CA2671950A1 - Presbyopic vision improvement - Google Patents

Presbyopic vision improvement Download PDF

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Publication number
CA2671950A1
CA2671950A1 CA002671950A CA2671950A CA2671950A1 CA 2671950 A1 CA2671950 A1 CA 2671950A1 CA 002671950 A CA002671950 A CA 002671950A CA 2671950 A CA2671950 A CA 2671950A CA 2671950 A1 CA2671950 A1 CA 2671950A1
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CA
Canada
Prior art keywords
correction
lens
aberration
providing
vision
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002671950A
Other languages
French (fr)
Other versions
CA2671950C (en
Inventor
Ian A. Cox
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Bausch and Lomb Inc
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Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority claimed from CA002568061A external-priority patent/CA2568061C/en
Publication of CA2671950A1 publication Critical patent/CA2671950A1/en
Application granted granted Critical
Publication of CA2671950C publication Critical patent/CA2671950C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
    • A61B3/1015—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for wavefront analysis
    • G—PHYSICS
    • G02—OPTICS
    • G02C—SPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
    • G02C7/00—Optical parts
    • G02C7/02—Lenses; Lens systems ; Methods of designing lenses
    • G02C7/04—Contact lenses for the eyes
    • G02C7/047—Contact lens fitting; Contact lenses for orthokeratology; Contact lenses for specially shaped corneae
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16—Intraocular lenses
    • A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
    • A61F2/1637—Correcting aberrations caused by inhomogeneities; correcting intrinsic aberrations, e.g. of the cornea, of the surface of the natural lens, aspheric, cylindrical, toric lenses
    • G—PHYSICS
    • G02—OPTICS
    • G02C—SPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
    • G02C7/00—Optical parts
    • G02C7/02—Lenses; Lens systems ; Methods of designing lenses
    • G02C7/024—Methods of designing ophthalmic lenses
    • G02C7/028—Special mathematical design techniques
    • G—PHYSICS
    • G02—OPTICS
    • G02C—SPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
    • G02C7/00—Optical parts
    • G02C7/02—Lenses; Lens systems ; Methods of designing lenses
    • G02C7/04—Contact lenses for the eyes
    • G02C7/041—Contact lenses for the eyes bifocal; multifocal
    • G02C7/042—Simultaneous type
    • G—PHYSICS
    • G02—OPTICS
    • G02C—SPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
    • G02C7/00—Optical parts
    • G02C7/02—Lenses; Lens systems ; Methods of designing lenses
    • G02C7/04—Contact lenses for the eyes
    • G02C7/041—Contact lenses for the eyes bifocal; multifocal
    • G02C7/043—Translating type
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16—Intraocular lenses
    • A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
    • A61F2/1616—Pseudo-accommodative, e.g. multifocal or enabling monovision
    • A61F2/1618—Multifocal lenses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2240/00—Manufacturing or designing of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2240/001—Designing or manufacturing processes
    • A61F2240/002—Designing or making customized prostheses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2240/00—Manufacturing or designing of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2240/001—Designing or manufacturing processes
    • A61F2240/008—Means for testing implantable prostheses
    • G—PHYSICS
    • G02—OPTICS
    • G02C—SPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
    • G02C2202/00—Generic optical aspects applicable to one or more of the subgroups of G02C7/00
    • G02C2202/04—Lenses comprising decentered structures
    • G—PHYSICS
    • G02—OPTICS
    • G02C—SPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
    • G02C2202/00—Generic optical aspects applicable to one or more of the subgroups of G02C7/00
    • G02C2202/22—Correction of higher order and chromatic aberrations, wave front measurement and calculation

Landscapes

  • Health & Medical Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Physics & Mathematics (AREA)
  • General Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Cardiology (AREA)
  • Mathematical Physics (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Biophysics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Eyeglasses (AREA)
  • Prostheses (AREA)
  • Liquid Crystal (AREA)

Abstract

A method of designing a contact lens or other correction for providing presbyopia correction to a patient relies on wavefront aberration measurement data for providing a best form correction. Preferably the correction is in the form of a multifocal translating style alternating vision contact lens or a simultaneous vision style correcting lens. A method for designing a correction for improving a person's vision is directed to correcting higher order aberrations in such a manner that a residual amount of the higher-order rotationally symmetric aberration is greater than a residual amount of the higher-order rotationally asymmetric aberration after the correction. A design method according to the invention is directed to correcting asymmetric higher order aberrations induced by decentering of a multifocal contact lens that has residual spherical aberration which provides increased depth of field.

Claims (13)

1. An apparatus for designing a correction for improving a person's vision, comprising means for using a wavefront sensor output to approximate a best form wavefront correction to be applied to a multi-focal correction so as to provide an optimum retinal image for a presbyopic condition.
2. The apparatus of claim 1, further comprising:

means for providing a trial lens representative of a multi-focal design of the vision altering optic to be tested/dispensed having approximately a correct distance defocus power for the person's eye;

means for measuring a wavefront aberration of the person's eye with the trial lens in-situ, along a central axis of the lens; and means for using the wavefront aberration measurement to identify at least one of a centration of the optic and an aberration correction area on the surface of the optic.
3. The apparatus of claim 2, wherein the means for measuring the wavefront aberration comprises means for performing the measurement at optical infinity and at an optical near point distance.
4. The apparatus of claim 3, wherein the means for performing the measurement at the optical near point distance comprises means for making the measurement at an equivalent distance between about 30-50 cm from person's eye.
5. The apparatus of claim 3, wherein the means for performing the measurement at the optical near point comprises means for inducing a downgaze to produce a trial lens translation representative of an actual alternating vision style lens translation.
6. The apparatus of claim 5, comprising a front surface mirror to induce the downgaze.
7. The apparatus of claim 1, wherein the correction is a multi-focal vision altering optic in the form of an alternating vision, translating style contact lens.
8. The apparatus of claim 1, wherein the correction is a multi-focal vision altering optic in the form of a simultaneous style correcting lens element.
9. The apparatus of claim 8, further comprising:

means for decentering the in-situ lens in a measurement path of the wavefront sensor to a final position that produces an optimized wavefront sensor output; and means for providing an aberration correction to the lens in a region of the lens corresponding to the final position.
10. The apparatus of claim 9, wherein the means for providing said aberration correction comprises means for eliminating less than a total amount of spherical aberration from the lens such that a residual spherical aberration amount is greater than a remaining rotation ally asymmetric aberration amount.
11. The apparatus of claim 8, wherein the means for providing a trial lens comprises means for providing a trial lens having an amount of spherical aberration;
further comprising means for measuring an amount of coma aberration; and further comprising means for providing a wavefront aberration correction for the coma.
12. The apparatus of claim 9, wherein the final position is determined by a feedback loop in the wavefront sensor to produce an optimum lateral, vertical, and rotational placement of the lens.
13. The apparatus of claim 1, wherein the correction is a refractive surgery retreatment in which less than an entire residual spherical aberration is corrected.
CA2671950A 2001-10-19 2002-10-18 Presbyopic vision improvement Expired - Fee Related CA2671950C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US34819201P 2001-10-19 2001-10-19
US60/348,192 2001-10-19
CA002568061A CA2568061C (en) 2001-10-19 2002-10-18 Presbyopic vision improvement

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
CA002568061A Division CA2568061C (en) 2001-10-19 2002-10-18 Presbyopic vision improvement

Publications (2)

Publication Number Publication Date
CA2671950A1 true CA2671950A1 (en) 2003-04-24
CA2671950C CA2671950C (en) 2011-07-12

Family

ID=23366972

Family Applications (2)

Application Number Title Priority Date Filing Date
CA002468289A Expired - Fee Related CA2468289C (en) 2001-10-19 2002-10-18 Presbyopic vision improvement
CA2671950A Expired - Fee Related CA2671950C (en) 2001-10-19 2002-10-18 Presbyopic vision improvement

Family Applications Before (1)

Application Number Title Priority Date Filing Date
CA002468289A Expired - Fee Related CA2468289C (en) 2001-10-19 2002-10-18 Presbyopic vision improvement

Country Status (7)

Country Link
US (2) US6808265B2 (en)
EP (1) EP1437964B1 (en)
AU (2) AU2002335863B2 (en)
CA (2) CA2468289C (en)
DE (2) DE60236226D1 (en)
ES (2) ES2316614T3 (en)
WO (1) WO2003032825A1 (en)

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EP1437964A1 (en) 2004-07-21
US20030076478A1 (en) 2003-04-24
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CA2468289C (en) 2009-06-09
AU2002335863B2 (en) 2007-07-26
CA2468289A1 (en) 2003-04-24
US20050083483A1 (en) 2005-04-21
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ES2316614T3 (en) 2009-04-16
EP1437964B1 (en) 2008-12-03
AU2006222688A1 (en) 2006-10-19
US7118214B2 (en) 2006-10-10
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CA2671950C (en) 2011-07-12
US6808265B2 (en) 2004-10-26

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