Ophthalmic shunt

• US 5,601,094 A
• Filed: 11/22/1994
• Issued: 02/11/1997
• Est. Priority Date: 11/22/1994
• Status: Expired due to Fees

• Current Assignee: George R. Reiss
• Original Assignee: George R. Reiss
• Inventors: Reiss, George R.
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): GILBERT, SAMUEL G
• Application Number:
  US08/346,213
• Time in Patent Office: 812 Days
• Field of Search: 128/899, 604/8-10, 623/4-6
• US Class Current: 128/899
• CPC Class Codes: A61F 9/00781 Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment drainage implants in general A61M27/002

Abstract

The invention is directed to an ophthalmic shunt implantable in a human eye. The shunt includes a central portion, an anterior tab extending from one end of the central portion and a posterior tab extending from an opposite end of the central portion. The tabs are disposed at an angle to the central portion. When the shunt is implanted, the curvature substantially corresponds to the exterior curvature of the eye at and adjacent to the location of the limbus, and the overall length of the shunt is sufficient to allow the anterior tab to be disposed intracorneally and the posterior tab to extend into a suprachoroidal space formed between the sclera and the choroid. During implantation, an opening is formed at the location of the limbus and extends into the anterior chamber of the eye. The shunt is disposed to bridge the opening and maintains a gap above the opening. Accordingly, the aqueous fluid from the anterior chamber flows along the shunt and into the suprachoroidal space, thereby reducing the intraocular pressure.

Claims

1. An ophthalmic shunt implantable in a human eye, the eye having a sclera, a limbus, a cornea and a choroid, wherein the shunt consists essentially of:

a central portion exhibiting a convex outer surface, a concave inner surface and sides;

an anterior tab with a smooth exterior surface extending along a longitudinal axis from one end of said central portion;

a posterior tab with a smooth outer surface extending along said longitudinal axis from an opposite end of said central portion;

a support wall projecting from said concave inner surface and extending along a longitudinal axis to maintain a shape of said shunt when inserted into an eye and to maintain a channel between said central portion and an outer surface of said eye; and

stitching loops extending laterally outward from the sides of the central portion for securing said shunt to said eye.

2. The shunt recited in claim 1, wherein, said shunt is made of a flexible material and said central portion is curved, the curvature and flexibility of said shunt allowing it to assume a curvature when implanted which substantially corresponds to the exterior curvature of the eye.

3. The shunt recited in claim 2, said anterior tab and said posterior tab disposed at an angle to said central portion, wherein, the flexibility of the material allows said anterior tab to be implanted intracorneally with the material having a rigidity sufficient to maintain a gap above an opening formed through the limbus.

4. The shunt recited in claim 2, said material having a SHORE A durometer reading of approximately 61.

5. The shunt recited in claim 2, the material comprising medical grade liquid silicone rubber.

6. The shunt recited in claim 2, wherein, said posterior tab is rounded about a longitudinal axis, and said anterior tab tapers to a diminishing thickness.

7. The shunt recited in claim 1, said shunt having tin overall length of 8-11 mm and a maximum width at said central portion of between 3-5 mm.

8. The shunt recited in claim 1, said central portion having a length of 3-4 mm, said anterior tab having a length of 3-4.5 mm and said posterior tab having a length of 2-3 mm.

9. The shunt recited in claim 1 further comprising a valve disposed at said central portion, said valve controlling the flow of fluid along the lower surface of said shunt.

10. The shunt recited in claim 9 further including

a pair of walls extending from the lower surface and defining a central longitudinal channel extending the entire length of said shunt, and

an opening formed through said central portion and said walls,

said valve comprising a positionally adjustable barrier disposed within said opening, wherein, the position of said barrier may be adjusted to control the flow of fluid through said central longitudinal channel.

11. The shunt recited in claim 10, said opening and said barrier including corresponding screw-threading.

12. A method for treating glaucoma by implantation of a shunt into an eye, the method comprising:

making a first incision extending through the sclera and to the outer surface of the choroid at a location substantially rearward of the limbus;

making a second incision extending partially through the sclera and cornea at the location of the limbus, the second incision defining a flap of tissue at the limbus;

pulling the flap over the outer layers of the cornea to expose an internal region of the limbus;

making third incisions through the internal region and removing a portion of the limbus to form an opening into the anterior chamber of the eye;

disposing a shunt exhibiting an anterior end and a posterior end upon the eye with a posterior end of the shunt inserted through said first incision to form a space between the choroid and sclera, and the anterior end of the shunt disposed upon the corneal tissue at the internal region such that the shunt bridges the opening;

pulling the flap over the anterior end of said shunt;

stitching the flap in place over the shunt; and

stitching the shunt to the sclera.

13. The method recited in claim 12, further comprising:

forming an opening through the iris.

14. A method for treating glaucoma in an eye by the steps comprising:

forming an opening into an anterior chamber of the eye at the location of the limbus;

disposing a shunt exhibiting stitching loops a convex outer surface, a concave inner surface, an anterior end with a smooth outer surface, and a posterior end with a smooth outer surface onto the eye so as to bridge the opening, with the anterior end of the shunt disposed intracorneally and the posterior end of the shunt disposed between the sclera and the choroid; and

securing the shunt to the eye by stitching the stitching loops to the eye.

15. The method recited in claim 14, wherein, the disposing step further includes pulling back the outer corneal layers so as to allow the anterior end of the shunt to be disposed intracorneally.

16. The method recited in claim 14, wherein the disposing step further includes making an incision through the sclera posteriorly of Where the opening is formed, and disposing a posterior end of the shunt through the incision to form a suprachoroidal space.