Capsular membrane implants to increase accommodative amplitude

a technology of amplitude and capsule, applied in the field of eye and eye treatment, can solve the problems of blurred image, less than ideal presbyopia correction in at least some instances, and the switch from near vision to far vision with reading glasses can be less than ideal, so as to reduce the spherical aberration of the ey

Inactive Publication Date: 2017-01-05
JOHNSON & JOHNSON SURGICAL VISION INC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The present invention relates to a new method for improving the treatment of diseases of the eye. Specifically, the invention aims to increase the accommodation of the eye by decreasing the movement of the intermediate portion of the lens capsule. This is accomplished by using a support that is coupled to the intermediate portion of the lens capsule, allowing for the adjustment of patient refraction and accommodation after surgery. The support is a stiffening device that helps increase the stability of the eye's refractive properties and mitigate the symptoms of presbyopia. The support can be adjusted to preserve patient vision and decrease the impact on optics. The stiffening support can decrease radial movement of the intermediate portion of the lens capsule and increase the accommodative forces of the eye. The support can be located away from the central optical portion of the lens and can comprise an annular structure to decrease circumferential stretching. Overall, the invention improves the treatment of eye diseases by increasing patient accommodation with the natural lens of the eye or an IOL.

Problems solved by technology

However, when the image is out of focus, the image appears blurred.
People who are near sighted and wear glasses for distance vision may find glasses that correct sight for far vision do not provide near vision correction in at least some instance.
Although many forms of optical correction and devices have been proposed to treat presbyopia, at least some of these approaches have one or more deficiencies such that the prior correction of presbyopia may be less than ideal in at least some instances.
Also, switching from near vision to far vision with reading glasses can be less than ideal in at least some instances.
Although bifocals are available, such corrective lenses may provide less than ideal results in at least some instances such as when a person engages in water sport or sweats such that the correction of the lenses can be at least partially distorted.
Although it has been proposed to treat tissue with energy to correct presbyopia, such tissue treatments can be more invasive than would be ideal and may be somewhat unstable in at least some instances.
Also, treatment of the lens can potentially result in changes in refraction of the eye such that the refraction and uncorrected vision of the eye may be less than ideal in at least some instances.
Further, at least some tissue treatments can be unstable in at least some instances such that the treatment may result in no more than a temporary change to the eye in at least some instances.
For example, although IOL surgery to replace a cataract of the natural lens of the eye can be effective in restoring vision of the patient, such patients cannot accommodate effectively in at least some instances.
Also, IOL surgery can be somewhat variable in at least some instances, such that the refraction of the eye with the IOL can be less than ideal in at least some instances.
Although multifocal lenses have been proposed, such lenses can result in undesirable visual phenomenon (hereinafter “dysphotopsia”) in at least some instances.
However, such IOLs have resulted in less accommodation than would be ideal and can be more difficult to implant in at least some instances.
Also, the accommodative abilities may not be restored as would be ideal in at least some instances.
Though vision may be improved, the degree of improvement can vary among patients and may be less predictable than would be ideal in at least some instances.

Method used

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  • Capsular membrane implants to increase accommodative amplitude
  • Capsular membrane implants to increase accommodative amplitude
  • Capsular membrane implants to increase accommodative amplitude

Examples

Experimental program
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Effect test

Embodiment Construction

[0103]Embodiments of the present invention as described herein can be used in many ways to improve accommodation of the eye. The embodiments as described herein can be used to treat presbyopia with an otherwise healthy eye, in a non-invasive or minimally invasive manner, such that the accommodation of the natural lens of the eye is enhanced. The embodiments as described herein can also be used in conjunction with IOLs such that the amount of accommodation with the IOL can be increased. The accommodating IOL may comprise a deformable IOL that can provide increased curvature when the eye accommodates, or an IOL in which the support increases an amount of axial movement of the lens when the eye accommodates, or combinations thereof.

[0104]The treatment of the capsular tissue can increase radially inward force to an IOL from at least about 1 gram (hereinafter “g”) to at least about 3 g, for example at least about 4 g, in exemplary embodiments at least about 6 g, so as to provide correspo...

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PUM

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Abstract

A support is coupled to the lens capsule to increase accommodation. The support may be adjustable, such that patient refraction and accommodation can be adjusted following surgery. The support may comprise rigidity sufficient to decrease radial movement of the intermediate portion of the lens capsule. The support can be placed on the intermediate portion to decrease radial movement of the intermediate portion of the lens capsule and increase radial stretching of an outer portion of the lens capsule extending between the zonules and the intermediate portion coupled to the support, such that the amount of accommodation of the eye is increased. The support may comprise a biocompatible material capable of stable coupling to the lens capsule following implantation, such that the far vision refraction and accommodation of the eye can be stable following surgery.

Description

[0001]This application is a divisional of and claims priority to U.S. application Ser. No. 13 / 043,178, filed Mar. 8, 2011, which is a continuation-in-part of and claims priority to U.S. application Ser. No. 12 / 570,780, filed on Sep. 30, 2009, which are hereby incorporated by reference in their entirety for all purposes as if fully set forth herein.BACKGROUND OF THE INVENTION[0002]The present invention relates to accommodation of the eye and treatment of presbyopia.[0003]The eye has a cornea and a lens. The cornea and lens focus light on a retina such that a person can perceive the image with the retina located on the back of the eye. When the image on the retina is focused, the image appears sharp to the patient. However, when the image is out of focus, the image appears blurred. An eyeglass prescription to correct far vision of the eye can be referred to clinically as a refraction of the eye, and the measured refraction of the eye can include a sphere, a cylinder and an axis of the...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61F2/14A61F9/008A61F2/16
CPCA61F2/14A61F2/1624A61F9/00838A61F2002/1681A61F2009/00889A61F2009/00895A61F2009/0087A61F9/00736A61F9/008F04C2270/0421
Inventor BRADY, DANIEL G.BOR, ZSOLTGERAGHTY, EDWARD P.BASINGER, BROOKE C.REISIN, CARINA R.CALI, DOUGLAS S.
Owner JOHNSON & JOHNSON SURGICAL VISION INC
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