CATADIOPTRIC INTRAOCULAR LENS

Abstract: This invention relates to a catadioptric lens (l0) for implantation in the eye for visual rehabilitation of macular degeneration. It is possible, according to the invention, to produce magnification with a maximum field of vision and enlarged near-vision working distance by means of a catadioptric intraocular lens forming a two-­ mirror folded telescopic system by using one or more solid intraocular elements. Thus, the invention provides an intraocular lens for implantation in the eye comprising an optic body having anterior and posterior surfaces, characterised by; ----a generally anteriorly facing reflector (20) carried by said optic body; ----a generally posteriorly facing reflector (22) carried by said optic body, said reflectors being positioned in said optic body (10) so that light from an object passing through the anterior surface and striking the anteriorly facing reflector is reflected from the anteriorly facing reflector to said posteriorly facing reflector and from said posteriorly facing reflector through said posterior face; and fixation means for fixing the optic body in the eye.

Description: This invention relates to intraocular lenses, and more particularly to a catadioptric lens for implantation in the eye for visual rehabilitation of macular degenera­ tion. The retina disease known as macular degeneration causes an absence of central vision in the patient's eye due to a deficiency of the central retinal portion. In order to restore a certain amount of useful vision to the patient, it is necessary to greatly magnify the object at which the patient looks. This can be accomplished to some degree by eyeglasses, magnifiers or telescopes; how­ ever, several problems exist. Spectacle glasses must have quite high power for sufficient magnification (up to +20D). Problems with spectacle magnifiers are l) short working distance (only 8.3 cm for 3× magnification; and 2) weight and fitting the separation between the spectacle and the eye must be exact. Magnifiers have a very restricted visual field (a 3× magnifier of 5 cm diameter has about a 3 cm viewing field). They also have a short working distance and are inconvenient to use. Telescopes are used for distant object viewing and consequently have a long working dis­ tance. They must be light-weight and have a very re­ strictive visual field (less than 20 degrees at 2× mag­ nification, and down to 4 degrees at high magnification, as compared to a minimum field angle of 30° required for comfortable vision). Koester, C.J., and Donn, A., International Patent No. WO83/0l566, disclose a telescope system as continuation of high power glasses (up to 30 D) and high negative intraocular lens (down to -l00 D). This combination theoretically might give higher viewing field up to 30 degrees for 2.5× which is limited by spectacle glasses, as similar to spectacle magnifier. This arrangement is inconvenient to high power spec­ tacles and even more restrictive in fitting (for +30D spectacle variation in distance from the spectacle to the eye must be kept within l mm). The present invention overcomes the above-noted deficiencies by providing an increased visual field while eliminating the fitting problem and providing improved flexibility in magnification variations. It achieves distance magnification without severe field restrictions by providing a single intraocular lens with built-in mirrored surfaces which produce the effect of a folded telescope with a long focal distance. The intraocular position of the catadioptric lens is very close to the natural lens position, and consequently permits a maximum visual field with any optical aid and given magnification. The preferred embodiment of the invention con­ templates the use of a 3× power lens which permits a visual field about one-third the size of the unmagnified field, and a field angle of at least 40 degrees. This catadioptric lens solves the problem of short working distance in near vision (reading magnification) which exists in spectacle magnifiers and hand-held magnifiers. It also offers much larger visual field. The catadioptric lens of this invention offers flexibility in magnification change without sacrificing quality. Additional magnification can be achieved by using spectacle glasses with a total magnification simi­ lar to a microscope (8× power) while retaining a practical visual field and working distance. The actual configu­ ration of the lens can vary depending upon the particu­ lar configuration of the eye, the amount of magnifica­ tion required, and whether or not the patient also wears glasses. It is possible, according to the invention,to produce magnification with a maximum field of vision and enlarged near-vision working distance by means of a catadioptric intraocular lens forming a two-mirror folded telescopic system by using one or more solid intraocular elements. In the examples below, only single-­ element systems will be described. Fig. la is a schematic diagram illustrating the placement of the lens of this invention in the anterior chamber; Fig. lb is a schematic diagram illustrating the placement of the lens of this invention in the posterior chamber; and Figs. 2a to 2g are examples of alternative forms of single-element catadioptric intraocular lenses which can be used in connection with this invention. Fig. la shows an intraocular lens which includes a lens or an optic body l0 implanted within the anterior chamber ll of an eye l2, as might be done for either a phakic or an aphakic patient. (The crystalline lens of a phakic patient has been omitted in Fig. la for clarity.) The lens l0 may be supported in the eye l2 by appropriate fixation means or haptics l3. The light from the object l6 is refracted to some degree by the cornea l8 and is then reflected by an annular mirrored surface or generally anteriorly facing reflector 20 within the lens l0. The reflected light is then projected against a circular mirrored surface or generally posteriorly facing reflector 22 located centrally of the forward portion of the lens l0. The surface 22 reflects the light back toward the retina l4 where it is focused to form the magnified image. The two-mirror combination within the lens l0 provides an optic which produces a folded telescope effect in which the angle of inci­ dence α is minimized so as to provide a maximum amount of magnification. Because the folded telescope effect is created within the eye itself, the field of view produced by the lens of the invention is substantially larger than the field of view produced by external magnification and leaves room for supplemental external magnification for an overall power increase. The lens l0 may be constructed of any medical-grade plastic, such as PMMA, normally used in intraocular lens optics. The mirrored surfaces 20, 22 may consist of thin layers of platinum, silver, aluminum or other appropriate reflective materials embedded in the lens l0 by conventional methods during the process of fabrication. Fig. lb shows the lens l0 implanted in the posterior chamber l5 of the eye l2, as could be done in an aphakic patient. Figs. 2a to 2g show various other configurations of lenses incorporating a two-mirror folded telescope system which could be used in place of the preferred convexo-concave Cassegrain-­ type embodiment shown in Figs. la and lb. Figs 2a to 2d illustrate convexo-convex, concavo-convex, convexo-concave, and concavo-concave lens bodies respectively, with mirrored suf­ faces forming a folded telescope system of the Gregorian form. As shown in Figs 2a to 2d, the annular mirrored surfaces are concave and the circular mirrored surfaces are also con­ cave. As shown in Figs. la and lb, the annular mirrored sur­ face 20 is concave and the circular mirrored surface 22 is convex. The corresponding mirrors of Figs. 2e to 2g are similarly shaped. Figs. 2e to 2g illustrate convexo-convex, concavo-­ convex, and concavo-concave lens bodies, respectively, with mirrored surfaces forming a folded telepscope system of the Cassegrain form.

Claims: 1. An intraocular lens for implantation in the eye comprising an optic body having anterior and posterior surfaces, characterised by; a generally anteriorly facing reflector carried by said optic body; a generally posteriorly facing reflector carried by said optic body, said reflectors being positioned in said optic body so that light from an object passing through the anterior surface and striking the anteriorly facing reflector is reflected from the anteriorly facing reflector to said posteriorly facing reflector and from said posteriorly facing reflector through said posterior face; and fixation means for fixing the optic body in the eye. 2. A lens as defined in claim l wherein the anterior­ ly facing reflector is concave. 3. A lens as defined in claims l or 2 wherein the anteriorly facing reflector is annular. 4. A lens as defined in claims l, 2 or 3 wherein the posteriorly facing reflector is circular. 5. A lens as defined in claims l, 2, 3 or 4 wherein said reflectors are within the optic body. 6. A lens as defined in any preceding claim wherein said anteriorly and posteriorly facing reflectors are adjacent the posterior and anterior surfaces, respectively. 7. A lens as defined in any of claims l to 6 wherein said optic body is convexo-concave. 8. A lens as defined in any of claims l to 6 wherein said optic body is convexo-convex. 9. A lens as defined in any of claims l to 6 wherein said optic body is concavo-convex. l0. A lens as defined in any of claims l to 6 wherein said optic body is concavo-concave.

Inventors: PORTNOY, VLADIMIR
Applicants: ALLERGAN, INC
Application year: 1987
Main classification: A61F2
IPC codes: A61F2