Determination of the effective lens position of an intraocular lens using aphakic refractive power

• US 9,554,697 B2
• Filed: 06/30/2014
• Issued: 01/31/2017
• Est. Priority Date: 07/14/2009
• Status: Active Grant

• Current Assignee: Alcon Incorporated
• Original Assignee: WaveTec Vision Systems, Inc. (Alcon Incorporated)
• Inventors: Padrick, Thomas D., Holladay, Jack T.
• Primary Examiner(s): WILKES, ZACHARY W
• Application Number:
  US14/320,377
• Publication Number:
  US 20150092158A1
• Time in Patent Office: 946 Days
• Field of Search: None
• US Class Current: 1/1
• CPC Class Codes: A61B 3/0025 characterised by electronic signal processing, e.g. eye models
• CPC Class Codes: A61B 3/10 Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
• CPC Class Codes: A61B 3/1015 for wavefront analysis
• CPC Class Codes: A61B 3/103 for determining refraction, e.g. refractometers, skiascopes
• CPC Class Codes: A61F 2/16 Intraocular lenses
• CPC Class Codes: A61F 2/1662 Instruments for inserting intraocular lenses into the eye
• CPC Class Codes: G02C 7/022 Ophthalmic lenses having special refractive features achieved by special materials or material structures G02C7/049 takes precedence
• CPC Class Codes: G02C 7/024 Methods of designing ophthalmic lenses

Abstract

An ophthalmic method for determining a relationship between aphakic ocular power and estimated effective lens position (ELP) of an intraocular lens (IOL) to be implanted in a patient'"'"'s eye. The method can be used to determine an estimate of the ELP of an IOL given the aphakic ocular power of the patient'"'"'s eye, for example, without measurement of the corneal curvature or axial length of the patient'"'"'s eye. The estimate of ELP can then be used to determine a suitable value of optical power for the IOL to be implanted in the patient'"'"'s eye.

Claims

1. A method for determining the optical power of an intraocular lens to be inserted into the eye of a patient, the method comprising:

receiving as an input, from an input device, a value that indicates the aphakic refractive power of the patient'"'"'s eye, wherein the input device comprises a wavefront aberrometer aligned with the patient'"'"'s eye to measure the aphakic refractive power;

determining, with a processor, an estimate of the post-surgical effective lens position (ELP) of the intraocular lens for the patient'"'"'s eye, the estimate being based on the value that indicates the aphakic refractive power of the patient'"'"'s eye; and

determining an amount of optical power for the intraocular lens to be inserted into the patient'"'"'s eye based on the estimate of the post-surgical ELP of the intraocular lens in the patient'"'"'s eye.

2. The method of claim 1, wherein the estimate of the post-surgical ELP of the intraocular lens is further based on a relationship between aphakic refractive power and post-surgical intraocular lens ELP, and wherein the relationship between aphakic refractive power and post-surgical intraocular lens ELP is determined using regression analysis.

3. The method of claim 1, wherein the estimate of the post-surgical ELP of the intraocular lens is not based on measured corneal power of the patient'"'"'s eye.

4. The method of claim 1, wherein the estimate of the post-surgical ELP of the intraocular lens is not based on measured axial length of the patient'"'"'s eye.

5. The method of claim 1, wherein the value that indicates the aphakic refractive power of the patient'"'"'s eye comprises an intraoperative measurement of the aphakic refractive power of the patient'"'"'s eye.

6. The method of claim 1, further comprising outputting the estimate of the post-surgical ELP of the intraocular lens.

7. The method of claim 1, further comprising outputting the amount of optical power for the intraocular lens.

8. The method of claim 1, further comprising performing a measurement using the input device to determine the value that indicates the aphakic refractive power of the patient'"'"'s eye.

9. An ophthalmic method for determining a relationship between post-surgical effective lens position (ELP) of an intraocular lens and aphakic ocular power, the method comprising:

obtaining, from an input device, a plurality of values that indicate the aphakic power of a respective plurality of eyes, wherein the input device comprises a wavefront aberrometer enabled to measure the aphakic power;

determining a plurality of values that indicate the post-surgical ELP of an intraocular lens for the respective plurality of eyes; and

determining a relationship between the aphakic power and the post-surgical ELP using a processor.

10. The method of claim 9, wherein the plurality of values that indicate aphakic power of the respective plurality of eyes comprise a plurality of aphakic measurements of the aphakic power of the respective plurality of eyes.

11. The method of claim 9, wherein the plurality of values that indicate aphakic power of the respective plurality of eyes comprise a plurality of calculated values based on the respective corneal power and axial length of the respective plurality of eyes.

12. The method of claim 9, wherein determining the plurality of values that indicate the post-surgical ELP of an intraocular lens for the respective plurality of eyes comprises performing post-surgical measurements of the ELP for the respective plurality of eyes.

13. The method of claim 9, wherein determining the plurality of values that indicate the post-surgical ELP of an intraocular lens for the respective plurality of eyes comprises using an ELP estimation formula for the respective plurality of eyes.

14. The method of claim 13, wherein the ELP estimation formula comprises the Holladay 1, the Holladay 2, the SRK/T, the Hoffer Q, or the Hagis formula.

15. The method of claim 9, wherein determining the relationship between the plurality of values that indicate the aphakic power and the plurality of values that indicate the post-surgical ELP comprises mathematically modeling the relationship between the plurality of values that indicate aphakic power and the plurality of values that indicate the post-surgical ELP of the intraocular lens.

16. The method of Claim 15, wherein mathematically modeling the relationship comprises using regression analysis of the plurality of values that indicate the aphakic power for the respective plurality of eyes and the plurality of values that indicate the post-surgical ELP of an intraocular lens for the respective plurality of eyes to determine the relationship.

17. An ophthalmic instrument comprising:

a measurement device for measuring the aphakic power of a patient'"'"'s eye, wherein the measurement device comprises a wavefront aberrometer aligned with the patient'"'"'s eve to measure the aphakic power; and

a processor for performing a method comprising,

receiving a value that indicates the aphakic refractive power of the patient'"'"'s eye from the measurement device,

determining an estimate of the post-surgical effective lens position (ELP) of an intraocular lens to be inserted in the patient'"'"'s eye, the estimate of the post-surgical ELP of the intraocular lens being based on the value that indicates the aphakic refractive power of the patient'"'"'s eye, and

determining an appropriate amount of optical power for the intraocular lens to be inserted into the patient'"'"'s eye based on the estimate of the post-surgical ELP of the intraocular lens.

18. The ophthalmic instrument of claim 17, wherein the estimate of the post-surgical ELP of the intraocular lens is further based on a relationship between aphakic refractive power and post-surgical intraocular lens ELP, and wherein the relationship between aphakic refractive power and post-surgical intraocular lens ELP is determined using regression analysis.

19. The ophthalmic instrument of claim 17, wherein the estimate of the post-surgical ELP of the intraocular lens is not based on measured corneal power of the patient'"'"'s eye.

20. The ophthalmic instrument of claim 17, wherein the estimate of the post-surgical ELP of the intraocular lens is not based on measured axial length of the patient'"'"'s eye.

21. The ophthalmic instrument of claim 17, wherein the value that indicates the aphakic refractive power of the patient'"'"'s eye comprises an intraoperative measurement of the aphakic refractive power of the patient'"'"'s eye.

22. The ophthalmic instrument of claim 17, wherein the method performed by the processor further comprises outputting the amount of optical power for the intraocular lens.