Systems and methods are provided for improving overall vision in patients suffering from a loss of vision in a portion of the retina (e.g., loss of central vision) by providing an enhanced toric lens which redirects and/or focuses light incident on the eye at oblique angles onto a peripheral retinal location. The intraocular lens can include a redirection element (e.g., a prism, a diffractive element, or an optical component with a decentered GRIN profile) configured to direct incident light along a deflected optical axis and to focus an image at a location on the peripheral retina. Optical properties of the intraocular lens can be configured to improve or reduce peripheral errors at the location on the peripheral retina. One or more surfaces of the intraocular lens can be a toric surface, a higher order aspheric surface, an aspheric Zernike surface or a Biconic Zernike.

Systems and methods are provided for improving overall vision in patients suffering from a loss of vision in a portion of the retina (e.g., loss of central vision) by providing a piggyback lens which in combination with the cornea and an existing lens in the patient's eye redirects and/or focuses light incident on the eye at oblique angles onto a peripheral retinal location. The piggyback lens can include a redirection element (e.g., a prism, a diffractive element, or an optical component with a decentered GRIN profile) configured to direct incident light along a deflected optical axis and to focus an image at a location on the peripheral retina. Optical properties of the piggyback lens can be configured to improve or reduce peripheral errors at the location on the peripheral retina. One or more surfaces of the piggyback lens can be a toric surface, a higher order aspheric surface, an aspheric Zernike surface or a Biconic Zernike surface to reduce optical errors in an image produced at a peripheral retinal location by light incident at oblique angles.

A method and system provide an ophthalmic device. The ophthalmic device includes an ophthalmic lens having anterior surface, a posterior surface and at least one diffractive structure including a plurality of zones. The at least one diffractive structure is for at least one of the anterior surface and the posterior surface. Each zone includes at least one echelette having a least one step height. The step height(s) are individually optimized for each zone. To compensate chromatic aberration of eye from distance to a range of vision, a greater than 2? phase step height may be employed and the step height(s) folded by a phase, which is an integer multiple of two multiplied by ?. Hence chromatic aberration of eye may be compensated to improve vision from distance to near.

A multifocal IOL (M-IOL) has a phase-altering characteristic that can control the diffraction and interference of light propagating there through to effect multifocality and extended depth of focus (EDOF). The embodied IOLs include engineered, discrete phase profiles on one or both of the anterior and posterior surfaces of the lens to intentionally manipulate the light in a designated manner. A design method for defining the discrete phase profile on the lens surface. The engineered phase profile is constructed by concentric annular zones having an abrupt step jump at the trailing circumferential edge of each zone. An optical modeling method to simulate the optical performance of the embodied IOLs in an optical ray tracing environment.

A virtual aperture integrated into an intraocular lens is disclosed. Optical rays which intersect the virtual aperture are widely scattered across the retina causing the light to be virtually prevented from reaching detectable levels on the retina. The use of the virtual aperture helps remove monochromatic and chromatic aberrations yielding high-definition retinal images. For a given definition of acceptable vision, the depth of field is increased over a larger diameter optical zone. In addition, thinner intraocular lenses can be produced since the optical zone can have a smaller diameter. This in turn allows smaller corneal incisions and easier implantation surgery.

Systems and methods are provided for improving overall vision in patients suffering from a loss of vision in a portion of the retina (e.g., loss of central vision) by providing a piggyback lens which in combination with the cornea and an existing lens in the patient's eye redirects and/or focuses light incident on the eye at oblique angles onto a peripheral retinal location. The piggyback lens can include a redirection element (e.g., a prism, a diffractive element, or an optical component with a decentered GRIN profile) configured to direct incident light along a deflected optical axis and to focus an image at a location on the peripheral retina. Optical properties of the piggyback lens can be configured to improve or reduce optical errors at the location on the peripheral retina. One or more surfaces of the piggyback lens can be a toric surface, a higher order aspheric surface, an aspheric Zernike surface or a Biconic Zernike surface to reduce optical errors in an image produced at a peripheral retinal location by light incident at oblique angles. One or more surfaces of the piggyback lens can be faceted.

Embodiments disclosed herein are related to systems including at least one ophthalmic device (e.g., at least one intraocular lens or at least one contact lens) and methods of using the at least one ophthalmic device. The ophthalmic device includes a switchable lens that can selectively change a focal length thereof. The ophthalmic device also includes a plurality of sensors disposed therein or thereon that sense one or more characteristics. At least one of the plurality of sensors can sense one or more electromyography signals associated with a ciliary muscle of the eye. At least another of the plurality of sensors can sense one or more accelerations of the eye, one or more electromagnetic signals, one or more magnetic fields, one or more additional electromyography signals, or another suitable characteristic. The systems can also include at least one controller configured to direct changing the focal length of the switchable lens responsive to the characteristics sensed by the sensors.

A multifocal IOL including at least one diffractive surface including a plurality of discrete, adjacent, diffractive, concentric rings, having a radial phase profile cross-section with a near-symmetrical diffractive surface topography, and an odd number, greater than three, of diffractive orders and an asymmetrical distribution of energy flux over the diffractive orders.

A trephination apparatus can include a first member, a blade, and a second member. The first member can include a through-aperture and a first internal chamber. The first member can also include opening to the first internal chamber that can surround the through-aperture in a plane. The blade can have an outwardly-facing male profile at least partially matching the through-aperture and have a cutting edge. The second member can include a first body sized to be received in the through-aperture with the blade. The blade can be positionable between the first body and the female profile at the second opening. The second member can also include a second internal chamber with an opening extending about the aperture axis in the plane with an opening to the first internal chamber.

A foldable lens comprises an outer refractive surface portion comprising a first plurality of convexly curved refractive profile regions having positive optical power to converge light energy with refraction toward a focus on the retina. The convexly curved refractive profile regions of the outer region may correspond to at least about a quarter of the refractive power of the lens, such that the lens thickness is decreased substantially and the folded lens can fit through a small incision. The outer refractive surface portion focuses light with refraction, in focus images viewed through the outer portion of the lens can appear sharp to the patient. The outer refractive surface portion also comprises a second plurality of concavely curved refractive profile regions having negative optical power disposed between the first plurality, so as to diverge the light energy substantially away from the focus on the retina, such that visual artifacts are inhibited.