Eye implant for relieving glaucoma, and device and method for use therewith

• US 4,521,210 A
• Filed: 12/27/1982
• Issued: 06/04/1985
• Est. Priority Date: 12/27/1982
• Status: Expired due to Term

• Current Assignee: Vernon G. Wong
• Original Assignee: Vernon G. Wong
• Inventors: Wong, Vernon G.
• Primary Examiner(s): FRINKS, RONALD
• Application Number:
  US06/453,357
• Time in Patent Office: 890 Days
• Field of Search: 604/8-10, 604/93, 604/118, 3/1, 3/13
• US Class Current: 604/8
• CPC Class Codes: A61F 9/00781 Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment drainage implants in general A61M27/002
• CPC Class Codes: A61M 27/00 Drainage appliance for wounds or the like , i.e. wound drains, implanted drains negative pressure wound therapy devices A61M1/90; implements for holding wound open A61B17/02 ; middle ear drainage A61F11/202
• CPC Class Codes: Y10S 623/905 Eye

Abstract

An eye implant device for relieving excessive eye pressure due to glaucoma comprises a thin, elongated, resilient, semi-rigid body of biocompatible material such as polymethyl methacrylate, having surface channels extending along its length to provide drainage passages for eye fluids and transverse perforations through it spaced from each other along its length. Preferably the material of the body is wettable by the eye fluids, and the device curved along its length to match the curvature of the interior of the sclera of the eye in the limbal region. The longitudinal channels are preferably provided by corrugating the body of the device longitudinally, and the device is preferably cruciform in shape. It is preferably implanted with its tip in the peripheral angle of the anterior chamber of the eye, with its central portion extending between the sclera and ciliary body to form a cyclodialysis, and through a portion of the sclera, to which it is sutured; the opposite end extends into the suprachoroidal space, wherein eye fluids drained from the anterior chamber are absorbed.

Claims

1. A surgical implant device adapted for use in the eye to relieve excess eye pressure by drainage of eye fluids from the limbal angle of the anterior chamber of the eye, comprising:

a thin body of biocompatible material of a length and shape adapted to extend along the interior of the sclera from the limbal angle of the anterior chamber of the eye to the choroid of the eye;

said body having at least one outwardly-opening surface channel extending along its length for a distance great enough to extend from said limbal angle to said choroid.

2. The device of claim 1, wherein each of said at least one channel is formed by longitudinal corrugations in said body.

3. The device of claim 1, wherein said body has perforations extending through its thickness dimension.

4. The device of claim 3, wherein said perforations are spaced apart from each other along the length of said body.

5. The device of claim 2, wherein said body comprises perforations extending through the side walls of said corrugations.

6. The device of claim 1, wherein said material of said body is wettable by eye fluids.

7. The device of claim 1, wherein said material is polymethyl methacrylate.

8. The device of claim 1, wherein said body is curved along its length to conform with the curvature of the interior of the sclera in the limbal region of the eye.

9. The device of claim 1, wherein one end of said body has a sharp forward edge.

10. The device of claim 1, wherein said body has a smooth curved configuration at one end thereof, extending across its width dimension.

11. The device of claim 1, wherein said body is resilient but semi-rigid.

12. The device of claim 1, wherein the surface of said body is non-porous.

13. The device of claim 1, wherein said body has a stem portion and an integral cross-arm extending transversely of said stem portion, adjacent but spaced from one end of said stem portion.

14. The device of claim 13, wherein said body has at least a pair of notches in its opposed edges to facilitate suturing of said body to the eye tissue.

15. A surgical implant device for use in an eye subject to glaucoma, comprising:

a thin body of semi-rigid, resilient, biocompatible material which is wettable by liquids of the eye, said body being of the order of 10 mm in length, of the order of 6 mm in width and of the order of 0.3 mm in thickness and in the configuration of a crucifix having a main stem and a cross-arm;

the top of said main stem remote from the cross-arm of said crucifix having a sharp edge;

said body having a radius of curvature along its length of about 1.2 cm;

said body being corrugated along its length dimension to provide channels extending from one end to the other thereof;

said body having perforations extending transversely through the sides of said corrugations, about 1 mm apart and of a diameter of about (5-0 suture).

16. The device of claim 15, wherein said body is of polymethyl methacrylate.

17. The device of claim 16, wherein said main stem has a reduced width adjacent said cross-arm for fixation by sutures.

18. A surgical eye implant for relieving excess eye pressure comprising:

a thin prosthetic device of biocompatible material, one end portion of which is adapted to extend between the ciliary body and the sclera of the eye and into the peripheral angle of the anterior chamber of the eye, the remainder of said device having a shape and extent to extend along and through the sclera to the suprachoroidal space of the eye;

said device having at least one channel at the surface thereof with a length of such extent for extending from said peripheral angle to said suprachoroidal space.

19. The implant of claim 18, wherein said at least one channel comprises corrugations in said device extending along the length thereof.

20. The implant of claim 18, wherein said device has perforations extending transversely through its thickness and positioned along the length thereof.

21. The implant of claim 18, wherein said material is wettable by eye fluids.

22. The implant of claim 18, wherein said material is polymethyl methacrylate.

23. The implant of claim 18, wherein said remainder of said device comprises an integral cross-arm adapted to be positioned in said sclera.

24. The implant of claim 18, comprising sutures for securing a portion of said remainder of said device to, and interior of, said sclera.

25. The method of providing an eye implant for relieving excess eye pressure, comprising:

cutting a flap in and through the conjunctiva to expose the underlying sclera from a position adjacent to the limbus to a position above the underlying choroid;

cutting part-way through said exposed sclera to form a scleral flap and to define an underlying scleral bed extending from a position adjacent the limbus to a position adjacent the choroid;

making an anterior incision through said scleral bed adjacent to the limbus to form a sclerotomy;

making a posterior incision through said scleral bed on the side of said anterior incision toward the choroid to form another sclerotomy;

providing a thin prosthetic implant device of biocompatible material having at least one surface channel extending along its length;

inserting one end of said device through said first incision, and along a path between the ciliary body and the sclera, into the peripheral angle of the anterior chamber of the eye, until the opposite end of said device lies between said anterior and posterior incisions;

thereafter sliding said device lengthwise in the posterior direction, inserting said opposite end of said device through said posterior incision, and continuing said sliding motion until said opposite end enters the suprachoroidal space;

thereafter, suturing said device to the scleral bed while said one end of said device is in said peripheral angle and said opposite end is in said suprachoroidal space, and successively closing said scleral flap and said conjunctival flap.

26. The method of claim 25, wherein said device is formed in the shape of a crucifix with a stem portion and a cross-arm portion, said cross-arm being of greater length than said posterior incision and positioned on said scleral bed against said incision at the time of said suturing of said device to said sclera.

27. The method of claim 25, wherein said one end of said device is tapered to a sharp edge, and is advanced between said sclera and said ciliary body without previously separating said sclera from said ciliary body.

28. A surgical implant device for use in the eye to relieve excess eye pressure, comprising:

a thin body of biocompatible material having at least one externally-open surface channel of a length to extend from the limbal angle of the anterior chamber of the eye toward the choroid of the eye, at least as far as the ciliary body.