The present disclosure relates to devices, systems, and methods for improving or optimizing peripheral vision. In particular, various IOL designs, as well as IOL implantation locations, are disclosed which improve or optimize peripheral vision.

Bifurcated haptic aligner actuators (BHAAs) have an anterior and a posterior lens support ring to each of which is pivotively attached a plurality of center-pivoted struts, at least two of which comprise an opposing pair, and to each of the opposing pair of struts is pivotably attached a bifurcated haptic, one haptic branch being pivotably attached to the anterior part of a strut, the other branch of the same haptic being similarly attached to the posterior part of the same strut.

An accommodating intraocular lens (AIOL) for implantation within a capsular bag of a patient's eye comprises first and second components coupled together to define an inner fluid chamber and an outer fluid reservoir. The inner region of the AIOL provides optical power with one or more of the shaped fluid within the inner fluid chamber or the shape of the first or second components. The fluid reservoir comprises a bellows region with fold(s) extending circumferentially around an optical axis of the eye. The bellows engages the lens capsule, and a compliant fold region between the inner and outer bellows portions allows the profile of the AIOL to deflect when the eye accommodates for near vision. Fluid transfers between the inner fluid chamber and the outer fluid reservoir to provide optical power changes. A third lens component coupled to the first or second component provides additional optical power.

An accommodating intraocular lens assembly can include first stanchions, a forward optic, second stanchions, an intermediate member, third stanchions, fourth stanchions, and an aft optic. Each stanchion can extend between a base end and a distal end. The forward optic can be connected with the distal ends of the first stanchions. The intermediate member can be connected with the distal ends of the second stanchions and of the third stanchions. The aft optic can be connected with the distal ends of the fourth stanchions.

Bifurcated haptic aligner actuators (BHAAs) have an anterior and a posterior lens support ring to each of which is pivotively attached a plurality of center-pivoted struts, at least two of which comprise an opposing pair, and to each of the opposing pair of struts is pivotably attached a bifurcated haptic, one haptic branch being pivotably attached to the anterior part of a strut, the other branch of the same haptic being similarly attached to the posterior part of the same strut.

A two-part accommodating intraocular lens (IOL) device for implantation in a capsular bag of a patient's eye. The IOL device includes a primary lens assembly and a power changing lens. The primary lens assembly includes a fixed lens and a peripherally disposed centration member. The centration member has a circumferential distal edge and a first coupling surface adjacent the circumferential distal edge. The power changing lens has an enclosed, fluid- or gel-filled lens cavity and haptic system disposed peripherally of the lens cavity. The haptic system has a peripheral engaging edge configured to contact the capsular bag and a second coupling surface. The first and second coupling surfaces are in sliding contact with one another to permit movement of the power changing lens relative to the primary lens assembly and also to maintain a spaced relationship between the fixed lens and the lens cavity during radial compression of the power changing lens.

An accommodative intraocular lens for implantation in an eye within a natural capsular bag includes a first lens part with an optical body transparent to light and defining an optical axis, front and rear optical body surfaces, haptics connected permanently to the optical body and designed to come into engagement with the capsular bag, a flexible membrane connected permanently to the haptics or the optical body, the membrane having a center axis which runs congruently or parallel to the optical axis and is transparent to light, and a second lens part with a hollow cylinder which can be positioned with a proximal end on the front membrane surface of the first lens part such that the hollow cylinder and the membrane can be displaced along the optical axis towards the front optical body surface and thus the rear membrane surface undergoes a change in the radius of curvature thereof.

A composite light adjustable intraocular lens, can include an intraocular lens (IOL), a light adjustable lens, attached to the intraocular lens, and haptics. In some cases, a composite light adjustable intraocular lens can include an intraocular lens, and haptics, attached to the IOL with light-adjustable hinges. A method of adjusting an implanted composite light adjustable intraocular lens can include planning a targeted optical outcome of an implantation of the composite light adjustable intraocular lens into an eye; implanting, the composite light adjustable intraocular lens into the eye; performing a diagnostic measurement to evaluate an implanted optical outcome of the implantation; determining a correction based on a comparison of the planned optical outcome and the implanted optical outcome; and applying a stimulus to adjust an optical characteristic of the composite light adjustable intraocular lens to induce the determined correction.

Disclosed are toric accommodating intraocular lenses. In one embodiment, a toric accommodating intraocular lens comprises an anterior element and a posterior element. The anterior element can comprise an anterior optical surface. The posterior element can comprise a posterior optical surface. A fluid-filled optic fluid chamber can be defined in between the anterior element and the posterior element. The toric accommodating intraocular lens can be configured to correct for corneal astigmatism, spherical aberration, or a combination thereof.

An intraocular lens (IOL) has a clear optic and means for actuating change in curvature in at least a portion the clear optic. The intraocular lens (IOL) can have anterior and posterior portions spaced apart by a cavity, and an actuator for urging change in curvature in at least one of said portions, with energy provided by an energy harvesting mechanism incorporated into haptics of said IOL.