Corneal pressure-regulating implant device

• US 5,743,868 A
• Filed: 02/14/1994
• Issued: 04/28/1998
• Est. Priority Date: 02/14/1994
• Status: Expired due to Term

• Current Assignee: Brown, Reay H., Thompson, Keith P.
• Original Assignee: Brown, Reay H., Thompson, Keith P.
• Inventors: Brown, Reay H., Thompson, Keith P.
• Primary Examiner(s): JONES, MARYBETH O
• Application Number:
  US08/195,614
• Time in Patent Office: 1,534 Days
• Field of Search: 623/4, 623/5, 604/8-10, 604/289, 604/290, 604/294, 604/264
• 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

Abstract

A unitary, pressure-regulating corneal implant device for use in controlling intraocular pressure of the cornea is disclosed, the implant having a conduit with a bore and a porous core material disposed in the bore for allowing egress of aqueous humor from the anterior chamber of the eye. The conduit is elongated for extending from the ocular surface of the eye substantially flush therewith through the corneal stroma, and into the anterior chamber.

Claims

1. A unitary, pressure-regulating corneal implant device for use in controlling intraocular pressure of the cornea in an eye having a cornea, an ocular surface, a corneal stroma, and an anterior chamber;

said corneal implant device comprising a conduit means having a bore with a porous core material disposed in said bore for allowing egress of aqueous humor from said anterior chamber of the eye to said ocular surface of the eye, said conduit means having a proximal end and a distal end, said proximal end being free of a surrounding flange and said distal end being sharpened so as to facilitate insertion of said device in the cornea, said conduit means being elongated for extending from a position substantially flush with the ocular surface of the eye through said corneal stroma, and into the anterior chamber.

2. A corneal implant device as defined in claim 1 in which, said proximal end is substantially flat so that said device can be positioned substantially flush with the ocular surface.

3. A corneal implant device as defined in claim 1 in which said core is permeable to fluids and impermeable to bacteria, and said core includes pores of varying diameters.

4. A corneal implant device as defined in claim 3 in which said proximal end has a substantially flat upper surface for positioning said upper surface substantially flush with the ocular surface of the eye.

5. A method for controlling the internal pressure of an eye comprising an anterior chamber containing aqueous humor, a cornea having an epithelium and an ocular surface, a corneal limbus, and a pupil, using a pressure-regulating corneal implant having a conduit means comprising a cylinder having a distal end, a proximal end and a bore therethrough having a porous core material disposed therein for allowing the egress of said aqueous humor from said anterior chamber to said ocular surface, said method comprising the steps of:

(a) removing the epithelium from the portion of the cornea through which said implant will be inserted; and

(b) inserting said implant into the cornea such that the distal end thereof is disposed in the anterior chamber and the proximal end is disposed substantially flush with the ocular surface.

6. The method as defined in claim 5 and including the additional steps of placing said implant into an insertion device, utilizing said insertion device to access that portion of the cornea from which the epithelium has been removed;

applying suction to the same portion of the cornea from which the epithelium has been removed; and

, releasing the suction after said device has been inserted.

7. The method as defined in claim 5 in which said implant is inserted near the corneal limbus and away from the pupil.

8. A corneal implant for use in controlling intraocular pressure in a glaucomatous eye having a cornea with an ocular surface, and an anterior chamber containing aqueous humor, said implant comprising an elongated cylinder means having solid walls and a bore disposed therethrough, a porous flow control means disposed in said bore for permitting egress of aqueous humor from the anterior chamber of the eye, said implant having a proximal end and a distal end, said distal end being sharpened so as to facilitate insertion of said device in the cornea, and being disposed in the cornea with said proximal end being free of a surrounding flange and being located so as to be substantially flush with the ocular surface.

9. A corneal implant as defined in claim 8 in which said sharpened distal end is disposed in the anterior chamber of the eye after insertion through the cornea.

10. A corneal implant as defined in claim 9 in which said flow control means operates independently to conduct aqueous humor from the anterior chamber to the ocular surface when the pressure in the anterior chamber is above the normal range.

11. A corneal implant as defined in claim 8 in which said proximal end is substantially flat so as to not protrude above the ocular surface.