Multi-part intraocular lens and method of implanting it in an eye

• US 4,636,210 A
• Filed: 12/09/1985
• Issued: 01/13/1987
• Est. Priority Date: 12/09/1985
• Status: Expired due to Term

• Current Assignee: Kenneth J. Hoffer
• Original Assignee: Kenneth J. Hoffer
• Inventors: Hoffer, Kenneth J.
• Primary Examiner(s): FRINKS, RONALD
• Application Number:
  US06/806,542
• Time in Patent Office: 400 Days
• Field of Search: 623/6
• US Class Current: 623/6.2
• CPC Class Codes: A61F 2/1616 Pseudo-accommodative, e.g. multifocal or enabling monovision

Abstract

A multi-part intraocular lens that can be surgically implanted within an eye through an incision having a length substantially less than the lens'"'"' diameter. The lens includes a plurality of lens segments that are slidable between a retracted orientation, in which they cooperate to form a generally circular lens, and an extended orientation, in which they cooperate to form an elongated assembly having a transverse width substantially less than the lens'"'"' diameter. To surgically implant the lens, it is inserted through the eye incision in the extended orientation, whereupon further insertion causes the lens segments to slide to their retracted orientation automatically, without the need for a risky assembly of segments using surgical instruments within the eye.

Claims

1. An intraocular lens comprising:

a plurality of lens segments; and

lens guiding means for slidably attaching said plurality of lens segments to each other, such that said lens segments are slidable between a retracted orientation, in which said lens segments cooperate to form an optical lens having a first predetermined transverse width, and an extended orientation, in which said lens segments have a second predetermined transverse width, substantially less than the first predetermined transverse width;

wherein when said lens segments are positioned in the extended orientation, they are insertable into an eye through an incision having a length that is less than the first predetermined transverse width of said lens, after which the lens segments can be slid to the retracted orientation for proper positioning within the eye.

2. An intraocular lens as recited in claim 1, wherein:

when said plurality of lens segments are in the retracted orientation, the segments are contiguous and non-overlapping; and

said lens guiding means is carried on the contiguous edges of said plurality of lens segments.

3. An intraocular lens as recited in claim 2, wherein said lens guiding means includes an elongated tongue located on the contiguous edge of one of said lens segments and a mating, elongated groove located on the contiguous edge of another of said lens segments, whereby said lens segments are slidable relative to each other.

4. An intraocular lens as recited in claim 2, wherein said lens guiding means includes means for preventing said plurality of lens segments from detaching from each other during normal use.

5. An intraocular lens as recited in claim 1, wherein the second predetermined transverse width of said lens is about one-half the first predetermined transverse width of said lens.

6. An intraocular lens as recited in claim 1, wherein said plurality of lens segments include a primary lens segment forming the central portion of said lens and first and second secondary lens segments located on opposite sides of said primary lens segment.

7. An intraocular lens as recited in claim 6, wherein said first and second secondary lens segments are of substantially equal size and are shaped substantially like lunar crescents.

8. An intraocular lens as recited in claim 7, wherein said plurality of lens segments are sized and configured such that, when said plurality of lens segments are in the retracted orientation and said lens is properly centered within the eye and when normal lighting conditions are present, the pupil of the eye transmits light passing only through said primary lens segment.

9. An intraocular lens as recited in claim 6, and further including first and second position-fixation haptics connected to said respective first and second secondary lens segments and adapted to center said lens within the eye.

10. An intraocular lens as recited in claim 1, wherein said plurality of lens segments includes first and second lens segments of substantially equal size, each lens segment having a substantially semicircular shape.

11. A method of inserting and positioning an intraocular lens within an eye, said lens having a plurality of lens segments and lens guiding means for slidably attaching the lens segments to each other such that the segments are slidable between a retracted orientation, in which the segments cooperate to form an optical lens having a first predetermined transverse width, and an extended orientation, in which the segments have a second predetermined transverse width, substantially less than the first predetermined transverse width, whereby the lens segments can be inserted into an eye through an incision substantially less than the lens'"'"' first predetermined transverse width, said method comprising steps of:

sliding said lens segments to the extended orientation;

inserting a leading end of said lens through an incision in the eye until such leading end engages a predetermined portion of the eye, to inhibit further movement of the leading end;

inserting further portions of the lens through the incision such that the plurality of lens segments slide to the retracted orientation; and

centering said lens within the eye.

12. A method as recited in claim 11, wherein:

the lens further includes first and second position-fixation haptics attached to lens segments at opposite ends of the lens when the lens is in the extended orientation;

the first position-fixation haptic forms the leading end of the lens that is inserted through the incision in said step of inserting; and

the predetermined portion of the eye that is engaged by the first haptic of the lens is the ciliary sulcus, capsule equator, or anterior chamber angle, such engagement inhibiting further inward movement of both the first haptic and the lens segment to which it is attached.

13. A method as defined in claim 12, wherein:

the lens includes a primary lens segment and first and second secondary lens segments slidably attached to opposite sides of the primary lens segment;

the first and second position-fixation haptics are attached to the first and second secondary lens segments respectively; and

said step of inserting further portions of the lens includes steps of

inserting the primary lens segment through the incision,

inserting the second secondary lens segment through the incision, and

inserting the second haptic through the incision, such that the lens segments are automatically slid to the retracted orientation.

14. A method as defined in claim 13, wherein said steps of inserting are ordinarily all performed without positioning any tools within the eye.

15. An intraocular lens comprising:

a central lens segment having an oblong shape with opposite side edges having the same, uniform radius; and

first and second lateral lens segments of substantially the same size and shaped substantially like lunar crescents, the first and second lateral lens segments further having concave edges conformable with the opposite side edges of the center lens segment; and

means for attaching said first and second lateral lens segments to said central lens segment, with the respective concave edges of the first and second lateral segments conformably engaging the opposite side edges of the center lens segment;

wherein said lens segments are sized such that when the lens is properly implanted within a human eye, and when normal lighting conditions are present, the eye'"'"'s pupil transmits light only through the central lens segment.

16. An intraocular lens as recited in claim 15, wherein said means for attaching includes an elongated tongue and a mating elongated groove carried by the contiguous edges of said center lens segment and said first and second lateral lens segments, the tongue and groove allowing sliding relative movement of the lens segments between a retracted orientation, in which the lens segments cooperate to form a generally circular lens having a predetermined diameter, and an extended orientation, in which the lens elements cooperate to form an elongated assembly having a transverse width substantially less than the predetermined diameter.

17. An intraocular lens as defined in claim 16, and further including first and second position-fixation haptics projecting outwardly from the respective first and second lateral lens segments and adapted to center the lens within the eye.

18. An intraocular lens as defined in claim 16, wherein the maximum transverse width of the intraocular lens in its extended orientation is about one-half the lens'"'"' predetermined diameter.

19. An intraocular lens as defined in claim 15, wherein the opposite side edges of said center lens segment define substantially its entire peripheral edge.

20. An intraocular lens comprising:

a primary lens segment having a peripheral edge defined by first and second edges having the same, uniform curvature;

first and second secondary lens segments of substantially the same size, each secondary lens segment being shaped substantially like a lunar crescent with a concave edge and a convex edge, the concave edge being conformable with a respective one of the first and second edges of the primary lens segment;

first tongue and undercut groove means carried by the first edge of the primary lens segment and the concave edge of the first secondary lens segment, for slidably attaching the respective lens segments together;

second tongue and undercut groove means carried by the second edge of the primary lens segment and the concave edge of the second secondary lens segment, for slidably attaching the respective lens segments together; and

first and second resilient, position-fixation haptics attached to, and projecting outwardly from, the respective first and second secondary lens segments;

wherein the primary and secondary lens segments are slidable relative to each other between a retracted orientation, in which they cooperate to from a substantially circular optical lens having a predetermined diameter, and an extended orientation, in which they cooperate to form an elongated assembly with a predetermined width substantially less than the diameter;

and wherein when the primary and secondary lens segments are positioned in the extended orientation, the lens is insertable into an eye through an incision having a length substantially less than the lens'"'"' predetermined diameter, after which the lens segments can be slid to the retracted orientation for proper positioning within the eye.