Intrascleral implant and method for the regulation of intraocular pressure

• US 5,558,630 A
• Filed: 12/30/1994
• Issued: 09/24/1996
• Est. Priority Date: 12/30/1994
• Status: Expired due to Fees

• Current Assignee: Bret L. Fisher
• Original Assignee: Bret L. Fisher
• Inventors: Fisher, Bret L.
• Primary Examiner(s): JONES, MARYBETH O
• Application Number:
  US08/366,503
• Time in Patent Office: 634 Days
• Field of Search: 623/4, 604/289, 604/294, 604/8-10
• 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: Y10S 623/905 Eye

Abstract

A tubular conduit style implant device for the regulation of intraocular pressure is described. The device is generally funnel shaped and enlarges from its forward end, for implanting in the anterior chamber of an eye, to its rearward end, for implanting in the sclera. The tubular body of the device includes laterally extending appendages adapted to stabilize the implant from rocking in position. In addition, the forward end of the device includes both a positioning ridge, to space the device from an inner surface of the eye, and an oppositely positioned retention flange to prevent migration of the implant from the anterior chamber. The rearward end of the device positioned within the sclera includes fluid passageways for controlling fluid outflow from the interior of the eye.

Claims

1. An intrascleral implant for implanting within the eye and for reducing intraocular fluid pressure, comprising:

a tubular body having a forward end, adapted for placement within an anterior chamber of an eye, and a rearward end, adapted for placement within the sclera of an eye, said tubular body being funnel shaped and enlarging in cross-section along said tubular body in a direction from said forward end to said rearward end, said rearward end including fluid passageways to limit and control a flow of intraocular fluid through said tubular body from said anterior chamber to said sclera, said tubular body further including side portions and at least one implant stability flange appending therefrom and adapted to stabilize said tubular body against said sclera, said tubular body further including a positioning ridge located on said forward end, said positioning ridge being smoothly finished and adapted to space said tubular body from an inner surface of said anterior chamber.

2. An implant as recited in claim 1, further comprising:

a retention flange located on said forward end and positioned opposite from said positioning ridge, said retention flange being adapted to engage an inner surface of said eye and resist migration of said implant from said anterior chamber.

3. An implant as recited in claim 1, further comprising:

a back flange appended to and extending from said rearward end, said back flange being adapted to contact said sclera and attach thereto by attachment means.

4. An implant as recited in claim 1, wherein:

said fluid passageways are provided in longitudinal side portions of said tubular body in a region of said tubular body proximate said rearward end.

5. An implant as recited in claim 1, wherein:

a cross section through said tubular body at a mid-point thereof has an approximately rectangular shape.

6. An implant as recited in claim 1, wherein:

a cross section through said tubular body at a mid-point thereof has a curving shape.

7. A method of regulating intraocular fluid pressure comprising the steps of:

providing an incision into an eye, said incision commencing at a partial depth scleral groove and extending through scleral dissection to a clear cornea entrance into the anterior chamber of said eye;

placing an implant in said incision, said implant having a tubular body having a forward end, adapted for placement within said anterior chamber, and a rearward end, adapted for placement within said sclera, said tubular body being funnel shaped and enlarging longitudinally along said tubular body in a direction from said forward end to said rearward end, said rearward end including fluid passageways to limit and control a flow of intraocular fluid through said tubular body from said anterior chamber to said sclera, said tubular body further including side portions, stabilizing said implant against said sclera by providing at least one implant stability flange appending from said tubular body, said placing step including extending said forward end into said anterior chamber to enable intraocular fluid flow from said anterior chamber into said tubular body, spacing said tubular body from an inner surface of said anterior chamber by providing a positioning ridge on said forward end of said tubular body, said positioning ridge being smoothly finished; and

,

electively suturing said implant in place to said sclera at said rearward end.