Intraocular lens with channel to facilitate removal

Abstract

An intraocular lens has an upper surface and a lower surface, and comprising an optic portion, and at least one haptic portion connected to the optic portion and extending outward from the optic portion, and a channel disposed in the intraocular lens and having a first end being disposed in the optic portion and a second end disposed in the haptic portion. The channel extends generally radially outward from the optic portion into the haptic portion and is generally linear in a radial direction, but can have some curvature if desired. The channel is open to a top surface of the optic portion and haptic portion along the length of the channel or is disposed below the top surface of the optic portion and haptic portion, with openings in the top surface of the optic portion and haptic portion on each end of the channel.

Claims

1. An intraocular lens, comprising: an optic portion, and at least one haptic portion connected to the optic portion and extending outward from the optic portion, and a channel disposed in the intraocular lens and having a first end being disposed in the optic portion and a second end disposed in one of the at least one haptic portion, wherein the channel is in the form of an open groove that is open through a top surface of the optic portion and a top surface of the one haptic portion along an entire longitudinal extent of the channel.

2. The intraocular lens according to claim 1, wherein the channel extends radially through the optic portion into the haptic portion.

3. The intraocular lens according to claim 1, wherein the channel extends between 1.0 mm and 1.5 mm across the optic portion.

4. The intraocular lens according to claim 1, wherein the channel extends between 1.0 and 2.0 mm into the haptic portion.

5. The intraocular lens according to claim 1, wherein the optic portion and haptic portion are formed in one piece.

6. The intraocular lens according to claim 1, wherein the channel has a diameter of 0.2 to 0.5 mm.

7. The intraocular lens according to claim 1, wherein the optic portion has a diameter of about 6 mm.

8. The intraocular lens according to claim 1, further comprising at least one indicator marking disposed on the lens, to indicate the orientation of the lens.

9. The intraocular lens according to claim 8, wherein the at least one indicator marking comprises a series of dots extending adjacent the channel.

10. A method for injecting a substance beneath a lens capsule containing the intraocular lens of claim 1, the capsule having an anterior portion that has an opening with an edge that overlaps a periphery of the optic portion, comprising: sliding a needle along the channel from the first end toward the second end until a distal end of the needle passes the capsule edge and is disposed within the capsule, and injecting a fluid through the needle so that the fluid exits the needle beneath the anterior portion of the capsule.

11. An intraocular lens, comprising: an optic portion having a top surface, and at least one haptic portion connected to the optic portion and extending outward from the optic portion, the at least one haptic portion having a top surface that is adjacent the top surface of the optic portion, and a channel disposed in the intraocular lens and having a first end being disposed in the optic portion and a second end disposed in one of the at least one haptic portion, wherein the channel extends underneath the top surface of the optic portion and the top surface of the one haptic portion, and wherein the first end opens into the top surface of the optic portion, and the second end opens into the top surface of the one haptic portion.

12. A method for injecting a substance beneath a lens capsule containing the intraocular lens of claim 11, the capsule having an anterior opening with an edge that overlaps a periphery of the optic portion, comprising: inserting a needle into the first opening, and injecting a fluid through the needle so that the fluid exits the needle within the channel, flows through the channel and exits the channel at the second end.

13. An intraocular lens, comprising: an optic portion having an outer radial periphery, and at least one haptic portion connected to the optic portion and extending outward from the optic portion, and a channel disposed in the intraocular lens and extending radially from an interior part of the optic portion through the outer radial periphery of the optic portion, wherein the channel is in the form of an open groove that opens through a top surface of the optic portion along an entire longitudinal extent of the channel.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

(1) Other objects and features of the present invention will become apparent from the following detailed description considered in connection with the accompanying drawings. It is to be understood, however, that the drawings are designed as an illustration only and not as a definition of the limits of the invention.

(2) In the drawings, wherein similar reference characters denote similar elements throughout the several views:

(3) FIG. 1 shows a top view of a first embodiment of the lens according to the invention;

(4) FIG. 2 shows a cross-section along lines II-II of FIG. 1;

(5) FIG. 3 shows a top view of a second embodiment of the lens according to the invention;

(6) FIG. 4 shows a cross-section along lines IV-IV of FIG. 3;

(7) FIG. 5 shows a cross-section along lines V-V of FIG. 3;

(8) FIG. 6 shows the embodiment of FIG. 1 with a needle inserted;

(9) FIG. 7 shows the embodiment of FIG. 3 with a needle inserted;

(10) FIG. 8 shows a cross-sectional view of an alternative embodiment of the lens according to the invention; and

(11) FIG. 9 shows another alternative embodiment of the lens according to the invention.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT

(12) Referring now in detail to the drawings and, in particular, FIGS. 1 and 2 show a first embodiment of the intraocular lens 10 according to the invention. Lens 10 is made of an optic portion 11 and two haptic portions 12, 14 in the form of curved arms. Haptic portions 12, 14 serve to position the optic portion 11 properly within the patient's lens capsule after the patient's natural lens has been removed. Optic portion 11 can be of any desired size but generally has a diameter of about 6 mm. During the procedure for extracting the cataract, a capsulorhexis is created in the lens capsule 20, leaving a circular opening with an edge 21. The overlap of the top surface of optic portion 11 by the lens capsule 20 bordered by the capsule edge 21 is shown in broken lines in FIG. 1, to illustrate the position of the intraocular lens 10 within the lens capsule.

(13) In cases where lens 10 must be removed, it is very difficult to insert the cannula needle with the viscoelastic material underneath the capsule edge 24, because the edge rests firmly against optic portion 11 of lens 10. Thus, the lens 10 of the invention includes a channel 15, which spans the optic portion and haptic portion, and extends between a portion of the optic portion 11 that is exposed through the capsule opening, to an area underneath the capsule 20. The channel can be open to the top surface of the lens 10, as can be seen by the cross-sectional view of FIG. 2. This way, the cannula needle 25 with the viscoelastic material needs only to be placed on the proximal end of the channel that extends past the capsule edge 21, and then slid distally so that the needle passes under the capsule edge and adjacent capsule, such as shown in FIG. 6. The groove 15 enables the needle to pass much more easily underneath the capsule edge 21, as the needle is recessed into the lens 10. In FIG. 6, the lens is shown in broken lines, as it is not fully visible during surgery, as it is disposed within the capsule, except for the portion within the capsule opening. In this embodiment, lens 10 can be formed as a one-piece lens, with optic portion 11 and haptic portions 12 and 14 integrally molded. However, a multi-piece lens could also be made within the scope of the invention.

(14) The channel could be formed of any suitable dimensions, but is generally linear in a longitudinal direction, with a rounded bottom surface 16 the channel extends between 1.0 mm and 1.5 mm across the optic portion and between 1.0 and 2.0 mm across the haptic portion. Preferably the channel has a diameter of 0.2 to 0.5 mm, but could be made smaller or larger depending on the desired needle size. If a larger diameter channel is desired, an embodiment shown in FIG. 8 can be used. Here, the lens 50 is the same as the lens 10 except that the lens 50, including both optic portion 51 and haptic portion 52 could be thickened in this region so as to maintain stability of the lens, even with a deeper channel 55, such as shown by the cross-section in FIG. 8.

(15) An alternative embodiment of the invention is shown in FIGS. 3-5. Here, lens 40 also is formed of an optic portion 41 and two haptic portions 42 that extend radially out from optic portion 41 in the form of curved arms. Similar to lens 10, capsule 21 covers the outer edge of optic portion 41 up to a capsule edge 21 that overlaps the top surface of optic portion 41. Instead of an open groove, channel 46 is formed as a tunnel underneath the surface of lens 40, with a proximal opening 47 in the optic portion 41 that extends beyond the capsule wall and is exposed in the capsule opening, and a distal opening 48 in the haptic portion 42, within the capsule. As shown in FIG. 4, channel 46 has a round cross-section and is disposed in the center of the depth of lens but could be positioned closer to the top surface or bottom surface if desired. To accommodate both openings, channel 46 is curved in a linear cross-section, as shown in FIG. 5.

(16) FIG. 7 illustrates the procedure for injecting the viscoelastic material under the capsule wall with the lens 40. Here, the physician places the tip of the cannula needle into the proximal opening 47 and then injects the viscoelastic material into the channel 46. The material travels through the channel and exits distal opening 48, which is beneath the overlying lens capsule. This way, the physician does not have to try to slide the needle under the capsule edge 21. The proximal opening is exposed in the capsule opening and no further movement of the needle 25 is required in order to place the viscoelastic material beneath the capsule.

(17) FIG. 9 shows the lens 10 according to the invention as a toric lens. Here, lens 10 is identical to the embodiment of FIG. 1, but indicators in the form of dots 17 are placed along both sides of channel 15, to indicate the orientation of lens 10 to the surgeon. Other types of markers could also be used. Dots 17 or other markers could also be used with lens 10, and located in any desired location or configuration. If the lens is non-toric, no indicators are required.

(18) With all of the embodiments, once the viscoelastic material is in the capsule, it serves to loosen the adhesion of the peripheral optic and haptic portions from the capsule wall, so that the lens 10, 40 can be moved through the capsule opening and into the anterior chamber of the eye for bisection and removal in a standard procedure.

(19) The intraocular lens of the present invention improves the physician's ability to inject the viscoelastic material into the capsule by eliminating the need to pry the capsule edge up from the optic with the needle prior to injection. The present invention also eliminates or reduces the risk of damage to the capsule because the needle is not applying any pressure to the capsule edge.

(20) Accordingly, while only a few embodiments of the present invention have been shown and described, it is obvious that many changes and modifications may be made thereunto without departing from the spirit and scope of the invention.