall shape with and aspect ratio greater or less than
  • one (1) e.g., oblong-shaped, oval, elliptical, rectangular, C-shaped, etc.
  • the preferred embodiments of the posterior chamber intraocular rings shown in Figs.1-6 have an aspect ratio greater than one (1). This configuration tends
  • intraocular lens is disposed within the posterior chamber intraocular ring, the edges of
  • the oblong-shaped lens geometrically engages with the posterior chamber intraocular
  • the intraocular ring 10 shown in Figure 1 is a modified C-shaped ring having
  • the intraocular ring 10 is provided with bent ends 12a and 12b configured to allow gripping by a surgical
  • the intraocular ring 20 shown in Figure 2 is an oval-shaped ring having a
  • the intraocular ring 30 shown in Figure 3 has the same oval-shaped ring configuration but is provided with bent ends 32a and 32b instead of eyelets.
  • the intraocular ring 40 shown in Figure 4 has the same shape ring
  • the intraocular ring 50 shown in Figure 5 is a C-shaped ring having bent ends
  • the intraocular ring 70 shown in Figure 7 is provided with four (4) foot pad ring portions 72a, 72b, 72c and 72d. These foot pad ring portions tend to anchor the intraocular ring 70 in the capsular bag or sulcus and prevent rotation thereof once
  • the intraocular ring 80 shown in Figure 8 is circular-shaped and provided with
  • the plate portions 82a and 82b connected to the ring portion 84 and eyelets 86a and 86b.
  • the plate portions 82a and 82b include flat edges 88a and 88b, which engage with the
  • the intraocular ring 90 shown in Figure 9 is provided with multiple corners or
  • edges 90 a-h and eyelets 92a and 92b The corners or edges tend to anchor the intraocular lens 90 in the capsular bag or sulcus and prevent rotation thereof in the eye.
  • the intraocular ring 100 shown in Figure 10 is circular shaped and provided
  • plate portions 102a and 102b connected to ring portion 104 and eyelets 106a and
  • edges 108a and 108b grip end edges of a plate-type intraocular lens when
  • the intraocular ring 110 shown in Figure 11 includes straight ring portions
  • the straight ring portions 112a, 112b and 112c engage and cooperate with the long edges of a plate-type IOL to prevent rotation when disposed within the intraocular ring
  • the intraocular ring 120 shown in Figure 12 is rectangular in shape having
  • the sides 122b and 122c are provided with eyelets 126a and 126b.
  • the intraocular ring 130 shown in Figure 13 is a modified rectangular shape
  • the sides 132b and 132c are provided with eyelets 136a and 136b.
  • 138a, 138b, 138c and 138d are rounded.
  • the intraocular ring 140 shown in Figure 14 is a modified rectangular shape
  • the sides 142b and 142c are provided with eyelets 146a and 146b.
  • 148a, 148b, 148c and 148d are rounded foot pads.
  • the capsular tension ring 150 having eyelets 151a and 151b and shown in Figs.
  • the capsular tension ring 150 is shown in a compressed configuration in
  • Fig. 15 as if it were implanted in the eye as shown in Fig. 17.
  • the oblong-shaped capsular tension ring is compressed with varying stress forces by the zonules of the capsular bag.
  • the zonules deform according to an equal an opposite compressive
  • the zonules are variably compressed and tend to prevent rotation of the capsular tension ring 105 relative to the capsular bag and eye.
  • the plate-type intraocular lens 152 including lens portion 154 and opposed
  • the intraocular lens 152 cannot substantially rotate within the eye due the edges
  • a preferred posterior chamber intraocular lens implant according to the present invention is a preferred posterior chamber intraocular lens implant according to the present invention.
  • invention includes the combination of a posterior chamber intraocular lens connected
  • a posterior chamber intraocular lens 162 connected to a posterior chamber
  • the posterior chamber intraocular lens includes a
  • the lens/ring combination can be one
  • piece e.g., molded or machined polymer
  • multi-piece construction e.g.,
  • the posterior chamber intraocular lens 162 can be connected to the posterior chamber intraocular ring 164 by
  • posterior chamber intraocular ring 164 can be permanent, substantially permanent,
  • the lens/ring combination is permanent purposely to
  • the lens can be made to be detachable (e.g., perforations, lines of weakness, soluble by body fluids) so that the lens can or will at some time detach from the ring.
  • detachable e.g., perforations, lines of weakness, soluble by body fluids
  • a surgeon may want to replace a lens in the case of a phakic IOL while leaving the ring intact. Further, for example, the lens detaches from the ring with time
  • the lens 162 and ring 164 are
  • FIG. 20 Another embodiment of a lens/ring implant device 170 is shown in Figs. 20 and
  • the posterior chamber intraocular lens 172 is connectable to the posterior chamber intraocular ring 174.
  • the posterior chamber intraocular lens 172 is provided with through holes 173, 173 configured to accommodate and connect with inwardly extending protrusions 174a and 174a
  • the posterior chamber 174b is provided with gripping hooks 174b and 174b, respectively.
  • intraocular lens 172 is connected by the posterior chamber intraocular ring 174 by
  • the posterior chamber intraocular ring tends to tend stretch the lens under tension maintaining the gripping hooks 174 engaged within the through holes 173.
  • the plane A- A is located in front of the plane B-B.
  • the configuration can vary the extent of structurally strength of the capsular bag
  • anterior surface of the capsular to the posterior surface of the capsular bag.
  • shape ring-shaped ridges on an outer periphery of the posterior chamber are possible.
  • intraocular ring may provide a physical or structural barrier against epithelial cell
  • the surface geometry of the posterior chamber intraocular ring may have
  • the surface configuration may have significant effect on adhesion with
  • eye tissue to achieve different goals (e.g., reduced opacification, light refraction and
  • the implant is later removable, movable, adjustable, fixable, or permanency.
  • Figs. 22-50 are various embodiments of different ring cross-sections potentially
  • the transverse cross-sectional shapes can be simple with large planar surfaces
  • one or more substantially sharp edges e.g., less than forty-five degree angle. More
  • multiple sharp edges are provided at locations which engage the capsular
  • a sharp edge is shown.
  • a round cross section with four (4) sharp edges is shown.
  • Fig. 30 three (3) sharp edges located in a triangular configuration is shown.
  • Fig. 31 a star-shaped cross section is shown.
  • Figs. 22-31 having substantially solid or closed cross sections.
  • Figs. 32-34 have non-solid or open cross sections allow various mechanical connections with an intraocular lens. Specifically, these configurations can
  • the configurations can be
  • the sharp edges can be oriented either inwardly or outwardly depending on a particular
  • Figs. 43, 43, 44, 46 and 48 are all provided with numerous shape edges.
  • the sharp edges are only on one side (e.g., Figs. 42, 43, and 44)
  • the sharp edges are on all sides (e.g., Figs. 46 and 48).
  • Figs. 45 and 47 these embodiments include one or more barbed members to
  • barbs can be provided one more
  • a resilient outer layer 200 e.g., silicone rubber
  • the wire 202 can be provided with a significantly weak metal (e.g., lead)
  • a rigid member e.g., spring steel, plastic (polysulfone) ring
  • a rigid member e.g., spring steel, plastic (polysulfone) ring
  • intraocular rings according to the present invention is shown in Figs. 1-57.
  • the surface finish in generally can be smooth, roughened, scratched, shot
  • the surface may be provided with significant surface features such as grooves, ribs, slots, cuts, voids, holes, protrusions.
  • these define macro surface configurations or features and the surface finish defines micro surface
  • the ring is provided with continuous peripheral transverse grooves
  • Fig. 52 the surface is provided with a matrix of protrusions
  • the ring is provided with spaced apart peripheral transverse grooves providing rounded edges.
  • the grooves are each wider to
  • Fig. 55 the surface is provided with minor transverse grooves.
  • Fig. 56 the surface is provided with minor transverse grooves.
  • the surface is provided with uniformly spaced and arranged protrusions and/or
  • the posterior chamber intraocular rings can also be provided with macro three- dimensional features and characteristic to provide additional applications.
  • the ring is provided in a spiral-shaped configuration (e.g., tight or
  • the ring is multiple strand and fiber-like in configuration.
  • the ring is tape-like with irregular fenestrations.
  • the prevent invention includes a packaging device for a posterior chamber intraocular lens and a separate posterior chamber intraocular ring.
  • the packaging device 300 includes
  • a tray provided with a pair of indentations 302 and 304 for accommodating the
  • posterior chamber intraocular lens and separate posterior chamber intraocular ring are
  • one indentation 302 is rectangular
  • 304 is circular shaped for accommodating the posterior chamber intraocular lens.
  • the packaging device can be configuration to stack the posterior
  • the intraocular lens and ring according to the present invention can optionally
  • intraocular lens and intraocular ring configured to allow reorientation of
  • intraocular ring configured to remove cataract lens debris or other byproducts of phacoemulsification through at least a portion of the life of the intraocular ring.
  • intraocular ring configured to self-center the intraocular lens.
  • adjustable intraocular ring configured to be modified in shape and/or
  • intraocular ring made of a bio-absorbable material.
  • intraocular ring having rigid and flexible portions to accommodate
  • intraocular ring having composite structures for varying structural
  • intraocular ring configured to deform or further deform with time.
  • a synthetic plastic material operating in its plastic mode to
  • intraocular ring is a matrix for binding pharmaceuticals for treatment of
  • intraocular ring is made of a chain of material.

Landscapes

  • 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

Un dispositif d'implantation intra-oculaire dans la chambre postérieure de l'oeil comporte un cristallin artificiel de chambre postérieure, un anneau (10) indépendant de chambre postérieure configuré de façon à coopérer avec le cristallin artificiel de chambre postérieure et à empêcher toute rotation de ce cristallin après son implantation dans l'oeil.
PCT/US1999/026013 1998-11-20 1999-11-19 Dispositif d'implantation intra-oculaire dans la chambre posterieure et conditionnement de ce dispositif WO2000030566A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU17129/00A AU1712900A (en) 1998-11-20 1999-11-19 Posterior chamber intraocular implant device, and packaging therefor

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US19614498A 1998-11-20 1998-11-20
US09/196,144 1998-11-20

Publications (1)

Publication Number Publication Date
WO2000030566A1 true WO2000030566A1 (fr) 2000-06-02

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PCT/US1999/026013 WO2000030566A1 (fr) 1998-11-20 1999-11-19 Dispositif d'implantation intra-oculaire dans la chambre posterieure et conditionnement de ce dispositif

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AU (1) AU1712900A (fr)
WO (1) WO2000030566A1 (fr)

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2002065951A3 (fr) * 2001-02-20 2002-12-27 Nun Yehoshua Ben Cristallin artificiel
DE10059482B4 (de) * 2000-11-30 2008-12-24 *Acri.Tec AG Gesellschaft für ophthalmologische Produkte Kapselspannring
US8439833B2 (en) 2011-10-18 2013-05-14 Oasis Medical, Inc. Ophthalmic structure
USD702346S1 (en) 2007-03-05 2014-04-08 Nulens Ltd. Haptic end plate for use in an intraocular assembly
WO2014134302A1 (fr) 2013-02-28 2014-09-04 Richard Honigsbaum Anneaux de tension pour capsules antérieures et lentilles intraoculaires accommodatives à utiliser avec ceux-ci
US8834565B2 (en) 2005-03-30 2014-09-16 Nulens Ltd. Foldable accommodating intraocular lens
US8956409B2 (en) 2004-04-29 2015-02-17 Nulens Ltd. Accommodating intraocular lens assemblies and accommodation measurement implant
US20160074153A1 (en) * 2014-09-15 2016-03-17 Art, Limited Intraocular lens
EP3215059A4 (fr) * 2014-11-09 2018-08-08 Dalvi, Rajesh Dispositif extracapsulaire et procédé de stabilisation de lentilles
US10561493B2 (en) 2015-04-03 2020-02-18 The Regents Of The University Of Colorado, A Body Corporate Lens capsule tension devices
US10687936B2 (en) 2016-05-22 2020-06-23 Rayner Intraocular Lenses Limited Hybrid accommodating intraocular lens assemblages
US10736735B2 (en) 2015-04-03 2020-08-11 The Regents Of The University Of Colorado, A Body Corporate Devices and methods for stabilization of an ocular lens capsule and preventing artificial intraocular lens implant rotation post cataract surgery
US10973624B1 (en) 2020-04-29 2021-04-13 Long Bridge Medical, Inc. Devices to support and position an intraocular lens within the eye and methods of use
US11224505B2 (en) 2018-11-02 2022-01-18 Rayner Intraocular Lenses Limited Hybrid accommodating intraocular lens assemblages including discrete lens unit with segmented lens haptics
EP3949902A4 (fr) * 2019-04-04 2022-11-09 Antonio Palomino Munoz Lentille supplémentaire intraoculaire
US12036109B2 (en) 2021-03-02 2024-07-16 Long Bridge Medical, Inc. Devices to support and position an intraocular lens within the eye and methods of use

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080243139A1 (en) * 2007-03-15 2008-10-02 Vaclav Dusek Method for assembling a ring used in a small pupil phaco procedure

Citations (4)

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Publication number Priority date Publication date Assignee Title
US4257521A (en) * 1979-11-16 1981-03-24 Stanley Poler Packaging means for an intraocular lens
US4269307A (en) * 1979-08-09 1981-05-26 Iolab Corporation Intraocular lens storage assembly
JPH08103457A (ja) * 1994-10-03 1996-04-23 Nidek Co Ltd 眼内レンズ
FR2728459A1 (fr) * 1994-12-26 1996-06-28 Guilbert Guillaume Benjamin Ge Lentille intra-oculaire a support circulaire et anti-migrations cellulaires, pour petite incision

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4269307A (en) * 1979-08-09 1981-05-26 Iolab Corporation Intraocular lens storage assembly
US4257521A (en) * 1979-11-16 1981-03-24 Stanley Poler Packaging means for an intraocular lens
JPH08103457A (ja) * 1994-10-03 1996-04-23 Nidek Co Ltd 眼内レンズ
FR2728459A1 (fr) * 1994-12-26 1996-06-28 Guilbert Guillaume Benjamin Ge Lentille intra-oculaire a support circulaire et anti-migrations cellulaires, pour petite incision

Cited By (27)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10059482B4 (de) * 2000-11-30 2008-12-24 *Acri.Tec AG Gesellschaft für ophthalmologische Produkte Kapselspannring
WO2002065951A3 (fr) * 2001-02-20 2002-12-27 Nun Yehoshua Ben Cristallin artificiel
US10912643B2 (en) 2004-04-29 2021-02-09 Forsight Vision6, Inc. Accommodating intraocular lens assemblies and accommodation measurement implant
US8956409B2 (en) 2004-04-29 2015-02-17 Nulens Ltd. Accommodating intraocular lens assemblies and accommodation measurement implant
US9814568B2 (en) 2005-03-30 2017-11-14 Forsight Vision6, Inc. Accommodating intraocular lens having dual shape memory optical elements
US10166096B2 (en) 2005-03-30 2019-01-01 Forsight Vision6, Inc. Foldable accommodating intraocular lens
US8834565B2 (en) 2005-03-30 2014-09-16 Nulens Ltd. Foldable accommodating intraocular lens
US10966818B2 (en) 2005-03-30 2021-04-06 Forsight Vision6, Inc. Accommodating intraocular lens (AIOL) assemblies, and discrete components therefor
USD702346S1 (en) 2007-03-05 2014-04-08 Nulens Ltd. Haptic end plate for use in an intraocular assembly
US8439833B2 (en) 2011-10-18 2013-05-14 Oasis Medical, Inc. Ophthalmic structure
USD736927S1 (en) 2011-10-18 2015-08-18 Oasis Medical, Inc. Ophthalmic structure
USD739021S1 (en) 2011-10-18 2015-09-15 Oasis Medical, Inc. Ophthalmic structure
WO2014134302A1 (fr) 2013-02-28 2014-09-04 Richard Honigsbaum Anneaux de tension pour capsules antérieures et lentilles intraoculaires accommodatives à utiliser avec ceux-ci
EP2945571A4 (fr) * 2013-02-28 2016-03-23 Richard F Honigsbaum Anneaux de tension pour capsules antérieures et lentilles intraoculaires accommodatives à utiliser avec ceux-ci
US10327889B2 (en) 2013-02-28 2019-06-25 Richard F. Honigsbaum Tensioning rings for anterior capsules and accommodative intraocular lenses for use therewith
US20160074153A1 (en) * 2014-09-15 2016-03-17 Art, Limited Intraocular lens
EP3215059A4 (fr) * 2014-11-09 2018-08-08 Dalvi, Rajesh Dispositif extracapsulaire et procédé de stabilisation de lentilles
US10736735B2 (en) 2015-04-03 2020-08-11 The Regents Of The University Of Colorado, A Body Corporate Devices and methods for stabilization of an ocular lens capsule and preventing artificial intraocular lens implant rotation post cataract surgery
US10561493B2 (en) 2015-04-03 2020-02-18 The Regents Of The University Of Colorado, A Body Corporate Lens capsule tension devices
US10687936B2 (en) 2016-05-22 2020-06-23 Rayner Intraocular Lenses Limited Hybrid accommodating intraocular lens assemblages
US11589980B2 (en) 2016-05-22 2023-02-28 Rayner Intraocular Lenses Limited Hybrid accommodating intraocular lens assemblages
US11224505B2 (en) 2018-11-02 2022-01-18 Rayner Intraocular Lenses Limited Hybrid accommodating intraocular lens assemblages including discrete lens unit with segmented lens haptics
EP3949902A4 (fr) * 2019-04-04 2022-11-09 Antonio Palomino Munoz Lentille supplémentaire intraoculaire
US10973624B1 (en) 2020-04-29 2021-04-13 Long Bridge Medical, Inc. Devices to support and position an intraocular lens within the eye and methods of use
US11759309B2 (en) 2020-04-29 2023-09-19 Long Bridge Medical, Inc. Devices to support and position an intraocular lens within the eye and methods of use
US12036109B2 (en) 2021-03-02 2024-07-16 Long Bridge Medical, Inc. Devices to support and position an intraocular lens within the eye and methods of use
US12036110B2 (en) 2021-04-02 2024-07-16 Forsight Vision6, Inc. Accommodating intraocular lens (AIOL) assemblies, and discrete components therefor

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