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.

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 includes a lens capsule expansion bag placed in a lens capsule whose anterior capsule has been incised in ophthalmic surgery. An intraocular lens is placed in the lens capsule expansion bag. The lens capsule expansion bag includes an anterior bag portion in contact with an anterior capsule, a posterior bag portion in contact with a posterior capsule, and an intermediate bag portion in contact with an equator. The intraocular lens includes an optical portion and a support portion. The support portion includes an anterior support portion in contact with the anterior bag portion and a posterior support portion in contact with the posterior bag portion. In response to the movement of the lens capsule, the lens capsule expansion bag deforms. The anterior support portion of the intraocular lens greatly deflects or returns accordingly, whereby the optical portion is largely moved in the anterior-posterior direction.

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 method of implanting an intraocular optic assembly that has at least a first and second optics interconnected to one another with a plurality of stanchions can include rotating the first optic and the second optic relative to one another and thereby drawing the stanchions at least one of between the first optic and the second optic and around one of the first optic and the second optic. The method can also include folding, after the rotating, the intraocular optic assembly while retaining the stanchions in the at least one of between the first optic and the second optic and around one of the first optic and the second optic. The method can also include inserting, after the folding, the intraocular optic assembly in an eye through an incision in a cornea of the eye.

The present disclosure concerns a curvature-changing, accommodative intraocular lens (IOL) for implantation in the capsular bag of a patient's eye. The IOL includes a fluid optic body having a cavity for containing an optical fluid, the cavity at least partially defined by a sidewall extending around the cavity and defining a diameter of the cavity and a deformable optical membrane intersecting the sidewall around a circumference of the sidewall and spanning the diameter of the cavity. The IOL further includes a second optic body spaced a distance apart from the fluid optic body and a plurality of struts extending from the sidewall and coupling the fluid optic body to the second optic body. The struts are configured such that axial compression of the capsular bag causes the struts to deform the sidewall in a manner that increases the diameter of the cavity, modifying a curvature of the deformable optical membrane.

Hybrid Accommodating Intra Ocular Lens (AIOL) assemblages including two discrete component parts in the form of a discrete base member for initial implantation in a vacated capsular bag and a discrete lens unit for subsequent implantation in the vacated capsular bag for anchoring to the discrete base member. The lens unit includes a lens optics having at least two segmented lens haptics radially outwardly extending therefrom.

A method of using an implantable artificial intraocular lens capsule to provide accommodative functionality through forward backward movement. The implantable artificial capsule has a ring with a central opening to accommodate an intraocular lens and at least three haptic arms extending from the ring. Visual accommodation is accomplished by forward or backward motion of the artificial intraocular lens which is made possible by the flexibility or stimuli induced shape change of the haptic arms. Stimuli include (i) mechanical forces acting on the haptic arms for example by the ciliary muscle, (ii) gravitational forces acting on the artificial intraocular lens, (iii) forces acting indirectly on the haptics arms or (iv) external forces including electrical or electromagnetic delivered via the externalized haptics.

A method of inserting an accommodating intraocular lens assembly having at least an optic and ring members that are interconnected to one another with a plurality of stanchions can include winding at least one of the structures relative to at least another one of the other structures about a central optic axis whereby at least some of the stanchions are drawn around an intermediate or middle ring member and in between the optic and an outer ring member. The method can also include folding, after the winding, the accommodating intraocular lens assembly in half while retaining the at least some of the plurality of stanchions in between the optic and the outer ring member. The method can also include inserting, after the folding, the accommodating intraocular lens assembly in an eye through a slit in a cornea of the eye.

The present disclosure provides an intralocular-lens (IOL) or ophthalmic device including an optic and at least one haptic, at least a portion of which is formed from a photoresponsive shape memory polymer network, such as a polydomain azo liquid crystalline polymer network (PD-LCN). The present disclosure further provides systems and methods for adjusting the position of such an IOL or other ophthalmic device using polarized laser radiation.