Masked intraocular devices

• US 9,138,142 B2
• Filed: 05/03/2006
• Issued: 09/22/2015
• Est. Priority Date: 05/28/2003
• Status: Active Grant

• Current Assignee: Healthcare Royalty Partners II LP (Toronto-Dominion Bank)
• Original Assignee: Acufocus, Inc.
• Inventors: Christie, Bruce A., Silvestrini, Thomas A., Hahnen, Kevin F.
• Primary Examiner(s): Willse, David H
• Application Number:
  US11/417,667
• Publication Number:
  US 20060271177A1
• Time in Patent Office: 3,429 Days
• Field of Search: 623/5.13, 623/6.14, 623/6.17
• US Class Current: 1/1
• CPC Class Codes: A61B 3/152 for aligning
• CPC Class Codes: A61F 2/14 Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
• CPC Class Codes: A61F 2/145 Corneal inlays, onlays, or lenses for refractive correction
• CPC Class Codes: A61F 2/147 Implants to be inserted in the stroma for refractive correction, e.g. ring-like implants
• CPC Class Codes: A61F 2/15 Implant having one or more holes, e.g. for nutrient transport, for facilitating handling
• CPC Class Codes: A61F 2/1601 Lens body having features to facilitate aqueous fluid flow across the intraocular lens, e.g. for pressure equalization or nutrient delivery
• CPC Class Codes: A61F 2002/1689 having plate-haptics
• CPC Class Codes: A61F 2002/1696 Having structure for blocking or reducing amount of light transmitted, e.g. glare reduction
• CPC Class Codes: A61F 2002/1699 Additional features not otherwise provided for
• CPC Class Codes: A61F 2250/0023 differing in porosity
• CPC Class Codes: A61F 2250/0067 Means for introducing or releasing pharmaceutical products into the body
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61F 9/007 Methods or devices for eye surgery
• CPC Class Codes: A61P 27/02 Ophthalmic agents
• CPC Class Codes: G02C 2202/04 Lenses comprising decentered structures
• CPC Class Codes: G02C 7/04 Contact lenses for the eyes disinfection or sterilisation of contact lenses A61L12/00
• CPC Class Codes: G02C 7/046 Contact lenses having an iris pattern
• CPC Class Codes: G02C 7/165 with stenopaeic apertures

Abstract

An ophthalmic device that includes a mask configured to be implanted posterior of the cornea. The mask is configured to increase the depth of focus of the patient. The mask includes an aperture configured to transmit along an optical axis substantially all incident light and a substantially opaque portion surrounding at least a portion of the aperture. The ophthalmic device can further include a plurality of light transmission structures configured to allow some light to pass through the substantially opaque portion. The light transmission structures are configured to minimize generation of visible artifacts due to the transmission of light through the light transmission structures.

Claims

1. An ophthalmic device having an imaging area for enhancing depth of focus in an eye of a human patient, the ophthalmic device comprising:

a mask configured to be implanted posterior of a cornea of an eye, the mask comprising a single, optical aperture configured to transmit along an optical axis substantially all incident visible light, the single, optical aperture sized to increase the depth of focus sufficiently to treat presbyopia in the human patient, and a portion configured to be substantially opaque to visible light and to surround at least a portion of the aperture, the substantially opaque portion configured to be at least partially disposed within the imaging area; and

a plurality of light transmission structures disposed within the substantially opaque portion and configured to allow some visible light to pass through the substantially opaque portion, the light transmission structures comprising a wall surrounding a recess that extends at least partially between an anterior surface and a posterior surface of the mask, substantially all of the light transmission structures being similarly shaped, and wherein the light transmission structures are positioned at irregular locations to reduce projection of diffraction patterns visible to the human patient due to the transmission of visible light through the light transmission structures,

wherein anterior portions of substantially all of the light transmission structures are spaced apart by a minimum distance.

2. The ophthalmic device of claim 1, wherein the substantially opaque portion extends between an outer periphery of the mask and an inner periphery, the substantially opaque portion comprising an inner region, an outer region, and a central region disposed between the inner and outer regions;

wherein the inner region or the outer region are lacking light transmissive area.

3. The ophthalmic device of claim 2, wherein the inner region extends radially outwardly from an inner periphery by about 0.050 mm.

4. The ophthalmic device of claim 2, wherein the outer region extends radially inwardly from the outer periphery by about 0.050 mm.

5. The ophthalmic device of claim 4, wherein the inner region extends radially outwardly from an inner periphery by about 0.050 mm.

6. The ophthalmic device of claim 1, wherein each of the light transmission structures extends along a length between the posterior surface and the anterior surface and has a substantially constant cross-sectional shape along the length.

7. The ophthalmic device of claim 1, wherein at least one of the light transmission structures generates a wavefront that is substantially destructively interfered with by a wavefront generated by at least another of the light transmission structures.

8. The ophthalmic device of claim 1, wherein the aperture has a dimension generally transverse to the optical axis, the dimension being about 2.2millimeters or less.

9. The ophthalmic device of claim 1, wherein the minimum distance between anterior portions of adjacent light transmission structures is about 20 microns.

10. The ophthalmic device of claim 1, wherein the mask comprises silver, plastic, or a paint layer.

11. The intraocular device of claim 1, further comprising an intraocular lens coupled with the mask.

12. The ophthalmic device of claim 11, wherein the mask is on an anterior surface of the intraocular lens.

13. The ophthalmic device of claim 11, wherein the mask is on a posterior surface of the intraocular lens.

14. The ophthalmic device of claim 11, wherein the mask is enclosed within the intraocular lens.

15. The ophthalmic device of claim 11, wherein a first region of the intraocular lens comprises a first refractive power and a second region of the intraocular lens comprises a second refractive power different from the first refractive power.

16. The ophthalmic device of claim 11, wherein a first region of the intraocular lens comprises a first refractive index and a second region of the intraocular lens comprises a second refractive index different from the first refractive index.

17. The ophthalmic device of claim 11, wherein the intraocular lens comprises a bi-convex shape.

18. The ophthalmic device of claim 11, wherein the intraocular lens comprises a plano-convex shape.

19. The ophthalmic device of claim 11, wherein the intraocular lens comprises a meniscus shape.

20. The intraocular device of claim 1, wherein the plurality of light transmission structures comprise an entrance and an exit such that a substantial portion of visible light that enters the entrance exits at the exit.

21. The intraocular device of claim 1, wherein the light transmission structures substantially eliminate generation of diffraction patterns on a retina of the eye due to the transmission of visible light through the light transmission structures.

22. The ophthalmic device of claim 1, wherein a first plurality of light transmission structures has a first size and a second plurality of light transmission structures has a second size.

23. An ophthalmic device, comprising:

an intraocular device configured to be implanted posterior of a cornea;

a mask coupled with the intraocular device, the mask having an inner periphery configured to increase the depth of focus of a human patient, the mask comprising a central aperture configured to transmit along an optical axis substantially all incident visible light and a portion configured to be substantially opaque to visible light and to surround at least a portion of the aperture, the portion configured to be substantially opaque being disposed within the optical zone of the ophthalmic device, the opaque portion comprising an inner band and an outer band disposed outward of the inner band, the inner band substantially surrounding the aperture; and

a plurality of transmissive structures in the opaque portion, wherein each of the transmissive structures comprises a wall surrounding a recess that extends at least partially between an anterior surface and a posterior surface of the mask, wherein at least one of size, shape, orientation, and minimum spacing from a nearest neighboring transmissive structure of a substantial portion of the plurality of transmissive structures is different from at least one of size, shape, orientation, and minimum spacing from a nearest neighboring transmissive structure of another substantial portion of the plurality of transmissive structures, wherein the inner band is devoid of transmissive structures, and wherein each of the plurality of transmissive structures is smaller than the central aperture.

24. The ophthalmic device of claim 23, wherein at least one of the recesses extends entirely through the mask from the anterior surface to the posterior surface.

25. The ophthalmic device of claim 23, wherein the plurality of transmissive structures are configured to reduce the tendency of any visible light that passes through the transmissive structures to produce visible diffraction patterns.

26. The ophthalmic device of claim 23, wherein the inner band extends radially outwardly from an inner periphery by about 0.050 mm.

27. The ophthalmic device of claim 23, wherein the outer band is devoid of transmissive structures.

28. The ophthalmic device of claim 27, wherein the outer band extends radially inwardly from the outer periphery by about 0.050 mm.

29. An ophthalmic device configured to increase the depth of focus of a human patient comprising:

a mask having an anterior surface extending between an outer periphery and a central optical axis of the mask;

the mask having a posterior surface extending between the outer periphery and the central optical axis of the mask;

a substantially opaque portion extending between the anterior and posterior surfaces and between the outer periphery and the central optical axis, the opaque portion comprising an inner region and an outer region disposed outward of the inner region, the opaque portion configured to substantially prevent transmission of light;

an aperture disposed about the central optical axis and configured to transmit substantially all incident light, the aperture having a dimension generally transverse to the optical axis, the dimension being about 2.2 millimeters or less;

a plurality of holes having a hole entrance at the anterior surface and extending from the anterior surface to the posterior surface, each of the plurality of holes being substantially smaller than the aperture;

wherein the holes are positioned at irregular locations outward of the inner region to reduce the generation of visible artifacts due to the transmission of light through the holes; and

wherein the inner region is devoid of open area.

30. The ophthalmic device of claim 29, wherein the outer region extends radially inward from the outer periphery, and wherein the outer region is devoid of open area.

31. The ophthalmic device of claim 29, wherein the mask comprises a thickness between the anterior and posterior surfaces of less than about 20 microns.

32. The ophthalmic device of claim 29, further comprising an intraocular lens having the mask incorporated therein.

33. The ophthalmic device of claim 29, wherein at least some of the holes have a diameter between about 0.015 mm and about 0.020 mm.

34. The ophthalmic device of claim 29, wherein the mask is configured to be implanted in the cornea.

35. The ophthalmic device of claim 34, wherein the mask further comprises a medicinal component.

36. The ophthalmic device of claim 35, wherein the medicinal component comprises a fluid.

37. The ophthalmic device of claim 35, wherein the medicinal component includes an antibiotic.

38. The ophthalmic device of claim 35, wherein the medicinal component is configured to be selectively released.

39. The ophthalmic device of claim 35, wherein the medicinal component is configured to provide faster wound healing.

40. The ophthalmic device of claim 35, wherein the mask is coated with the medicinal component.

41. The ophthalmic device of claim 35, wherein the medicinal component is incorporated into a material forming the mask.

42. The ophthalmic device of claim 35, wherein the medicinal component is configured to deter the buildup of deposits in the eye.

43. The ophthalmic device of claim 42, wherein the medicinal component is a cholesterol deterring drug.