Comprehensive Intraocular Vision Advancement
20220233357 · 2022-07-28
Inventors
Cpc classification
A61F2250/0001
HUMAN NECESSITIES
A61B3/16
HUMAN NECESSITIES
A61F2/14
HUMAN NECESSITIES
A61B5/14532
HUMAN NECESSITIES
A61F9/08
HUMAN NECESSITIES
International classification
Abstract
An intraocular implant device for comprehensive intraocular vision advancement includes an intraocular implant body shaped for positioning inside a lens chamber of an eye. In some embodiments, the implant includes an optical adjustable base accommodating lens configured to provide both base adjustment and accommodation. In further embodiments, the implant includes a photoelectric sensor operable to receive incident light through the cornea and to convert the received light into electrical energy for use with one or more circuit components disposed on the body, and wherein the photoelectric sensor is also operable to convert the received light into image data. The ocular implant device may include a projector for projecting the image data onto the retina of a user. The ocular implant may additionally include an autofocusing digital camera, an autofocusing electromechanical lens array, and sensors for detecting glucose levels and/or intraocular eye pressure.
Claims
1. An intraocular implant device, comprising: an intraocular implant body shaped for positioning inside a lens chamber of an eye, the intraocular implant body having an anterior side facing a cornea of the eye, and a posterior side facing a retina of the eye; a digital camera comprising an auto-focus lens, the digital camera being disposed on the anterior side of the intraocular implant body and operable to receive incident light through the cornea, actively adjust the lens to focus the incident light, convert the focused incident light into focused image data, and send the focused image data; a photoelectric sensor disposed on the anterior side of the intraocular implant body, wherein the photoelectric sensor is operable to receive incident light through the cornea and to convert the incident light into electrical energy for use with one or more circuit components disposed on the intraocular implant body; a light projector disposed on the posterior side of the intraocular implant body, the light projector operable to receive the focused image data, and to emit photons from the projector onto the retina in a pattern representative of the focused image data; and a power supply disposed on the intraocular implant body and operable to provide power to the light projector.
2. The device of claim 1, further comprising: an external transmitter operable to wirelessly send a digital input signal including image data; and a wireless receiver configured to wirelessly receive the digital input signal from an external source and transmit the digital input signal including image data to the light projector, wherein the light projector is further operable to receive the digital input signal including image data and emit photons from the projector onto the retina in a pattern representative of the image data.
3. The device of claim 2, further comprising: an external light source spaced in relation to the intraocular implant body exterior to the eye, the external light source operable to generate and emit light through the cornea onto the photoelectric sensor disposed on the anterior side of the intraocular implant body.
4. The device of claim 3, further comprising a scleral contact lens, wherein the external light source is positioned between the scleral contact lens and the intraocular implant body.
5. An intraocular implant device, comprising: an intraocular implant body shaped for positioning inside a lens chamber of an eye, the intraocular implant body having an anterior side facing a cornea of the eye, and a posterior side facing a retina of the eye; an autofocusing electromechanical lens array disposed on the intraocular implant body and operable to receive incident light through the cornea, actively adjust the incident light until the incident light is focused, and transmit the focused incident light to the retina; a controller in communication with the lens array and operable to analyze the incident light passing through the lens array and actively adjust the lens array until the incident light is focused; and a power supply disposed on the intraocular implant body and operable to provide power to one or more components disposed on the intraocular implant body.
6. The device of claim 5, further comprising: a photoelectric sensor operable to receive incident light through the cornea and to convert the incident light into electrical energy for use with one or more circuit components disposed on the intraocular implant body; a light projector capable of being mechanically situated in an engaged position or an unengaged position; an external transmitter operable to wirelessly send a digital input signal including image data; and a wireless receiver disposed on the intraocular implant body and operable to wirelessly receive the digital input signal and to transmit the digital input signal to the light projector mechanically situated in the engaged position, wherein when the light projector is mechanically situated in the unengaged position, the autofocusing electromechanical lens array is active and transmits the focused incident light to the retina, and the light projector is inactive and disposed on a location on the intraocular implant body that allows for the uninterrupted transmission of focused incident light from the lens array to the retina, and wherein when the light projector is mechanically situated in the engaged position, the autofocusing electromechanical lens array is inactive and the light projector is active, disposed on the posterior side of the intraocular implant body, and is operable to receive the digital input signal, and to emit photons from the projector onto the retina in a pattern representative of the image data.
7. The device of claim 5, further comprising: a remote transmitter operable to wirelessly send a digital input signal including axial location adjustment data, wherein the controller is further operable to wirelessly receive the digital input signal and to adjust the axial location of the optical autofocusing lens array between the anterior side and posterior side of the intraocular implant body in accordance with the location adjustment data.
8. The device of claim 1, further comprising: a glucose sensor disposed on an outer portion of the intraocular implant body, so as to physically contact intraocular eye fluids when the intraocular implant body is positioned inside the lens chamber of an eye, wherein the glucose sensor is operable to measure glucose in the intraocular eye fluid and wirelessly send a digital output signal including glucose measurement data; and an external receiver operable to wirelessly receive the digital output signal, process the digital output signal, and store the glucose measurement data.
9. The device of claim 5, further comprising: a glucose sensor disposed on an outer portion of the intraocular implant body, so as to physically contact intraocular eye fluids when the intraocular implant body is positioned inside the lens chamber of an eye, wherein the glucose sensor is operable to measure glucose in intraocular eye fluids and wirelessly send a digital output signal including glucose measurement data; and an external receiver operable to wirelessly receive the digital output signal, process the digital output signal, and store the glucose measurement data.
10. The device of claim 5, further comprising: an intraocular pressure sensor disposed on an outer portion of the intraocular implant body, so as to physically contact a portion of the eye when the intraocular implant body is positioned inside the lens chamber of an eye, wherein the sensor is operable to measure intraocular eye pressure and wirelessly send a digital output signal including intraocular pressure data; and an external receiver operable to wirelessly receive the digital output signal, process the digital output signal, and store the intraocular pressure data.
11. The device of claim 5, wherein the autofocusing electromechanical lens array includes an adjustable base accommodating lens.
12. A method of improving vision in a patient, comprising: providing an intraocular implant including an autofocusing digital camera oriented away from the retina, and a projector oriented toward the retina; acquiring image data using the autofocusing digital camera; and projecting a light pattern onto the retina using the projector.
13. The method of claim 12, further comprising providing accommodation to the image data prior to projection of the light pattern onto the retina.
14. A method of improving vision in a patient, comprising: providing an intraocular implant including an autofocusing optical lens assembly; focusing incoming light using the autofocusing optical lens assembly; and passing the autofocused incoming light onto the retina of the patient.
15. The method of claim 14, further comprising providing accommodation to the autofocused incoming light prior to passing the light onto the retina.
16. The method of claim 15, wherein the optical lens assembly includes a variable refractive index lens.
17. An intraocular implant apparatus, comprising: an implant body; an adjustable base accommodating lens assembly disposed in the implant body; and a power supply disposed in the implant body, wherein the power supply is configured to power the adjustable base accommodating lens assembly.
18. The apparatus of claim 17, wherein the adjustable base accommodating lens is configured to provide both base adjustment and accommodation inside the eye.
19. The apparatus of claim 18, further comprising a receiver disposed in the implant body, wherein the receiver is configured to receive an input signal controlling the adjustable base accommodating lens.
20. An intraocular lens implant apparatus, comprising: an implant body; a plurality of optical lenses disposed in the implant body, wherein at least one of the plurality of optical lenses is a variable refractive index lens; a controller disposed in the implant body connected to the variable refractive index lens; and a power supply disposed in the implant body.
21. The apparatus of claim 20, further comprising a receiver disposed in the implant body, wherein the receiver is configured to receive an input signal including information relating to the desired refractive index.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION
[0039] While the making and using of various embodiments of the present invention are discussed in detail below, it should be appreciated that the present invention provides many applicable inventive concepts that are embodied in a wide variety of specific contexts. The specific embodiments discussed herein are merely illustrative of specific ways to make and use the invention and do not delimit the scope of the invention. Those of ordinary skill in the art will recognize numerous equivalents to the specific apparatus and methods described herein. Such equivalents are considered to be within the scope of this invention and are covered by the claims.
[0040] In the drawings, not all reference numbers are included in each drawing, for the sake of clarity. In addition, positional terms such as “upper,” “lower,” “side,” “top,” “bottom,” etc. refer to the apparatus when in the orientation shown in the drawing, or as otherwise described. A person of skill in the art will recognize that the apparatus can assume different orientations when in use.
[0041] Referring now to the drawings,
[0042] The present disclosure provides a new type of implant device for installation into an empty lens chamber 18, as shown in
Intraocular Photoelectric Power Supply (IO-PEPS)
[0043] One aspect of intraocular implant device 40 provides an electrical power supply configured to generate electrical power for use by on-board electronics on the intraocular implant device 40 or alternatively housed within the eye. As such, the intraocular implant device 40 includes an intraocular photoelectric power supply (IO-PEPS) device.
[0044] As seen in
[0045] Intraocular implant device 40 is generally opaque when housed within the lens chamber 18 such that incident light 56 entering the eye does not pass optically through the lens body 42. Thus, all incident light entering the eye may be utilized by photoelectric array 44 for energy conversion. As such, the incident light 56 entering the eye may be manipulated to various characteristics for optimization of photoelectric conversion by photoelectric array 44. For example, in some embodiments, various photoelectric cells used in photoelectric array 44 provide improved energy conversion efficiencies when the incident light 56 has a chrominance in a spectral bandwidth tuned specifically to the properties of the photoelectric junctions.
[0046] Additionally, because the intraocular implant device 40 is generally opaque, and because the cornea may generally withstand greater luminance than the retina can, the incident light 56 may be further tuned to have increased luminance over natural light to further optimize energy conversion in photoelectric array 44. Thus, the incident light 56 may be generated using an external light source with modulated chrominance and luminance characteristics as compared to natural light to further improve power generation from the intraocular photoelectric power supply.
Your Eye as the Screen (YEATS)
[0047] One application of the IO-PEPS feature on an intraocular implant device 40 is to power a projector device 46, shown for example in
[0048] During use, projector 46 is powered by electric power generated on-board the intraocular implant device 40 using photoelectric array 44. Photoelectric array 44 generates enough electric power to operate projector 46 either directly, or through a power supply 54. In some applications, projector 46 may be turned off remotely while allowing photoelectric array 44 to charge power supply 54. Once a sufficient amount of energy is stored in power supply 54, projector 46 may be turned on wirelessly, and photons may be emitted by projector 46 using one or more light emitters. The generated image 58 is then illuminated onto retina 14 through the eye. The retina 14 processes the incident light much like it would natural light, forming an image in the brain and allowing a user to perceive the image.
[0049] The generated pattern of photons or a generated image 58 projected onto the retina 14 is generated by projector 46 using an input signal 66 received by a wireless receiver 52 in some embodiments, as seen in
[0050] Once the input signal 66 is received by intraocular implant device 40, the signal is passed to the projector 46, and the projector executes instructions associated with the signal to generate photons representative of an image to be displayed on the retina. In some embodiments, the input signal 66 corresponds to photographs, text, illustrations, videos or any other image data.
[0051] As shown in
[0052] Wireless receiver 52 may be positioned at any suitable location on intraocular implant device 40, including on a common circuit board structure with one or more other circuit components, such as but not limited to power supply 54, projector 46, photoelectric array 44 or other components. In some embodiments, one or more antennae are connected to wireless receiver 66 to enhance reception of input signal 66 from image data transmitter 64. In some embodiments, the device may be configured to provide enhanced low-light vision or night vision by using an external image data source that acquires an image using a material that responds more quickly than the retina, or by using a material that selectively processes incoming light with higher sensitivity.
[0053] One aspect of the present disclosure provides a system that may improve vision over natural analog vision. For example, when natural light enters the eye, the light incident on the retina is limited by the amount of light entering through the cornea and lens. However, using projector 46, additional, higher resolution light patterns may be projected onto the retina to improve or enhance vision over natural analog vision.
[0054] As depicted in
[0055] In some embodiments, autofocusing digital camera 45 can be powered by photoelectric array 44 and power supply 54. However, in other embodiments, the autofocusing digital camera 45 can be integrated with the photoelectric array 44 such that the two are combined as a single unit. In such embodiments, in addition to gathering light 56 to provide focused image data 43 to projector 46, the autofocusing digital camera 45 is also capable of and responsible for gathering light 56 to power the projector 46 and any other circuit components that may be included.
[0056] In some other embodiments, like that shown in
Artificial Vision System
[0057] Referring now to
[0058] An external transmitter 64 sends a wireless input signal 66 to intraocular implant device 40. Input signal 66 is received by a wireless receiver 52 on the implant device 40, and the input signal 66 is passed to projector 46 to determine the pattern of generated photons or a generated image 58 projected onto retina 14 by projector 46. Input signal 66 can include data packets corresponding to image data from any source, such as an external camera.
[0059] As seen in
[0060] Referring to
[0061] As shown in
[0062] Referring further to
Non-Medical Uses
[0063] The above referenced devices may also be utilized for non-medical applications such as consumer entertainment, professional vision augmentation, virtual reality content generation and display, military applications, or other non-medical applications. For example, in some embodiments, a user with an intraocular implant device 40 installed in one eye is able to selectively turn on the device to receive image data from any external source via input signal 66. The user may be able to maintain a natural lens in the second eye to continue to rely on natural analog vision when not using device 40. As such, the intraocular implant device 40 provides an implantable brain-machine interface capable of delivering digital image content to the user through an image projected directly onto the retina 14. The image may be manipulated in many ways prior to projection by projector 46 that are not possible via standard analog light transmission through the cornea and lens. This makes enhanced, augmented and artificial vision possible. In some embodiments, this embodiment may be referred to as MAGITAL.
Medical Uses
[0064] The above-referenced devices and methods may also be used in medical applications for sight restoration or sight improvement. In such medical applications a patient may receive an intraocular implant device 40 in the lens chamber of each eye. The patient may then utilize a wireless transmitter 64 to transmit image data from an external source to each intraocular implant device 40. The transmitter 64 includes a camera oriented toward the user's local environment in some applications simulating natural vision. Alternatively, transmitter 64 includes an auxiliary input from some other source of digital image content, such as computer, mobile phone, tablet or other source. Medical patients with conditions such as cornea damage may primarily rely on the intraocular implant devices 40 to provide artificial vision where natural analog vision simply is no longer possible due to the inability of light to properly enter and pass through the eye to the retina.
[0065] The present disclosure further provides associated methods of modifying, improving, restoring, augmenting or restoring vision in humans and animals using the previously-described devices and techniques. For example, a method of restoring vision in an eye comprises the steps of: (1) providing an intraocular implant device including an anterior side and a posterior side, a photoelectric array on the anterior side, and a projector on the posterior side; (2) positioning the intraocular implant device in the lens chamber of the eye such that the photoelectric array faces the cornea and the projector faces the retina; (3) illuminating the photoelectric array with input light from an external light source; (4) converting the input light into electrical energy via the photoelectric array; (5) powering the projector using the electrical energy converted by the photoelectric array; and (6) projecting photons generated by the projector onto the retina, wherein the projected photons correspond to digital image data received wirelessly by the intraocular implant device from a remote transmitter. The method may further comprise sending a wireless input signal to the projector from an external transmitter, wherein the wireless input signal contains image data; emitting photons from the projector in a pattern representative of the image data; providing an external light source positioned to emit light towards the photoelectric sensor; receiving the light in the photoelectric sensor; converting the light into electrical energy; and powering the intraocular implant device with the electrical energy.
Refraction Adjustment Unit
[0066] The embodiment depicted in
[0067] In some embodiments, the Refraction Adjustment unit embodied in
[0068] When operating in optical mode, the device may include autonomous functions to use ghost signals associated with natural tissue, such as electrical signals sent to nerves or muscles present in or around the eye. Such signals may be associated with electrical activity, used to control motion or associated with a pressure change.
[0069] On the other hand, when the Refraction Adjustment Unit is operating in a “digital mode,” as depicted in
[0070] Yet another embodiment of the Refraction Adjustment Unit, shown in
Glucose and Intraocular Pressure Sensors and Pumps
[0071] In other embodiments, as in
[0072] In some other embodiments, as in
[0073] Both the glucose sensor and intraocular pressure sensor 65 have the capacity and functionality to be integrated into each and every one of the intraocular lens implant embodiments disclosed herein. In further embodiments, a glaucoma pump may be integrated into the device and powered using the on-board electronics and power supply.
[0074] In further embodiments, the present disclosure provides comprehensive intraocular vision advancement (CIVA) devices and methods including an adjustable base accommodating lens (ABAL). As an example, an intraocular implant lens replacement may have a desired diopter to correct a patient's far-vision, but such a solution does not address issues associated with accommodation or accommodative dysfunction, especially for reading at close ranges. By providing an adjustable base accommodating lens (ABAL) as part of the intraocular implant, precise base adjustments may be made post-operatively to fine-tune vision. In some embodiments, an adjustable base accommodating lens may be adjusted wirelessly using an input control signal from a peripheral device with a transmitter such as mobile electronic device. By adjusting the base setting following implantation, a user may address myopia or hyperopia by changing the base setting of the lens implant. In some applications, an adjustable base accommodating lens may be utilized to improve vision following lens replacement during cataract surgery.
[0075] In further applications, corrective LASIK surgery may be performed prematurely, causing reduction in vision as a patient continues to age. In such situations, an adjustable base accommodating lens may be implanted to correct myopia or hyperopia using the desired lens diopter. As the patient continues to age, accommodation may be provided at the appropriate time by adjusting the settings on the adjustable base accommodating lens to address age-related accommodative dysfunction.
[0076] The adjustable base accommodating lens (ABAL) includes one or more optical elements disposed in an intraocular implant that operate to optically correct or enhance light passing through the eye toward the retina to achieve an adjustable base configuration. As a user ages or develops vision-related changes in eyesight, such as but not limited to myopia, hyperopia and presbyopia, the adjustable base accommodating lens can be selectively configured to provide different base and/or accommodation settings to provide far-vision correction and accommodation. In some embodiments, the adjustable base accommodating lens includes a plurality of lenses within the intraocular implant that can be mechanically adjusted in relation to each other and in relation to the eye to achieve adjustable base accommodation. In further embodiments, adjustable base accommodating lens (ABAL) embodiments may employ a variable refractive index lens within the intraocular implant that may be adjusted using mechanical or electromechanical input from a user or physician. The variable refractive index lens includes any suitable variable refractive lens material, including but not limited to an adjustable refractive index material such as but not limited to a polymer, liquid or glass material, or a fixed thin lens with multiple refractive indices to provide a continuum across the lens. One or more lenses in the implant employs variable refractive index technology.
[0077] In some embodiments, an adjustable base lens includes a power supply such as a battery to provide power for limited adjustments to the optical elements within the implant without the need for a photoelectric array. In such embodiments, the adjustable base lens may be adjusted using the on-board power supply. Applications for such a device may include situations where adjustment may only be needed a few times for the life of the battery, typically shortly after implantation, and there will be no further need to adjust the optical elements. In such applications, it is not necessary to include a photoelectric array for continuous recharging of the device.
[0078] In further embodiments, the lens implant is configured to selectively filter light passing through the optical elements of the implant to provide darkening of the vision field, similar to the properties of sunglasses. In some embodiments, the optical lens assembly within the implant includes one or more shaded lenses that may be deployed opto-mechanically. Alternatively, in digital embodiments, the shading function can be achieved using a software-based control. In further embodiments, one or more lenses in the optical lens assembly includes photo-chromatic properties to filter light. Any other suitable light filtering modality may be employed to achieve a light filtering feature. Additionally, one or more lenses in the optical lens assembly includes a UV-protective coating to protect the user's retina from undesirable bandwidths of ultraviolet light.
[0079] Referring further to
[0080] Thus, although there have been described particular embodiments of the present invention of a new and useful COMPREHENSIVE INTRAOCULAR VISION ADVANCEMENT (CIVA), it is not intended that such references to particular embodiments be construed as limitations upon the scope of this invention.