INTRAOCULAR LENS HAVING AN EXTENDED DEPTH OF FOCUS
20180132996 ยท 2018-05-17
Assignee
Inventors
Cpc classification
A61F2002/1681
HUMAN NECESSITIES
A61F2/1601
HUMAN NECESSITIES
A61F2/1616
HUMAN NECESSITIES
A61F2/1627
HUMAN NECESSITIES
International classification
Abstract
An intraocular lens, comprising an optic having an anterior surface and a posterior surface, providing a refractive base power, at least one of the anterior surface and the posterior surface having disposed thereon a profile comprising steps having heights determined by combining three constituent diffractive profiles. The diffractive profiles correspond to powers p1, p2 and p3, the powers being different than one another and each power being a positive power less than about 1D or about 1.25D. Each of the diffractive profiles having step heights causing a phase delay, relative to aqueous fluid, of 0.6 to 1.2 times 2 for 546 nm light. The combined profile defined by the function: z=max (diffractive profile (p1), diffractive profile (p2), diffractive profile (p3)), where p3>p2>p1.
Claims
1. A monofocal intraocular lens, comprising: an optic having an anterior surface and a posterior surface, providing a refractive base power, at least one of the anterior surface and the posterior surface having disposed thereon a combined profile comprising steps having heights determined by combining three constituent diffractive profiles, the diffractive profiles corresponding to powers p1, p2 and p3, the powers being different than one another and each power being a positive power less than about 1D, and each of the diffractive profiles having step heights causing a phase delay, relative to aqueous fluid, of 0.6 to 1.2 times 2 for 546 nm light, the combined profile defined by the function:
z=max(diffractive profile(p1),diffractive profile(p2),diffractive profile(p3)), where p3>p2>p1.
2. The lens of claim 1, wherein the combined profile is disposed completely on the anterior surface of the lens.
3. The lens of claim 1, wherein the combined profile is disposed piecewise on both the anterior surface and posterior surface of the lens.
4. The lens of claim 1, wherein the combined profile is rotationally symmetric.
5. The lens of claim 1, wherein zones of the lens formed by the three constituent profiles are kinoform in shape.
6. The lens of claim 1, wherein each of the diffractive profiles has step heights causing a phase delay, relative to aqueous fluid, of 0.8 to 1.0 times 2 for 546 nm light
7. The lens of claim 1, wherein the central zone has a refractive surface having a shape independent of the constituent diffractive profiles.
8. The lens of claim 1, wherein the ratio of p.sub.1 to p.sub.2 is about 0.6, and the ratio p.sub.1 to p.sub.3 is about 0.4.
9. The lens of claim 1, wherein the ratio of p.sub.1 to p.sub.2 is about 0.67, and the ratio p.sub.1 to p.sub.3 is about 0.31.
10. The lens of claim 1, wherein the depth of focus is greater than 0.85 diopters.
11. The lens of claim 8, wherein the depth of focus is greater than 0.85 diopters.
12. A monofocal intraocular lens, comprising: an optic having an anterior surface and a posterior surface, providing a refractive base power, at least one of the anterior surface and the posterior surface having disposed thereon a combined profile comprising steps having heights determined by combining three constituent diffractive profiles, the diffractive profiles corresponding to powers p1, p2 and p3, the powers being different than one another and each power being a positive power less than about 1.25D, and each of the diffractive profiles having step heights causing a phase delay, relative to aqueous fluid, of 0.6 to 1.2 times 2 for 546 nm light, the combined profile defined by the function:
z=max(diffractive profile(p1),diffractive profile(p2),diffractive profile(p3)), where p3>p2>p1.
13. The lens of claim 12, wherein the combined profile is disposed completely on the anterior surface of the lens.
14. The lens of claim 12, wherein the combined profile is disposed piecewise on both the anterior surface and posterior surface of the lens.
15. The lens of claim 12, wherein the combined profile is rotationally symmetric.
16. The lens of claim 12, wherein zones of the lens formed by the three constituent profiles are kinoform in shape.
17. The lens of claim 12, wherein each of the diffractive profiles has step heights causing a phase delay, relative to aqueous fluid, of 0.8 to 1.0 times 2 for 546 nm light
18. The lens of claim 12, wherein the central zone has a refractive surface having a shape independent of the constituent diffractive profiles.
19. The lens of claim 12, wherein the ratio of p.sub.1 to p.sub.2 is about 0.6, and the ratio p.sub.1 to p.sub.3 is about 0.4.
20. The lens of claim 12, wherein the ratio of p.sub.1 to p.sub.2 is about 0.67, and the ratio p.sub.1 to p.sub.3 is about 0.31.
21. The lens of claim 12, wherein the depth of focus is greater than 0.85 diopters.
22. The lens of claim 19, wherein the depth of focus is greater than 0.85 diopters.
23. A set of monofocal intraocular lenses, comprising at least three lens, each of the lenses comprising an optic having an anterior surface and a posterior surface, providing a refractive base power, at least one of the anterior surface and the posterior surface having disposed thereon a combined profile comprising steps having heights determined by combining three constituent diffractive profiles, the diffractive profiles corresponding to powers p1, p2 and p3, the powers being different than one another and each power being a positive power less than about 1.25D, and each of the diffractive profiles having step heights causing a phase delay, relative to aqueous fluid, of 0.6 to 1.2 times 2 for 546 nm light, the combined profile defined by the function:
z=max(diffractive profile(p1),diffractive profile(p2),diffractive profile(p3)), where p3>p2>p1, each of the lenses of the set having a different refractive, base dioptric power than one another, the range of the refractive base powers being at least 10 diopters, and the combined profile of each of the at least three lenses being same as one another.
24. The set of intraocular lenses of claim 23, wherein the combined profile on each of the at least three lenses is the same as the combined profile of each of the other of the at least three lenses.
25. A monofocal intraocular lens, comprising: an optic having an anterior surface and a posterior surface to provide a refractive base power, at least one of the anterior surface and the posterior surface having disposed thereon a profile comprising diffractive steps, wherein, when the lens is placed in a physical model eye, a through-focus modulation transfer function (MTF) of the eye model, for a spatial frequency of 50 lp/mm, has a peak characterized by a slope of zero, and the MTF has a range extending in a myopic direction from the peak over which the MTF has a value greater than 0.2 MTF unit, the range being greater than 1.0D, the peak being the only peak in the MTF before a first zero in the MTF.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0029] The nature and mode of operation of the present invention will now be more fully described in the following detailed description of the invention taken with the accompanying drawing figures, in which:
[0030]
[0031]
[0032]
[0033]
[0034]
[0035]
DETAILED DESCRIPTION
[0036] The inventor has discovered an unexpected result of combining multiple low-power diffractive profiles corresponding to different add powers using a max function, to form a diffractive profile for use with an intraocular lens. Embodiments of such lenses provide the lens with a depth of focus having a single peak and significant spreading of optical energy along the optical axis of the lens to provide a visually-useful, extended depth of focus with no or a reduced likelihood of photic phenomenon.
[0037]
[0038] In the illustrated embodiment, anterior surface 102 has a profile comprising steps having heights h.sub.1, h.sub.n . . . h.sub.n resulting from combining three diffractive profiles superimposed thereon. Further details of forming a combined diffractive profile are given below.
[0039] Each of the three diffractive profiles corresponds to a respective power p1, p2 and p3. The powers have different magnitudes than one another. In some embodiments, each power has a positive power that is less than about 1D. In some of the embodiments, each power has a positive power that is less than about 1.25D. Each of the diffractive profiles has step heights causing a phase delay, relative to aqueous fluid, of 0.6 to 1.2 times 2 for 546 nm light. The combined profile is defined by the function:
z=max(diffractive profile(p1),diffractive profile(p2),diffractive profile(p3)) [0040] where p3>p2>p1.
[0041] Although in the illustrated embodiment the combined diffractive profile is disposed on the anterior surface of the lens, the combined diffractive profile can be positioned completely on either the posterior surface or the anterior surface (as shown in
[0042] It will be appreciated that the diffractive step heights in
[0043] Further details of an IOL including an optical element as described herein and positioning of such an IOL in an eye are given with reference to
[0044]
[0045]
[0050] is a constant signifying the fraction of a 2 phase delay to be caused by light passing through the lens material relative to the same light traveling through the same thickness in the surrounding medium (e.g., aqueous fluid). A value of 0.8 for has been used to derive the diffractive profiles in
[0051] F.sub.1, F.sub.2 and F.sub.3 are the focal lengths corresponding to the powers p.sub.1, p.sub.2, and p.sub.3 chosen for creating profiles h.sub.1(r); h.sub.2(r), and h.sub.3(r) respectively. F.sub.1, F.sub.2 and F.sub.3 are given by the reciprocals of powers p.sub.1, p.sub.2 and p.sub.3 respectively. For the profiles in
[0052] m.sub.1, m.sub.2 and m.sub.3 each take integer values 0, 1, 2 . . . signify the diffractive zone number. 0 indicates the central zone.
[0053] Although the embodiments described herein use kinoform profiles, it will be appreciated that other profiles may be used. For example, a linear profile such as a linear approximation to the kinoform shape, or other suitable approximations or shapes may be used. Also, although the example includes three constituent profiles in the combined profile, three or more constituent profiles may be used to form the combined profile. In embodiments having four or more constituent profiles, the fourth and any additional constituent profiles would have different powers than all other profiles, would have a power less than about 1 diopter (or less than about 1.25 diopters), and would be combined with the other profiles using the max function as described above.
[0054] Zone boundaries of the zones of the profile shown in
r.sub.m.sup.2+F.sup.2={(m+1)+F}.sup.2Equation 2 [0055] where: [0056] m indicates the zone number, [0057] F is the focal length (as indicated above), [0058] r.sub.m is the radial zone boundary for the zone number m, and [0059] is the wavelength of light in a vacuum.
[0060] The constituent diffractive profiles are combined using a maximum function as shown in equation 3 to form the combined diffractive profile shown in
z(r)=Max {h.sub.1(r),h.sub.2(r),h.sub.3(r)}Equation 3
[0061] The values of z(r) that constitute a combined profile are taken as the maximum value (i.e., maximum thickness) of h.sub.1(r); h.sub.2(r), and h.sub.3(r), at each radial position r. As illustrated in
[0062] The depth of the constituent profiles in
[0063] The resulting combined profile in
[0064] The inventor has noted that ratios of p.sub.1 to p.sub.2 and p.sub.1 to p.sub.3 of about 0.6 and 0.4 respectively, yield a depth of focus where the MTF smoothly rolls off from a maximum with no additional local maximum between the peak and the first zero in the MTF curve. While in the illustrated embodiments the powers are 0.35D, 0.55D and 0.9D, other powers where p.sub.1 to p.sub.2 is about 0.6, and the ratio p.sub.1 to p.sub.3 is about 0.4, and the powers are less than 1 diopter may be chosen. Other ratios of p.sub.1 to p.sub.2 and p.sub.1 to p.sub.3 of about 0.67 and 0.31 respectively, have also been found to yield a depth of focus where the MTF smoothly rolls off from a maximum with no additional local maximum between the peak and the first zero in the MTF curve. For example, p.sub.1=0.39D, p.sub.2=0.58D and p.sub.3=1.25D may be used.
[0065] It is to be appreciated that, in the illustrated embodiments, the zones are blazed which yields an asymmetric MTF curve, having a greater amount of energy being delivered the corneal/anterior side of the lens. While blazing may be advantageous in some embodiments, it is not necessary.
[0066] While embodiments with profiles having step heights causing a phase delay (relative to aqueous fluid) of 0.6 to 1.2 times 2 for 546 nm light generate solutions with a single maximum and no additional local maximum before the first zero in the MTF, for some combinations of profiles calculated or experimental testing of the resulting lens may be desirable to confirm that a monofocal lens with a substantial depth of focus is generated. Lens embodiments with profiles having step heights causing a phase delay, relative to aqueous fluid, of 0.8 to 1.0 times 2 for 546 nm light provide monofocal lenses with an extended depth of focus more consistently. It is to be appreciated that lenses according to aspects of the present invention have a phase delay between adjacent values of greater than the 0.6 of a wavelength as compared to conventional lenses which have a phase delay of 0.5 or less as described above. While phase delays of greater than 0.6 are generally thought to provide greater light to a near focus, which has been avoided in conventional designs, the inventor has found that such designs enhance depth of focus, particularly when used in combination with a diffraction profile resulting from multiple diffraction profiles combined using a max function as described herein.
[0067] Furthermore, it is to be appreciated that the above range of phase delays between adjacent zones includes phase delay of 1.0 which is conventionally associated with a high degree of monofocality. Again, the inventor has found that, due to the use of the max function, the three profiles combined using the max function permits distribution of light in a manner that enhances depth of focus.
[0068]
[0069]
[0070]
[0071] The through-focus MTF curves in
[0072] As seen in
[0073] Another feature of the MTF of the extended depth of focus monofocal in
[0074]
[0075] It is to be appreciated from
[0076] The inventor has further determined that, in some embodiments, it is desirable that zeroth zone (disposed about the optical axis of a lens) defined by the constituent diffractive profiles can be replaced by a refractive region having its surface specified independently of the constituent diffractive profiles. Such a design allows the curvature of the zeroth zone to be selected such that light is directed to an appropriate part of the depth of focus to achieve a level of MTF. While the impact of a zeroth zone is relatively low compared to the remainder of the profile, such a design allows a further degree of freedom when designing a lens. For example, the refractive power of the central zone may be selected to be within +/0.2D of the power of the base refractive lens.
[0077]
[0078] Intraocular lens 1 has an optic 1a that has a refractive index greater than the aqueous fluid that surrounds it and, typically, the refractive power of an intraocular lens is in the range of about 5 Diopters to about 30 Diopters to compensate for the loss of natural lens which it typically replaces.
[0079] Optic 1a has an anterior surface 2 facing away from the retina 12 and a posterior surface 3 facing toward the retina 12. As illustrated, an optic 1a is held in place by one or more haptics 19, which couple optic 1a to the capsular bag 19. The one or more haptics may be of any known or yet to be developed configuration (e.g., plate, wire, C-loop, J-loop), and may be of an accommodating or non-accommodating type. In some embodiments, the IOL may have no haptics.
[0080] Optic 1a intraocular lens 1 may be disposed adjacent to, and even pressed against, the posterior wall 18, for example, to reduce cellular growth on optic 1a. Alternatively, optical 1a may be positioned within the capsular bag 17 in a position spaced away from the posterior wall 18, for example, to allow accommodative movement of optic 1a of the intraocular lens 1 along the optical axis (i.e., the lens is as an accommodative IOL); however, it will be appreciated that advantages of the extended depth of focus features of the lenses according to aspects of the present invention facilitate extended vision without complications that may result from accommodative movement.
[0081] A well-corrected eye forms an image of a distant object (i.e., an object at optical infinity) at retina 12. If the lens has too much or too little power, the image shifts axially along the optical axis away from retina 12 a corresponding distance toward or away from lens 1. Note, the power required to focus a close or near object onto the retina is greater than the power required to focus a distant or far object onto the retina.
[0082] In some instances lenses having diffractive profiles as set forth above are provided on each lens of an intraocular lens set. The lenses of the set have different base powers (i.e., refractive powers) than one another. A lens set has a range of dioptric powers of at least 10 diopters, and comprises at least three lenses. In some embodiments, the lenses of the lens set have a same combined diffractive profile on each lens (i.e., the lenses have different refractive power and the same combined diffractive profile disposed thereon to provide an enhanced depth of field). For example, the refractive powers of the lens set may range from 10D to 30D, the lenses having increments of 0.5D (i.e., 41 lenses).
[0083] It will be appreciated that several of the above-disclosed features and functions, or alternatives thereof, may be desirably combined into many other different systems or applications. Also that various presently unforeseen or unanticipated alternatives, modifications, variations, or improvements therein may be subsequently made by those skilled in the art which are also intended to be encompassed by the following claims.