Myopia glasses solution device and solution method
Paired myopia eyeglasses or spectacle fronts with temporary auxiliary optical films or small optical elements provide effective and economically viable solutions to slow myopia progression by offering directional optical cues and maintaining visual performance and cosmetic appeal.
Patent Information
- Application Number
- JP2022519403
- Authority / Receiving Office
- JP · JP
- Patent Type
- Patents
- Current Assignee / Owner
- Priority Date
- 2020-02-14
- Filing Date
- 2020-09-23
- Publication Date
- 2025-04-09
- Estimated Expiration
- 2040-09-23
AI Technical Summary
Existing eyeglass lens designs for myopia treatment often impair vision quality due to significant visual impairments such as swing-effects, image-jumps, residual aberrations, and peripheral distortions, and are not cosmetically appealing to children and young adults, while also being costly.
The use of paired myopia eyeglasses or spectacle fronts configured as sets or kits, which include temporary auxiliary optical films or small optical elements with toric or astigmatism power, providing temporary and spatially varying optical stop signals to slow the progression of myopia.
These solutions effectively slow, control, or reduce the progression of myopia by providing directional optical cues and reducing eye growth, while maintaining visual performance and cosmetic appeal, and are more economically accessible.
Smart Images

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Abstract
Description
[Technical field]
[0001] [Cross reference] This disclosure claims priority to Australian Provisional Application No. 2019 / 903581, filed September 25, 2019, entitled "A spectacle lens set for myopia," and to another Australian Provisional Application No. 2020 / 900413, filed February 14, 2020, entitled "Lens kit," both of which are incorporated by reference in their entireties herein.
[0002] Field of the Disclosure The present disclosure relates to means for treating axial length abnormalities such as myopia. The disclosure includes devices and methods for prescribing, selecting, providing, and fitting paired myopia treatment spectacles or spectacle fronts in a set, supply, or kit that are substantially toric or astigmatic or asymmetric and configured to provide directional optical cues to slow, ameliorate, control, inhibit, or reduce the rate of myopia progression over time, and the methods are prescriptions of treatment plans that provide temporal and spatial changes to the directional cues or optical stop signals.
[0003] The present disclosure further includes devices and methods for prescribing, selecting, supplying, and fitting temporary supportive attachable optical films or optical elements that are used in conjunction with standard single vision glasses used to correct an individual's refractive error and are a set, stock, or kit that are substantially toric or astigmatic, or asymmetric, and configured to provide directional cues to slow, ameliorate, control, inhibit, or reduce the rate of myopia progression over time, and the methods are prescriptions of treatment plans that provide temporal and spatial changes to the directional cues or optical stop signals. [Background technology]
[0004] At birth, the human eye is hyperopic and the eyeball length is very short relative to the total refractive power of the eye. As humans age from childhood to adulthood, the eyeball continues to grow until the refractive state of the eye stabilizes.
[0005] Eye growth is controlled by a feedback mechanism, primarily regulated by visual experience in the world, to match the ocular optical system to eye length and maintain homeostasis, a process called emmetropization.
[0006] The signals that guide the emmetropization process are initiated by modulation of the light energy received at the retina. Retinal image characteristics are monitored by biological processes that adjust the signals to start or stop, accelerate or decelerate eye growth. The processes achieve a match between the optics and the axial length to achieve or maintain emmetropia. Deviations from the emmetropization process can result in refractive disorders such as myopia. It is hypothesized that increased retinal activity inhibits eye growth and vice versa.
[0007] The incidence of myopia is increasing at an alarming rate in many parts of the world, especially in East Asia. In myopic individuals, the axial length of the eye does not match the total refractive power of the eye, so that distant objects are focused in front of the retina.
[0008] A simple pair of negative monofocal lenses can correct myopia. Although the above-mentioned devices can optically correct the refractive error related to axial length, they do not address the underlying cause of excessive eye growth in the progression of myopia.
[0009] Excessive ocular growth in high degrees of myopia is associated with serious sight-threatening conditions such as cataracts, glaucoma, myopic maculopathy, retinal detachment, etc. Thus, a need remains for specific optical devices for individuals that not only correct underlying refractive errors but also substantially avoid excessive ocular length over time.
[0010] To date, numerous spectacle lens designs have been proposed to control the rate of myopia progression. The prior art includes expensive D-shaped and concentric bifocal lenses, symmetric and asymmetric progressive lenses, simultaneous defocus regions in spectacle lenses, and the use of spectacle lenses with positive spherical aberration, further called peripheral plus lenses. In other words, all designs have several steps of addition power related to the prescription power of the lens, distributed either rotationally symmetrically or rotationally asymmetrically across the optical axis of the spectacle. Summary of the Invention [Problem to be solved by the invention]
[0011] Each of the above options has advantages and disadvantages for slowing the rate of myopia progression in an individual, some of which are described herein.
[0012] For example, some problems with existing eyeglass designs based on various types of bifocal lenses or peripheral plus power are that they compromise the quality of vision at various other viewing angles by introducing significant visual impairments such as swing-effect, image-jump, residual aberrations, peripheral distortion, etc.
[0013] The above-mentioned side effects can be mainly due to the use of significant levels of multiple defocus areas, multiple defocus bands, or multiple defocus portions, or a significant amount of positive spherical aberration in the lens, or a dramatic change in power within a certain band of the spectacle lens. The effect of the spectacle lens prescription compliance makes the above-mentioned lens function uncomfortable, so that the promotion of prescription compliance is insufficient, and the efficacy of the lens is insufficient due to a significant decrease in visual performance.
[0014] Therefore, what is needed is a eyeglass design for correcting and slowing the progression of myopia that does not suffer from one or more of the drawbacks described herein.
[0015] Additionally, some of the prior art lacks cosmetic appeal for children, teenagers, and young adults, such as borderline D-shaped bifocal lenses, expensive bifocal lenses, etc. Other solutions will become apparent as described herein.
[0016] While approaches disclosed in the prior art to address the progression of myopia address the needs of an individual and provide lenses that are effective myopia control solutions, they fall short in one or more ways of functioning effectively for the individual's daily routine. Thus, systems including kits and sets for solving the problems disclosed herein, as well as methods of prescribing the kits and sets, are desired.
[0017] One of the drawbacks of prior art eyeglasses for treating myopia is associated with their high access costs, which set a very high barrier of entry for ordinary individuals who need the solution. Thus, there is a need for devices and / or methods that can provide an economically friendly solution to the problem of myopia and improve the uptake of the solution by the population in need. [Means for solving the problem]
[0018] [Definition] Terms are used herein as commonly used by those of ordinary skill in the art unless otherwise defined below.
[0019] The term "myopic eye" refers to an eye that is either already experiencing myopia, is at a pre-myopic stage, is at risk of developing myopia, or has been diagnosed as having a refractive condition that progresses to myopia.
[0020] The term "progressing myopic eye" means an eye with established myopia that is diagnosed as progressing, as measured by either a change in refractive error of -0.25 D / year or less, or a change in axial length of 0.1 mm / year or more.
[0021] The term "an eye at risk of becoming myopic" refers to an eye that may currently be emmetropic or mildly hyperopic, but that is identified as being at high risk for becoming myopic based on genetic factors (e.g., parents who are myopic) and / or age (e.g., mild hyperopia at a young age), and / or environmental factors (e.g., time spent outdoors) and / or behavioral factors (e.g., time performed on near tasks).
[0022] The term "stop signal" refers to a light signal capable of facilitating the slowing, reversing, arresting, slowing, inhibiting, or controlling eye growth and / or the refractive state of the eye.
[0023] The term "through-focus" refers to an area that is substantially in front of or behind the retina, in other words, approximately directly opposite the retina and / or approximately directly behind the retina.
[0024] The term "spectacle lens" may refer to a finished or semi-finished unused lens. The terms "standard single vision spectacle lens" or "commercially available single vision spectacles" or "standard spectacles" refer to spectacle lenses used to correct underlying refractive errors of the eye, which may be myopia with or without astigmatism.
[0025] The term "myopia management spectacle lens" or "myopia management spectacles" refers to spectacle lenses that are used not only to correct underlying ocular refractive errors, but also to treat the progression of refractive errors, which may be myopia with or without astigmatism.
[0026] The term "optical zone" or "optical zone" refers to an area of a spectacle lens or an area of the front fixture of a spectacle for the treatment of myopia that provides a prescribed optical effect. The term "optical centre" refers to the geometric centre of the optical zone of a spectacle lens. The term "optical axis" refers to a line passing through the optical centre and substantially perpendicular to a plane including the edge of the spectacle lens. The term or phrase "spherical optical zone" may refer to an optical zone that provides a uniform power distribution with spherical aberration or a uniform power distribution without spherical aberration.
[0027] The term or phrase "non-spherical optical zone" may mean that the optical power distribution of the optical zone is not uniform. The non-spherical optical zone may be further classified as a non-spherical optical zone with low order aberrations such as astigmatism, and as a non-spherical optical zone with high order aberrations such as coma, trefoil, and spherical aberration. The term or phrase "astigmatic optical zone" or "toric optical zone" may mean that the power distribution of the optical zone is sphero-cylindrical.
[0028] The term "model eye" can refer to either a schematic ray trace or a physical eye model. As used herein, the term "Diopter" or "D" is a reference unit of dioptric power, defined as the reciprocal of the focal length of a lens or optical system along the optical axis. Typically, the letter "D" denotes spherical power and the letter "DC" denotes cylindrical power.
[0029] The term "conoid of Sturm" or "interval of Sturm" refers to the result of the through-focus image profile formed on or around the retina by the introduction of an astigmatic or toric power profile, or an asymmetrical power profile, with a spectacle lens or a front device or optical film or a miniature optical element for the treatment of myopia, represented as an elliptical blur pattern including sagittal and tangential planes and a circle of least confusion.
[0030] The term "induced" astigmatism is sometimes referred to synonymously as "introduced" astigmatism.
[0031] The term "power profile" refers to the one-dimensional power distribution localized across a spectacle lens or front spectacle device for treating myopia, either as a function of radial distance at a given azimuth angle relative to the optical center, or as a function of azimuth angle measured at a given radial distance.
[0032] The term "power map" means the two-dimensional power distribution of a spectacle lens or a spectacle front device for the treatment of myopia in Cartesian or polar coordinates.
[0033] The term "radial", in the context of describing a spectacle lens or front spectacle device for treating myopia, means a radial direction from the optical center of the spectacle lens or front spectacle device defined along an azimuth angle. The term "azimuthal", in the context of describing a spectacle lens or front spectacle device for treating myopia, means a circumferential direction relative to the optical center of the spectacle lens or front spectacle device defined by a radial distance.
[0034] The term "power map of the optical film" refers to the two-dimensional power distribution substantially throughout the entire optical film used with standard single vision eyeglass lenses.
[0035] The term "power map of the mini optical element" means a two-dimensional power distribution across the mini optical element in Cartesian or polar coordinates, which may be circular or elliptical.
[0036] The term "radial", in the context of describing a compact optical element, refers to a radial direction from the geometric center of the compact optical element defined along an azimuth angle. The term "azimuthal", in the context of describing a compact optical element, refers to a circumferential direction along the geometric center of the optical film or compact optical element defined by a radial distance.
[0037] The term "back vertex power" means the inverse of the focal length of the back vertex over the entire or a specific area of the optical zone, expressed in diopters (D). The term "SPH" power or "Spherical" power means a power that is substantially uniform among all meridians of the optical zone. The term "CYL" power or "Cylinder" power means the difference in the vertex power of the back vertex between two principal meridians within the optical zone. The term "meridional correction" means correcting the eye in one or more meridians. The term "meridional astigmatism" means introducing astigmatism in at least another meridian.
[0038] The term "base prescription for correcting the refractive error" refers to the standard spectacle prescription required to correct the underlying myopia in an individual, with or without astigmatism.
[0039] The term "sub-foveal region" refers to the region immediately adjacent to the foveal fovea of the retina, and is a region having a diameter of about 0.5 mm. The term "foveal region" refers to the region having a diameter of about 1.5 mm, based on the foveal fovea. The term "parafoveal region" refers to the region adjacent to the foveal region, and is approximately 1.5 mm outside and within 3 mm of the foveal fovea. The term "paramacular region" refers to the region immediately adjacent to the foveal region, and is approximately 1.5 mm outside and within 3 mm of the foveal fovea.
[0040] [Summary of this disclosure] Certain embodiments of the present disclosure relate to devices, supplies, and configurations of sets and kits with matching myopia treatment spectacles or sets and kits with matching front spectacle devices for use simultaneously with matching standard single vision spectacles lenses, and methods of using the matching spectacles sets and kits or matching front spectacle devices for correcting and treating myopia.
[0041] Certain embodiments of the present disclosure relate to the apparatus, provision, and configuration of temporary supplementary optical films, optical sheets, or sets and kits of miniature optical elements for use with standard single vision eyeglass lenses, and methods of using temporary supplementary optical films, optical sheets, or sets and kits of miniature optical elements for use with standard single vision eyeglass lenses to correct and treat myopia. Certain embodiments of the present disclosure aim to both correct myopic refractive error and simultaneously provide a directional cue that acts as an optical stop signal to reduce ocular growth progression, and certain methods of the present disclosure include treatment regimens for providing temporal and spatial changes to the optical stop signal, where the effect for reducing ocular growth progression remains substantially constant over time.
[0042] Certain embodiments of the present disclosure comprise a method comprising a set or kit of paired myopia treatment eyeglass lenses, or a set or kit of paired eyeglass front devices, or a set or kit of temporary supplemental optical films, optical sheets, or miniature optical elements for use with standard single vision eyeglass lenses, the method comprising selecting, prescribing, fitting, and using devices from the set or kit under a prescription of a treatment plan to provide a temporally and spatially varying optical stop signal, such as astigmatic blur, to the central and / or peripheral regions of the retina of the eye. In some examples, the method comprises prescription of a treatment plan to provide a temporally varying optical stop signal or a time-varying optical stop signal that varies in an hourly, daily, weekly, or monthly pattern. In another embodiment, the method can include prescribing a treatment regimen that provides a temporally varying or time-varying optical stop signal that changes in a more regular pattern, or a more irregular pattern, such as once every day for the next week, once every two days, once every three days, or once every four days for the next week.
[0043] In some embodiments, the method further comprises generating a spatially varying optical stop signal or a spatially varying optical stop signal; Wearer's field of vision 2.5 degrees Within , 5 degrees Within , 10 degrees Within , 15 degrees Within , or 20 degrees Within , or 30 degrees Within In another embodiment, the method can include prescribing a treatment plan to provide a spatially varying stopping signal at two or more desired retinal regions.
[0044] Another particular embodiment of the present disclosure relates to a need for an enhancement to current eyeglass designs that can substantially consistently reduce myopia progression over time, while providing the wearer with reasonable and sufficient visual performance for the range of activities that the wearer may perform as part of their daily routine. Various aspects of the embodiments of the present disclosure address the above-mentioned wearer needs.
[0045] Certain embodiments of the present disclosure include a set or kit of two or more, three or more, four or more, or five or more pairs of myopia treatment spectacles or mating spectacles front devices for use with standard monofocal spectacles lenses, each purposefully configured with a distribution of astigmatic or toric powers in addition to the base powers required to correct the refractive error, the mating myopia treatment spectacles configuration or mating spectacles front devices for use with standard monofocal spectacles lenses at least partially provide meridian correction for myopic refractive error and further provide at least partially meridian astigmatism to further inhibit the wearer's ocular growth or myopia progression. The myopia treatment spectacles set or kit or mating spectacles front devices for use with standard monofocal spectacles lenses provide a temporally and spatially varying stop signal to the retina center and / or retina periphery when worn under a prescribed treatment plan. In one embodiment, a set or kit of paired myopia treatment spectacles, or paired spectacles front devices used simultaneously with standard single vision spectacles lenses, are configured such that the magnitude and / or axis of the introduced astigmatism is substantially different between each pair of myopia treatment spectacles of the set or kit, or between each pair of spectacles front devices of the set or kit.
[0046] The present disclosure relates to eyeglasses for treating axial length abnormalities such as myopia. The proposed method includes correcting myopic refractive error or controlling, inhibiting or reducing the rate of myopia progression substantially consistently over time using a kit or set of eyeglasses for myopia treatment prescribed under a specific treatment plan. The present disclosure relates to an optical treatment set or kit for reducing myopia progression using the effect of astigmatic blurring introduced in one or more regions of the retina. The present disclosure further relates to a method of employing astigmatic blurring in a myopic eye that can act as a temporally and spatially varying stop signal. The present disclosure relates to an apparatus and method for a set or kit for myopia treatment that is purposefully configured and prescribed under a treatment plan to substantially consistently reduce the rate of myopia progression in a wearer over time.
[0047] Certain embodiments of the present disclosure relate to devices, methods, and / or systems that modify incident light through a lens of a pair of glasses to slow the progression of myopia using an astigmatism cue imposed on one or more regions of the retina. In some embodiments, the one or more regions of the retina on which the astigmatism cue is imposed can be imposed on a foveal region of the retina, a parafoveal region of the retina, a macular region of the retina, and / or a paramacular region of the retina. In some embodiments, the one or more regions of the retina on which the astigmatism cue is imposed can be on a temporal portion of the retina, a nasal portion of the retina, an inferior portion of the retina, and / or a superior portion of the retina.
[0048] Certain embodiments of the present disclosure relate to devices, methods, and / or systems consisting of eyeglass sets or kits including two or more, three or more, four or more, or five or more pairs of eyeglasses or eyeglass front devices prescribed under a treatment plan prescription to provide a temporally and spatially varying stop signal to slow the rate of myopia progression, whereby the effectiveness of the myopia treatment remains substantially constant over time.
[0049] Certain embodiments of the present disclosure relate to a pair of spectacles, or a set, stock, or kit, configured to provide an astigmatism cue, or stop signal, to slow down the rate of myopia progression, or a method including procedures for prescribing, selecting, fitting, and supplying a pair of spectacles front device, supplemental optical film / sheet, or supplemental miniature optics for use with standard single vision spectacles lenses, and a method including an optical film for converting a standard single vision spectacles lens for myopia correction into a myopia treatment spectacles lens for both myopia correction and slowing, slowing, reducing, and / or treating myopia progression, where the optical film can be configured into a standard single vision spectacles lens with a desired power profile change across the optical film. In some embodiments, the power profile of the optical film may be different in different regions of the optical film, such that when the optical film is configured into or adhered to a single vision eyeglass lens, it provides astigmatic blur to one or more specific regions of the wearer's retina to reduce the rate of myopia progression. Variations in the desired power profile in the optical film can be configured by varying the thickness profile of the optical film.
[0050] In some embodiments, the particular region or regions of the retina that employ astigmatism cues can be a nasal portion of the retina, a temporal portion of the retina, a superior portion of the retina, and / or an inferior portion of the retina. In some other embodiments, other retinal regions can be identified. In some other embodiments, the particular region or regions of the wearer's retina that employ astigmatism cues can be a subfoveal region of the retina, a foveal region of the retina, a parafoveal region of the retina, a macular region of the retina, and / or a paramacular region of the retina.
[0051] In some other embodiments, the particular area or areas of the wearer's retina that employ astigmatism cues include: Field of view 2.5 degrees Within , 5 degrees Within , 10 degrees Within , 15 degrees Within , 20 degrees Within , or 25 degrees Within A particular region or regions of the retina may be different in the left and right eyes of a wearer. In some embodiments, the difference may be configured as a difference in the magnitude, direction, and / or location of the optical stimulus. In other embodiments, the difference may be selected such that one or more eyes maintain sufficient visual performance equivalent to the visual performance of a standard single vision lens at any given angle.
[0052] In some embodiments, the optical films or sheets discussed can cover the entirety of a standard single vision eyeglass lens, while in other embodiments, the optical film embodiments can be configured only on specific areas of the eyeglass lens. In certain other embodiments of the present disclosure, a kit or set of optical films is provided that is configured to provide a wearer with a temporally and spatially varying stop signal when the desired optical characteristics are used under the prescription of the treatment plan. Particular examples can include optical films configured to provide the wearer with a desired astigmatic blur configured in an elliptical or circular shape. In some other examples, the prescription method can include the use of optical films or sheets that begin to degrade after a certain wearing time or period to aid in compliance with the treatment plan.
[0053] The present disclosure relates to the provision of a kit or set including a plurality of temporary auxiliary attachable miniature optical elements for individual use in conjunction with standard single vision eyeglass lenses prescribed for the correction of myopia in a wearer, and a prescription method providing a period of use and / or method of use, wherein each of the miniature optical elements is substantially configured with a distribution of astigmatic or toric powers, and wherein one or more of the miniature optical elements for use in conjunction with the standard single vision eyeglass lenses introduce, at least in part, an astigmatic blur or optical stop signal locally within a desired region of the retina of the wearer's eye, and wherein the prescription period and method provide a temporally and spatially varying optical stop signal to control the rate of ocular growth in the wearer's myopic eye, and wherein the effects of the myopia treatment are substantially maintained over time.
[0054] In some embodiments of the present disclosure, the temporary support attachable individual miniature optical elements of the aforementioned kits or sets configured with the desired distribution of astigmatic or toric powers can be glued to the lenses of standard single vision glasses, or can be glued to the lenses of standard single vision glasses with finger pressure and used as a sticker on one of the surfaces of the lenses of standard single vision glasses, or used as a peelable adhesive on one of the surfaces of the lenses of standard single vision glasses, or a combination thereof.
[0055] In some further embodiments, the prescription method providing the method of use can include identifying a particular area of a reference eyeglass lens and marking that area with a small embossment or small engraving within the matrix of the standard single vision eyeglass lens to allow the user to periodically change the position of a temporary support miniature optical element placed in the reference eyeglass lens as prescribed in the treatment plan.
[0056] In some embodiments of the present disclosure, the mating eyeglass front devices provided in the aforementioned kits for use with standard single vision eyeglass lenses can be screwed, hooked, or attached using a magnetic mechanism to the standard single vision eyeglass frames.
[0057] In some embodiments of the present disclosure, the temporary, individually attachable miniature optical elements can be configured with a distribution of astigmatic or toric powers and constructed using a transparent, elastic, thin, compliant material and implemented as stickers on the lenses of standard single vision glasses intended to correct refractive errors such as myopia with or without astigmatism.
[0058] In some embodiments of the present disclosure, the temporary auxiliary individually attachable miniature optical element is configured with a distribution of astigmatic or toric powers and configured as a sticker on the lens of a standard single vision eyeglass intended to correct myopia, and can cover only a localized portion of the eyeglass lens. In some examples, the surface area of the localized portion of the eyeglass lens covered by the sticker is less than 3 mm 2 or more, 4mm 2 Above 5mm 2 Above, 6mm 2 That's it, 7mm 2 That's it, 8mm 2 or more, or 10mm 2 It can do more than that. [Brief description of the drawings]
[0059] [Figure 1] FIG. 1 shows a schematic diagram of the analysis of the on-axis geometric spot at the plane of the retina when incident light of visible wavelength (e.g., 589 nm) and 0D vergence is incident on an uncorrected −3D myopic eye model. [Diagram 2] FIG. 2 shows a schematic diagram of the analysis of the on-axis geometric spot at the plane of the retina when incident light of visible wavelength (e.g., 589 nm) and 0D convergence is incident on a −3D myopic eye model corrected with prior art single vision eyeglass lenses. [Diagram 3] FIG. 3 shows a schematic diagram of the geometric spot analysis at the on-axis through-focus at the plane of the retina when incident light of visible wavelength (589 nm) and 0D convergence is incident on a −3D myopic eye model corrected with one of the embodiments of the eyeglass lenses for myopia treatment of the kit or set disclosed in the present specification. [Figure 4] FIG. 4 illustrates a flow chart of an exemplary method of prescribing a kit or set of eyeglass lenses for treating myopia to reduce, arrest, or control the progression rate of myopia in an individual, according to an exemplary embodiment of the present disclosure. [Diagram 5]5 shows an exemplary set of two pairs of myopia treatment eyeglass lenses prescribed to reduce, inhibit or control the progression rate of a myopic individual according to the present disclosure. A 1DC astigmatic blur (i.e., stop signal) is combined with the base power for each eye. [Figure 6] FIG. 6 shows the temporally and spatially varying signal over the duration of the prescription, shown as an on-axis point spread function at the plane of the retina, for incident light of visible wavelength (589 nm) and 0D convergence incident on a −3D myopic eye model corrected with the embodiment of two pairs of myopia treatment spectacle lenses described in FIG. [Figure 7] Figure 7 shows the temporally and spatially varying signals, represented as wide-angle through-focus spot diagrams, when incident light is incident on a -3D myopic eye model corrected with a first pair of myopia treatment spectacle lens embodiments and a second pair of myopia treatment spectacle lens embodiments described in Figure 5 over a prescription period as disclosed herein. The first and third rows show off-axis angles of view of -10 degrees and +10 degrees, respectively. [Figure 8] FIG. 8 shows the retinal signal expressed as a through-focus coefficient on the axis of the optical transfer function for the principal and vertical meridians of the point spread function of FIG. 6 calculated when incident light of visible wavelength (589 nm) and 0D convergence is incident on a −3D myopic eye model corrected with the paired embodiment of the myopia treatment spectacle lens described in FIG. 5 . [Figure 9] FIG. 9 shows a table of 16 non-exhaustive examples of astigmatism or toric powers for use in the present disclosure, with the principal meridians represented in the form of two cross cylinders, with the solid line representing the first principal meridian with the weaker positive power and the dotted line perpendicular to the first principal meridian representing the second principal meridian with the stronger positive power. [Figure 10] FIG. 10 illustrates an exemplary set of four pairs of supplemental myopia treatment spectacle front devices that are used in juxtaposition to matching standard single vision spectacle lenses to reduce, arrest, or control the rate of progression in an individual with myopia, as disclosed herein. [Figure 11] FIG. 11 shows a power distribution map of an exemplary set of four pairs of supplemental myopia treatment eyeglass front devices used in juxtaposition to matching standard single vision eyeglass lenses to reduce, inhibit or control the progression rate in an individual with myopia as disclosed herein. [Figure 12] FIG. 12 shows the temporally and spatially varying signal over the prescription period, shown as an on-axis point spread function at the plane of the retina, for incident light of visible wavelength (589 nm) and 0D convergence incident on a −3D myopic eye model corrected with four pairs of auxiliary myopia treatment spectacle front devices used in juxtaposition with the paired standard monofocal spectacle lenses described in FIG. 10. [Figure 13] Figure 13 shows the temporally and spatially varying signal, represented as a wide angle through-focus spot diagram when incident light is incident on a -3D myopic eye model corrected with four pairs of auxiliary myopia treatment spectacle front devices used in juxtaposition with paired standard monofocal spectacle lenses as described in Figure 10 over the duration of a prescription as disclosed herein. The second row represents the on-axis field angle of 0 degrees, while the first and third rows represent off-axis fields of -10 degrees and +10 degrees. [Figure 14] FIG. 14 shows a pair of standard single-vision glasses used for the correction of myopia, where an auxiliary optical sheet or optical film (from a kit or set disclosed herein) is applied over substantially the entire surface area of the lens of the left pair of glasses to convert the left lens of the pair of standard single-vision glasses into a lens of glasses for treating myopia, and methods of dispensing the auxiliary optical sheet or optical film are described herein. [Figure 15] FIG. 15 shows an array of prefabricated temporary support optical sheets or optical films enclosed in a kit or set disclosed herein suitable for use over substantially the entire surface area of a pair of standard single vision eyeglass lenses as described in FIG. 14 for prescription periods 1-6 as described herein. [Figure 16]FIG. 16 shows another array of prefabricated temporary support optical sheets or films included in a kit or set disclosed herein suitable for use over substantially the entire surface area of a matching standard eyeglass lens as described in FIG. 14 for prescription periods 1-6 as described herein. [Figure 17] FIG. 17 shows another pair of standard single vision glasses used for the correction of myopia, where an auxiliary optical sheet or optical film from a kit or set disclosed herein is applied over a localized surface area of the lenses of the standard single vision glasses to convert the pair of standard single vision glasses into a pair of myopia treatment glasses, and the method of dispensing the auxiliary optical sheet or optical film is described herein. [Figure 18] FIG. 18 shows an array of prefabricated temporary support optical sheets or optical films enclosed in multiple subsets within a kit or set as disclosed herein, suitable for use over the localized surface area of a standard pair of single vision eyeglasses as described in FIG. 17 in a prescription position for the duration of the prescription, as described herein. [Figure 19] FIG. 19 shows an array of prefabricated temporary support optical sheets or optical films that encapsulate multiple subsets within the kit or set of FIG. 18 and are purposefully configured over the localized surface area of a pair of standard single vision eyeglasses as described in FIG. 17 in the prescription position for prescription periods 1-6 as described herein. [Figure 20] FIG. 20 shows a standard, unused, single-vision eyeglass made with auxiliary optical elements or optical films selected from a kit or set disclosed herein, cut into an oval-shaped lens with a minor axis diameter of 20 mm and a major axis diameter of 25 mm. [Figure 21]FIG. 21 shows a schematic diagram of wide-field ray tracing of a −3D myopic right eye corrected with the exemplary embodiment described in FIG. 20, where the ray tracing diagram encompasses three angles of view for the spectacle wearer: temporal angle of view (−15.0 degrees), central angle of view (0.0 degrees), and nasal angle of view (15.0 degrees). [Figure 22] Figure 22 shows point spread functions over a wide field of view when incident light is incident on a -3D myopic right eye model corrected with the exemplary embodiment described in Figure 20. The three point spread functions represent three field angles when the light passes through (a) a separate area (-15.0 degrees) located on the ear side of the eyeglass lens, (b) the central field angle (0.0 degrees), and (c) the incident light passes through the nasal field angle (15.0 degrees). [Figure 23] Figure 23 shows the temporally and spatially varying signal, represented as a wide angle through-focus spot diagram, when incident light is incident on a -3D myopic right eye model corrected with the exemplary embodiment described in Figure 20. The performance is represented at various angles of view, with the first column representing a temporal angle of view of -15 degrees, the second column representing a central angle of view of 0 degrees, and the third column representing a nasal angle of view of 15 degrees. [Figure 24] Fig. 24 shows the spatially and temporally varying signals, represented as wide-angle through-focus spot diagrams when the incident light is incident on a -3D myopic right eye model corrected with the exemplary embodiment described in Fig. 20. Through-focus spot diagrams of the exemplary embodiment together with standard monofocal spectacle lenses are presented for three different configurations. The position of the temporary aid mini optics is kept constant, but the orientation of the optics is configured at the principal meridian position with lower powers at field angles of 90 degrees, 225 degrees and 315 degrees. [Diagram 25] FIG. 25 shows a standard, unused pair of single-vision eyeglasses cut into a circular lens with a diameter of 30 mm, configured with auxiliary optical elements or optical films selected from a kit or set for treating myopia disclosed herein. [Figure 26]FIG. 26 shows a schematic diagram of wide-field ray tracing of a −3D myopic right eye corrected with the exemplary embodiment described in FIG. 25, where the ray tracing diagram encompasses three field angles for a spectacle wearer: temporal field angle (−20.0 degrees), central field angle (0.0 degrees), and nasal field angle (20.0 degrees). [Figure 27] Figure 27 shows point spread functions over a wide field of view when incident light is incident on a -3D myopic right eye model corrected with the exemplary embodiment described in Figure 24. The three point spread functions represent three viewing angles when the light passes through (a) a separate area (-20.0 degrees) located on the ear side of the eyeglass lens, (b) the central field angle (0.0 degrees), and (c) the incident light passes through the nasal field angle (20.0 degrees). [Figure 28] Figure 28 shows the temporally and spatially varying signal, represented as a wide angle through-focus spot diagram, when incident light is incident on a -3D myopic right eye model corrected with the exemplary embodiment described in Figure 24. The performance is represented at various angles of view, with the first column representing a temporal angle of view of -20 degrees, the second column representing a central angle of view of 0 degrees, and the third column representing a nasal angle of view of 20 degrees. [Figure 29] FIG. 29 shows a standard, unused, single-vision eyeglass made with supplemental optical elements or optical films selected from a kit or set disclosed herein, cut into an oval-shaped lens with a minor axis diameter of 25 mm and a major axis diameter of 30 mm. [Diagram 30] FIG. 30 shows a schematic diagram of wide-field ray tracing of a −3D myopic right eye corrected with the exemplary embodiment described in FIG. 29, where the ray tracing diagram encompasses three fields of view for the eyeglass wearer: temporal field of view (−20.0 degrees), central field of view (0.0 degrees), and nasal field of view (20.0 degrees). [Diagram 31]Figure 31 shows the point spread function over a wide field of view when the incident light is incident on a -3D myopic right eye model corrected with the exemplary embodiment described in Figure 29. The three point spread functions represent three viewing angles when the light passes through a) another area located on the ear side of the eyeglass lens (-20.0 degrees), (b) the central field angle (0.0 degrees), and (c) the incident light passes through the nasal field angle (20.0 degrees). [Diagram 32] Figure 32 shows the temporally and spatially varying signal, depicted as a wide-angle through-focus pot diagram, for incident light entering a -3D myopic right eye model corrected with the exemplary embodiment depicted in Figure 29. The performance is depicted at various viewing angles, with the first column representing a -20 degree temporal field angle, the second column representing a 0 degree central field angle, and the third column representing a 20 degree nasal field angle. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0060] The efficacy rates of prior art eyeglass designs are demonstrated through randomized controlled clinical trials. The duration of the studies involving eyeglass designs ranges from 6 months to 3 years, and the reported efficacy rates range from 10% to 50% when compared to single vision control lenses.
[0061] A simple linear model of emmetropization suggests that the magnitude of the stop signal accumulates over time, in other words, it depends on the sum of the exposure magnitudes and not on their time distribution.
[0062] A notable observation in all clinical trials is the fact that nearly all deceleration effects on progression rate appear to occur as an initial burst of treatment effect observed in the first 6-12 months, which then dissipates over time. Thus, a more accurate emmetropization model consistent with clinical results would suggest that there is a delay before a stop signal is built up, and then saturation occurs over time, perhaps resulting in a decay in the effectiveness of the stop signal.
[0063] There is a need in the art for spectacle lenses that avoid or minimize the effects of such saturation with prescribed treatment plans that require, for example, switching of a paired myopia treatment spectacle lens from a set or kit, or switching of a paired myopia treatment front spectacle device, or a paired temporary auxiliary optical film, optical sheet, or small optical element used simultaneously with a paired standard single vision spectacle lens during the prescription, by providing a temporally and spatially varying stop signal to slow the rate of myopia progression. In addition to paired spectacle lenses from a set or kit prescribed under a treatment plan, the present disclosure further describes the use of auxiliary front spectacle devices, and / or temporary optical films and small optical elements, that are a set or kit used simultaneously with a paired standard spectacle lens prescribed under a treatment plan.
[0064] Thus, there is a need for optical interventions that have mechanisms for achieving substantially greater efficacy and / or substantially constant efficacy over time in reducing and / or slowing the progression of myopia without significantly compromising visual performance. In one or more embodiments, substantially constant efficacy over time can be considered to be 6 months or more, 12 months or more, 18 months or more, 24 months or more, 36 months or more, 48 months or more, or 60 months or more.
[0065] In this section, the present disclosure will be described in detail with reference to one or more embodiments, some of which are shown and supported by the accompanying drawings. The examples and embodiments are provided for illustrative purposes and should not be construed as limiting the scope of the present disclosure. The following description is provided in conjunction with several example embodiments that may share common characteristics and features of the present disclosure. It should be understood that one or more features of one embodiment can be combined with one or more features of any other embodiment to form additional embodiments. The functional and structural information disclosed herein should not be construed as limiting in any manner, but only as representative basics to teach those skilled in the art to use the disclosed embodiments and variations of the embodiments in various forms. The subheadings and related headings used in the detailed description section are included merely for ease of reference to the reader and should not be used to limit the subject matter found throughout the present disclosure or the claims of the present disclosure. The subheadings and related headings should not be used in interpreting the scope of the claims or the limitations of the claims.
[0066] The risk of developing myopia or progressive myopia may be based on one or more factors, such as genetic factors, ethnicity, lifestyle, environmental factors, excessive close family work, etc. Certain embodiments of the present disclosure are directed to individuals at risk of developing myopia or progressive myopia.
[0067] One or more of the following advantages are found in one or more of the disclosed optical devices and / or methods of myopia treatment kits, a kit or set of matching myopia treatment eyeglass lenses, or a kit or set of matching eyeglass front fixtures for use simultaneously with standard single vision eyeglass lenses, a kit or set of matching temporary support optical films, a kit or set of matching temporary support optical sheets, or a kit or set of temporary support miniature optical elements, or a method of providing a stop signal for slowing the eye growth rate or stopping the wearer's eye growth (or refractive error condition) based on an astigmatism blur signal.
[0068] A kit or set of paired myopia treatment eyeglass lenses, or a kit or set of paired front eyeglass devices for use with standard single vision eyeglass lenses, a kit or set of paired temporary support optical films, a kit or set of paired temporary support optical sheets, or a kit or set of paired miniature optical elements, or a method of providing a temporally and spatially varying stop signal to increase effectiveness in treating progressive myopia. The present disclosure contemplates devices and / or methods that are not based on positive spherical aberration or parallel defocus, which are subject to saturation of effectiveness due to the rotational symmetry of the optical stop signal.
[0069] Figure 1 shows an uncorrected-3D myopic eye model (100). When incident light (101) of visible wavelength (e.g. 589 nm) with 0D convergence enters an uncorrected myopic eye, the resulting image on the retina has a symmetric blur (102) caused by defocus. The schematic diagram represents an analysis of an on-axis geometric spot in the plane of the retina.
[0070] Figure 2 shows a schematic diagram of the analysis of the geometrical spot on axis in the plane of the retina when the -3D myopic eye model (200) of Figure 1 is corrected with a standard monofocal eyeglass lens of the prior art or with a commercially available monofocal eyeglass lens (202). In this example, when incident light (201) of visible wavelength (e.g. 589 nm) with 0D vergence enters the corrected myopic eye, the resulting image on the retina has a symmetrical sharp focus (203).
[0071] Figure 3 shows a schematic diagram of an analysis of the geometrical spot through focus on the axis at the plane of the retina when the -3D myopic eye model (300) of Figure 1 is corrected with one of the exemplary embodiments (302) disclosed herein. In this example, when incident light (301) of visible wavelength (e.g., 589 nm) with 0D vergence is incident on the corrected myopic eye (300), the resulting through focus image on the retina forms a Starm's cone or Starm's interval with a circle of least confusion between 303a and 303b, and an elliptical blur pattern with sagittal and tangential planes (303a and 303b). Certain exemplary embodiments relate to a method of modifying incident light through a lens system of spectacles that provides an astigmatic cue (i.e., a stop signal) to the retina of the eye. The above can be achieved by using an astigmatic or toric power in addition to the standard power used to correct myopia. In essence, the additional use of astigmatic or toric powers can be used to reduce the rate of myopia progression by employing an astigmatic cue (i.e., a stop signal) at the level of the retina. In certain embodiments, the use of an astigmatic cue provided in a kit for myopia treatment can be configured to provide a stop signal that varies both temporally and spatially.
[0072] A schematic eye model (Table 1) is selected for illustrative purposes in Figs. 1-3. However, in another exemplary embodiment, a schematic ray-tracing eye model, such as the Liou-Brennan model, the Escudero-Navarro model, etc., can be used in place of the simplified eye model described above. Parameters of the cornea, the lens, the retina, the ocular media, or a combination thereof can be modified to aid in further simulation of the embodiments disclosed herein. Although the examples provided herein used a -3D myopic eye model to disclose the present disclosure, the present disclosure can be extended to other myopia degrees, for example, -1D, -2D, -5D, or -6D. Furthermore, it is understood that the scope of the present disclosure can be extended to eyes with various degrees of myopic refractive error, with or without astigmatism.
[0073] In the exemplary embodiment, a specific wavelength of 589 nm is referenced, but one skilled in the art will understand that this can be extended to other visible wavelengths from 420 nm to 760 nm. The specific structural and functional details disclosed in the figures and examples of the present disclosure should not be construed as limitations, but as a representative basis for teaching one skilled in the art to use the disclosed embodiments in numerous variations.
[0074] Certain embodiments of the present disclosure relate to a kit or set for treating myopia that can provide a stop signal to the eye of progressing myopia that varies both temporally and spatially, in other words varies with retinal position over time, achieved with the aid of prescription of a treatment regimen of wear, which can minimize the inherent saturation effect of efficacy observed in the prior art.
[0075] In certain embodiments, the toric portion of the myopia treatment spectacle lens, or the toric portion of the spectacle front fixture when used with a standard single vision spectacle lens, at least partially provides meridian correction for the myopic eye and at least partially generates a temporally and spatially varying astigmatism stop signal to reduce the rate of myopia progression when worn under a treatment plan. In certain embodiments, the introduced astigmatism (i.e., the stop signal) configured within the companion myopia treatment spectacle lens, or companion spectacle front lens fixture used with a kit or set of standard single vision spectacle lenses, can be +0.5 DC or more, +0.75 DC or more, +1 DC or more, or +1.25 DC or more. In certain embodiments, the introduced astigmatism configured within the front fixture of a spectacle lens to be used with a matching myopia treatment spectacle lens or a kit or set of standard single vision spectacle lenses can be +0.5DC to +1.75DC, +0.5DC to +2D, or +0.5DC to +2.5DC.
[0076] FIG. 4 illustrates a flow chart of an exemplary method of prescribing a kit or set of eyeglass lenses for treating myopia to reduce, arrest, or control the progression rate of a myopic individual, according to an exemplary embodiment of the present disclosure.
[0077] In this embodiment, base powers for the individual's left and right eyes are identified (401) by performing an optimal objective or subjective refraction for each eye of the individual.
[0078] The selected preferred astigmatism or toric power distribution magnitude and axis is combined with base powers for two or more pairs of myopia treating eyeglasses for the individual (402).
[0079] Two or more pairs of myopia treatment glasses are configured to at least partially provide meridian correction for the eye, at least partially provide meridian astigmatism blurring, and act as optical signals to the eye (403).
[0080] Additionally, the use of two or more pairs of myopia treatment eyeglass lenses prescribed under the treatment plan provides a spatially and temporally varying stop signal to the eye (404).
[0081] In some embodiments, the preferred astigmatism level configured within a matching myopia treatment eyeglass lens to be used with a kit or set of standard single vision eyeglass lenses can be +0.5 DC or greater, +0.75 DC or greater, +1 DC or greater, +1.25 DC or greater, or +1.75 DC or greater.
[0082] In some embodiments, the preferred astigmatism level configured within a matching myopia treatment eyeglass lens to be used with a kit or set of standard single vision eyeglass lenses can be +0.5DC to +1.75DC, +0.5DC to +2DC, or +0.5DC to +2.25.
[0083] In some embodiments, the preferred difference in axial orientation of the individual eyeglass lenses of a pair of myopia treatment eyeglass lenses can be 15 degrees or more, 30 degrees or more, 45 degrees or more, 60 degrees or more, or 75 degrees or more.
[0084] In some embodiments, the preferred difference in axial direction between the lenses of a pair of eyeglasses for treating myopia can be between 15 degrees and 30 degrees, between 30 degrees and 60 degrees, between 45 degrees and 75 degrees, between 60 degrees and 90 degrees, or between 15 degrees and 90 degrees.
[0085] To demonstrate the effects of alternative embodiments, other schematic eye models, such as the Atchison model, the Escudero-Navarro model, the Liou-Brennan model, the Polans model, the Goncharov-Dainty model, etc., may be used in place of the schematic eye model described above.
[0086] Additionally, one skilled in the art can vary individual parameters of the eye model, such as parameters of the cornea, lens, retina, media, or combinations thereof, to help simulate better effects. A schematic eye was used to simulate the optical performance results of the exemplary embodiments of the present disclosure.
[0087] The prescription parameters of the schematic eye model used for optical modeling and performance simulation are shown in Table 1.
[0088] The prescription provides a -3D myopic eye defined for a monochromatic wavelength of 589 nm. The prescription in Table 1 should not be interpreted as a required method for demonstrating the intended effect of the exemplary embodiment. For the purpose of optical simulation, it is only one of many methods that can be used by those skilled in the art.
[0089] [Table 1]
[0090] Table 2 provides myopia treatment spectacle lenses with powers of -3D / +1DC. The powers of the two exemplary pairs of myopia treatment spectacle lens embodiments (501 and 510) shown in Figure 5 are -3D / +1DCx90 (right and left eyes) for the first pair, -3D / +1DCx135 (right eye) for the second pair, and -3D / +1DCx45 (left eye) for the second pair.
[0091] [Table 2]
[0092] FIG. 5 illustrates two pairs of exemplary myopia treatment eyeglass lenses (501 and 510) prescribed to reduce, arrest, or control the rate of progression in an individual with myopia according to the present disclosure.
[0093] The astigmatic blur (i.e., stop signal) is 1DC and is combined with the base power of each eye. The axial direction of the prescribed astigmatic blur in the first pair is 90 degrees, and the axial direction of the prescribed astigmatic blur in the second pair is 135 degrees and 45 degrees for the right and left eyes of the wearer, respectively. The first pair of myopia treatment glasses (501) is prescribed for use in the first phase, and the second pair of myopia treatment glasses (510) is prescribed for use in the second phase. The astigmatic or toric powers of the pair of myopia treatment glasses in FIG. 5 are represented in the form of a cross cylinder notation using two main meridians, with the solid lines (502, 512) representing the weaker main meridian and the dotted lines (504, 514) representing the stronger main meridian with a positive power.
[0094] In some embodiments, the two wearing periods described in the method of using the two pairs of glasses for treating myopia shown in Figure 5 can be every other day of the week, for example, Monday, Wednesday, and Friday. In some other embodiments, the two wearing periods can be specific days of the week, while in some other embodiments, the two wearing periods can include specific days of the month.
[0095] When incident light of visible wavelength (e.g., 589 nm) with 0D convergence entering a myopic eye (Table 1) is corrected with the two exemplary pairs of myopia treatment glasses 501 and 502 of FIG. 5, the resulting on-axis temporally and spatially varying point spread functions at the retinal plane of pair 1 and pair 2 are shown in FIG. 6.
[0096] The two columns of point spread functions 600 and 601 represent the temporally and spatially varying optical signal on axis of a wearer's retina when the pair of myopia treatment eyeglass lenses of Figure 5 are used according to the prescription of the treatment plan disclosed herein. As can be seen, the first pair of myopia treatment eyeglasses 501 provides astigmatic blurring in the vertical meridian (602 and 604) of the wearer's retina, and the second pair 502 provides astigmatic blurring in the oblique meridians (612 and 614).
[0097] Figure 7 shows the temporally and spatially varying signals, represented as wide-angle through-focus spot diagrams, when the incident light is incident on a -3D right myopic eye model corrected with two pairs of myopia treatment spectacle lenses according to Figure 5 over a period of two prescriptions under the treatment plan prescription. The rows represent the optical performance over various angles of view, i.e. -10 degrees, 0 degrees, and 10 degrees.
[0098] The through-focus spot diagram in Figure 7 is represented as a time integral of the optical signal obtained by integrating the resulting response when the right lens of the front fixture of the four pairs of spectacles is fitted to a -3D myopic eye model. The time integral means that in a through-focus spot diagram representation of 1, we combine the effect of the pair of myopia treatment spectacles worn over a period of 2 prescriptions.
[0099] FIG. 8 shows the retinal signal expressed as a through-focus coefficient on the axis of the optical transfer function for the principal and vertical meridians of the time-varying point spread function corrected by the embodiment of the two pairs of spectacle lenses described herein when the incident light with visible wavelength (589 nm) and 0D convergence is incident on the −3D myopic right eye model of Table 1. The through-focus optical transfer function of FIG. 8 represents the time integral of the optical signal obtained by integrating the resulting response when the right lens of the two pairs of myopia treatment spectacle lenses is worn on the −3D myopic right eye model. The time integral means combining the effect of the pair of myopia treatment spectacles worn over the period of the two prescriptions in the display of one through-focus spot diagram.
[0100] 9 shows a limited sample of 16 astigmatism or toric powers contemplated in the present disclosure. The toric powers in FIG. 9 are represented in the form of two cross cylinders with the main meridians, the solid line representing the main meridian with less positive power and the dotted line representing the main meridian with more positive power. The 16 samples should not be construed as limiting the scope of the present disclosure.
[0101] FIG. 10 shows a set of four exemplary pairs of auxiliary front eyeglass devices (1000, 1010, 1020, 1030) used in juxtaposition to matching standard single vision eyeglass lenses to reduce, inhibit, or control the progression rate in an individual with myopia, as disclosed herein.
[0102] The auxiliary front fixture of Figure 10 is configured with astigmatism that varies in magnitude from +1DC to +2.5DC and in the direction of the axis of the cylinder in each eye. The astigmatism or toric power of the paired front fixture of Figure 10 is represented in the form of a cross cylinder notation using two principal meridians, with the solid lines (1002, 1012, 1022, 1032) representing the less positive principal meridian and the dotted lines (1004, 1014, 1024, 1034) representing the more positive principal meridian of the right lens of the exemplary four pairs of auxiliary front fixtures.
[0103] For example, in the right lens of the front spectacle device, the directions of the cylinder axes of the first, second, third and fourth pairs of front spectacle devices are 0 degrees, 30 degrees, 60 degrees and 90 degrees, respectively. In the left lens of the front spectacle device, the directions of the cylinder axes of the first, second, third and fourth pairs of front spectacle devices are 180 degrees, 150 degrees, 120 degrees and 90 degrees, respectively. The four pairs of auxiliary front spectacle devices (1000, 1010, 1020, 1030) are prescribed to be used for separate periods of time. For example, each of the pairs of auxiliary front spectacle devices is replaced every day, 2 days, 3 days, 4 days, 5 days, 7 days, 10 days, 14 days or 21 days.
[0104] 11 details a power distribution diagram for a set of four exemplary pairs of supplementary front spectacle devices (1000, 1010, 1020, 1030) used in juxtaposition with a pair of standard spectacle lenses to reduce, inhibit, or control the progression rate of myopia in an individual as disclosed herein. The right eye powers (1000, 1010, 1020, 1030) of the four pairs of front spectacle devices shown in FIG. 10 are: first pair: none (plano) / +1.5DCx180 (right, 1101), second pair: none / +1DCx120 (right, 1103), third pair: none / +2.5DCx150 (right, 1105), and fourth pair: none / +2DCx90 (right, 1107). The left eye powers (1000, 1010, 1020, 1030) of the four pairs of exemplary eyeglass front fixtures shown in FIG. 10 are: the first pair is None / +1.5DCx180 (left, 1102), the second pair is None / +1DCx60 (right eye, 1104), the third pair is None / +2.5DCx30 (right eye, 1106), and the fourth pair is None / +2DCx90 (right eye, 1108).
[0105] When a set of four pairs of front spectacle devices (1000, 1010, 1020, 1030) according to Fig. 10 is used in juxtaposition with standard monofocal spectacle lenses used to correct myopia with or without astigmatism, the resulting temporally and spatially varying optical signal obtained by integrating the response over the period of four prescriptions is shown in Fig. 12. The on-axis retinal point spread functions represented for the right eye (1201, 1203, 1205, 1207) and the left eye (1202, 1204, 1206, 1208) were calculated when incident light of visible wavelength (589 nm) and 0D vergence was incident on a -3D myopic eye model corrected with four pairs of auxiliary front spectacle devices (1000, 1010, 1020, 1030) according to Fig. 10 under the prescription of the treatment plan.
[0106] Figure 13 shows the temporally and spatially varying signals, represented as wide-angle through-focus spot diagrams, when incident light is incident on a 3D myopic right eye model corrected with four pairs of spectacle front devices as described in Figure 10, over a period of four prescriptions, under the treatment plan prescription. The rows represent the optical performance over various angles of view, i.e., -10 degrees, 0 degrees, and 10 degrees.
[0107] The through-focus spot diagram of Figure 13 is represented as a time integral of the optical signal obtained by integrating the resulting response when the right lens of the front fixture of 4 pairs of glasses is worn on a -3D myopic eye model. The time integral means that in a through-focus spot diagram representation of 1, the combined effect of the pair of myopia treatment glasses worn over 4 prescription periods is combined.
[0108] FIG. 14 shows a pair of standard eyeglasses used for the correction of myopia, in which a supplemental optical sheet or optical film selected from a kit or set disclosed herein is applied over substantially the entire surface area of the lens of the left eyeglass to convert the pair of standard single vision eyeglasses into a pair of myopia treatment eyeglasses, and methods of dispensing the supplemental optical sheet or optical film are described herein.
[0109] The left part of FIG. 14 shows a pair of standard monofocal eyeglass lenses 1400 having a right lens (1401) and a left lens (1402) that can be used to correct myopic refractive error, with or without astigmatism.
[0110] The right portion of FIG. 14 shows an exemplary embodiment including an optical film or sheet designed to substantially cover a left lens 1402, indicated by a dotted border, where the optical film or sheet is configured with substantially no power (plano) across the optical film or sheet, and one elliptical optical element 1405 configured such that the optical element fits into the upper region of the left lens of the eyeglass lens.
[0111] The optical film or sheet can be peeled off with 1404 portion of the film being placeable over the eyeglasses.
[0112] In this embodiment, the major and minor axes of the elliptical optic are approximately 4 mm and 3 mm, respectively. The elliptical optic is configured with two principal meridians, dotted line 1406, and a distribution of astigmatic or toric powers as indicated by solid line 1407. In some embodiments, the temporary support optical film or sheet that comprises one or more elliptical optics of the present disclosure includes an adhesive backing for adhering the optical sheet or film to a lens of a standard single vision eyeglass. The temporary adhesive backing can be peelable, self-adhesive, or any other suitable adhesive means for adhering the temporary support optical film or sheet to a lens of a standard single vision eyeglass. In some other embodiments, the temporary support optical film or sheet can be configured with two or more or three or more optical elements, each having the distribution of astigmatic or toric powers of the present disclosure.
[0113] FIG. 15 shows an array of prefabricated temporary support optical sheets or optical films enclosed in a kit or set disclosed herein, suitable for use over the entire surface area of a pair of standard single vision glasses as described in FIG. 14 for the prescription periods (1-6) as described herein.
[0114] In the example of Figure 15, the right and left portions of the set or kit including the optical film or optical sheet are comprised of one elliptical optical element characterized by a distribution of astigmatic or toric powers as disclosed herein. In this example, changing the placement or position of the optical elements within the optical film or optical sheet and application to the lenses of standard single vision eyeglasses used to correct myopia provides a temporally and spatially varying optical stop signal or stimulus to the eye.
[0115] In the embodiment of FIG. 15, the dimensions of the individual elliptical optical elements within the set or kit of light sheets vary in the major dimension from 3 mm to 6 mm, and in the minor dimension from 2 mm to 4 mm.
[0116] In this embodiment, the power distribution of astigmatism within each of the optical elements is described by two principal meridians, with the thick line representing the weaker positive meridian power and the dotted line representing the stronger positive meridian power.
[0117] In other embodiments, the designations of the positive and negative meridian powers may be different. In the example of Figure 15, elliptical optics configured within an optical film bonded to a standard single vision eyeglass lens overlapping substantially the entire lens are configured in various positions.
[0118] For example, in the first period of Fig. 15, the left and right optical films have respective optical elements arranged on the lower and upper sides, respectively, while in the second, third, and fourth periods, the left and right optical films have respective optical elements arranged on the ear and nose sides, respectively.
[0119] In the fifth period, the left and right optical films have optical elements arranged on the lower and ear side and the upper and nose side, respectively. In the sixth period, the right optical film and the lens optical film have optical elements arranged to overlap the optical center of the lens of the single-focus eyeglasses.
[0120] Furthermore, in the first two periods of Fig. 15, the axis or direction of astigmatism represented by the stronger principal meridian (dashed line) is configured to be horizontal, while in the third and sixth periods of Fig. 15, the axis or direction of astigmatism represented by the stronger principal meridian (dashed line) is configured to be vertical.
[0121] In the fourth and fifth periods of Figure 15, the coordinate axes or orientations of the astigmatism, as indicated by the intensity of the principal meridians (dotted lines), are configured to be oblique. In some other examples, the dimensions of the individual elliptical optics within a set or kit of optical sheets may vary between 3mm and 8mm in the major axis and between 1mm and 3mm in the minor axis dimension.
[0122] FIG. 16 shows another array of prefabricated temporary support optical sheets or films packaged in a kit or set suitable for use over substantially the entire surface area of a standard pair of single vision eyeglasses to match that shown in FIG.
[0123] The optical film or sheet of FIG. 16 is configured to be used for six different wearing periods as described herein.
[0124] In the example of FIG. 16, an exemplary embodiment includes a set or kit of temporary supplemental optical films or sheets designed to substantially cover the left and right lenses of a pair of standard single vision glasses used for myopia correction of FIG. 14, the optical films or sheets being configured with substantially no power across the optical films or sheets, and further configured with two or more elliptical optical elements within the optical films or sheets, which can be peeled off to allow placement on the right or left suitable single vision glasses lens. In some embodiments, the six wearing periods described in FIG. 15 and FIG. 16 can be every day of the week, for example, Monday to Saturday, or Sunday to Friday. In other embodiments, the six wearing periods can be on alternating days of the week, and in other embodiments, the six wearing periods can include specific days of the month, for example, the 1st, 5th, 10th, 15th, 20th, and 25th.
[0125] Fig. 17 shows another standard pair of monofocal glasses used for myopia correction, where temporary supplementary mini-optics are applied only to localized areas of the glasses lenses to convert the standard pair of monofocal glasses into a pair of myopia treatment glasses, and methods of dispensing temporary supplementary mini-optics are described herein. In this example, the left part of Fig. 17 shows a pair of standard glasses lenses 1700 with a right lens 1701 and a left lens 1702 that can be used to correct myopic refractive error with or without astigmatism. The optical centers of the left and right lenses are indicated at 1703.
[0126] The target area on the eyeglass lens 1704 may be identified by marking the inner and outer borders depicted by dotted lines. Additionally, some locations may be identified as areas where the optical element should be placed, e.g., as shown at 1705 as a cross that may be stamped inside the substrate of the single vision eyeglass lens to facilitate locating the marking. The right portion of FIG. 17 shows an exemplary embodiment including a miniature optical element placed on a selected area of the right lens, marked by a cross 1705 and illustrated using a solid border, the miniature optical element configured such that the optical element enters a sub-area of the right single vision eyeglass lens. The miniature optical element may be peeled off using portion 1707, allowing the miniature optical element to be placed on the single vision eyeglass.
[0127] Figure 18 shows an array of optical sheets or films containing ready-made temporary small optical elements packaged in multiple subsets in a kit or set configured for four different periods. The small optical elements are suitable for use only over a regional area on a standard pair of glasses as described in Figure 17, for example, set A in Figure 18 has elliptical optical elements each with a major axis dimension of 4 mm and a minor axis dimension of 3 mm.
[0128] In this example of Figure 18, set C has circular optical elements with a diameter of 3 mm. In this example, set B of Figure 18 has elliptical optical elements with major and minor dimensions of 5 mm and 3 mm, respectively, and set D of Figure 18 has elliptical optical elements with major and minor dimensions of 7 mm and 3 mm, respectively.
[0129] In this example of Figure 18, specific or defined locations on the eyeglass lens may be defined using laser engravings made on the eyeglass lens in the form of dots, lines, or cross-shaped patterns. Furthermore, the method of prescribing the set or kit includes the wearer adhering or bonding the miniature optical element in a specified area of the eyeglass lens for a specified period of time.
[0130] Figure 19 illustrates the use of miniature optics described in Sets A-D of Figure 18, each including an array of off-the-shelf non-permanent supplemental miniature optics of similar design. In this example, during a first period, the miniature optics of Sets A and B were configured on selected regions of left and right eyeglass lenses used to correct myopia with or without astigmatism, in this example maintaining symmetry along the ordinate.
[0131] In a second period, small optical elements were drawn only from set B and were arranged on selected areas of the lenses of the left and right glasses, with symmetry along the ordinate maintained. In a third period, small optical elements were all drawn only from set B of FIG. 18 and were arranged on selected areas of the lenses of the left and right glasses, with symmetry along the ordinate maintained. In a fourth defined period, small optical elements were all drawn from sets B and D of FIG. 18 and were arranged on selected areas of the lenses of the left and right glasses, with symmetry along the ordinate not maintained.
[0132] In the fifth period, all three miniature optical elements, drawn only from Set A of FIG. 18, were constructed on selected areas of the lenses of the left and right glasses, maintaining symmetry along the ordinate; the elements were constructed such that the principal meridians were aligned in the horizontal / vertical dimensions.
[0133] In the sixth period, all three miniature optical elements, drawn only from Set A of FIG. 18, were constructed on selected areas of the left and right spectacle lenses, maintaining symmetry along the ordinate; the elements were constructed such that the principal meridians were aligned in the diagonal dimension.
[0134] 20 shows a standard, single vision prepared, unused pair of spectacles, typically used for the correction of myopia with or without astigmatism, cut into an elliptical lens 2000 to fit into a spectacle frame having dimensions of 20 mm minor and 25 mm major. The spectacle lens 2000 is composed of a small temporary support optical element 2005 containing a distribution of astigmatic or toric powers, which element is drawn from the kit or set C disclosed in FIG.
[0135] In this example, a standard eyeglass lens is constructed with a region of interest defined around an optical center 2001 having an inner diameter of approximately 8 mm represented by dotted line 2003 and an outer diameter of approximately 15 mm represented by solid line 2002, forming a region of interest 2004 identified for positioning a small optical element for temporary assistance. The prepared standard single vision unused eyeglass of FIG. 20 has a base power of -3D used to correct the -3D myopia of the eye.
[0136] The non-transient support mini optic 2005 is located approximately 5 mm away from the geometric center (2001) of the eyeglass lens 2000. The temporary support mini optic 2005 is configured with an astigmatic power of +1.5 DC indicated by the two principal power meridians at -2.5 D along the nasal-temporal direction of the standard eyeglass lens and approximately -1 D along the superior-inferior direction of the standard eyeglass lens. The superior, temporal, inferior, and nasal sides on the standard eyeglass lens are indicated by the letters S, T, I, and N, respectively.
[0137] Fig. 21 shows a wide-field ray tracing schematic of a -3D myopic eye corrected with the exemplary embodiment described in Fig. 20. The ray tracing schema encompasses three viewing angles when the spectacle lenses are used in conjunction with the model eye of Table 1. It represents the bundle of rays passing through (a) the temporal part of the lens (-15.0); (b) the central part of the lens (0.0); and (c) the nasal part of the lens (15.0).
[0138] As can be seen from Fig. 21, only the ray bundles passing through the temporal portion of the lens encounter the non-transient auxiliary miniature optic 2005 which provides the desired optical stop signal at the corresponding retinal location. The ray bundles passing through the center and nose portions of the eyeglass lens do not impose an optical stop signal at the desired retinal location.
[0139] FIG. 22 shows the point spread function over a wide field of view when the incident light is incident on a 3D myopic eye model corrected with the exemplary embodiment described in FIG.
[0140] As can be seen in Fig. 22, the ray bundle passing through the non-transmissive auxiliary miniature optical element 2005 produces a point spread function 2201 that is influenced by the additional astigmatic or toric power distribution in the miniature element to produce the desired directional cue or optical stop signal, as compared to 2203 formed when the ray bundle passes through the eyeglass lens portion of the miniature optical element. The central ray bundle passing through the reference eyeglass lens produces an ideal point spread function 2202.
[0141] Fig. 23 shows a spatially varying signal plotted as a wide-angle through-focus spot diagram. When incident light of visible wavelengths is incident on a -3D myopic eye model corrected with one exemplary embodiment described in Fig. 20, the optical performance of the eyeglass lenses associated with the eye model of Table 1 is depicted over various viewing angles.
[0142] The columns represent through-focus spot diagrams formed when a bundle of rays passes through three separate regions of the eyeglasses: (a) the first column represents the through-focus spot diagram when the incident bundle of rays passes through a temporary auxiliary small optical element located in time on the eyeglass lens; (b) the second column represents data obtained when the incident bundle of rays passes through a central portion of the eyeglass lens that does not include an auxiliary small optical element; and (c) the third column showcases data obtained when the incident bundle of rays passes through a nose portion of the eyeglass lens that does not include an auxiliary optical element.
[0143] As can be seen in Figure 23, a light beam passing through the temporary auxiliary small optic generates a Sturm's cone containing an elliptical tangential 2301 and sagittal 2302 blur pattern substantially in front of the local retina. However, if the incident light passes through either the central or nose portion of the eyeglass lens, i.e., an area that is substantially free of small optics, no clear Sturm's cone is observed either in front of or around the retina.
[0144] In this example, the length, location, and orientation of the Sturm's cone contribute to a directional cue or optical stop signal to reduce the rate of myopia progression in the wearer. In some embodiments, the astigmatism of the miniature optic and its location on the lens of the single vision eyeglass are optimized to keep the entire Sturm's cone in front of the peripheral retina, while in other embodiments, optimization of the properties of the miniature optic can position the Sturm's cone around the retina with tangential and sagittal planes spanning the retina.
[0145] Certain methods of varying the position of small optical elements on the lenses of single vision eyeglasses provide temporal and spatial variation in the directional cue or stop signal so that the effectiveness of myopia treatment can remain constant over time.
[0146] In the example of FIG. 24, the modeled effect of using a temporary small optical element drawn from one of the sets or kits A-D described in FIG. 18 with a standard single vision reference eyeglass lens described in FIG. 17 according to a predetermined method is described. For example, the through-focus spot diagram and point spread function on the retina are analyzed for three different configurations. The three configurations show a situation where the method of prescribing a temporary small optical element with a distribution of cylindrical or toric powers described in FIG. 18 was used on the eyeglass lens at a predetermined spatial location of about 5 mm from the optical center, but in the following prescribed manner, which includes the use of the small optical element at three different axes / orientations of the small optical element, namely (a) 90 degrees, (b) 225 degrees, and (c) 315 degrees. FIG. 24 illustrates the spatially and temporally varying signals shown when the small optical element is used in the predetermined manner.
[0147] 25 shows a standard pair of single vision prepared unused eyeglasses for routine use for the correction of myopia with or without astigmatism cut into 30 mm diameter circular lenses constructed with auxiliary optics or films drawn from a kit or set disclosed herein. The eyeglass lenses 2500 are constructed with a small temporary auxiliary optical element 2505 containing a distribution of astigmatic or toric powers, which is drawn from the kit or set B disclosed in FIG.
[0148] In this example, the lens of the standard glasses has a region of interest defined about an optical center 2501 having an inner diameter of approximately 7 mm, represented by dotted line 2503, and an outer diameter of approximately 25 mm, represented by solid line 2502, and is configured to form a region of interest 2504 that is identified for positioning a non-superficially-assisted small optical element.
[0149] The standard single vision prepared unused eyeglasses of Figure 25 have a base power of -3D used to correct the eye's myopia of -3D. The non-transient auxiliary miniature optic 2505 is located approximately 12 mm away from the optical center of the eyeglass lens 2500.
[0150] The non-superficial auxiliary miniature optic 2505 is configured with +2.5D astigmatic power, indicated along the two principal power meridians, approximately -2.5D along the oblique angle, and approximately 0D power perpendicular to the oblique principal meridian of the standard spectacle lens. The superior, temporal, inferior, and nasal sides on the standard spectacle lens are indicated by the letters S, T, I, and N, respectively.
[0151] Fig. 26 shows a wide-field ray tracing schematic of a -3D myopic eye corrected with the exemplary embodiment described in Fig. 25. The ray tracing schematic encompasses three viewing angles when the spectacle lenses are used in conjunction with the eye model of Table 1. It shows the bundle of rays passing through (a) the ears of the spectacle lenses (-20.0), (b) the center of the lens (0.0), and (c) the nose of the spectacle lenses (20.0).
[0152] As can be seen from Fig. 26, only the ray bundles passing through the nose part of the eyeglass lens encounter the temporary auxiliary small optical element 2505 that provides the desired optical stop signal at the corresponding retinal position. The ray bundles passing through the center and nose parts of the eyeglass lens do not impose an optical stop signal at the desired retinal position. Fig. 27 shows the point spread function over a wide field of view when the incident light is incident on a -3D myopic eye model corrected with the exemplary embodiment described in Fig. 25.
[0153] As can be seen in Fig. 27, the ray bundle passing through the non-transmissive auxiliary compact optical element 2505 produces a point spread function 2703 that is affected by the additional astigmatism or toric power distribution in the compact element that produces the desired optical stop signal, as compared to 2701 formed when the ray bundle passes through the eyeglass lens portion of the compact optical element. The central ray bundle passing through the reference eyeglass lens produces an ideal point spread function 2702.
[0154] Fig. 28 shows a spatially varying signal depicted as a wide-angle through-focus spot diagram. When incident light of visible wavelengths is incident on a -3D myopic eye model corrected with one exemplary embodiment described in Fig. 25, the optical performance of the eyeglass lenses associated with the eye model of Table 1 is depicted over various viewing angles.
[0155] In this example, the rows represent the through-focus spot diagrams formed when the light beam passes through three separate regions of the eyeglasses: (a) the first row showcases data obtained when the incident light beam passes through a temporal portion of the eyeglass lens without auxiliary optics; (b) data obtained when the incident light beam passes through a central portion of the eyeglass lens without auxiliary small optics; and (c) a through-focus spot diagram when the incident light beam passes through a temporary auxiliary small optic located on the nose side of the eyeglass lens.
[0156] As can be seen in Figure 28, a light beam passing through the small optics for the temporary aid produces Sturm's cones, including elliptical sagittal 2801 and tangential 2802 blur patterns, substantially in front of the local peripheral retina. However, if the incident light passes through either the central or temporal portions of the eyeglass lens, i.e., areas that are substantially free of the small optics, no clear Sturm's cones are observed either in front of or around the retina.
[0157] In this example, the length, location, and orientation of the Sturm's cones formed on the peripheral retina are hypothesized to contribute to a directional cue or optical stop signal to reduce the rate of myopia progression. In some embodiments, the astigmatism or toricity power of the small optics and their location on the monofocal eyeglass lens are optimized to keep the entire Sturm's cones in front of the peripheral retina, while in other embodiments, optimization of the properties of the small optics can position the Sturm's cones around the retina with a sagittal plane on the retina. Certain methods of varying the location of the small optics on the monofocal eyeglass lens provide temporal and spatial changes to the directional cue or stop signal, so that the effectiveness of the myopia treatment can remain constant over time.
[0158] 29 shows a standard, single vision, unused pair of eyeglasses, cut into an elliptical lens with a minor axis diameter of 25 mm and a major axis diameter of 30 mm, constructed with auxiliary optics or auxiliary films drawn from a kit or set as disclosed herein. The eyeglasses lens 2900 is constructed with a small optical element 2905 for temporary assistance containing a distribution of astigmatic or toric powers, the element being drawn from kit or set B as disclosed in FIG.
[0159] In this example, the standard eyeglass lens is configured with a region of interest defined around an optical center 2901 with an inner diameter of about 7 mm represented by dotted line 2503 and an outer diameter of about 20 mm represented by solid line 2902, forming an area of interest 2904 identified for positioning the temporary aid mini optic. The standard single vision prepared unused eyeglass of FIG. 29 has a base power of -3D used to correct the myopia of the eye -3D. The non-transient aid mini optic 2905 is located about 10 mm away from the optical center 2901 of the eyeglass lens (2900). The non-superficial aid mini optic 2905 is configured with an astigmatic power of -2.5 DC, indicated by two principal power meridians, about -2.5D along the oblique angle, and about -5D power perpendicular to the oblique principal meridian of the standard eyeglass lens. The superior, temporal, inferior and nasal sides on the lenses of standard glasses are designated by the letters S, T, I and N, respectively.
[0160] FIG. 30 shows a wide-field ray tracing schematic of a −3D myopic eye corrected with the exemplary embodiment described in FIG. 29, where the ray tracing schema encompasses three viewing angles for a spectacle wearer: temporal angle of view (−20.0), central angle of view (0.0), and nasal angle of view (20.0).
[0161] FIG. 30 shows a wide-field ray tracing schematic of a −3D myopic eye corrected with the exemplary embodiment described in FIG. 29. Ray tracing schematic encompassing three viewing angles when the eyeglass lens is used in conjunction with the eye model of Table 1. It represents the ray bundles passing through (a) the temporal part of the eyeglass lens (−20.0), (b) the central part of the lens (0.0), and (c) the nose part of the eyeglass lens (20.0). As can be seen from FIG. 30, only the ray bundles passing through the nose part of the eyeglass lens encounter the temporary auxiliary small optical element 2905 that provides the desired optical stop signal at the corresponding retinal position. The ray bundles passing through the central and nose parts of the eyeglass lens do not impose an optical stop signal at the desired retinal position.
[0162] Fig. 31 shows the point spread function over a wide field of view when the incident light is incident on a -3D myopic eye model corrected with the exemplary embodiment described in Fig. 29. As can be seen from Fig. 29, the ray bundle passing through the opaque auxiliary small optical element 2905 generates a point spread function 3103 that is influenced by the additional astigmatism or toric power distribution in the small optical element that generates the desired optical stop signal, compared to 3101 formed when the ray bundle passes through the eyeglass lens portion of the small optical element. The central ray bundle passing through the reference eyeglass lens generates an ideal point spread function 3102.
[0163] Fig. 32 shows a spatially varying signal plotted as a wide-angle through-focus spot diagram. When incident light of visible wavelengths is incident on a -3D myopic eye model corrected with one exemplary embodiment described in Fig. 29, the optical performance of the eyeglass lenses associated with the eye model of Table 1 is depicted over various viewing angles.
[0164] In this example, the rows represent the through-focus spot diagrams formed when the light beam passes through three separate regions of the eyeglasses: (a) the first row showcases data obtained when the incident light beam passes through a temporal portion of the eyeglass lens without auxiliary optics; (b) data obtained when the incident light beam passes through a central portion of the eyeglass lens without auxiliary small optics; and (c) a through-focus spot diagram when the incident light beam passes through a temporary auxiliary small optic located on the nose side of the eyeglass lens.
[0165] As can be seen in Figure 32, a light beam passing through the small optics for the temporary aid produces a Sturm's cone that includes an elliptical sagittal 3203 and a tangential 3205 blur pattern substantially posterior to the local retina. However, if the incident light passes through either the central or temporal portions of the eyeglass lens, i.e., areas that are substantially free of small optics, no clear Sturm's cone is observed either in front of or around the retina.
[0166] In this example, the length, location, and orientation of the Sturm's cones formed on the peripheral retina are hypothesized to contribute to a directional cue or optical stop signal to reduce the rate of myopia progression. The astigmatism or toric power of the miniature optics and their location on the lens of the single vision eyeglasses are optimized to keep the entire Sturm's cones behind the peripheral retina, while in other embodiments, optimization of the miniature optics can position the Sturm's cones around the retina with a tangent plane on the retina.
[0167] Certain methods of varying the position of small optical elements on the lenses of single vision eyeglasses provide temporal and spatial variation in the directional cue or stop signal so that the effectiveness of myopia treatment can remain constant over time.
[0168] In certain other embodiments, the toric portion of the lenses of the eyeglasses of the kit or set may be configured to take into account the inherent astigmatism of the eye wearing the lenses in order to achieve a satisfactory balance between the desired visual performance and the desired astigmatic blurring to provide a stimulus to reduce or slow the rate of progression.
[0169] In some embodiments, the toric portion of the eyeglass lens pair of the eyeglass lens kit or set may be located, formed, or disposed on the front surface, the back surface, or a combination thereof. In some other embodiments, the toric portion of the eyeglass lens pair of the eyeglass lens of the kit or set is dedicated to generating a particular characteristic of the aperture signal, for example, residual astigmatism having either a sagittal or tangential focal line that is substantially in front of the retina.
[0170] In certain other embodiments, the change or substantial change to the optical signal received by the onand / or off-axis area on the retina constituted by the astigmatic cones or spaces of the Starm at the plane of the retina, where the optical stop signal representing a portion of the Starm's cones or spaces enters in front of the retina (i.e., produces a meridian myopic defocus), while the remainder of the Starm's cones or spaces produces a focus or hyperopic signal. The percentage of the Starm's cones or spaces that provide a positive meridian astigmatic focus may be about 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90% or 100%.
[0171] In certain other embodiments, the toric portion of the eyeglass lens of the kit or set may be located, formed, or disposed on one of two surfaces of the eyeglass lens, with the other surface having other features to further reduce eye growth.
[0172] For example, using additional features such as defocus, coma, or spherical aberration. In certain embodiments, the shapes of the front and back surfaces of the lenses of the spectacles of the kit or set may be described by one or more of a sphere, an aspheric shape, an extended odd polynomial, an extended even polynomial, a conic section, a biconic section, a torus, or a Zernike polynomial.
[0173] In some other embodiments, the radial and / or azimuthal power distribution across the optical center of the lens may be described by suitable Zernike polynomials, Bessel functions, Jacobi polynomials, Taylor polynomials, Fourier expansions, or combinations thereof.
[0174] In one embodiment of the present disclosure, the stop signal may be configured using only astigmatism, astigmatism, or toric power profiles, however, in other embodiments, higher order aberrations such as spherical aberration, coma, trefoil, etc. may be combined with the configured astigmatism or toric blur.
[0175] In certain embodiments of the present disclosure, the distribution of astigmatism or toric powers is: Toric power profile embodiment = Sphere + (Cylinder / 2) * (Radial) * (Azimuth) In some embodiments, the radial distribution function can be constructed using the formula: 2 where C is the expansion coefficient and Rho(ρ) is the normalized radial coordinate ρ0 / ρ max Rho(ρ0) is the radial coordinate at a given point on the lens, and ρ max is the maximum radial coordinate or radius of the optical band. In some embodiments, the azimuth power distribution function can take the form azimuth power = cosmθ, where m can be any integer from 1 to 6 in some embodiments, and theta (θ) is the azimuth angle.
[0176] In other exemplary embodiments, the induced astigmatism or toric profile configured in the front device of the auxiliary eyeglasses to be used in juxtaposition to a standard eyeglass lens pair to reduce, inhibit, or control the rate of myopia progression in an individual may be at least +0.5DC, at least +0.75DC, at least +1DC, at least +1.25DC, at least +1.5DC, at least +1.75DC, or at least +2DC.
[0177] In some other exemplary embodiments, the induced astigmatism or toric profile configured in the front device of the auxiliary eyeglasses to be used in juxtaposition to a standard eyeglass lens pair to reduce, inhibit, or control the progression rate of a myopic individual may be between +0.5DC and +2.5DC, +0.75DC and +1.75DC, +1DC and +3DC, or +1.25DC and +2.5DC.
[0178] In certain other embodiments, the induced astigmatism or toric profile configured in the auxiliary front device of the eyeglasses may be further supplemented with a positive spherical power of at least +0.5D, at least +0.75D, at least +1D, at least +1.25D, or at least +1.5D, to be used in juxtaposition with a standard pair of eyeglass lenses to reduce, inhibit, or control the rate of progression of myopia in an individual. In certain other embodiments, the auxiliary spherical power may be at least -0.5D, at least -0.75D, at least -1D, at least -1.25D, or at least -1.5D. The auxiliary spherical power in this context may be independent of the refractive correction configured in the standard eyeglass lenses.
[0179] In certain examples, the wearing schedule of the treatment plan may include instructions for changing the auxiliary pair of front devices of the eyeglasses at least every 4 hours, 8 hours, 12 hours, 24 hours, 48 hours, 60 hours, or 72 hours.
[0180] As one of skill in the art would appreciate, the present disclosure may be used in combination with any device / method that has the potential to affect the progression of myopia, including, but not limited to, contact lenses of various designs, color filters, medications, behavioral changes, and environmental conditions.
[0181] Other exemplary embodiments of eyeglass lenses are not described in the examples of Set A below.
[0182] [Example A: Eyeglass kit set] A kit of eyeglass equipment for a myopic individual and a method of using the kit, the kit comprising two or more pairs of spectacles, each of the pair of spectacles including a lens for a left eye of the myopic individual and a lens for a right eye of the myopic individual, each lens configured to at least partially provide meridional correction to each eye with a substantial area having an astigmatism or toric profile in addition to a base power and at least partially introduce meridional astigmatism to one or more areas of the retina of the myopic eye, the method of using the kit including instructions for the myopic individual having a wearing treatment plan detailing the use of the pair of spectacles.
[0183] In the kit of eyeglasses according to one or more of the embodiments A of the present disclosure, the surface area of the substantial area having the cylindrical or toric power profile is 100 mm 2 More than 250mm 2 Above 450mm 2 Above 600mm 2 or more, or 750mm 2 That's all.
[0184] In the eyeglass device kit according to one or more of the embodiments A of the present disclosure, the magnitude of the astigmatism or toric power profile is +0.5DC or more, +0.75DC or more, +1DC or more, +1.25DC or more, +1.5DC or more, or +1.75DC or more.
[0185] In the kit of eyewear devices according to one or more of the embodiments A of the present disclosure, the profile of the astigmatism or toric power is: Sphere+(Cylinder / 2)*(Azimuth component) It is expressed by a frequency distribution function shown by the formula: Sphere is the spherical distance power prescribed to correct myopic eyes. Cylinder is the amount of astigmatism or toricity being introduced, The azimuth angle component of the frequency distribution function is C a *cos(mθ), C a is the azimuth coefficient, m is an integer between 1 and 6, and θ is the azimuth angle of a given point in the optical band.
[0186] In the kit of eyewear devices according to one or more of the embodiments A of the present disclosure, the cylindrical or toric power profile is configured on the front, back or both surfaces of the eyeglass lenses.
[0187] In the kit of eyewear equipment according to one or more of embodiment A of the present disclosure, the two or more pairs of eyeglasses includes three or more pairs, four or more pairs, five or more pairs, six or more pairs, or seven or more pairs of eyeglasses.
[0188] In the kit of eyewear devices according to one or more of the embodiments A of the present disclosure, the magnitude of the astigmatism or toric power profile is configured to be substantially different between the pair of glasses within the kit.
[0189] In the kit of eyewear devices described in one or more of embodiment A of the present disclosure, the magnitude of the astigmatism or toric power profile is configured to be substantially different between paired glasses within the kit, differing by more than +0.5 DC.
[0190] In the kit of eyewear devices according to one or more of embodiment A of the present disclosure, the axis of the cylindrical or toric power profile is configured to be substantially different between the pair of glasses within the kit.
[0191] In the kit of eyewear equipment according to one or more of embodiment A of the present disclosure, the axes of the cylindrical or toric power profiles in two or more pairs of glasses are substantially different from each other and are separated by more than 20 degrees.
[0192] In the kit of eyewear devices according to one or more of embodiment A of the present disclosure, the magnitude and / or axis of the cylindrical or toric power profile is configured to be substantially different between the right and left lenses of matching eyeglasses within the kit.
[0193] In the kit of eyewear apparatus according to one or more of the embodiments A of the present disclosure, the lenses of the two or more pairs of glasses are configured to provide a suitable stop signal to a myopic individual.
[0194] In the kit of eyeglass devices according to one or more of the embodiments A of the present disclosure, the myopic individual may be myopic with astigmatism or myopic without astigmatism.
[0195] In the kit of eyeglass devices according to one or more of Example A of the present disclosure, the one or more regions of the retina of the myopic eye include a subfoveal region of the retina, a parafoveal region of the retina, a foveal region of the retina, a submacular region of the retina, a macular region of the retina, or a paramacular region of the retina.
[0196] In the kit of eyewear devices according to one or more of embodiment A of the present disclosure, the one or more regions of the retina of the myopic eye include a visual field of 5 degrees or more, a visual field of 15 degrees or more, or a visual field of 30 degrees or more.
[0197] In a method of using the kit of eyewear apparatus according to one or more of the embodiments A of the present disclosure, two or more pairs of eyeglasses are configured to introduce a temporally and spatially varying meridian astigmatism.
[0198] In a method of use of the kit of eyeglasses apparatus according to one or more of the embodiments A of the present disclosure, the introduction of a temporally and spatially varying meridian astigmatism provides a stop signal to the eye of a myopic individual.
[0199] In the method of using the eyewear apparatus kit according to one or more of the embodiments A of the present disclosure, the axes of the cylindrical or toric power profiles in two or more pairs of eyeglasses are substantially different from each other and are separated by 20 degrees or more.
[0200] In a method of using the kit of eyewear apparatus according to one or more of the embodiments A of the present disclosure, two or more pairs of eyeglasses are prescribed with a suitable wearing schedule.
[0201] In the method of using the eyewear apparatus kit according to one or more of the embodiments A of the present disclosure, a suitable wearing schedule for wearing two or more pairs of eyeglasses is 2 hours or more, 4 hours or more, 6 hours or more, 8 hours or more, or 12 hours or more apart.
[0202] In the method of using the eyewear apparatus kit according to one or more of the embodiments A of the present disclosure, a suitable wearing schedule for wearing two or more pairs of eyeglasses is 1 day or more, 2 days or more, 3 days or more, 4 days or more, 5 days or more, 6 days or more, or 1 week or more apart.
[0203] In the method of using the eyewear apparatus kit according to one or more of the embodiments A of the present disclosure, a suitable wearing schedule for wearing two or more pairs of eyeglasses is one week or more, two weeks or more, three weeks or more, or one month or more apart.
[0204] In a method of using the kit of eyewear apparatus according to one or more of Examples A of the present disclosure, a suitable wearing schedule for wearing two or more pairs of eyeglasses is identified by assessing the progression rate and / or risk factors associated with the myopic individual.
[0205] In the method of using the kit of eyewear devices according to one or more of the embodiments A of the present disclosure, the magnitude of the astigmatism or toricity profile is configured by assessing the progression rate and / or risk factors associated with the myopic individual.
[0206] [Example B: Set of glasses front fixtures] A kit of eyeglass devices for a myopic individual and a method of using the kit, the kit comprising two or more pairs of front eyeglass devices, each of the pair of front eyeglass devices including a lens for a left eye of the myopic individual and a lens for a right eye of the myopic individual, each lens configured with a substantial area having an astigmatism or toric power profile, the front eyeglass devices being used in juxtaposition to a pair of standard single vision eyeglasses to at least partially provide meridian correction to each eye and to at least partially introduce meridian astigmatism to one or more areas of the retina of the myopic eye, the method of using the kit including instructions for the myopic individual having a wearing treatment plan detailing the use of the pair of eyeglasses.
[0207] In the kit of eyeglasses according to one or more of the embodiments B of the present disclosure, the surface area of the substantial area having the profile of the cylindrical or toric power is 100 mm2 More than 250mm 2 Above 450mm 2 Above 600mm 2 or more, or 750mm 2 That's all.
[0208] In the eyeglass device kit according to one or more of the embodiments B of the present disclosure, the magnitude of the astigmatism or toric power profile is +0.5DC or more, +0.75DC or more, +1DC or more, +1.25DC or more, +1.5DC or more, or +1.75DC or more.
[0209] In the kit of eyeglasses according to one or more of the embodiments B of the present disclosure, the profile of the astigmatism or toricity powers is: Sphere+(Cylinder / 2)*(Azimuth component) The power distribution function is expressed by the formula: Sphere is the spherical distance power prescribed to correct the myopic eye, Cylinder is the magnitude of the introduced astigmatism or toricity, and the azimuthal component of the power distribution function is C a *cos(mθ), C a is the azimuth coefficient, m is an integer between 1 and 6, and θ is the azimuth angle of a given point in the optical band.
[0210] In the kit of eyeglass devices according to one or more of the embodiments B of the present disclosure, the astigmatism or toric power profile is configured on the front, back or both surfaces of the front eyeglass device.
[0211] In the kit of eyeglass devices according to one or more of the embodiments B of the present disclosure, the front eyeglass device may be screwed, hooked or attached using a magnetic mechanism to a standard single vision eyeglass frame.
[0212] In the kit of eyewear devices according to one or more of the embodiments B of the present disclosure, the two or more pairs of front devices of eyeglasses include three or more pairs, four or more pairs, five or more pairs, six or more pairs, or seven or more pairs of eyeglasses.
[0213] In the kit of eyeglass devices according to one or more of the embodiments B of the present disclosure, the magnitude of the astigmatism or toric power profile is configured to be substantially different between the front devices of the paired eyeglasses within the kit.
[0214] In the kit of eyeglass devices according to one or more of the embodiments B of the present disclosure, the magnitude of the astigmatism or toric power profile is configured to be substantially different between the front devices of the paired eyeglasses within the kit, differing by more than +0.5 DC.
[0215] In the kit of eyeglass devices according to one or more of the embodiments B of the present disclosure, the axis of the cylindrical or toric power profile is configured to be substantially different between the front devices of the paired eyeglasses within the kit.
[0216] In the kit of eyeglass devices according to one or more of the embodiments B of the present disclosure, the axes of the cylindrical or toric power profiles in the front devices of two or more pairs of eyeglasses are substantially different from each other and are separated by more than 20 degrees.
[0217] In the kit of eyeglass devices according to one or more of the embodiments B of the present disclosure, the magnitude and / or axis of the cylindrical or toric power profile are configured to be substantially different between the right and left lenses of the front devices of the mating eyeglasses within the kit.
[0218] In the kit of eyeglass devices according to one or more of the embodiments B of the present disclosure, the front devices of the two or more pairs of eyeglasses are configured to provide a suitable stop signal to a myopic individual.
[0219] In the kit of eyeglass devices according to one or more of the embodiments B of the present disclosure, the myopic individual may be myopic with astigmatism or myopic without astigmatism.
[0220] In a method of using a kit of eyeglass devices according to one or more of the embodiments B of the present disclosure, the front devices of two or more pairs of eyeglasses are configured to introduce a temporally and spatially varying meridian astigmatism.
[0221] In a method of use of the kit of eyeglasses apparatus according to one or more of the embodiments B of the present disclosure, the introduction of a temporally and spatially varying meridian astigmatism provides a stop signal to the eye of a myopic individual.
[0222] In the method of using the kit of eyeglass devices according to one or more of the embodiments B of the present disclosure, the axes of the cylindrical or toric power profiles in the front devices of two or more pairs of eyeglasses are substantially different from each other and are separated by more than 20 degrees.
[0223] In a method of using the kit of eyeglass devices according to one or more of the embodiments B of the present disclosure, two or more pairs of eyeglass front devices are prescribed with a suitable wearing schedule.
[0224] In the method of using the kit of eyeglass devices according to one or more of the embodiments B of the present disclosure, a preferred wearing schedule for wearing the front devices of two or more pairs of eyeglasses is 2 hours or more, 4 hours or more, 6 hours or more, 8 hours or more, or 12 hours or more apart.
[0225] In the method of using the kit of eyeglass devices according to one or more of the embodiments B of the present disclosure, a suitable wearing schedule for wearing the front devices of two or more pairs of eyeglasses is 1 day or more, 2 days or more, 3 days or more, 4 days or more, 5 days or more, 6 days or more, or 1 week or more apart.
[0226] In the method of using the kit of eyeglass devices according to one or more of the embodiments B of the present disclosure, a preferred wearing schedule for wearing the front devices of two or more pairs of eyeglasses is one week or more, two weeks or more, three weeks or more, or one month or more apart.
[0227] In the method of using the kit of eyeglass devices according to one or more of the embodiments B of the present disclosure, a suitable wearing schedule for wearing the front devices of two or more pairs of eyeglasses is identified by assessing the progression rate and / or risk factors associated with the myopic individual.
[0228] In the method of using the kit of eyewear devices according to one or more of the embodiments B of the present disclosure, the magnitude of the astigmatism or toricity profile is configured by assessing the progression rate and / or risk factors associated with the myopic individual.
[0229] [Example C: Setting of temporary auxiliary optical film] A kit of eyeglass devices for a myopic individual and a method of using the kit, the kit comprising two or more pairs of temporary support optical films, each optical film configured to cover a substantial area of a lens for a left eye of the myopic individual and a substantial area of a lens for a right eye of the myopic individual, each optical film configured with substantially no power across the optical film, each optical film configured with one or more elliptical optical elements formed to have an astigmatism or toric power profile, the optical elements used in juxtaposition to a matching standard single vision eyeglass to at least partially provide meridian correction to each eye and at least partially introduce meridian astigmatism to one or more areas of the retina of the myopic eye, the method of using the kit including instructions for the myopic individual having a wearing treatment plan detailing use of the optical films within the kit.
[0230] In the kit of eyewear devices according to one or more of the embodiments C of the present disclosure, the surface area of the one or more elliptical optical elements is 5 mm 2 Above 10mm 2 Above, 15mm 2 Above, 20mm 2 or more, or 25mm 2 That's all.
[0231] In the eyeglass device kit according to one or more of the embodiments C of the present disclosure, the magnitude of the astigmatism or toric power profile is +0.5DC or more, +0.75DC or more, +1DC or more, +1.25DC or more, +1.5DC or more, or +1.75DC or more.
[0232] In the kit of eyewear devices according to one or more of the embodiments C of the present disclosure, the profile of the astigmatism or toric power is: Sphere+(Cylinder / 2)*(Azimuth component) The power distribution function is expressed by the formula: Sphere is the spherical distance power prescribed to correct the myopic eye, Cylinder is the amount of astigmatism or toricity to be introduced, and the azimuthal component of the power distribution function is C a *cos(mθ), C a is the azimuth coefficient, m is an integer between 1 and 6, and θ is the azimuth angle of a given point in the optical band.
[0233] In the kit of eyewear devices according to one or more of the embodiments C of the present disclosure, the cylindrical or toric power profile is configured on the front surface, the back surface, or both surfaces of the optical film.
[0234] In the kit of eyewear apparatus according to one or more of the embodiments C of the present disclosure, the optical film may be configured into the lenses of the eyeglasses with a desired thickness profile variation across the optical film.
[0235] In the kit of eyewear equipment according to one or more of Examples C of the present disclosure, the optical film may be adhered to the eyeglass lens, may be adhered to the eyeglass lens with finger pressure, may be used as a sticker on one of the surfaces of the eyeglass lens, may be used as a peelable adhesive on one of the surfaces of the eyeglass lens, or a combination thereof.
[0236] In the eyeglasses kit according to one or more of the embodiments C of the present disclosure, one or more elliptical optical elements may be disposed on the optical film when used in conjunction with a standard single vision eyeglass lens to introduce meridional astigmatism in one or more specific regions of the retina.
[0237] In the eyeglass device kit according to one or more of Examples C of the present disclosure, the particular region of the retina may be a nasal portion of the retina, a temporal portion of the retina, an upper portion of the retina, or an inferior portion of the retina.
[0238] In the eyewear apparatus kit according to one or more of Examples C of the present disclosure, the particular area of the retina may be within 10 degrees of the visual field, within 15 degrees of the visual field, within 20 degrees of the visual field, or within 25 degrees of the visual field.
[0239] In the eyewear kit according to one or more of the embodiments C of the present disclosure, the one or more elliptical optical elements within the optical film may include two or more elliptical optical elements, or may include three or more elliptical optical elements.
[0240] In the kit of eyewear apparatus according to one or more of the embodiments C of the present disclosure, the two or more pairs of optical films include three or more pairs, four or more pairs, five or more pairs, six or more pairs, or seven or more pairs of optical films.
[0241] In the kit of eyewear devices according to one or more of the embodiments C of the present disclosure, the magnitude of the cylindrical or toric power profile is configured to be substantially different between paired optical films within the kit.
[0242] In the kit of eyewear devices according to one or more of the embodiments C of the present disclosure, the axis of the cylindrical or toric power profile is configured to be substantially different between paired optical films within the kit.
[0243] In the kit of eyewear devices described in one or more of Examples C of the present disclosure, the magnitude and / or axis of the cylindrical or toric power profile are configured to be substantially different between the right and left lenses of the mating optical films within the kit.
[0244] In the kit of eyewear devices according to one or more of the embodiments C of the present disclosure, the two or more pairs of optical films are configured to provide a suitable stop signal to a myopic individual.
[0245] In the kit of eyeglass devices according to one or more of the embodiments C of the present disclosure, the myopic individual may be myopic with astigmatism or myopic without astigmatism.
[0246] In a method of using the kit of eyewear devices according to one or more of the embodiments C of the present disclosure, the two or more pairs of optical films are configured to introduce temporally and spatially varying meridional astigmatism.
[0247] In a method of use of the kit of eyeglasses apparatus according to one or more of the embodiments C of the present disclosure, the introduction of a temporally and spatially varying meridian astigmatism provides a stop signal to the eye of a myopic individual.
[0248] In the method of using the kit of eyewear devices according to one or more of the embodiments C of the present disclosure, the axes of the cylindrical or toric power profiles in two or more pairs of optical films are substantially different from each other and are separated by 20 degrees or more.
[0249] In the method of using the kit of eyewear devices according to one or more of the embodiments C of the present disclosure, two or more pairs of optical films are prescribed with a suitable wearing schedule.
[0250] In the method of using the eyewear apparatus kit according to one or more of the embodiments C of the present disclosure, a suitable wearing schedule for wearing the two or more pairs of optical films is 2 hours or more, 4 hours or more, 6 hours or more, 8 hours or more, or 12 hours or more apart.
[0251] In the method of using the eyewear apparatus kit according to one or more of the embodiments C of the present disclosure, a suitable wearing schedule for wearing the two or more pairs of optical films is 1 or more days, 2 or more days, 3 or more days, 4 or more days, 5 or more days, 6 or more days, or 1 or more days apart.
[0252] In the method of using the eyewear apparatus kit according to one or more of the embodiments C of the present disclosure, a suitable wearing schedule for wearing the two or more pairs of optical films is one week or more, two weeks or more, three weeks or more, or one month or more apart.
[0253] In the method of using the kit of eyewear devices described in one or more of Examples C of the present disclosure, a suitable wearing schedule for wearing the two or more pairs of optical films is identified by assessing the progression rate and / or risk factors associated with the myopic individual.
[0254] In the method of using the eyeglass device kit according to one or more of the embodiments C of the present disclosure, the magnitude of the astigmatism or toricity profile is configured by assessing the progression rate and / or risk factors associated with the myopic individual.
[0255] In a method of using the eyewear apparatus kit according to one or more of Examples C of the present disclosure, the optical film is used to convert standard single vision glasses for the correction of myopia into myopia treatment glasses for both correcting myopia and slowing, slowing, reducing and / or treating the progression of myopia.
[0256] [Example D: A set of small optical elements for temporary assistance] A kit of eyeglasses for a myopic individual and a method of using the kit, the kit comprising two or more pairs of temporary support miniature optics, each miniature optic configured to cover one or more localized areas of a lens for a right eye of the myopic individual and one or more localized areas of a lens for a left eye of the myopic individual, each miniature optic configured with an astigmatism or toric power profile, the miniature optics used in juxtaposition to a pair of standard single vision glasses to at least partially provide meridian correction to each eye and to at least partially introduce meridian astigmatism to one or more areas of the retina of the myopic eye, the method of using the kit including instructions for the myopic individual having a wearing treatment plan detailing the use of the miniature optics within the kit.
[0257] In the kit of eyewear devices according to one or more of the embodiments D of the present disclosure, the surface area of the one or more elliptical small optical elements is less than 5 mm 2 Above 10mm 2 Above, 15mm 2 Above, 20mm 2 or more, or 25mm 2 That's all.
[0258] In the eyeglass device kit according to one or more of the embodiments D of the present disclosure, the magnitude of the astigmatism or toric power profile is +0.5DC or more, +0.75DC or more, +1DC or more, +1.25DC or more, +1.5DC or more, or +1.75DC or more.
[0259] In the kit of eyewear devices according to one or more of the embodiments D of the present disclosure, the profile of the astigmatism or toric power is: Sphere+(Cylinder / 2)*(Azimuth component) The power distribution function is expressed by the formula: Sphere is the spherical distance power prescribed to correct the myopic eye, Cylinder is the amount of astigmatism or toricity introduced, and the azimuthal component of the power distribution function is C a *cos(mθ), C a is the azimuth coefficient, m is an integer between 1 and 6, and θ is the azimuth angle of a given point in the optical band.
[0260] In the kit of eyewear devices according to one or more of the embodiments D of the present disclosure, the astigmatism or toric power profile is configured on the front, back or both surfaces of the miniature optical element.
[0261] In the kit of eyewear apparatus according to one or more of the embodiments D of the present disclosure, the miniature optical elements may be configured into the lenses of the eyeglasses with a desired thickness profile variation across the miniature optical elements.
[0262] In the eyewear equipment kit according to one or more of the embodiments D of the present disclosure, the small optical element may be glued to the eyeglass lens, may be glued to the eyeglass lens by finger pressure, may be used as a sticker on one of the surfaces of the eyeglass lens, may be used as a peelable adhesive on one of the surfaces of the eyeglass lens, or may be used as a combination thereof.
[0263] In the eyeglasses kit according to one or more of the embodiments D of the present disclosure, one or more elliptical miniature optical elements are used in conjunction with standard single vision eyeglass lenses to introduce meridional astigmatism in one or more specific regions of the retina.
[0264] In the eyeglass device kit according to one or more of the embodiments D of the present disclosure, the particular region of the retina may be a nasal portion of the retina, a temporal portion of the retina, an upper portion of the retina, or an inferior portion of the retina.
[0265] In the eyewear device kit according to one or more of Examples D of the present disclosure, the particular area of the retina may be within 10 degrees of the visual field, within 15 degrees of the visual field, within 20 degrees of the visual field, or within 25 degrees of the visual field.
[0266] In the kit of eyewear devices according to one or more of the embodiments D of the present disclosure, the magnitude of the astigmatism or toric power profile is configured to be substantially different between mated miniature optical elements within the kit.
[0267] In the kit of eyewear devices according to one or more of the embodiments D of the present disclosure, the axis of the cylindrical or toric power profile is configured to be substantially different among the miniature optical elements within the kit.
[0268] In the kit of eyewear devices according to one or more of the embodiments D of the present disclosure, the magnitude and / or axis of the cylindrical or toric power profile is configured to be substantially different between the right and left lenses of the miniature optical elements within the kit.
[0269] In the kit of eyewear apparatus according to one or more of the embodiments D of the present disclosure, the two or more miniature optical elements are configured to provide a suitable stop signal for a myopic individual.
[0270] The kit of eyeglasses according to one or more of the embodiments D of the present disclosure may be for myopia with or without astigmatism.
[0271] In a method of using the kit of eyewear apparatus according to one or more of the embodiments A of the present disclosure, the two or more miniature optical elements are configured to introduce a temporally and spatially varying meridional astigmatism.
[0272] In a method of use of the kit of eyeglasses apparatus according to one or more of the embodiments A of the present disclosure, the introduction of a temporally and spatially varying meridian astigmatism provides a stop signal to the eye of a myopic individual.
[0273] In the method of using the kit of eyewear apparatus according to one or more of the embodiments D of the present disclosure, the axes of the cylindrical or toric power profiles in the two or more miniature optical elements are substantially different from each other and are separated by 20 degrees or more.
[0274] In a method of using the kit of spectacles according to one or more of the embodiments D of the present disclosure, the two or more miniature optical elements are prescribed with a suitable wearing schedule.
[0275] In the method of using the kit of eyewear apparatus described in one or more of Examples D of the present disclosure, a preferred wearing schedule for wearing the two or more miniature optical elements is 2 hours or more, 4 hours or more, 6 hours or more, 8 hours or more, or 12 hours or more apart.
[0276] In the method of using the kit of eyewear apparatus according to one or more of the embodiments D of the present disclosure, a suitable wearing schedule for wearing the two or more miniature optical elements is 1 day or more, 2 days or more, 3 days or more, 4 days or more, 5 days or more, 6 days or more, or 1 week or more apart.
[0277] In the method of using the kit of eyewear apparatus described in one or more of the embodiments D of the present disclosure, a preferred wearing schedule for wearing the two or more miniature optical elements is one week or more, two weeks or more, three weeks or more, or one month or more apart.
[0278] In a method of using the kit of eyeglasses according to one or more of Examples D of the present disclosure, a suitable wearing schedule for wearing the two or more miniature optical elements is identified by assessing the progression rate and / or risk factors associated with the myopic individual.
[0279] In the method of using the eyeglass device kit according to one or more of the embodiments D of the present disclosure, the magnitude of the astigmatism or toricity profile is configured by assessing the progression rate and / or risk factors associated with the myopic individual.
Claims
1. 1. A kit of eyeglass equipment for a myopic individual, comprising: The kit includes at least two pairs of temporary auxiliary optical films; Each of the two pairs has an optical film configured to cover an area of a standard single vision eyeglass lens for a left eye of the myopic individual and an optical film configured to cover an area of a standard single vision eyeglass lens for a right eye of the myopic individual; Each of the optical films comprises: one or more elliptical optical elements configured to have an astigmatism or toric power profile; a portion excluding the optical element and having no power; At least one of the elliptical optical elements in each of the optical films is used in juxtaposition to a respective lens of a standard single vision pair of spectacles to at least partially provide meridional correction to each eye and to at least partially introduce meridional astigmatism to one or more regions of the retina of the myopic eye. Eyeglasses equipment kit.
2. The surface area of at least one of the elliptical optical elements is 5 mm 2 That's all.
2. An ophthalmic instrument kit according to claim 1.
3. Each of the elliptical optical elements has a profile magnitude of the astigmatism or toric power of +0.5 DC or greater. A kit of spectacles according to claim 1 or 2.
4. The cylindrical or toric power profile of each of the elliptical optical elements is Sphere+(Cylinder / 2)*(Azimuth component) It is expressed by a frequency distribution function shown by the formula: Sphere is the spherical distance power prescribed to correct the myopic individual's eye; Cylinder is the magnitude of astigmatism or toricity, The azimuth angle component of the frequency distribution function is C a *cos(mθ), C a is the azimuth coefficient, m is an integer from 1 to 6; θ is the azimuth angle of a given point within at least one of said elliptical optical elements; A kit of spectacles according to any one of claims 1 to 3.
5. Having an adhesive, The optical film for temporary support is Adherable to the lens of the standard single vision eyeglasses; configured to be adhered to the lens of the standard single vision eyeglasses with finger pressure; used as a sticker on one of the surfaces of the lens of the standard single vision eyeglasses; used as a releasable adhesive on one of the surfaces of the lens of the standard single vision eyeglasses; or combinations thereof. A kit of spectacles according to any one of claims 1 to 4.
6. The one or more regions of the retina include a nasal portion, a temporal portion, a superior portion, or an inferior portion of the retina, and the one or more regions of the retina are within 25 degrees of the visual field. A kit of spectacles according to any one of claims 1 to 5.
7. The at least two pairs of temporary auxiliary optical films are configured such that the magnitude of the profile of the astigmatism power or the toric power differs between the optical films of each pair. A kit of spectacles according to any one of claims 1 to 6.
8. The at least two pairs of temporary auxiliary optical films are configured such that the axis of the profile of the cylindrical power or the toric power is different between the optical films of each pair. A kit of spectacles according to any one of claims 1 to 7.
9. The at least two pairs of the optical films are configured such that the magnitude and / or axis of the cylindrical or toric power profile differs between the right lens and the left lens of the pair of optical films.
2. An ophthalmic instrument kit according to claim 1.
10. The at least two pairs of the optical films are configured to introduce spatially and temporally varying meridian astigmatism to provide a stop signal to the right eye and the left eye of the myopic individual.
2. An ophthalmic instrument kit according to claim 1.
11. The axes of the cylindrical or toric power profiles of the plurality of elliptical optical elements are spaced apart by 20 degrees or more.
8. An ophthalmic instrument kit according to claim 7.
12. and instructions for the myopic individual including a treatment plan of wear detailing the use of the optical film in the kit of eyeglass equipment. A kit of spectacles according to any one of the preceding claims.
13. applying the optical film of a first pair of the temporary supports to a lens of each standard single vision eyeglass of a pair of eyeglasses; removing the first pair of temporary auxiliary optical films after a period of time according to a wearing schedule; and replacing the first pair of temporary auxiliary optical films with a second pair of temporary auxiliary optical films; The optical films for the second pair of temporary aids are configured such that the magnitude and / or axis of the profile of the cylindrical or toric power is different from that of the optical films for the first pair of temporary aids. Use of the kit of spectacles according to any one of claims 1 to 12.
14. The wearing schedule is such that the application of the first pair of the temporary auxiliary optical films to the eyeglasses and the application of the second pair of the temporary auxiliary optical films to the eyeglasses are separated by one or more days.
14. A method of using the spectacles kit according to claim 13.
15. The wearing schedule is such that the application of the first pair of the temporary auxiliary optical films to the eyeglasses and the application of the second pair of the temporary auxiliary optical films to the eyeglasses are separated by one week or more.
14. A method of using the spectacles kit according to claim 13.
16. The one or more regions of the retina are within 45 degrees of the visual field.
2. An ophthalmic instrument kit according to claim 1.
17. The optical film includes a plurality of elliptical optical elements having the same magnitude of cylindrical power.
2. An ophthalmic instrument kit according to claim 1.
18. The plurality of elliptical optical elements have different axes of astigmatism.
18. An ophthalmic apparatus kit according to claim 17.
19. The plurality of elliptical optical elements are arranged in a circular or elliptical shape.
19. A kit of spectacles according to claim 17 or 18.
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