Prosthesis (i.e. – artificial body members) – parts thereof – or ai – Eye prosthesis – Intraocular lens
Reexamination Certificate
2003-02-18
2004-11-30
McDermott, Corrine (Department: 3738)
Prosthesis (i.e., artificial body members), parts thereof, or ai
Eye prosthesis
Intraocular lens
C623S006530
Reexamination Certificate
active
06824563
ABSTRACT:
BACKGROUND OF THE INVENTION
This invention relates to binocular lens systems which comprise ophthalmic lenses. The lenses may be adapted for implantation in an eye such as intraocular lenses (IOLS) or adapted to be disposed on or in the cornea such as contact lenses or corneal inlays.
When functioning normally, the natural lens of the eye is somewhat elastic and therefore enables good vision of objects at all distances. However, when the natural lens is removed as a result of disease or injury and replaced with an IOL, the natural ability of the eye to accommodate is lost completely. However, an ability to have adequate vision at different distances without using spectacles can be provided by the IOL which is implanted following removal of the natural lens. To this end, the IOL may be multifocal as shown and described, for example, in Portney U.S. Pat. No. 5,225,858, Roffman et al U.S. Pat. No. 5,448,312 or Menezes et al U.S. Pat. No. 5,682,223. Alternatively, the IOL may be of the type which is accommodating in that it can be moved by the eye itself as shown and described in commonly assigned application Ser. No. 09/532,910 filed Mar. 22, 2000 or monofocal with a depth of focus feature as shown and described in Portney U.S. Pat. No. 5,864,378.
Another approach to overcoming loss of accommodation is to use ophthalmic lenses, such as contact lenses or IOLS, with different optical characteristics for each eye. For example with a system known as monovision one lens has a distance vision correction power and the other lens has a near vision correction power. Another example is shown and described in Roffman et al U.S. Pat. No. 5,485,228. It is also known to implant a distant dominant multifocal IOL in one eye and a near dominant multifocal IOL in the other eye as disclosed in the January 1999 issue of Clinical Sciences by Jacobi et al entitled “Bilateral Implantation of Asymmetrical Diffractive Multifocal Intraocular Lenses,” pages 17-23.
Ophthalmic multifocal lenses can also be provided with some depth of focus. This is shown and described, for example, in Portney U.S. Pat. No. 5,225,858 and Roffman et al U.S. Pat. No. 5,684,560.
Whether monovision or multifocal ophthalmic lenses are employed, nighttime images may not be the same for both eyes and/or possess halos as when the headlights of an oncoming vehicle are observed. This can significantly reduce the ability of the observer to identify and locate objects near the headlights. For example, halos tend to be created when the patient views a distant object through the near vision portion of a multifocal lens, and the greater the add power, the more perceptible is the halo.
For example, this is shown and described in commonly assigned application Ser. No. 09/302,977 filed on Apr. 30, 1999. This application discloses a reduced add power multifocal IOL which reduces the effects of halos. This reduced add power IOL is implanted in a phakic eye in which the natural lens has lost some degree of accommodation, i.e. in partially presbyopic eyes.
The disclosure of each of the patent applications and patents identified herein is incorporated in its entirety herein by reference.
SUMMARY OF THE INVENTION
New binocular ophthalmic lens systems have been discovered. The present lens systems provide a combined effect of enhancing distance, intermediate and near visual function. In particular, the lens systems are very effective in enhancing intermediate vision, for example, relative to systems including two identical multifocal lenses. Near vision comparable to that of the “identical lens” system is provided by the present lens systems for both the absolute presbyope in a phakic application and in a pseudophakic application. Near vision preferably is enhanced for the earlier presbyope in the phakic application compared to the “identical lens” systems. The size and/or intensity of multifocal halos preferably is reduced with the present lens systems. Other important advantages are obtained.
In general, the present lens systems comprise two lenses. The ophthalmic lens systems of this invention may include first and second lenses for use with, for example, in or on, first and second eyes of a patient, respectively. Each of the first and second lenses has more than one vision correction power and is therefore multifocal. Although this invention is particularly adapted for IOLS, it is also applicable to lenses which can be disposed on or in the cornea such as contact lenses and corneal inlays.
One lens, the first lens, has a first baseline diopter power for distance vision correction, and preferably provides the best image quality for distance or distant objects. The other lens, the second lens, has a second baseline diopter power for other than distance vision correction and preferably has a baseline diopter power which is more myopic than the first diopter power, more preferably which is for intermediate vision correction. For example, the second baseline power may be selected such that the distance refraction of the subject in whose eyes the present lenses are placed is about 1.5 diopters more myopic than that of the first lens.
Baseline diopter power is the optical power which provides best visual acuity at a given or targeted distance.
The first lens is biased for distance vision or distance biased. This may be accomplished, for example, by configuring the first lens so that the best visual acuity provided by the lens is for distant objects, for example, objects at infinity. The first lens provides better visual acuity for objects at infinity than the second lens. Preferably, the first lens substantially optimizes visual acuity from distance to intermediate distances. The first lens has a power including a maximum add power which preferably is less than the add power for full near vision correction for the patient. Advantageously, the maximum add power of the first lens is no greater than about an add power for intermediate vision. The power of the first lens preferably varies from about the power for distance vision to the add power for intermediate vision. For example, the maximum add power of the first lens may be no more than about 1.5 diopters or about 1.75 diopters. All of the add powers set forth herein are in the spectacle plane. The first lens preferably has a power including a power required for distance vision correction for the patient.
The second lens preferably is biased for intermediate vision. This may be accomplished, for example, by configuring the second lens so that the best visual acuity provided by the second lens is for objects at intermediate distances. Alternatively, or in addition thereto, the second lens provides better visual acuity from intermediate to near distances than the first lens. Preferably, the second lens enhances visual acuity from intermediate to near distances. At least one of the first lens and the second lens preferably has a power including an intermediate add power for intermediate vision correction for the patient and a maximum add power which is less than the add power required for full near vision correction for the patient. More preferably, the maximum add power for the second lens, and still more preferably for both the first and second lenses, is less than the add power required for full near vision correction for the patient. The second lens advantageously has a maximum add power of any region of the second lens no greater than about the intermediate add power.
The lenses can be made to have the relatively larger ranges of vision in various ways. For example, this can be accomplished by appropriately splitting the light between distance, intermediate and near. Thus, the second lens may focus sufficient light to a near focus region so as to contribute to the second lens providing enhanced vision and better visual acuity from intermediate to near distance.
Alternatively or in addition thereto, the depth of focus of the zone or zones of the lens which provide intermediate vision correction may be appropriately increased to provide the second lens with enhanced vision characteristics from interme
Advanced Medical Optics, Inc.
Gluck Peter J.
McDermott Corrine
Phan Hieu
Weber David C.
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