Dual-optic intraocular lens that improves overall vision where there is a local loss of retinal function

• US 10,016,270 B2
• Filed: 02/24/2017
• Issued: 07/10/2018
• Est. Priority Date: 03/10/2014
• Status: Active Grant

• Current Assignee: Amo Groningen B.V (Johnson & Johnson)
• Original Assignee: Amo Groningen B.V (Johnson & Johnson)
• Inventors: Rosen, Robert, Weeber, Hendrik A., Canovas Vidal, Carmen, Van Der Mooren, Marrie, Sellitri, Dora, Piers, Patricia Ann
• Primary Examiner(s): Matthews, Howie
• Application Number:
  US15/442,452
• Publication Number:
  US 20170231485A1
• Time in Patent Office: 501 Days
• CPC Class Codes: A61B 3/0025 characterised by electronic signal processing, e.g. eye models
• CPC Class Codes: A61B 3/028 for testing visual acuity; for determination of refraction, e.g. phoropters
• CPC Class Codes: A61B 3/1005 for measuring distances inside the eye, e.g. thickness of the cornea A61B3/11 takes precedence
• CPC Class Codes: A61B 3/103 for determining refraction, e.g. refractometers, skiascopes
• CPC Class Codes: A61B 3/107 for determining the shape or measuring the curvature of the cornea
• CPC Class Codes: A61B 3/14 Arrangements specially adapted for eye photography apparatus or arrangements for taking photographs per se G03B
• CPC Class Codes: A61F 2/1602 Corrective lenses for use in addition to the natural lenses of the eyes or for pseudo-phakic eyes
• CPC Class Codes: A61F 2/1605 Anterior chamber lenses for use in addition to the natural lenses of the eyes, e.g. iris fixated, iris floating
• CPC Class Codes: A61F 2/1613 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
• CPC Class Codes: A61F 2/1618 Multifocal lenses
• CPC Class Codes: A61F 2/1637 Correcting aberrations caused by inhomogeneities; correcting intrinsic aberrations, e.g. of the cornea, of the surface of the natural lens, aspheric, cylindrical, toric lenses
• CPC Class Codes: A61F 2/164 Aspheric lenses
• CPC Class Codes: A61F 2/1645 Toric lenses
• CPC Class Codes: A61F 2/1648 Multipart lenses
• CPC Class Codes: A61F 2/1654 Diffractive lenses
• CPC Class Codes: A61F 2/1656 Fresnel lenses, prisms or plates
• CPC Class Codes: A61F 2/1659 having variable absorption coefficient for electromagnetic radiation, e.g. photochromic lenses
• CPC Class Codes: A61F 2002/1681 having supporting structure for lens, e.g. haptics
• CPC Class Codes: A61F 2240/002 Designing or making customized prostheses

Abstract

Systems and methods are provided for improving overall vision in patients suffering from a loss of vision in a portion of the retina (e.g., loss of central vision) by providing a dual optic intraocular lens which redirects and/or focuses light incident on the eye at oblique angles onto a peripheral retinal location. The intraocular lens can include a redirection element (e.g., a prism, a diffractive element, or an optical component with a decentered GRIN profile) configured to direct incident light along a deflected optical axis and to focus an image at a location on the peripheral retina. Optical properties of the intraocular lens can be configured to improve or reduce peripheral errors at the location on the peripheral retina. One or more surfaces of the intraocular lens can be a toric surface, a higher order aspheric surface, an aspheric Zernike surface or a Biconic Zernike surface to reduce optical errors in an image produced at a peripheral retinal location by light incident at oblique angles.

Claims

1. A method of selecting an intraocular lens (IOL) configured to be implanted in a patient'"'"'s eye, the method comprising:

obtaining at least one characteristic of the patient'"'"'s eye using a diagnostic instrument; and

selecting an IOL having an optical power that corrects optical errors in an image produced at a peripheral retinal location of the patient'"'"'s eye disposed at a distance from the fovea, wherein the IOL is configured to produce an image by focusing light incident on the patient'"'"'s eye at an oblique angle having a value between 1 and 25 degrees with respect to an optical axis intersecting the patient'"'"'s eye at the peripheral retinal location,

wherein the optical power of the IOL is based on the obtained characteristic, and wherein the optical error that is corrected is coma.

2. The method of claim 1, wherein the obtained characteristic includes axial length along the optical axis of the patient'"'"'s eye and corneal power.

3. The method of claim 2, wherein the optical power is obtained from an estimate of an axial length along an axis which deviates from the optical axis and intersects the retina at the peripheral retinal location, the estimate based on the axial length along the optical axis of the patient'"'"'s eye and corneal power.

4. The method of claim 1, wherein the obtained characteristic is selected from the group consisting of axial length along the optical axis of the patient'"'"'s eye, corneal power based at least in part on measurements of topography of the cornea, an axial length along an axis which deviates from the optical axis and intersects the retina at the peripheral retinal location, a shape of the retina, and a measurement of optical errors at the peripheral retinal location.

5. The method of claim 1, wherein the IOL comprises a first viewing element and a second viewing element.

6. The method of claim 5, wherein at least one of the surfaces of the first viewing element or the second viewing element is a toric surface, an aspheric surface, a higher order aspheric surface, an aspheric Zernike surface or a Biconic Zernike surface.

7. The method of claim 5, wherein at least one of the surfaces of the first viewing element or the second viewing element includes a redirecting element.

8. The method of claim 7, wherein the redirecting element comprises a diffractive feature.

9. The method of claim 7, wherein the redirecting element comprises a prismatic feature.

10. The method of claim 1, wherein the image has reduced coma.

11. The method of claim 1, wherein the image has reduced astigmatism.

12. The method of claim 1, wherein the oblique angle is between about 1 degree and about 25 degrees.

13. The method of claim 1, wherein the modulation transfer function (MTF) of the IOL is at least 0.3 for a spatial frequency of 30 cycles/mm for both tangential and sagittal foci.