WO2013107288A1 - 后房型人工晶体 - Google Patents
后房型人工晶体 Download PDFInfo
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- WO2013107288A1 WO2013107288A1 PCT/CN2013/000057 CN2013000057W WO2013107288A1 WO 2013107288 A1 WO2013107288 A1 WO 2013107288A1 CN 2013000057 W CN2013000057 W CN 2013000057W WO 2013107288 A1 WO2013107288 A1 WO 2013107288A1
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- Prior art keywords
- intraocular lens
- optical portion
- posterior chamber
- radius
- curvature
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Classifications
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Definitions
- the present invention generally relates to a posterior chamber intraocular lens.
- the present invention relates to an obvious convexity of the back surface of an optical portion capable of improving the stability of the spatial position of the intraocular lens in the gingival bag and contributing to reducing the incidence of sputum opacity (PCO) after implantation of the intraocular lens ( Posterior chamber intraocular lens with obvious kyphosis in the optic.
- PCO sputum opacity
- the present invention relates to a method capable of improving the stability of an intraocular lens in a spatial position in a sac bag and contributing to reducing the incidence of secondary cataract (PCO) after intraocular lens implantation, and improving the quality of intraocular lens imaging and / or a posterior chamber-type intraocular lens with a prominent convex surface on the posterior surface of the optic to improve the visual quality of the astigmatism patient.
- PCO secondary cataract
- An intraocular lens is an artificial lens that can be implanted into the eye to replace natural crystals in the eyes of people who become turbid due to cataract diseases, or to use refractive surgery to correct vision in the human eye.
- the shape of the IOL is usually composed of a circular optical part and a support ⁇ placed on the periphery.
- the optical portion of the intraocular lens is directly connected to the support weir.
- the optical portion of the intraocular lens is composed of an optical portion (which may also be referred to as an effective optical region or an optical portion body, but is referred to as an optical portion in the present application) and an optical portion edge.
- Intraocular lenses made of soft materials can be implanted into the eye through a smaller incision (from less than 2 mm to 3 mm) after folding or crimping to reduce the area. This folded or curled intraocular lens automatically expands when it enters the eye.
- Soft foldable intraocular lenses are usually divided into one-piece and three-piece types according to the combination of the optical portion and the support jaw.
- a one-piece flexible collapsible intraocular lens whose optical part and support ⁇ are a whole and are made of the same piece of soft material.
- a three-piece flexible collapsible human crystal whose optical part and support ⁇ are first processed by splitting and then combined to form a shape.
- the soft materials currently used for preparing collapsible intraocular lenses are mainly classified into silica gel, hydrophilic acrylate (hydrogel), hydrophobic acrylate, and polymethyl methacrylate (PMMA).
- Hydrophobic acrylates are currently the most widely used intraocular lens materials. It has the advantage of a high refractive index and a moderate opening speed after folding.
- Several different hydrophobic acrylate intraocular lens materials are described, for example, in U.S. Patents 4,834,750, 5,290,892 and 5,814,680.
- the posterior chamber intraocular lens 1 (hereinafter also referred to simply as "intraocular lens”) is maintained in the posterior chamber of the human eye by the interaction force between the support jaw 5 and the pocket 12 after being implanted in the human eye. position.
- the contraction and varicose of the pockets act on the support jaws, and the intraocular lens connected to the support jaws is squeezed or stretched, and will move back and forth along the axial direction D-D'.
- the optical portion 2 of the intraocular lens 1 and the cornea 11 of the human eye together form a refractive system that bears about 30% of the refractive power of the human eye, as shown in FIG.
- the direction of light propagation is deflected.
- refraction This phenomenon is called refraction, and the diopter indicates the magnitude of this refraction.
- refractive power the unit is diopter (abbreviated as "D").
- 1D power is equivalent to focusing parallel rays on a 1 meter focal length.
- the effect of the eye's refracting light is called refraction, and the power of refraction is expressed in terms of power, also known as diopter.
- the diopter is the refractive power of the lens for light.
- Diopter is the unit of magnitude of the refractive power, expressed as D, which means that the parallel light passes through the refractive material, and the refractive power of the refractive material is 1 diopter or 1D when the focus is at 1M.
- the unit of the lens power is 1M, such as the focal length of a lens
- the refractive power of the lens is 1D diopter is inversely proportional to the focal length.
- the imaging quality of an intraocular lens is a factor that must be considered in the design of the product for those skilled in the art.
- the IOL In addition to providing refractive power to compensate for the lack of refractive power of the cornea, the IOL also needs to correct various high-order aberrations of the cornea and itself to achieve high-quality imaging quality.
- Refractive error is a factor that has a significant impact on imaging quality.
- Astigmatism is a common phenomenon of refractive error in the human eye. It means that the refractive power of the eyeballs is different in different meridians, or the diopter of the same meridian is different, so that it enters the eye. Parallel rays do not form a focal point on the retina, but form a focal line. Astigmatism is clinically divided into two types: regular astigmatism and irregular astigmatism.
- the two meridians with the largest difference in refractive power are the main radial line, and the two main meridians are perpendicular to each other, which is regular astigmatism; the astigmatism curvature of each meridian is inconsistent and is irregular astigmatism.
- the regular astigmatism can be corrected by the lens.
- corneal astigmatism is greater than 1.5D, accounting for 15%-29%, which seriously affects people's visual quality.
- the current treatment of cataract with astigmatism is to implant a astigmatic intraocular lens (Toric IOL) into the eye to achieve normal refractive and correct corneal astigmatism.
- Toric IOL astigmatic intraocular lens
- Toric IOL has been introduced to the market since 1997 and has been successively adopted by the US FDA and the European Community. Full certification (CE) approval.
- the original ToricIOL was achieved by attaching a cylindrical surface to the back surface of the intraocular lens (the base surface is splayed and flat, and the cylinder is directly attached to the back surface).
- the more mature ToricIOL adopts the design of composite ring surface, combining the cylindrical refractive effect with spherical and aspheric surfaces.
- the back surface of the crystal is designed by Toric, which can correct the human cornea.
- the astigmatism of 1.03D-4.11D; Eyesight (AMO) The company's TECNIS Toric series of intraocular lenses can correct the astigmatism of the cornea 0.69D-2.74D.
- the improved "L” ⁇ or "C” ⁇ is used to improve the stability of the crystal in the human eye.
- High-order aberrations can also affect image quality.
- Higher-order aberrations mainly include spherical aberration and coma.
- the spherical aberration is the most influential factor on the imaging quality except for refractive error, especially in the large pupil condition of the human eye in dim conditions (pupil 4.5mm - 6.0mm), the spherical aberration is more obvious.
- the radius of curvature of the optical surface when the spherical aberration of the artificial crystal is the smallest can be obtained by calculation, and the calculated radius of curvature of the optical surface is related to the refractive index of the artificial crystal material.
- Table 1 shows the radius of curvature of the two faces when the spherical aberration of the two different refractive index artificial lenses with the optical portion is spherical. The formula used in the calculation: r 2 n(2n + 1)
- r, r x rr 2 are the radius of curvature of the front and back surfaces of the intraocular lens
- n is the refractive index of the artificial crystal material
- n' is the refractive index of the vitreous and aqueous humor
- (f ⁇ , is the front and back surface diopter.
- the spherical aberration changes in a parabolic manner, as shown in Fig. 2.
- the abscissa indicates the reciprocal of the radius of curvature of the front surface of the intraocular portion of the intraocular lens (the smaller the pi, the flatter the front surface of the optical portion), and the different sizes of pi are substantially different from those having a different surface design.
- the prior art artificial crystal corresponds; the ordinate SLo' represents the magnitude of the spherical aberration.
- the shape of the optic portion 3 of the intraocular lens significantly affects the image quality.
- the surface shape of the prior art spherical intraocular lens is generally convex (optical front squash flat) or biconvex (the front surface of the optical portion is convex,
- the back surface of the optics is slightly convex, conforming to the principle of planar design in which the overall spherical curvature is minimized in the optical design to minimize the primary spherical aberration.
- the type of curvature radius of the front and back surface of the prior art IOL is close to that in Table 1, the back surface tends to be flat, the front surface is convex, and the radius of curvature of the front surface is generally smaller than that of the back surface.
- the results of clinical implantation also show that the optical structure of the spherical intraocular lens is flat or embossed. Therefore, many intraocular lens selections currently use these two common surface designs.
- the prior art intraocular lens adopts a planar design of a common aspherical surface (ie, a single aspheric coefficient Q value) to compensate for spherical aberration
- the intraocular lens implanted in the posterior chamber is Not always in the perfect center of the back of the human eye, but will show some degree of tilt and eccentricity, resulting in other high-order aberrations other than spherical aberration, mainly as coma.
- the imaging quality of the prior art intraocular lens is lowered due to the actual position error of the intraocular lens in the eye, and the optical performance is extremely sensitive to the actual clinical situation.
- Posterior opacity also known as secondary cataract, is a common complication after intraocular lens implantation. Posterior opacity is caused by the proliferation of residual crystal epithelial cells after cataract surgery and the migration between the posterior surface of the intraocular lens and the posterior iliac crest.
- the use of sharp right-angled edge designs in the optics of intraocular lenses, such as U.S. Patents 6,162,249 and 6,468,306, has proven to be a effective method for reducing posterior turbidity because it blocks the migration of lens epithelial cells to the posterior surface of the intraocular lens. Between the latter and the latter (see the article by Buehl et al., Journal of Cataract and Refractive Surgery, Vol. 34, pp.
- This sharp right-angled edge design is easier to achieve on a three-piece intraocular lens because the support weir is very thin and is inserted into the optic. It is more difficult to achieve a sharp right-angled edge design on a one-piece intraocular lens because the support weir and the optic are integrally connected, and because the support weir is made of soft material, it needs to be wider and thicker.
- the edge of the optic should be thick, the support should be thin, or the step of the right-angled edge should be small.
- edge of the optic is too thick, it will increase the total volume of the IOL, and the difficulty of the size of the incision surgery; if the support is too thin, the force between it and the tendon is not enough, the IOL will not be stable in the tendon; The edge step drop is too small to prevent the migration of crystal epithelial cells.
- the spherical intraocular lens in order to reduce the spherical aberration and improve the imaging quality, is generally designed such that the front surface is convexly convex, the rear surface tends to be flat, and the front surface curvature radius is generally smaller than the rear surface. Subsequent development of aspherical intraocular lenses for correcting spherical aberration and Toric intraocular lenses for correcting astigmatism follow this design philosophy.
- the prior art intraocular lens is not obvious (even a planar shape) due to the kyphosis of the optical portion, so that it may be left between the posterior surface of the artificial lens and the posterior eye of the human eye after being implanted in the human eye.
- There is a large gap which not only causes the positioning of the intraocular lens to be unstable, but also causes turbidity after the operation.
- the edge of the intraocular lens adopts a right-angled side (square side) design
- the stencil moves back and forth after being driven by the vitreous body, and the support of the intraocular lens ⁇ The root region is pressed against the aponeurosis and unevenly pulled, and the PCO is brought into the edge of the optic portion of the intraocular lens by the flow of aqueous humor.
- a good artificial crystal design should comprehensively consider and balance the following factors: To ensure the stability of the artificial crystal in the sputum, to reduce the probability of turbid turbidity, good imaging The quality ensures that the intraocular lens can be opened in time after being implanted into the eye, and the phenomenon that the supporting jaw and the optical portion are bonded together does not occur. Accordingly, those skilled in the art are in need of a posterior chamber intraocular lens having an improved kyphosis of the optical portion which is capable of improving the poor imaging quality of the prior art lenticular intraocular lens. Summary of the invention
- the present invention has been made in view of the above problems.
- the primary object of the present invention is to provide a posterior surface of an optic portion which can improve the stability of the spatial position of the intraocular lens in the gingival bag and contribute to reducing the incidence of secondary cataract (PCO) after intraocular lens implantation.
- a posterior chamber intraocular lens; on the basis of this, a further object of the present invention is to provide a posterior chamber intraocular lens with a prominent convex surface on the posterior surface of the optic while improving the quality of the intraocular lens and/or improving the visual quality of the astigmatic patient.
- optical portion is composed of the optic portion of the intraocular lens and the edge of the optical portion.
- optical portion refers to a portion of the main function of the optical portion of the intraocular lens that has optical properties to enable adjustment of the refractive power of the intraocular lens.
- the optical portion of the intraocular lens used in the embodiment of the present invention has a diameter of about 6 mm, and the optical portion refers to a portion of the intraocular lens having a diameter of 5.0 mm or less.
- optical edge refers to an edge region disposed on the periphery of the intraocular optical portion that does not affect the optical properties of the intraocular lens.
- the optical portion of the intraocular lens used in the embodiment of the present invention has a diameter of about 6 mm, wherein the edge of the optical portion refers to an optical portion other than 2.5 mm from the center of the optical portion (or 5.0 mm of the intraocular lens diameter).
- the edge portion is indicated by reference numeral 4 in FIG. It will be readily understood by those skilled in the art that for an intraocular lens having other diameters of the optical portion, the distance of the edge of the optical portion from the center of the optical portion may correspondingly vary.
- optical rear surface refers to the surface of the optic portion that is in contact with the posterior condyle of the human eye after implantation of the intraocular lens into the human eye.
- optical front surface refers to the surface of the optical portion which is disposed farther from the back of the human eye than the rear surface of the optical portion after the artificial lens is implanted in the human eye.
- ⁇ or "support ⁇ ” as used in this application refers to the connection to the optics of the intraocular lens, which acts both to support the optic portion and to transmit contractile force from contraction and variability of the ciliary muscle. The portion to the action of the optical portion.
- root refers to a straight-extending section of the end of the intraocular lens that is directly connected to the edge of the optic or (transitional connection, if any).
- ⁇ angle refers to the angle of the longitudinal centerline of the root of the intraocular lens relative to the longitudinal centerline of the optic crystal portion of the intraocular lens when the intraocular lens is in an unstressed state. Referred to by the reference numeral ⁇ , it may also be referred to as "the design angle of the crucible" in the present application, as shown in FIG.
- transition joint inclination refers to the angle of the longitudinal centerline of the transition joint with respect to the longitudinal centerline of the intraocular optical portion, indicated by the reference numeral ⁇ , as shown in FIG. Show.
- the terms used to refer to the orientation relationship, such as “front” and “back”, as used in this application, are relative to the distance of the eyelids of the human eye.
- the "optical back surface” is an optical surface closer to the back of the human eye than the "optical front surface”.
- a kyphosis-shaped intraocular lens means a point on the rear surface of the optical portion of the intraocular lens that is closer to the center of the surface. The further away from the longitudinal center plane of the optic portion of the intraocular lens.
- optical kyphosis is apparent or "optical surface rear surface is clearly convex" as used in this application is relative. Specifically, the posterior surface of the intraocular portion of the intraocular lens is more pronounced than the front surface of the optic portion of the intraocular lens. In other words, the radius of curvature of the rear surface of the intraocular lens optic portion is smaller than the radius of curvature of the front surface of the intraocular lens optic portion.
- the term “oblique embossing” or “obviously protruding rear surface of the optic” may also be referred to as "optical lobes", for example.
- base spherical surface refers to a spherical surface corresponding to various surface shapes employed in the front and rear surfaces of the optical portion of the intraocular lens of the present invention.
- the spherical surface is collectively referred to as a "base spherical surface”.
- optical surface apex refers to the front surface of the optical portion where the artificial crystal protrudes or the center point on the rear surface of the optical portion where the artificial crystal protrudes.
- the surface apex of the optical portion refers to: a point at which the front surface of the convex portion of the artificial crystal protrudes forward and is farthest from the longitudinal center plane of the optical portion of the intraocular lens; or The point at which the rear surface of the convex portion of the intraocular lens protrudes rearward and is the farthest from the longitudinal center plane of the optical portion of the intraocular lens.
- the Toric in this application is in the case of a posterior chamber intraocular lens
- the term "optical surface anterior surface apex" as used in the present application refers to a center point on the front surface of the optical portion where the intraocular lens protrudes. It can also be said that the apex of the front surface of the optical portion refers to a point at which the front surface of the convex portion of the artificial crystal protrudes farthest from the longitudinal center plane of the optical portion of the intraocular lens.
- a posterior chamber intraocular lens comprising: an optical portion composed of an optical portion and an edge of the optical portion; at least two ridges connected to the optical portion, characteristics thereof
- the rear surface of the optical portion is a convex spherical surface and has a radius of curvature in the range of 6.6 mm to 80.0 mm.
- the front surface of the optical portion is a convex spherical surface and has a radius of curvature in the range of 7.1 mm - 84.0 mm.
- the posterior chamber intraocular lens may be hydrophobic Made of acrylate
- the radius of curvature of the rear surface of the optical portion may be in the range of 7.5 mm to 55.0 mm
- the radius of curvature of the front surface of the optical portion may be in the range of 8.0 mm to 74.0 mm.
- the radius of curvature of the rear surface of the optical portion is in the range of 8.1 mm to 19.5 mm. More preferably, the radius of curvature of the rear surface of the optical portion is approximately 11.1 mm.
- the posterior chamber intraocular lens may be made of hydrophobic acrylate, and the radius of curvature of the rear surface of the optical portion may be in the range of 7.0 mm to 70.0 mm, and the optical The radius of curvature of the front surface of the portion may range from 17.0 mm to 73.0 mm.
- the radius of curvature of the rear surface of the optical portion is in the range of 7.6 mm - 16.5 mm. More preferably, the rear surface of the optical portion has a radius of curvature of about 10.6 mm.
- the posterior chamber intraocular lens may be made of silica gel or hydrogel, and a radius of curvature of a rear surface of the optical portion may be in a range of 6.6 mm to 48.0 mm, and The radius of curvature of the front surface of the optic portion may range from 7.1 mm to 48.6 mm.
- the radius of curvature of the rear surface of the optical portion is in the range of 7.5 mm - 10.0 mm. More preferably, the rear surface of the optical portion has a radius of curvature of about 8.0 mm.
- the posterior chamber intraocular lens may be made of hydrophobic acrylate, and the radius of curvature of the rear surface of the optical portion may be in the range of 7.0 mm to 52.0 mm, and the optical The radius of curvature of the front surface of the portion may range from 7.8 mm to 59.0 mm.
- the radius of curvature of the rear surface of the optical portion is in the range of 7.0 mm - 11.0 mm. More preferably, the rear surface of the optical portion has a radius of curvature of about 8.5 mm.
- the posterior chamber intraocular lens may be made of polymethyl methacrylate (PMMA), and the radius of curvature of the rear surface of the optical portion may be in the range of 6.8 mm to 59.5 mm. And the radius of curvature of the front surface of the optical portion may be in the range of 10.9 mm - 60.0 mm.
- the radius of curvature of the rear surface of the optical portion is in the range of 7.0 mm - 13.1 mm. More preferably, the rear surface of the optical portion has a radius of curvature of about 9.0 mm.
- the posterior chamber intraocular lens may be made of hydrophobic acrylate, and the radius of curvature of the rear surface of the optical portion may be in the range of 7.0 mm to 66.0 mm, and the optical The radius of curvature of the front surface of the part can be 14.4 mm - Within the range of 74.0 mm.
- the radius of curvature of the rear surface of the optical portion is in the range of 7.2 mm - 15.3 mm. More preferably, the rear surface of the optical portion has a radius of curvature of about 9.9 mm.
- the posterior chamber intraocular lens may be made of hydrophobic acrylate, and the radius of curvature of the rear surface of the optical portion may be in the range of 7.0 mm to 80.0 mm, and the optical The radius of curvature of the front surface of the portion may range from 30.8 mm to 84.0 mm.
- the radius of curvature of the rear surface of the optical portion is in the range of 9.0 mm - 20.3 mm. More preferably, the rear surface of the optical portion has a radius of curvature of about 12.7 mm.
- the radius of curvature of the rear surface of the optical portion may be smaller than the radius of curvature of the front surface of the optical portion.
- the radius of curvature of the rear surface of the optical portion may be 17.8% to 60.0% of the radius of curvature of the front surface of the optical portion.
- the radius of curvature of the rear surface of the optical portion may be from 20.0% to 45.6 % of the radius of curvature of the front surface of the optical portion.
- the posterior chamber intraocular lens may be a one-piece intraocular lens.
- the posterior chamber intraocular lens may be a three-piece intraocular lens.
- the weir may be circumferentially symmetrically connected to the edge of the optic.
- a posterior chamber intraocular lens comprising:
- An optical portion composed of an optical portion and an edge of the optical portion
- the front surface of the optical portion is a convex spherical surface and the rear surface of the optical portion is a convex aspheric surface adopting a high-order aspherical surface having a radius of curvature ranging from 6.6 mm to 80.0 mm.
- a base spherical surface and an offset with respect to the base spherical surface are superposed, and a two-dimensional coordinate system is established with an apex of an optical portion surface of the posterior chamber intraocular lens using a high-order aspherical design, the coordinate system
- the ordinate axis Y is tangent to the surface of the optical portion and passes through the surface apex of the optical portion 0;
- the abscissa axis Z of the coordinate system is parallel
- the curve of the convex aspheric surface on the two-dimensional coordinate system plane YZ satisfies the following higher order non- Spherical design expression:
- Z(y) is the expression of the curve of the aspheric surface of the intraocular lens in the YZ plane
- c is the reciprocal of the radius of curvature of the base spher
- the points on the convex aspherical surface are obtained by the curve being rotationally symmetrically changed about the abscissa axis (Z).
- the radius of curvature of the front surface of the optical portion is in the range of 7.1 mm to 84.0 mm.
- n is 5.
- the posterior chamber intraocular lens is made of a hydrophobic acrylate having a refractive index of 1.48, and a radius of curvature of a base spherical surface of the rear surface of the optical portion is 7.5 mm - 55.0 mm. Within the range, and the radius of curvature of the front surface of the optical portion is in the range of 8.0 mm to 74.0 mm.
- the radius of curvature of the base spherical surface of the rear surface of the optical portion is in the range of 8.1 mm - 19.5 mm.
- the base spherical surface of the rear surface of the optical portion has a radius of curvature of 11.1 mm.
- a radius of curvature of a base spherical surface of a rear surface of the optical portion is smaller than a radius of curvature of a front surface of the optical portion.
- the radius of curvature of the base spherical surface of the rear surface of the optical portion is 17.8 % _ 60.0% of the radius of curvature of the front surface of the optical portion.
- the radius of curvature of the base spherical surface of the rear surface of the optical portion is from 20.0% to 45.6 % of the radius of curvature of the front surface of the optical portion.
- An optical portion composed of an optical portion and an edge of the optical portion
- the rear surface of the optical portion is a convex spherical surface and the front surface of the optical portion is a convex aspheric surface adopting a high-order aspherical surface, and the convex aspheric surface has a radius of curvature ranging from 7.1 mm to 84.0 mm.
- Z(y) is the expression of the curve of the aspheric surface of the intraocular lens in the YZ plane
- c is the reciprocal of the radius of curvature of the base spherical surface of the optics
- y is the vertical of any point on the curve from the axis Z of the abscissa Distance
- a 2l is the aspherical high-order coefficient
- m and n are integers greater than or equal to 1 and n ⁇ m
- the points on the convex aspherical surface are obtained by the curve being rotationally symmetrically changed about the abscissa axis Z.
- n is 5.
- the posterior chamber intraocular lens is made of a hydrophobic acrylate having a refractive index of 1.48, and a radius of curvature of a rear surface of the optical portion is in a range of 7.5 mm to 55.0 mm. And the radius of curvature of the base spherical surface of the front surface of the optical portion is in the range of 8.0 mm to 74.0 mm. In still another preferred embodiment of the present invention, the radius of curvature of the rear surface of the optical portion is in the range of 8.1 mm to 19.5 mm.
- the curvature of the rear surface of the optical portion is 11.1 mm.
- the curvature radius of the rear surface of the optical portion is smaller than the radius of curvature of the base spherical surface of the front surface of the optical portion.
- the radius of curvature of the rear surface of the optical portion is 17.8% to 60.0% of the radius of curvature of the base spherical surface of the front surface of the optical portion.
- the radius of curvature of the rear surface of the optical portion is from 20.0% to 45.6 % of the radius of curvature of the base spherical surface of the front surface of the optical portion.
- a posterior chamber intraocular lens comprising:
- An optical portion composed of an optical portion and an edge of the optical portion
- the front surface of the optical portion is a convex composite ring curved surface
- the convex composite ring curved surface is formed by superposing a base spherical surface having a radius of curvature in a range of 7.1 mm - 84.0 mm and an offset from the base spherical surface.
- the radius of curvature of the rear surface of the optical portion is in the range of 6.6 mm - 80.0 mm
- the posterior chamber intraocular lens is made of a hydrophobic acrylate having a refractive index of 1.48, and a radius of curvature of a rear surface of the optical portion is in a range of 7.5 mm to 55.0 mm. And the radius of curvature of the base spherical surface of the front surface of the optical portion is in the range of 8.0 mm to 74.0 mm.
- the curvature of the rear surface of the optical portion is in the range of 8.1 mm - 19.5 mm.
- the curvature of the rear surface of the optical portion is 11.1 mm.
- the curvature radius of the rear surface of the optical portion is smaller than the radius of curvature of the base spherical surface of the front surface of the optical portion.
- the radius of curvature of the rear surface of the optical portion is 17.8% to 60.0% of the radius of curvature of the base spherical surface of the front surface of the optical portion.
- the radius of curvature of the rear surface of the optical portion is from 20.0% to 45.6 % of the radius of curvature of the base spherical surface of the front surface of the optical portion.
- the radius of curvature of the base curve of the front surface of the optical portion in the YZ plane is in the range of 8.0 mm to 74.0 mm, and the cylindrical curvature of the composite annular surface is 0.5 D_5. In the range of .0D, the radius of rotation of the front surface ranges from 6.23 mm to 46.09 mm.
- the curvature radius of the base curve of the front surface of the optical portion in the YZ plane is in the range of 10.69 mm - 55.7 mm, and the cylindrical curvature of the composite annular surface is 1.0 D - 4.0.
- the radius of rotation of the front surface is in the range of 8.2 mm to 39.95 mm.
- the posterior chamber intraocular lens may be a one-piece intraocular lens.
- the posterior chamber intraocular lens may be a three-piece intraocular lens.
- the weir may be circumferentially symmetrically connected to the edge of the optic.
- a posterior chamber intraocular lens comprising: An optical portion composed of an optical portion and an edge of the optical portion;
- the front surface of the optical portion is a composite ring curved surface
- the rear surface of the optical portion is aspherical.
- the composite ring curved surface is a convex composite ring curved surface
- the convex composite ring curved surface is composed of a base spherical surface having a radius of curvature ranging from 5.5 mm to 84.0 mm and relative to the foundation The offset of the spherical surface is superimposed.
- Each point on the convex composite ring curved surface shape is formed by rotating the curve by a straight line (d-d, ) parallel to the ordinate axis (Y) with a certain front surface rotation radius (R).
- the aspherical surface is a convex aspherical surface
- the convex aspherical base spherical surface has a radius of curvature in the range of 8.0 mm to 74.0 mm.
- the convex aspherical surface adopts a high-order aspherical design.
- Z(y) is the expression of the curve of the aspheric surface of the intraocular lens in the YZ plane
- c is the reciprocal of the radius of curvature of the back surface of the optic base
- y is the point of the abscissa from any point on the curve
- A2i is the aspherical high-order coefficient
- m and n are integers greater than or equal to 1 and 1 > 11
- the points on the convex aspherical surface are obtained by the curve being rotationally symmetrically changed about the abscissa axis (Z).
- the convex aspherical base spherical surface has a radius of curvature smaller than a radius of curvature of the base spherical surface of the convex composite annular curved surface.
- the posterior chamber intraocular lens is made of a hydrophobic acrylate having a refractive index of 1.48.
- the crucible is an L-shaped crucible or a C-shaped crucible, and the crucible has a rake angle of 1.5°.
- the crucible is two crucibles disposed circumferentially symmetrically about the optical portion.
- the present invention relates to the following aspects:
- a posterior chamber intraocular lens comprising:
- An optical portion composed of an optical portion and an edge of the optical portion
- the rear surface of the optical portion is convex and the radius of curvature of the base spherical surface is in the range of 6.6 mm - 80.0 mm.
- the posterior chamber intraocular lens according to aspect 1 or 2 characterized in that the light
- the radius of curvature of the base spherical surface of the rear surface of the school portion is smaller than the radius of curvature of the front surface of the optical portion.
- the posterior chamber intraocular lens according to aspect 3 characterized in that the radius of curvature of the base spherical surface of the rear surface of the optical portion is 17.8% _ 60.0% of the radius of curvature of the front surface of the optical portion.
- the posterior chamber intraocular lens according to aspect 4 characterized in that the radius of curvature of the base spherical surface of the rear surface of the optical portion is from 20.0% to 45.6 % of the radius of curvature of the front surface of the optical portion.
- the posterior chamber intraocular lens according to aspect 3 characterized in that the root portion of the crucible is directly connected to the edge of the optical portion of the optical portion.
- the posterior chamber intraocular lens according to aspect 3, wherein the posterior chamber intraocular lens further comprises a transitional connection, the ridge root of the raft passing through the transition joint and the optics of the optical portion The edges are connected.
- the posterior chamber intraocular lens according to aspect 8 or 9 characterized in that the longitudinal center line of the transition joint has a transition in the range of 10° - 45° with respect to the longitudinal centerline of the optical portion. The inclination of the joint.
- the posterior chamber intraocular lens according to any one of the preceding aspects, wherein the longitudinal center line of the root portion of the root portion has a size of 0° - 7 with respect to a longitudinal center line of the optical portion.
- the posterior chamber intraocular lens according to any one of the above aspects, wherein the surface of the rear surface of the optical portion comprises a spherical surface, an aspheric surface, a composite ring curved surface, and a multi-region refractive design.
- the surface of the rear surface of the optical portion comprises a spherical surface, an aspheric surface, a composite ring curved surface, and a multi-region refractive design.
- the posterior chamber intraocular lens according to any one of the preceding aspects, wherein the front surface of the optical portion has a spherical surface, an aspheric surface, a composite ring curved surface, and a multi-region refractive design.
- the front surface of the optical portion has a spherical surface, an aspheric surface, a composite ring curved surface, and a multi-region refractive design.
- the posterior chamber intraocular lens according to any of the preceding aspects, wherein the posterior chamber intraocular lens is made of silica gel, hydrogel, hydrophobic acrylate, or polymethyl methacrylate.
- the radius is in the range of 7.5 mm - 55.0 mm
- the radius of curvature of the front surface of the optical portion is in the range of 8.0 mm - 74.0 mm.
- the posterior chamber intraocular lens according to aspect 16 characterized in that the radius of curvature of the base spherical surface of the rear surface of the optical portion is in the range of 8.1 mm to 19.5 mm.
- the posterior chamber intraocular lens according to any one of aspects 1 to 18, wherein the posterior chamber intraocular lens is a one-piece intraocular lens.
- the posterior chamber intraocular lens according to any one of aspects 1 to 18, wherein the posterior chamber intraocular lens is a three-piece intraocular lens.
- the optical portion of the posterior chamber intraocular lens of the present invention adopts a design with a prominent convex surface on the back surface and optionally an aspherical surface, a high-order aspheric surface, a composite ring curved surface,
- the multi-region refraction design or the multi-focus surface design of the diffraction design not only reduces the distance between the back surface of the optics of the intraocular lens and the posterior condyle, but also improves the stability of the spatial position of the intraocular lens in the pocket, so that the edge of the optics of the intraocular lens
- the advantages of the side effect are better reflected, and the incidence of PCO after intraocular lens implantation is reduced; and because the front surface of the optic is slightly flat, the intraocular lens is made (especially for the one-piece posterior chamber intraocular lens).
- Figure 1 schematically shows the basic structure of a human eye refractive system
- Fig. 2 is a view schematically showing a graph of a spherical aberration size (SLo') distribution of a prior art intraocular lens having different planar structures;
- Figure 3 is an embodiment of the present invention as viewed from above the front surface of the intraocular lens Schematic perspective view of a one-piece posterior chamber intraocular lens in which the ankle is unfolded and not folded onto the anterior surface of the optic portion of the intraocular lens;
- Figure 4 is a schematic perspective view of a one-piece posterior chamber intraocular lens according to an embodiment of the present invention as viewed from above the posterior surface of the intraocular lens, wherein the condyle is unfolded and not folded onto the anterior surface of the optics of the intraocular lens;
- Figure 5 is a cross-sectional view of a one-piece posterior chamber intraocular lens in which a fistula has been folded onto the anterior surface of the optic portion of the intraocular lens, in accordance with an embodiment of the present invention; Schematic diagram of the role relationship;
- Figure 7 is a schematic view showing the relationship between the posterior surface of the optical portion of the one-piece posterior chamber intraocular lens of the present invention and the posterior condyle in the human eye when the purse is in a contracted state;
- Fig. 8 schematically shows in detail the mutual interaction between the rear surface of the optical portion and the posterior condyle of the prior art posterior intraocular lens shown in the circle G in Fig. 6;
- Fig. 9 is a view schematically showing in detail the mutual interaction between the rear surface of the optical portion and the posterior condyle of the one-piece posterior chamber intraocular lens of the present invention shown in the circle H in Fig. 7;
- Figure 10 is a cross-sectional view schematically showing the state in which the tendon of the prior art one-piece posterior intraocular lens is folded over onto the front surface of the optic before implantation into the human eye;
- Figure 11 is a cross-sectional view schematically showing a state in which the ridge of a type of posterior chamber intraocular lens of the present invention is folded over onto the front surface of the optical portion before being implanted into the human eye;
- Figure 12 is a schematic illustration of the difference between a surface of an intraocular lens portion using a high-order aspherical design and a corresponding spherical surface, in accordance with one embodiment of the present invention
- Figure 13 is a schematic illustration of a 5mm clear aperture obtained by ZEMAX simulation, three different rear surface designs of 20D (i.e., the rear surface is clearly convex spherical, the rear surface is flat spherical, and the rear surface is clearly convex aspherical design).
- Figure 14A is a diagram showing the aberration distribution of a spherical surface, a single Q-value aspheric surface, and a high-order aspherical intraocular lens at the center position (pupil 5.0 mm);
- Figure 14B is a diagram showing the aberration distribution of a spherical, single Q-value aspherical surface and a high-order aspherical intraocular lens at an eccentric lmm ( pupil 5.0 mm);
- Figure 14C shows a spherical, single Q-value aspheric surface and a high-order aspherical intraocular lens at an inclination of 7.
- Figure 15 is a 5mm pupil under the spherical surface, a single Q-value aspheric surface and a small radius of curvature of the back surface a modulation transfer function (MTF) curve obtained by measuring a high-order aspherical intraocular lens in a human eye model with corneal aberrations at a central position;
- MTF modulation transfer function
- Figure 16 is a MTF plot of a high-order aspherical intraocular lens with a 5 mm pupil lower spherical surface, a single Q-value aspheric surface, and a small curvature radius of the posterior surface in a human eye model with corneal aberrations at 1 mm eccentricity.
- Figure 17 shows a 5mm boring spherical surface, a single Q-value aspheric surface, and a high-order aspherical intraocular lens with a small radius of curvature on the back surface at 0.5mm eccentricity, 5.
- MTF curve measured in a human eye model with corneal aberration when tilted;
- Figure 18 schematically shows the principle of forming a composite ring surface
- FIG. 19A and FIG. 19B are respectively a point spread function comparison diagram of a human eye with corneal astigmatism obtained by ZEMAX simulation after implantation of a common aspherical intraocular lens and a Toric intraocular lens of the present invention, respectively, wherein the human eye model Corneal astigmatism with 2.9D; and Figs. 20A and 20B are MTF contrasts of human eyes with corneal astigmatism simulated by ZEMAX after implantation of a common aspheric intraocular lens and a Toric intraocular lens of the present invention, respectively.
- 21 is a schematic perspective view of a one-piece posterior chamber intraocular lens in which a fistula is unfolded and not folded onto the anterior surface of the optic crystal optic portion, particularly including optics, in accordance with another embodiment of the present invention. a section of the transition joint between the part and the weir;
- Figure 22 specifically and schematically shows the transitional connection between the optical portion and the weir in the one-piece posterior chamber intraocular lens in the section shown in Figure 21;
- Figure 23 is a view schematically showing the positional relationship between the axial direction of the intraocular lens and the direction of maximum refractive power of the cornea of the human eye when the Toric type intraocular lens is implanted into the human eye;
- Fig. 24 is a view schematically showing a prior art intraocular lens (preferred embodiment) in which an aspheric surface and a composite ring curved surface are separated on both sides, and a prior art intraocular lens (comparative example) in which the aspheric surface and the composite ring curved surface are located on the same side at 3.0 MTF comparison chart of spatial frequency 0-1001p/mm under the human eye model with aperture aperture astigmatism;
- Figure 25 is a view schematically showing a wavefront map of the image plane of the present invention in the human eye model (the aspherical surface and the composite ring surface are separated on both sides);
- Fig. 26 is a view schematically showing a wavefront diagram of a face design in which a prior art aspherical surface and a composite ring curved surface are combined on one side in a human eye model.
- Fig. 3 is a schematic perspective view of a one-piece posterior chamber intraocular lens 1 according to an embodiment of the present invention as viewed from above the anterior surface of the intraocular lens.
- Fig. 4 is a schematic perspective view of a one-piece posterior chamber intraocular lens according to an embodiment of the present invention as viewed from the upper surface of the intraocular lens.
- the posterior chamber intraocular lens 1 comprises: an optical portion 2 composed of an optical portion 3 and an optical portion edge 4, and two support rafts 5 integrally formed with the optical portion.
- the support ⁇ 5 is directly connected to the edge 4 of the optical portion of the optical portion 2.
- the number of the ⁇ 5 may also be more than two, preferably less than six.
- the crucible 5 is circumferentially symmetrically disposed around the optical portion 2 on the edge 4 of the optical portion and connected to the front surface of the optical portion.
- ⁇ 5 may also be disposed circumferentially symmetrically about the optical portion 2 on the edge 4 of the optic and integrally connected to the side of the optical portion. As shown in Figs. 3 and 4, the rear surface 7 of the optical portion 3 is convex and the front surface 6 of the optical portion 3 is convex.
- the surface shape of the rear surface 7 of the optical portion 3 may be a multi-focal surface including a spherical surface, an aspheric surface, a composite ring curved surface, a multi-region refractive design, and a multi-zone design.
- One of the faces of the multi-focal plane; the front surface 6 of the optical portion 3 may be a multi-focal surface including a spherical surface, an aspheric surface, a composite ring curved surface, a multi-region refractive design, and a multi-region One of the faces of the face.
- the ⁇ 5 of the one-piece posterior chamber intraocular lens 1 is in an unfolded state and is not folded onto the anterior surface of the optical portion 2 of the intraocular lens.
- Figure 5 is a cross-sectional view of a one-piece posterior chamber intraocular lens 1 in which a crucible 5 has been folded onto the front surface of the intraocular optical portion 2, in accordance with one embodiment of the present invention. It can be more clearly seen from the figure that the rear surface 7 of the optical portion of the posterior chamber intraocular lens 1 is more conspicuous than the front surface 6 of the optical portion of the posterior chamber intraocular lens 1. Especially for the rear room type The L-shaped C or C-shaped ⁇ of the present invention can form a three-point stable structure with the rear embossed rear surface of the posterior chamber intraocular lens 1 of the present invention, in terms of a convex shape of the rear surface of the optical portion of the intraocular lens 1 .
- FIG. 6 Schematic diagram of the interaction between the rear surface 7 of the optical portion of the crystal 1 and the ruthenium film 9.
- the optical portion of the prior art posterior intraocular lens 1 shown in Fig. 6 has a micro convex shape (i.e., the front surface of the optical portion is convex and the rear surface of the optical portion is slightly convex).
- the prior art posterior chamber intraocular lens 1 shown in Fig. 6 is implanted into the human eye, the prior art posterior chamber intraocular lens 1 is maintained behind the human eye by the interaction force between the support jaw 5 and the pocket 12 The relative position within the eaves pocket.
- the contraction and varicose of the sputum bag act on the support cymbal 5, and the intraocular lens 1 connected to the support cymbal 5 is pressed or stretched, and moves forward and backward along the axial direction DD. Since the posterior surface of the optic portion of the prior art posterior intraocular lens 1 is slightly convex (or nearly flat), the prior art posterior chamber intraocular lens 1 implanted in the human eye is subjected to extrusion or stretching in the posterior chamber. When there is a gap 10 between the rear surface of the optical portion of the prior art posterior chamber intraocular lens 1 and the posterior aponeurosis 9 of the human eye, the prior art posterior chamber intraocular lens is under the action of the contraction force P when the pocket is contracted.
- the movable space range S is large, thereby causing unstable contact between the optical portion rear surface 7 of the prior art posterior intraocular lens 1 and the posterior aponeurosis 9 of the human eye, which in turn causes cataract surgery.
- the residual crystal epithelial cell proliferation easily migrates to the posterior surface of the optic portion of the posterior chamber intraocular lens and the posterior iliac crest through the gap 10 between the posterior surface of the optic portion and the posterior aponeurosis 9 of the human eye, thereby facilitating postoperative Turbidity (PCO) phenomenon.
- PCO postoperative Turbidity
- the prior art posterior chamber intraocular lens 1 is maintained in the posterior chamber of the human eye by the interaction force between the support jaw 5 and the pocket.
- the contraction and varicose of the pockets act on the support jaws 5, and the intraocular lens 1 connected to the support jaws 5 is squeezed or stretched, and moves forward and backward along the axial direction D-D'.
- the gap between the posterior surface of the apparent kyphotic shaped intraocular lens portion of the present invention and the posterior condyle of the present invention as shown in FIG. 7 is smaller, and the pocket is closed.
- the space range S at which the intraocular lens can move under contraction force P is relatively small, thereby improving the stability of the position of the crystal in the pocket.
- the posterior chamber intraocular lens 1 of the present invention implanted in the human eye is squeezed or pulled in the posterior chamber.
- the void 10 between the posterior surface of the optic portion of the posterior chamber intraocular lens 1 of the present invention and the posterior aponeurosis 9 of the human eye is minimized, so that the posterior surface of the optic portion of the posterior chamber intraocular lens 1 of the present invention
- the aponeurosis 9 of the human eye can be better fitted to the contact, thereby causing the conformal contact between the optical portion rear surface 7 of the posterior chamber intraocular lens 1 of the prior art and the posterior aponeurosis 9 of the human eye to be more stable, and further
- the proliferation of the crystal epithelial cells remaining after the cataract surgery is prevented from migrating to the posterior surface of the optic portion and the posterior condyle of the technical posterior chamber intraocular lens through the gap 10 between the posterior surface of the optic portion and the posterior aponeurosis 9 of the human eye.
- the obvious convex surface on the posterior surface of the intraocular lens of the intraocular lens can reduce the gap between the posterior condyle and the optic portion, reduce the chance of migration of the epithelial cells to the posterior surface of the intraocular lens and the posterior condyle, thereby reducing the PCO after the implantation of the intraocular lens. Incidence.
- Fig. 8 schematically shows in detail the mutual interaction between the rear surface of the optical portion and the posterior condyle of the prior art posterior intraocular lens shown in the circle G in Fig. 6.
- Fig. 9 is a view schematically showing the mutual interaction relationship between the rear surface of the optical portion and the aponeurosis of the one-piece rear chamber type artificial crystal of the present invention shown in a circle H in Fig. 7.
- the premise of the square edge design used in the edge 4 of the prior art intraocular lens optics to prevent the growth of PCO is that the edge of the edge of the intraocular lens can compress the posterior aponeurosis 9, thereby better preventing the migration and migration of the epithelial cells. .
- the post-invention of the present invention is more stably positioned in the posterior condyle, so that the posterior surface of the posterior chamber intraocular lens of the present invention has a convex surface shape, which can better reflect the advantage of the edge effect of the edge of the intraocular lens. .
- Fig. 10 is a cross-sectional view schematically showing the state in which the tendon of the prior art one-piece posterior type intraocular lens is folded over onto the front surface of the optical portion before being implanted into the human eye.
- Fig. 11 is a cross-sectional view schematically showing the state in which the tendon of the one-piece posterior chamber intraocular lens of the present invention is folded over onto the front surface of the optical portion before being implanted into the human eye.
- the front surface 6 of the optical portion can be relatively flat, thereby reducing the fold after folding
- the flaw on the front surface 6 of the optical portion of the one-piece posterior type intraocular lens 1 of the present invention is more easily spread, which reduces the risk that the support jaw and the intraocular lens optics are stuck to each other and cannot be smoothly opened automatically.
- FIGS. 21 is a schematic perspective view of a one-piece posterior chamber intraocular lens in which a condyle is unfolded and not folded onto the anterior surface of the optic portion of the intraocular lens, in particular including optics, in accordance with another embodiment of the present invention.
- Fig. 22 specifically and schematically shows the transitional connection between the optical portion and the crucible in the one-piece posterior chamber intraocular lens in the section shown in Fig. 21. As shown in FIGS.
- a posterior chamber intraocular lens 1 according to another embodiment of the present invention includes: an optical portion 2 composed of an optical portion 3 and an optical portion edge 4, and two optical bodies 2 and The formed support ⁇ 5, and the transition joint 15 between the optical portion 2 and the support cymbal 5.
- the support cymbal 5 is connected to the optical portion edge 4 of the optical portion 2 via the transition connection portion 15.
- the transition joint 15 is generally conical or cylindrical in shape and machined during the preparation of the intraocular lens.
- the optic edge 4 may further include a sharp bend 14 such as a square configuration or the like.
- transitional connection portion 15 is directly connected to the optical portion edge 4 of the optical portion 2, and the other end of the transitional connection portion 15 is directly connected to the root portion 16 of the support weir 5.
- the root portion 16 is located at one end opposite the free end of the support weir 5 and extends substantially straight.
- the longitudinal centerline 16'-16' of the root portion 16 is inclined with respect to the longitudinal centerline 8'-8' of the optical portion 2 of the posterior chamber intraocular lens 1, and has a ⁇ -shaped angle in the range of 0° - 7° ⁇ .
- the longitudinal centerline 15'-15' of the transition joint 15 is also inclined relative to the longitudinal centerline 8'-8' of the optical portion 2 of the posterior chamber intraocular lens 1 to a size of 10.
- Transition junction angle ⁇ in the range of 45°.
- the transition joint inclination angle ⁇ is larger than the ⁇ type angle ⁇ .
- the sharply bent portion 14 facilitates the formation of a mechanical barrier on the posterior condylar membrane 9, blocks the migration of epithelial cells, and also enhances the strength of the connection between the optical portion and the ankle.
- the ⁇ type angle ⁇ (ie, the ⁇ design)
- the radial force received by the crucible 5 can be decomposed into a component force that moves the optical surface toward the breech along the direction of the eye axis and a component that changes the surface shape of the optical portion in a direction perpendicular to the axis of the eye. Therefore, it is advantageous to ensure that the rear surface 7 of the optical portion and the rear cymbal 9 are always in close contact. This close contact structure design greatly reduces the chance of occurrence of PCO.
- This characteristic configuration including the ⁇ -shaped angle ⁇ , the transitional connection portion 15, and the (optionally) sharply bent portion 14 is combined with the koji-obvious optical portion rear surface 7 of the posterior chamber intraocular lens 1 of the present invention.
- the rear surface 7 of the optical portion which is advantageous for kyphosis can be brought into closer contact with the sacral film 9, so that the posterior chamber intraocular lens 1 of the present invention can be more stably positioned in the breech 9, thereby better preventing Growth of PCO.
- the number of the ⁇ 5 may also be more than two, preferably less than six.
- the crucible 5 is circumferentially symmetrically disposed around the optical portion 2 on the edge 4 of the optic and is connected to the front surface of the optical portion.
- ⁇ 5 may also be disposed circumferentially symmetrically about the optical portion 2 on the edge 4 of the optic and integrally connected to the side of the optical portion.
- the posterior chamber intraocular lens whose rear surface of the optical portion of the present invention is obviously convex can be either a one-piece intraocular lens as described in the above embodiment or a three-piece type. IOL.
- the planar design features of the optic portion are similar to those of the one-piece intraocular lens described in the above embodiments, and will not be described herein.
- the posterior surface of the three-piece posterior chamber intraocular lens of the present invention can obviously reduce the gap between the posterior iliac crest and the optic portion after implantation, and reduce the migration of epithelial cells to The opportunity between the posterior surface of the three-piece intraocular lens and the posterior malleolus reduces the incidence of PCO after three-piece posterior chamber intraocular lens implantation.
- the rear surface of the optical portion of the three-piece posterior chamber intraocular lens which is obviously convex on the rear surface of the optical portion of the present invention, can also be in closer contact with the posterior condyle, so that it is more stably positioned in the posterior condyle, thereby enabling manual
- the advantages of the side effect of the edge of the crystal optics are better reflected.
- the radius of curvature of the surface of the optical portion before and after the artificial crystal can be used to directly indicate the surface shape of the surface of the posterior chamber intraocular optical portion of the present invention.
- the surface of the posterior chamber intraocular lens of the present invention is further designed with a high-order aspherical design and/or a composite annular curved surface, this corresponds to a posterior chamber intraocular lens made of different materials as listed in Table 2 of the present invention.
- the high-order aspherical design and/or the composite annular surface design of the base spherical surface of the optical portion is increased.
- the front surface curvature radius and the rear surface curvature radius listed in Table 2 below are respectively the optical portion of the posterior chamber intraocular lens.
- the aspherical design is to further improve the imaging quality of the base sphere.
- the composite ring surface design (Toric) is designed to additionally correct the astigmatism of the human eye and improve the visual quality of astigmatic patients.
- base spheres the spherical surfaces involved in the posterior chamber intraocular lens of the present invention in both cases are referred to as "base spheres”.
- the refractive index of the following examples of materials used in the posterior chamber intraocular lens of the present invention is between 1.45 and 1.56. It is well known to those skilled in the art that conventional preparation methods can be employed as needed to enable the prepared material to achieve any refractive index between 1.45 and 1.56. Further, the center portion of the optical portion of the posterior chamber intraocular lens of the present invention has a center thickness in the range of 0.3 mm to 1.2 mm and the thickness of the edge portion of the optic portion is in the range of 0.3 mm to 0.6 mm.
- the “center thickness of the optical portion” refers to the thickness at the middle of the optical portion of the posterior chamber intraocular lens of the present invention; and the “thickness of the edge portion of the optical portion” refers to the optical portion of the posterior chamber intraocular lens of the present invention.
- the measured thickness at the edge transition of the optic It is known to those skilled in the art that the size of the center thickness of the optical portion of the posterior chamber intraocular lens of the present invention and the thickness of the edge portion of the optical portion of the posterior chamber intraocular lens of the present invention depend on the material and the selected material. The diopter reached.
- These intraocular lenses of the present invention having the planar design of the surface of the optical portion listed in Table 2 are capable of achieving a diopter of 5.0D - 36.0D. Currently, the most commonly used in clinical practice is the intraocular lens with a diopter of around 20D. Table 2 Example of optical section design of the posterior chamber intraocular lens of the present invention
- the radius of curvature of the base spherical surface of the rear surface of the posterior chamber intraocular lens of the present invention is approximately in the range of 6.6 mm to 80.0 mm.
- the radius of curvature of the base spherical surface of the front surface of the posterior chamber intraocular lens of the present invention is approximately in the range of 7.1 mm to 84.0 mm.
- the posterior chamber intraocular lens is made of a silica gel or hydrogel having a refractive index of 1.46, for example, the material has been used to prepare an eye care (AMO) company.
- SI40NB silicone intraocular lens and Akreos hydrogel intraocular lens from Bausch and Lomb.
- the radius of curvature of the rear surface of the optical portion of the posterior chamber intraocular lens is in the range of 6.6 mm - 48.0 mm
- the radius of curvature of the front surface of the optic portion of the posterior chamber intraocular lens is 7.1 mm - 48.6 Within the range of millimeters.
- the radius of curvature of the rear surface of the optical portion is preferably in the range of 7.5 mm - 10.0 mm from the viewpoint of better achieving the above-described advantageous effects of the present invention.
- the radius of curvature of the rear surface of the optical portion is more preferably about 8.0 mm.
- the posterior chamber intraocular lens was made of a hydrophobic acrylate having a refractive index of 1.47.
- the material was used by the American Eye Health Corporation (AMO) to prepare an AR40e type artificial crystal.
- AMO American Eye Health Corporation
- the radius of curvature of the rear surface of the optic portion of the posterior chamber intraocular lens is in the range of 7.0 mm - 52.0 mm
- the radius of curvature of the front surface of the optic portion of the posterior chamber intraocular lens is 7.8 mm - 59.0 Within the range of millimeters.
- the radius of curvature of the rear surface of the optical portion is preferably in the range of 7.0 mm - 11.0 mm from the viewpoint of better achieving the above-described advantageous effects of the present invention.
- the radius of curvature of the rear surface of the optical portion is more preferably about 8.5 mm.
- the posterior chamber intraocular lens was made of hydrophobic acrylate and was obtained from AiboNoode (Beijing) Medical Technology Co., Ltd.
- the posterior chamber type intraocular lens material has a refractive index of 1.48.
- the radius of curvature of the posterior surface of the optic portion of the posterior chamber intraocular lens is in the range of 7.5 mm - 55.0 mm, and the radius of curvature of the anterior surface of the optic portion of the posterior chamber intraocular lens is in the range of 8.0 mm - 74.0 mm.
- the radius of curvature of the rear surface of the optical portion is preferably in the range of 8.1 mm - 19.5 mm from the viewpoint of better achieving the above-described advantageous effects of the present invention.
- the radius of curvature of the rear surface of the optical portion is more preferably about 11.1 mm.
- the posterior chamber intraocular lens was made of polymethyl methacrylate (PMMA) and the material was a commonly used preparation material for an early intraocular lens.
- PMMA polymethyl methacrylate
- the posterior chamber type intraocular lens material has a refractive index of 1.49.
- Light of the posterior chamber intraocular lens The radius of curvature of the rear surface of the school part is in the range of 6.8 mm - 59.5 mm, and the radius of curvature of the front surface of the optic portion of the posterior chamber intraocular lens is in the range of 10.9 mm - 60.0 mm.
- the radius of curvature of the rear surface of the optical portion is preferably in the range of 7.0 mm to 13.1 mm.
- the radius of curvature of the rear surface of the optical portion is more preferably about 9.0 mm.
- the posterior chamber intraocular lens was made of a hydrophobic acrylate having a refractive index of 1.51, for example, this material was used by HOYA to prepare an AF-1 type intraocular lens.
- the radius of curvature of the rear surface of the optic portion of the posterior chamber intraocular lens is in the range of 7.0 mm - 66.0 mm, and the radius of curvature of the front surface of the optic portion of the posterior chamber intraocular lens is 14.4 mm - 74.0 Within the range of millimeters.
- the radius of curvature of the rear surface of the optical portion is preferably in the range of 7.2 mm - 15.3 mm from the viewpoint of better achieving the above-described advantageous effects of the present invention.
- the radius of curvature of the rear surface of the optical portion is more preferably about 9.9 mm.
- Example 6 the posterior chamber intraocular lens was made of hydrophobic acrylate and was obtained from AiboNoode (Beijing) Medical Technology Co., Ltd.
- the posterior chamber type intraocular lens material has a refractive index of 1.52.
- the radius of curvature of the posterior surface of the optic portion of the posterior chamber intraocular lens is in the range of 7.0 mm - 70.0 mm, and the radius of curvature of the anterior surface of the optic portion of the posterior chamber intraocular lens is in the range of 17.0 mm - 73.0 mm.
- the radius of curvature of the rear surface of the optical portion is preferably in the range of 7.6 mm - 16.5 mm.
- the radius of curvature of the rear surface of the optical portion is more preferably about 10.6 mm.
- the posterior chamber intraocular lens was made of a hydrophobic acrylate having a refractive index of 1.55.
- the material was used by ALCON to prepare Acrysof series intraocular lenses.
- the radius of curvature of the rear surface of the optic portion of the posterior chamber intraocular lens is in the range of 7.0 mm to 80.0 mm, and the radius of curvature of the front surface of the optic portion of the posterior chamber intraocular lens is 30.8 mm - 84.0 Within the range of millimeters.
- the radius of curvature of the rear surface of the optical portion is preferably in the range of 9.0 mm - 20.3 mm from the viewpoint of better achieving the above-described advantageous effects of the present invention.
- the radius of curvature of the rear surface of the optical portion is more preferably about 12.7 mm.
- the radius of curvature of the rear surface of the optical portion of the posterior chamber intraocular lens of the present invention is smaller than the radius of curvature of the front surface of the optical portion.
- the rear table of the optical portion The radius of curvature of the face is 17.8% to 60.0% of the radius of curvature of the front surface of the optical portion; more preferably, the radius of curvature of the rear surface of the optical portion is 20.0% of the radius of curvature of the front surface of the optical portion - 45.6 %.
- the radius of curvature of the rear surface of the optical portion of the posterior chamber intraocular lens of the present invention can also be substantially equal to the radius of curvature of the front surface of the optical portion.
- the kyphosis of the posterior chamber-type intraocular lens according to an embodiment of the present invention is optical.
- the rear surface or the front surface of the optics uses a high-order aspheric design without the conventional single-Q aspheric design (a single Q-value aspheric design can only compensate for spherical aberration).
- the principle of compensation for the aspherical surface of the posterior chamber intraocular lens of the present invention is as follows: the extra spherical aberration generated by the aspherical surface is positively and negatively correlated with the spherical aberration generated by the base spherical surface, and the extra spherical aberration generated by the aspheric surface is compared with the basic spherical surface. The resulting enthalpy difference is positive and negative.
- the high-order aspheric design in this application utilizes the multivariate higher-order equation coefficients as various variables in the design, and the resulting aspherical surface shape is more complicated with respect to its base spherical surface shape.
- the high-order aspheric design not only corrects for spherical aberration, but also corrects other types of higher-order aberrations and reduces the sensitivity of the crystal to the implanted position.
- the apex of the surface of the optical portion using the high-order aspherical design in the posterior chamber type intraocular lens of the present invention is taken as the origin.
- the ordinate axis Y of the coordinate system is tangent to the surface of the optical portion and passes through the surface apex 0 of the optical portion;
- the abscissa axis z of the coordinate system is parallel to the axial direction D-D shown in FIG. ', at an angle of 90 degrees to the ordinate axis Y and passing through the apex 0 of the optic surface.
- the coordinate relationship of the surface of the optical portion of the spherical design can be restored by the rotational symmetry transformation to restore the surface shape of the surface of the optical portion using the high-order aspherical design in the posterior chamber type intraocular lens of the present invention.
- the points on the surface of the optical portion using the high-order aspherical design in the posterior chamber-type intraocular lens of the kyphosis of the invention can be expressed as (Z, y). As shown in Figure 12, 2.
- ⁇ The Z value of any point on the curve of the aspherical surface on the two-dimensional coordinate system plane YZ is the Z value of the spherical surface at any point on the two-dimensional coordinate system plane YZ.
- the curve of the aspherical surface of the kyphosis intraocular lens portion of the present invention on the two-dimensional coordinate system plane YZ satisfies the following high-order aspheric design expression:
- Z(y) is the expression of the curve of the aspheric surface of the intraocular lens in the YZ plane
- c is the reciprocal of the radius of curvature of the base spherical surface of the optics
- y is the vertical of any point on the curve from the axis Z of the abscissa Distance
- a 2l is the aspherical high-order coefficient
- m and n are integers greater than or equal to 1 and n ⁇ m, which reflects the difference between the aspherical surface shape and the basic spherical surface shape.
- Table 3 lists the superpositions of the formula (4) after adding a high-order aspherical design to the various base spheres listed in Table 2 of the rear surface of the optic portion of the intraocular lens according to various preferred embodiments of the present invention.
- the high-order coefficient in Table 2 is obtained by ZEMAX simulation.
- the human eye model used in the simulation is the Liou model eye.
- the crystal is set to have better imaging quality under the condition of eccentricity of 0.5mm and inclination of 5°.
- the optical portion according to the preferred embodiment of the present invention adopts an aspherical design of a kyphosis-shaped posterior chamber intraocular lens. , thereby further improving the imaging quality of the intraocular lens, as shown in Figure 13-17.
- Figure 1 1 shows the 5mm clear aperture, 20D three different back surface designs (the rear surface is obviously convex spherical, the rear surface is flat spherical, the rear surface is obviously convex aspherical design), and the artificial crystal is in the human eye model.
- the abscissa is the position of the different apertures (expressed as a percentage of the aperture size) and the ordinate is the magnitude of the longitudinal aberration.
- the longitudinal aberration is mainly spherical aberration.
- the spherical surface of the spherical artificial lens with a large radius of curvature on the back surface is relatively flat, which conforms to the principle of minimizing the spherical aberration (using the artificial crystal two
- the overall curvature of the surface is minimized to the spherical aberration), the spherical aberration is small (the dotted line is shown);
- the spherical artificial crystal of the posterior surface with a small radius of curvature is obviously convex, and the spherical aberration and the spherical smoothness of the posterior surface are flat.
- the artificial crystal one side adopts aspherical design, which can effectively compensate the spherical aberration caused by the surface shape, and the spherical aberration is obviously reduced (the thick solid line is shown).
- Fig. 14A, Fig. 14B, and Fig. 14C respectively show the high-order image difference layout (pupil 5.0 mm) of the crystal at the center position, eccentricity, and tilt of the spherical surface, the single Q-value aspheric surface, and the high-order aspherical intraocular lens.
- the spherical intraocular lens has a large spherical aberration, and a single Q-value aspheric surface can correct the spherical aberration, and there are no other high-order aberrations (or high-order aberrations are small).
- the high-order aspherical surface can also correct the spherical aberration, but is slightly larger than the residual spherical aberration of the single Q-value aspherical surface.
- both the spherical surface and the aspheric surface have spherical aberration and coma, but the single Q value aspherical surface produces the largest coma.
- the ⁇ difference produced by the high-order aspheric surface is smaller than the single Q value, and the overall higher-order aberration is smaller than the spherical surface and the single Q-value aspheric surface.
- the use of MTF graphs is an effective, objective and comprehensive method for image quality evaluation, regardless of large high-order aberration systems or small higher-order aberration systems.
- the MTF value is the representation of the contrast and sharpness of the optical image, measured in terms of how many lines can be represented in a range of one millimeter, in lp/mm.
- Figure 15 shows that a high-order aspherical intraocular lens with a 5 mm pupil lower spherical surface, a single Q-value aspheric surface, and a small curvature radius of the posterior surface is measured in a human eye model with corneal aberrations when it is centered in the human eye pocket.
- MTF graph MTF graph. It can be seen from the figure that the spherical intraocular lens at the center has a large spherical aberration and the MTF curve is low, and the single Q value aspheric surface and the design of the present invention can well correct the spherical aberration.
- Figure 16 shows that a high-order aspherical intraocular lens with a 5 mm pupil lower spherical surface, a single Q-value aspheric surface, and a small curvature radius of the posterior surface is measured in a human eye model with corneal aberrations when it is 1 mm eccentric in the human eye pocket. MTF graph. It can be seen from the figure that the intraocular lens of the present invention has obvious advantages in comparison with other artificial lenses in the middle and low frequency bands, especially below 501p/mm (0.5p/mm with 0.5 visual acuity) when the human eye pocket is at an eccentricity of 1 mm. . However, there is little difference in high frequency performance. Overall, the IOL of the present invention still has considerable advantages over the rest of the models.
- Figure 17 shows a high-order aspherical intraocular lens with a 5 mm pupil lower spherical surface, a single Q-value aspheric surface, and a small curvature radius of the back surface in the human eye pocket at 0.5 mm eccentricity, 5.
- the optical portion according to the preferred embodiment of the present invention adopts an aspherical design of a sag-shaped posterior chamber-type intraocular lens to solve the problem that the radius of curvature of the posterior surface of the intraocular lens is smaller than that of the front surface.
- the difference is larger than the common surface design (front convex and flat).
- the residual spherical aberration is large, and the common aspherical surface (single Q aspherical surface) is solved.
- the intraocular lens is sensitive to implant misalignment (eccentricity and tilt during surgery). Too high a problem.
- the invention belongs to the field of optics design of intraocular lenses.
- the present invention uses a high-order aspheric design to correct the spherical aberration of the crystal and other high-order aberrations in the case of large aperture and misalignment, thereby improving the imaging quality of the artificial lens.
- the anterior chamber of the posterior chamber type intraocular lens of the present invention may also adopt a composite ring surface. design.
- the astigmatism, degree, and axial position of the astigmatic eye are determined by both corneal astigmatism and lens astigmatism.
- the facial defects of the cornea are the main cause of astigmatism after the removal of natural crystals.
- Astigmatism is a vector that can be represented by both size and angle.
- a cornea with astigmatism can be understood as the sum of the power of a spherical mirror and a cylindrical mirror. It can also be understood as a composite annular surface with inconsistent horizontal and vertical diopter.
- the reason for corneal astigmatism is that the cornea is a Toric surface.
- the artificial lens corrects corneal astigmatism by designing the intraocular lens as a Toric surface, and the maximum refractive power axis coincides with the minimum refractive power axis of the cornea.
- a cylindrical lens can be used to make the refractive power of the lenticule equal to the size of the corneal astigmatism in the opposite direction.
- cataract crystal implantation it is necessary to combine the crystal diopter with the correction of astigmatism to achieve both refractive and corneal astigmatism.
- the first is to carry out the basic refractive power design, that is, to meet the refractive requirements of the human eye; the second is to use the Toric surface to add a cylindrical mirror in a certain direction based on the basic refractive power design. It is equal in size to the additional cylinder of the cornea. The opposite direction.
- the design steps of the Toric intraocular lens of the present invention include: designing the basic shape of the Toric intraocular lens to meet the correction requirements of the total refractive power of the human eye.
- the refractive range that the intraocular lens needs to achieve in the human eye is 5.0D _ 36.0D.
- a corneal and human eye model with astigmatism is established.
- a cylindrical lens is added to the base surface of the Toric IOL to correct corneal astigmatism.
- the cylindrical shape can be added to the front surface of the optical portion or the rear surface of the optical portion by a surface shape of a composite ring curved surface.
- the Toric-type intraocular lens has an axial mark on the Toric surface (indicating the minimum refractive power of the IOL).
- the axial mark of the Toric-type intraocular lens must coincide with the direction of the largest refractive power of the cornea in the human eye during surgery. Studies have shown that when the axial direction of the Toric-type intraocular lens and the axial position of the human cornea rotate more than 5°, the Toric-type intraocular lens will lose its corrective effect on astigmatism. Further improving the optical performance of the implanted intraocular lens while facilitating the doctor's grasp of the axial position of the artificial lens during implantation is a factor to be considered in the surface design of the astigmatic correction type intraocular optical portion of the present invention. Therefore, for those skilled in the art, the ideal position of the Toric face and its axial mark should be located on the front surface of the intraocular lens (anterior chamber direction).
- the Toric IOL of the present invention is designed to take into account the corrected cylindrical degree of 0.5D - 2.5D.
- an optical portion front surface of a kyphosis-obvious posterior chamber intraocular lens includes: an optical portion composed of an optical portion and an optical portion edge; at least two connected to the optical portion Hey.
- the front surface of the optical portion is a convex composite ring curved surface, and the convex composite ring curved surface is formed by superposing a base spherical surface having a radius of curvature in a range of 7.1 mm - 84.0 mm and an offset from the base spherical surface.
- the radius of curvature of the rear surface of the optical portion is in the range of 6.6 mm to 80.0 mm, and a two-dimensional coordinate system is established with the apex 0 of the front surface of the optical portion in the posterior chamber intraocular lens as an origin, and the ordinate of the coordinate system
- the axis Y is tangent to the front surface of the optical portion and passes through the apex 0 of the front surface of the optical portion;
- the abscissa axis Z of the coordinate system is parallel to the axial direction D-D' and at an angle of 90 degrees with the ordinate axis Y
- the curve of the convex composite ring curved surface on the two-dimensional coordinate system plane YZ satisfies the following expression:
- Z(y) is the expression of the curve of the convex composite ring surface of the intraocular lens in the YZ plane
- c is the reciprocal of the radius of curvature of the base
- Each point on the convex composite ring curved surface shape is formed by the curve being rotated by a certain front surface rotation radius R around a straight line d-d' parallel to the ordinate axis Y.
- This composite ring surface The characteristics of this composite ring surface are: the magnitude of the refractive power in the horizontal and vertical directions is different, the refractive power in the vertical direction is determined by the radius of curvature of the rotation curve, and the refractive power in the horizontal direction is determined by the radius of rotation of the front surface around the curve. The refractive power between the direction and the vertical direction is determined by the shape of the curve rotation.
- This composite ring surface shape refractive power distribution effect is equivalent to the combination of the base spherical surface and the cylindrical surface.
- Table 4 below lists the correspondence between the cylindrical degree of the Toric intraocular lens and the correctable corneal cylinder degree according to another embodiment of the present invention. Table 4
- Table 5 lists the curvature radius r and the front surface rotation radius R of the front surface standard YZ curve corresponding to different cylindrical degrees of different materials and different degrees of kyphosis Toric intraocular lens, and the radius of curvature of the back surface.
- the posterior surface of the optical portion of the present invention made of silica gel or hydrogel having a refractive index of 1.46
- the posterior surface of the optical portion is in the YZ plane.
- the radius of curvature of the base curve is in the range of 7.1 mm - 48.6 mm.
- the radius of the front surface is in the range of 5.52 mm to 40.64 mm. .
- the radius of curvature of the base curve of the front surface of the optical portion in the YZ plane is preferably in the range of 9.2 mm to 44.5 mm, when the composite annular curved surface is attached to the cylindrical mirror When the degree is in the range of 1.0D - 4.0D, the radius of rotation of the front surface is in the range of 7.09 mm to 32.75 mm. More preferably, the base curve of the front surface of the optical portion has a radius of curvature of about 12.0 mm on the YZ plane, and when the combined annular surface has a cylindrical prism of 2.25 D, the front surface has a radius of rotation of about 9.85 mm.
- the front surface of the optical portion of the present invention made of a hydrophobic acrylate having a refractive index of 1.47, a kyphosis-shaped posterior chamber-type intraocular lens having a composite annular curved surface design
- the front surface of the optical portion is on the YZ plane.
- the radius of curvature of the curve is in the range of 7.8 mm to 59.0 mm
- the radius of the front surface rotation radius is in the range of 6.04 mm to 48.35 mm when the composite toroidal surface has a cylindrical lens in the range of 0.5D_5.0D.
- the radius of curvature of the base curve of the front surface of the optical portion in the YZ plane is preferably in the range of 11.0 mm - 45.5 mm, when the composite annular curved surface is attached with a cylindrical mirror
- the radius of rotation of the front surface is in the range of 8.28 mm to 33.97 mm.
- the base curve of the optical portion has a radius of curvature of about 17.0 mm in the YZ plane, and when the combined toroidal surface has a cylindrical lens of 2.25 D, the front surface has a radius of rotation of about 13.22 mm.
- the front surface of the optical portion of the present invention made of a hydrophobic acrylate having a refractive index of 1.48, a kyphosis-shaped posterior chamber-type intraocular lens having a composite annular curved surface design
- the front surface of the optical portion is on the YZ plane.
- the radius of curvature of the curve is in the range of 8.0 mm to 74.0 mm.
- the radius of the front surface is in the range of 6.23 mm to 58.63 mm.
- the radius of curvature of the base curve of the front surface of the optical portion on the YZ plane is preferably in the range of 10.69 mm to 55.74 mm. Within the range of 8.2 mm to 39.95 mm, the radius of rotation of the front surface is in the range of 1.0D to 4.0D. More preferably, the curvature radius of the base curve of the front surface of the optical portion on the YZ plane is about 14.71 mm, and when the cylindrical curvature of the composite annular surface is 2.25 D, the radius of rotation of the front surface is about 11.91 mm.
- the front surface of the optical portion of the present invention made of polymethyl methacrylate (PMMA) having a refractive index of 1.49, a kyphosis-shaped posterior chamber-type intraocular lens having a composite annular curved surface design
- the front surface of the optical portion is
- the radius of curvature of the base curve on the YZ plane is in the range of 10.9 mm - 60.0 mm.
- the additional annular surface of the composite toroid is in the range of 0.5D - 5.0D
- the radius of rotation of the front surface is 8.05 mm. Within the range of 59.50 mm.
- the radius of curvature of the base curve of the front surface of the optical portion in the YZ plane is preferably in the range of 17.2 mm - 44.5 mm, when the composite annular curved surface is attached with a cylindrical mirror
- the radius of rotation of the front surface is in the range of 11.89 mm to 34.64 mm.
- the radius of curvature of the base curve of the front surface of the optical portion in the YZ plane is about 29.5 mm, and when the cylindrical curvature of the composite annular surface is 2.25 D, the radius of the front surface is about 20.61 mm.
- the front surface of the optical portion of the present invention is based on the YZ plane.
- the radius of curvature of the curve is in the range of 14.4 mm - 74.0 mm.
- the radius of the front surface is in the range of 10.19 mm to 61.02 mm.
- the radius of curvature of the base curve of the front surface of the optical portion in the YZ plane is preferably in the range of 27.5 mm - 55.5 mm, when the composite annular curved surface is attached with a cylindrical mirror
- the radius of rotation of the front surface is in the range of 16.85 mm to 42.08 mm.
- the radius of curvature of the base curve of the front surface of the optical portion in the YZ plane is about 53.5 mm
- the radius of curvature of the composite toroidal surface is 2.25D
- the radius of curvature of the front surface is about 31.62 mm.
- the front surface of the optical portion is on the YZ plane.
- the radius of curvature of the curve is 17.0 mm. - In the range of 73.0 mm, when the combined toroidal surface has a cylindrical degree of 0.5D_5.0D, the radius of the front surface rotation is in the range of 11.63 mm to 60.92 mm.
- the radius of curvature of the base curve of the front surface of the optical portion in the YZ plane is preferably in the range of 37.0 mm to 44.5 mm, when the composite annular curved surface is attached to the cylindrical mirror
- the radius of rotation of the front surface is in the range of 20.51 mm to 42.64 mm.
- the radius of curvature of the base curve of the front surface of the optical portion in the YZ plane is about 55.5 mm, and when the cylindrical curvature of the composite toroidal surface is 2.25 D, the radius of curvature of the front surface is about 33.06 mm.
- the anterior surface of the optical portion is in the YZ plane.
- the radius of curvature of the curve ranges from 30.8 mm to 84.0 mm.
- the radius of the front surface is in the range of 17.91 mm to 70.22 mm.
- the radius of curvature of the base curve of the front surface of the optical portion in the YZ plane is preferably in the range of 44.5 mm - 55.5 mm, when the composite annular curved surface is attached with a cylindrical mirror
- the radius of rotation of the front surface is in the range of 30.41 mm to 44.07 mm.
- the base curve of the front surface of the optical portion has a radius of curvature of about 55.5 mm on the YZ plane, and when the combined annular surface has a cylindrical degree of 2.25 D, the front surface has a radius of rotation of about 35.05 mm.
- the rear surface of the optical portion can be either a spherical design or a high-order aspheric surface or the like on the base spherical surface.
- the front surface of the optical portion of the Toric intraocular lens of the present invention adopts a composite ring curved surface design, thereby further improving the visual quality of a cataract patient suffering from astigmatism, as shown in FIG. 19A and FIG. 19B. 20A and 20B.
- FIG. 19A and FIG. 19B are respectively a point spread function comparison diagram of a human eye with corneal astigmatism obtained by ZEMAX simulation after implantation of a common aspherical intraocular lens and a Toric intraocular lens of the present invention, respectively, wherein the human eye model Corneal astigmatism with 2.9D.
- Fig. 19A with Fig. 19B it can be seen that: the human eye implanted with a common aspherical intraocular lens has astigmatism, the point spread function is linear, and the imaging is good in one direction (longitudinal), One direction (horizontal) The high order aberration is extremely large.
- the point spread function is point-like, although some astigmatism still exists, but it has been greatly corrected. (Note: The two images are different in size).
- FIG. 20A and FIG. 20B are respectively MTF comparison diagrams of a human eye with corneal astigmatism obtained by ZEMAX simulation after implantation of a common aspherical intraocular lens and a Toric intraocular lens of the present invention, respectively, wherein the human eye model has 2.8D corneal astigmatism. Comparing Fig. 20A with Fig. 20B, it can be seen that: implantation of a common aspherical intraocular lens, the MTF reaches the diffraction limit in one direction, the imaging is good, and the MTF drops to a very low level in the other direction. By implanting the Toric IOL of the present invention, the MTFs in both directions reach a level close to the diffraction limit.
- the front surface of the optical portion according to the preferred embodiment of the present invention adopts a composite ring surface design and the kyphosis-obvious Toric intraocular lens corrects the refractive power while correcting the corneal astigmatism, thereby improving the suffering.
- the optical of the posterior chamber intraocular lens of the present invention in order to eliminate or reduce high-order aberrations (including spherical aberration and coma) of the prior art artificial crystal product, thereby improving image quality, the optical of the posterior chamber intraocular lens of the present invention
- the front surface of the front portion adopts a composite ring curved surface design and the rear surface of the optical portion of the posterior chamber intraocular lens of the present invention adopts a high-order aspherical design.
- Table 6 below lists a preferred embodiment of the posterior chamber intraocular lens of the present invention employing the above-described yet another composite toroidal surface design and the surface design parameters of the prior art comparative examples.
- the ⁇ made and the material was obtained by Aibo Dejing Medical Technology Co., Ltd.
- the posterior chamber type intraocular lens material has a refractive index of 1.48 (20 ° C).
- the material has a moderate refractive index and can effectively reduce the incidence of glare and ghosting.
- the posterior chamber intraocular lens of the following preferred embodiment of the present invention is capable of achieving a diopter of 20.0 D (with an additional cylinder degree of 2.5 D).
- Ra is the radius of curvature of the anterior surface of the intraocular lens (in millimeters)
- Rp is the radius of curvature of the surface of the intraocular lens (in millimeters)
- the value of the radius of curvature is a positive number indicating the longitudinal direction of the surface relative to the optics of the intraocular lens.
- the central plane is convex
- A4, A6, A8, and A10 are the coefficient values of the aspherical aspherical surface (see above).
- the preferred embodiment of the posterior chamber intraocular lens of the present invention and the prior art comparative example each have a planar design with a significantly convex back surface of the optical portion.
- the composite ring curved surface is on the front surface of the intraocular lens optic portion and the aspheric surface is on the posterior surface of the intraocular lens optic portion;
- the composite ring surface and the aspheric surface are both on the front surface of the intraocular optical portion.
- Fig. 23 is a view schematically showing the positional relationship between the axial direction of the intraocular lens and the direction of the maximum refractive power of the cornea of the human eye when the Toric type intraocular lens is implanted in the human eye.
- the axial direction of the intraocular lens is 11 with the maximum refractive power direction E-E of the cornea 11 of the human eye.
- E-E maximum refractive power direction
- the easy identification and clarity of the direction marks on the Toric surface is an objective requirement for the Toric-type intraocular lens design during the surgical procedure.
- Figure 24 is a schematic view showing an intraocular lens (preferred embodiment) in which the aspherical surface and the composite ring curved surface are separated on both sides, and an intraocular lens (comparative example) on the same side of the aspherical surface and the composite annular curved surface in the 3.0 mm aperture with astigmatism A comparison of the MTF of the spatial frequency 0-1001p/mm under the human eye model.
- the solid line is an aspherical and Toric surface separated from the crystal on both sides of the crystal (preferred embodiment) in a 3.0 mm aperture with astigmatism in the human eye model with a spatial frequency of 0-001 p/mm MTF;
- An intraocular lens in which the aspherical surface and the Toric plane are on the same side of the crystal has an MTF of a spatial frequency of 0-001 p/mm under a 3.0 mm aperture astigmatism human eye model.
- the MTF curve of the intraocular lens separated from the Toric surface on both sides of the crystal is higher than the MTF of the intraocular lens with the aspheric surface and the Toric surface on the same side of the crystal, indicating that under the same conditions (in the same astigmatism In the eye model, the aspheric coefficients are optimally optimized.
- the optical properties of the azimuth and Toric planes separated on both sides of the crystal are better than those of the aspherical and Toric planes on the same side of the crystal.
- Figure 25 is a view schematically showing a wavefront map at the image plane of the astigmatic correction type intraocular lens in the human eye model of the present invention (a preferred embodiment, the aspherical surface and the composite ring surface are separated on both sides of the intraocular lens);
- Fig. 26 is a view schematically showing a wavefront diagram of a surface design (comparative example) in which a prior art aspherical surface and a composite ring curved surface are combined on one side in the same human eye model.
- the complex lens and the aspherical separation of the intraocular lens have a small undulating undulation in the astigmatic eye, and the wavefront aberration PV value is 0.1060 ⁇ , RMS value. 0.0241 ⁇ ; and the composite ring surface and the aspheric surface are combined on one side of the design image surface with obvious astigmatic fluctuations, the wavefront aberration PV value is 0.3331 ⁇ , and the RMS value is 0.0700 ⁇ . It is proved that the astigmatism correction effect of the cornea separated by the composite ring surface and the aspheric surface is better, and the wavefront aberration is smaller after correction.
- the optical portion of the posterior chamber intraocular lens of the present invention adopts a design with a prominent convex surface (small curvature radius), and adopts a high-order aspheric design or
- the design of the composite ring surface is used to reduce the distance between the back surface of the optics of the intraocular lens and the posterior condyle, improve the stability of the spatial position of the intraocular lens in the pocket, and make the edge of the optic edge of the intraocular lens more advantageous.
- the intraocular lens (especially for the sputum of a one-piece posterior chamber) is not folded It will be tightly pressed on the front surface of the optic, making it easier to deploy after implantation in the eye without the support and optics sticking to each other, while also improving the quality of the IOL and/or improving the visual quality of the astigmatic patient.
Abstract
Description
Claims
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EP13738119.0A EP2805694B1 (en) | 2012-01-19 | 2013-01-18 | Posterior chamber-type intraocular lens |
US14/372,245 US9855136B2 (en) | 2012-01-19 | 2013-01-18 | Posterior chamber intraocular lens |
JP2014552488A JP6450190B2 (ja) | 2012-01-19 | 2013-01-18 | 後眼房型眼内レンズ |
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CN201210017055.4 | 2012-01-19 | ||
CN201210017070.9A CN103211665B (zh) | 2012-01-19 | 2012-01-19 | 后房型人工晶体 |
CN201210017070.9 | 2012-01-19 | ||
CN201210017055.4A CN103211664B (zh) | 2012-01-19 | 2012-01-19 | 后房型人工晶体 |
CN201210335578.3 | 2012-09-12 | ||
CN201210335578.3A CN103655001A (zh) | 2012-09-12 | 2012-09-12 | 一种散光矫正型人工晶体 |
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EP (1) | EP2805694B1 (zh) |
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CN103969795A (zh) * | 2014-04-30 | 2014-08-06 | 中国科学院长春光学精密机械与物理研究所 | 空间目标成像光学系统 |
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KR102328526B1 (ko) * | 2016-03-09 | 2021-11-17 | 스타 서지컬 컴퍼니 | 확장된 피사계 심도 및 향상된 원거리 시력의 안과용 임플란트 |
JP6826843B2 (ja) * | 2016-08-31 | 2021-02-10 | Hoya株式会社 | 眼内レンズ、その設計方法、およびその製造方法 |
WO2020011250A1 (zh) * | 2018-07-13 | 2020-01-16 | 爱博诺德(北京)医疗科技股份有限公司 | 人工晶状体及其制造方法 |
US10774164B2 (en) | 2018-08-17 | 2020-09-15 | Staar Surgical Company | Polymeric composition exhibiting nanogradient of refractive index |
CN111035471B (zh) * | 2018-10-12 | 2023-12-26 | 富螺(上海)医疗器械有限公司 | 人工晶体 |
EP3747401A1 (en) * | 2019-06-07 | 2020-12-09 | Voptica S.L. | Intraocular lens and methods for optimization of depth of focus and the image quality in the periphery of the visual field |
BE1027570B1 (fr) * | 2019-09-11 | 2021-04-06 | Physiol Sa | Lentille intraoculaire avec profondeur de champ étendue |
AU2021235410A1 (en) * | 2020-03-11 | 2022-10-06 | Brien Holden Vision Institute Limited | Intraocular lenses for reducing peripheral pseudophakic dysphotopsia |
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EP2805694A1 (en) | 2014-11-26 |
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JP6450190B2 (ja) | 2019-01-09 |
US9855136B2 (en) | 2018-01-02 |
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EP2805694A4 (en) | 2015-09-30 |
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