Intraocular lenses

• US 4,092,743 A
• Filed: 04/28/1977
• Issued: 06/06/1978
• Est. Priority Date: 10/04/1976
• Status: Expired due to Term

• Current Assignee: Advanced Medical Optics Incorporated (Johnson & Johnson)
• Original Assignee: Charles D. Kelman
• Inventors: Kelman, Charles D.
• Primary Examiner(s): Frinks, Ronald L.
• Application Number:
  US05/791,693
• Time in Patent Office: 404 Days
• Field of Search: 3/13, 3/1
• US Class Current: 623/6.43
• CPC Class Codes: A61F 2/16 Intraocular lenses
• CPC Class Codes: A61F 2002/1681 having supporting structure for lens, e.g. haptics

Abstract

A new intraocular lens construction, suitable for use in artifical lens implantations and having a medial light-focusing lens body and two lateral position fixation elements therefor, is disclosed. One of the position fixation elements has a first portion extending generally laterally from a first region of the periphery of the lens body, and a second portion extending from the first portion generally transversely thereto and at least partly peripherally of the lens body. The other position fixation element extends generally laterally from a second region of the periphery of the lens body spaced from the first region. By virtue of the special construction of the first position fixation element, the lens can be introduced into the eye by being in effect snaked through the corneo-scleral incision. The length of the incision thus can be the minimum required, as a function of the diameter of the lens body for a given thickness thereof, to accommodate the lens body and can be considerably less than is required in cases of lens implantations utilizing currently available intraocular lenses. By virtue of the location and orientation of the transverse second portion of the first position fixation element relative to the second position fixation element, the two elements coact to provide a three-point support for the lens in the eye so as to maintain proper lens positioning relative to the pupil of the eye.

Claims

1. An intraocular lens suitable for use as an artificial lens implant,

(A) the lens having

(1) a medial, light-focusing lens body, and

(2) a pair of lateral position fixation elements connected with said lens body,

(B) one of said position fixation elements having

(1) a first portion contiguous to and extending generally laterally outwardly from a first region of the periphery of said lens body, and

(2) a second portion extending from said first portion generally transversely thereto and at least partly peripherally of said lens body, said second portion having that part of its peripheral edge which faces said lens body spaced from the periphery of said lens body,

(C) and the other of said position fixation elements extending generally laterally outwardly

(1) from a second region of the periphery of said lens body spaced from and generally opposite said first region and

(2) in a direction generally opposite to that of said first portion of said one position fixation element,

(D) said pair of position fixation elements cooperating to effect proper positioning and immobilization of the lens with respect to the iris of an eye of a lens implant patient,

(E) the configurations of said position fixation elements and their location with respect to said lens body being such that

(1) the minimum length

(a) of a projection of the entire lens onto a plane parallel to the optical axis of said lens body in a direction perpendicular to a projection of said optical axis on such plane

(b) which can be achieved by rotating the lens 360°

about said optical axis,

(2) is greater than the minimum length

(a) of a projection of said lens body onto said plane in a direction perpendicular to a projection of said optical axis on such plane

(b) which can be achieved by rotating said lens body 360°

about said optical axis,

(3) to an extent sufficient that insertion of the lens, through an incision in the eye, by a movement which is generally radial with respect to said optical axis would require the length of such incision to be greater than the minimum possible length of the incision which, as a function of the thickness and lateral dimensions of said lens body, would accommodate and permit passage therethrough of said lens body alone, and

(F) the maximum width of each of said position fixation elements at any part thereof for a given thickness thereof being such that that element can be accommodated in and pass longitudinally through said minimum length incision in the eye,

(G) whereby the entire lens is capable of being snaked into the eye of a lens implant patient through said minimum length incision.

2. An intraocular lens as claimed in claim 1, wherein said other position fixation element is provided with means to permit suturing of that element to the iris of the eye.

3. An intraocular lens as claimed in claim 2, wherein said means to permit suturing is a medial aperture provided in said other position fixation element.

4. An intraocular lens as claimed in claim 1, wherein said other position fixation element is disposed in coplanar relation with said one position fixation element.

5. An intraocular lens as claimed in claim 1, wherein said other position fixation element is offset slightly anteriorly relative to said one position fixation element.

6. An intraocular lens as claimed in claim 1, wherein said other position fixation element includes a first member coplanar with said one position fixation element and a second member parallel to said first member and offset slightly anteriorly therefrom to define a narrow space therebetween in which a juxtaposed portion of the iris can be confined.

7. An intraocular lens as claimed in claim 1, wherein the length of said second portion of said one position fixation element is such that it extends along said periphery of said lens body through an arc of between about 40°

and about 60°

.

8. An intraocular lens as claimed in claim 1, wherein the length of said second portion of said one position fixation element is such that it extends along said periphery of said lens body through an arc of about 45°

.

9. An intraocular lens as claimed in claim 1, wherein said other position fixation element has a first portion contiguous to and oriented generally radially of said lens body, and a second portion inclined to one side of said first portion at an angle of not more than about 20°

to the radial direction.

10. An intraocular lens as claimed in claim 1, wherein said position fixation elements are constructed and arranged such that said second portion of said one position fixation element and the tip end region of said other position fixation element coact to provide a three-point support for properly positioning the lens in the eye.

11. An intraocular lens as claimed in claim 10, wherein said second portion of said one position fixation element has the middle region of that part of its peripheral edge which faces away from said lens body disposed closer to said lens body than the opposite end regions of that edge, the ends of said second portion of said one position fixation element and said tip end region of said other position fixation element providing said three-point support.

12. An intraocular lens as claimed in claim 10, wherein said second portion of said one position fixation element is arcuately concave in the middle region of that part of its peripheral edge which faces away from said lens body and is arcuately convex at the opposite end regions of that edge, and said other position fixation element is arcuately convex at that part of its peripheral edge which faces away from said lens body, the convex edge regions of the ends of said second portion of said one position fixation element and the convex edge region of the tip end region of said other position fixation element providing said three-point support.

13. An intraocular lens as claimed in claim 1, (a) wherein said first portion of said one position fixation element is inclined posteriorly of said lens body from said first region of said periphery thereof, and said second portion of said one position fixation element is disposed posteriorly of said lens body and in a plane substantially parallel to the plane of said lens body, and (b) wherein said other position fixation element has a first section and a second section, said first section being contiguous with said lens body and inclined posteriorly of the same from said second region of said periphery thereof, and said second section extending from said first section and being disposed posteriorly of said lens body and in a plane substantially parallel to the plane of said lens body.

14. An intraocular lens as claimed in claim 13, wherein said second portion of said one position fixation element and said second section of said other position fixation element are disposed in substantially coplanar relation with each other.

15. An intraocular lens as claimed in claim 14, wherein said other position fixation element is provided, in said second section thereof, with a small aperture to facilitate manipulation of the lens during an implantation operation.

16. An intraocular lens as claimed in claim 14, wherein the respective inclinations of said first portion of said one position fixation element and said first section of said other position fixation element are such that the common plane of said second portion of said one position fixation element and said second section of said other position fixation element is spaced between about 0.25 mm and about 0.75 mm from said plane of said lens body.

17. An intraocular lens as claimed in claim 1, wherein the medial transverse width of said second portion of said one position fixation element is such that the free end region of said second portion can flex slightly in the direction of said lens body and said other position fixation element.

18. An intraocular lens as claimed in claim 1, wherein the transverse width of said first portion of said one position fixation element is such that said second portion of said one position fixation element can flex slightly in the direction of said lens body and said other position fixation element.

19. An intraocular lens suitable for use as an artificial lens implant,

(A) the lens having

(1) a medial, light-focusing lens body, and

(2) a pair of lateral position fixation elements connected with said lens body,

(B) one of said position fixation elements having

(1) a first portion contiguous to and extending generally laterally outwardly from a first region of the periphery of said lens body, and

(2) a second portion extending from said first portion generally transversely thereto and at least partly peripherally of said lens body, said second portion having that part of its peripheral edge which faces said lens body spaced from the periphery of said lens body,

(C) and the other of said position fixation elements extending generally laterally outwardly

(1) from a second region of the periphery of said lens body spaced from and generally opposite said first region and

(2) in a direction generally opposite to that of said first portion of said one position fixation element,

(D) the oppositely lateral extremities of said one position fixation element as viewed peripherally of said lens body being, respectively, located on two imaginary lines which are substantially tangent to said lens body at opposite sides thereof and intersect at a point spaced from said lens body on the side thereof where said other position fixation element is located, and

(E) the maximum width of each of said position fixation elements at any part thereof for a given thickness thereof being such that that element can be accommodated in and pass longitudinally through the minimum length incision in the eye which is required as a function of the diameter and thickness of said lens body to accommodate and permit passage of said lens body,

(F) whereby the entire lens is capable of being snaked into the eye of a lens implant patient through said minimum length incision, and

(G) the two position fixation elements, upon implantation of the lens, cooperate to maintain proper disposition of the lens relative to the pupil of the eye.

20. An intraocular lens as claimed in claim 19, wherein said other position fixation element is disposed in coplanar relation with said one position fixation element.

21. An intraocular lens as claimed in claim 19, wherein the length of said second portion of said one position fixation element is such that it extends along said periphery of said lens body through an arc of between about 40°

and about 60°

.

22. An intraocular lens as claimed in claim 19, wherein said second portion of said one position fixation element is arcuately concave in the middle region of that part of its peripheral edge which faces away from said lens body and is arcuately convex at the opposite end regions of that edge, and said other position fixation element is arcuately convex at that part of its peripheral edge which faces away from said lens body, the convex edge regions of the ends of said second portion of said one position fixation element and the convex edge region of the tip end region of said other position fixation element providing a three-point support for effecting the proper disposition of the lens in the eye.

23. An intraocular lens as claimed in claim 19, wherein the medial transverse width of said second portion of said one position fixation element is such that the free end region of said second portion can flex slightly in the direction of said lens body and said other position fixation element.

24. An intraocular lens as claimed in claim 19, wherein the transverse width of said first portion of said one position fixation element is such that said second portion of said one position fixation element can flex slightly in the direction of said lens body and said other fixation element.

25. An intraocular lens suitable for use as an artificial lens implant,

(A) the lens having

(1) a medial, light-focusing lens body, and

(2) a pair of lateral position fixation elements connected with said lens body,

(B) one of said position fixation elements having

(1) a first portion contiguous to and extending generally laterally outwardly from a first region of the periphery of said lens body, and

(2) a second portion extending from said first portion generally transversely thereto and at least partly peripherally of said lens body, said second portion having that part of its peripheral edge which faces said lens body spaced from the periphery of said lens body,

(C) and the other of said position fixation elements extending generally laterally outwardly

(1) from a second region of the periphery of said lens body spaced from and generally opposite said first region and

(2) in a direction generally opposite to that of said first portion of said one position fixation element,

(D) said second portion of said one position fixation element having the middle region of that part of its peripheral edge which faces away from said lens body disposed closer to said lens body than the opposite end regions of that edge, the ends of said second portion of said one position fixation element and the tip end region of said other position fixation element providing three-point support for, and cooperating to effect proper positioning and immobilization of, the lens with respect to the iris of an eye of a lens implant patient.

26. An intraocular lens as claimed in claim 25, wherein said second portion of said one position fixation element is arcuately concave in the middle region of that part of its peripheral edge which faces away from said lens body and is arcuately convex at the opposite end regions of that edge, and said other position fixation element is arcuately convex at that part of its peripheral edge which faces away from said lens body, the convex edge regions of the ends of said second portion of said one position fixation element and the convex edge region of the tip end region of said other position fixation element providing said three-point support.