Contact lens and process for fitting

Optics: eye examining – vision testing and correcting – Spectacles and eyeglasses – Ophthalmic lenses or blanks

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351160R, 351160H, 623 6, G02C 704, A61F 216

Patent

active

058643796

DESCRIPTION:

BRIEF SUMMARY
TECHNICAL FIELD

This invention relates to a contact lens that restores the ability to focus on objects within a range of distances near to the user (referred to as "natural accommodation"), while retaining the ability to see distant objects. More specifically, this invention relates to a contact lens with a conventional spherical concave surface conforming to the curvature of the eye (base curve) and having a non-conventional convex surface (optic curve) combining spherical and non constant aspherical curvature resulting in an optical system that provides true monocular presbyopic correction (correction of presbyopia in each eye independently, instead of partial or full distance correction in one eye and partial or full near correction in the other) and restores the phenomenon of "natural accommodation." Additionally, the invention affords a methodology of fitting that substantially reduces the skill and experience required by the contact lens fitter to a very basic level while affording a high degree of clinical success and patient satisfaction.
Normally between the ages of 40 and 45, presbyopia or old sightlessness is brought about by loss of elasticity of the crystalline lens of the eye, causing blurred vision at near points due to the reduction of the ability of the eye's natural lens to accommodate the changes in curvature necessary to focus on both near and distant objects.
When a person is free of presbyopia, the eye retains its full range of natural accommodation. This type of person's vision can be corrected by eyeglasses or contact lenses providing only the correction required for distance vision, and natural accommodation would automatically provide correction for near and intermediate distance vision.


BACKGROUND ART

For the contact lens wearer who requires presbyopic (or near vision) correction, in addition to distance correction, a variety of options have been available. These individuals may be fitted with single vision contact lenses corrected for distance, and wear reading glasses for near correction. Another alternative is to provide a contact lens for one eye that is corrected for distance vision and to provide a contact lens for the other eye that is corrected for near vision (this practice is referred to as monovision because only one eye is corrected for near vision), or the fitting of bifocal or multifocal contact lenses.
During the 1950's, a variety of contact lenses were designed for the correction of presbyopia. These contact lenses, although very innovative in design, met with only limited success because the only readily available material was Poly Methyl Methacrylate (Plexiglass), also known as P which does not transmit oxygen. As bifocal and multifocal designs of the period were quite thick and heavy compared to conventional distance correction contact lenses, these presbyopic contact lenses were uncomfortable to wear for substantial periods of time. Additionally, the fitting of these bifocal and multifocal contact lenses required considerable time and skill on the part of the contact lens fitter.
During the 1970's, both soft contact lenses and rigid gas permeable (RGP) contact lenses were introduced. With the availability of these new materials, renewed enthusiasm brought about several new designs for contact lenses for the correction of presbyopia.
RGP materials provide oxygen transmission through the lens material itself, and afforded new hope for the earlier designs developed in PMMA material. However, lens thickness and resultant patient discomfort continued to be a problem.
One of the early benefits recognized with soft contact lenses was the comfort and ease of fitting and, for this reason, by 1995 approximately 85% of new contact lens wearers are being fitted with soft contact lenses. As soft contact lenses command such a large share of the contact lens market, it is natural that considerable effort would be made to develop bifocal and multifocal contact lens designs in soft contact lens material.
There are two types of contact lens designs for the correction of pre

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