The present disclosure provides a three-lens IOL system including a first, anterior lens, a second, posterior lens rigidly connected to the first lens by at least one rigid member such that the second lens is a fixed distance from the first lens along an axis, a third, center, moveable lens positioned between the first lens and the second lens and adapted to move linearly along the axis anteriorly in a direction of the first lens or posteriorly in a direction of the second lens to change an optical power of the system, and an articulating actuator that contacts the moveable lens and a capsular bag of an eye when the IOL system is implanted in the capsular bag, the articulating actuator adapted to move the moveable lens linearly along the axis.

The present disclosure provides intraocular artificial lenses having a variable optical strength and methods of treating an eye disorder, such as presbyopia, using same. In some embodiments, the intraocular artificial lens comprises two optical elements that are moveable along the optical axis in relation to each other, for example in response to the accommodative process of the eye.

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 a first lens, a first plurality of stanchions, a second lens, and a second plurality of stanchions. A central optic axis can extend through centers of the first and second lenses. The first plurality of stanchions can each extend a first distance between a first base end and a first distal end. The first lens can be connected with the first distal ends. The second plurality of stanchions can each extend a second distance between a second base end and a second distal end. The second lens can be connected with the second distal ends. Compression at the peripheries of the stanchions induces movement of the lenses apart from one other.

An accommodative hydraulic intraocular lens system (AHIOL) has a cylindrical actuator contained within which is a hydraulic lens assembly. The hydraulic lens assembly has a transparent elastically reconfigurable membrane coupled to a fixed focus lens by a bellows and a refractive hydraulic fluid contained in the space defined by the membrane, the bellows and the lens, and is maintained at the upper range of its diopter power by the elastic properties of the bellows, springs, or both.

An accommodating intraocular lens implant includes (a) a posterior lens unit and (b) an anterior assembly, which includes first and second anterior components, each of which comprises exactly one polymeric piece. The first anterior component is shaped so as to define an anterior floating lens unit and levers. The second anterior component (a) is assembled with the first anterior component such that the first and the second anterior components are separable from each other without tearing the anterior components, and (b) is shaped so as to define (i) an anterior rim complex, and (ii) anterior rim links, which are connected to the anterior rim complex. The levers are in jointed connection with the anterior floating lens unit, the anterior rim links, and the posterior lens unit. The levers are arranged to move the anterior floating lens unit toward and away from the anterior rim complex.

Accommodating intraocular (AIOL) assemblies for enabling post implantation in situ manual selective displacement of an AIOL along a human eye's visual axis relative to stationary anchor points. Axial displacement may be over a continuous range or alternatively at discrete axial stopping positions typically from about 100 m to about 300 m apart. Novels AIOLs designed to be at least partially folded for facilitating insertion into a human eye through a relatively small incision.

An accommodating (re-focusable) lens system a body of which includes, upon being assembled, first and second individual lenslets having first and second optical portions sequentially disposed along an optical axis. Change in optical-power accommodation of the system is achieved by changing an applanated area of contact between the lenslets in response to force applied to the lenslets and transformed into an axial force. In specific case, the first and second lenslets form an intraocular lens (IOL) and have respective haptic portions, interlocked as a result of rotating of one lenslet with respect to another such as to bring first and second lenslets in contact at an axial point. The applanated area of contact is changed, then, in response to a radially-directed force caused by a change of distance between the interlocked ends of the haptics and transferred to the optical portions through the interlocked haptics. When installed in a natural lens capsule after the cataract extraction, the optical power of such IOL is gradually modifiable due to a change of curvature of the capsule caused by operation of a ciliary muscle.

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 one or more folds of the bellows 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 when the eye accommodates.

A modular optical implant, which may comprise a base ring and an optic with features that enable assembly, alignment, and stabilization of adjunct optics. The optic may have features that interface with other optics and improve optical outcomes through rigid alignment of adjunct optics, mitigation of anterior capsule opacification, in vivo identification of optical features while implanting the lens, and reduction of refractive error. More generally, some embodiments may be an optical implant, which may comprise a posterior optic surface, an anterior optic surface, an optic edge between the posterior optic surface and the anterior optic surface, a locking tab coupled to the posterior optic surface, and an optic stabilizer coupled to the anterior optic surface.