Stent device and method for treating glaucoma

Abstract

Stent devices and a method for continuously facilitating the flow of aqueous humor through Schlemm's canal where post-operative patency can be maintained with an indwelling stent device. The stent devices provide uni- or bi-directional flow of aqueous humor within and through Schlemm's canal.

1 - 23 . (Canceled)  
     
     
         24 . A stent device for use in the eye to relieve excess intraocular pressure by facilitating drainage through and within Schlemm's canal, comprising a thin body of biocompatible material of a length and shape adapted to be wholly retained within a portion of Schlemm's canal, wherein the device can move between a first insertion position and a second expanded stenting position when positioned in a desired location of Schlemm's canal.  
     
     
         25 . The stent device of  claim 24 , wherein the body comprises a multisided structure at least at one position along the length of the body.  
     
     
         26 . The stent device of  claim 24 , wherein body comprises a luminal tubular mesh.  
     
     
         27 . The stent device of  claim 24 , wherein the body has a curve having a radius which approximates the radius of Schlemm's canal of a human eye, wherein the radius is between about 3 mm and 10 mm.  
     
     
         28 . The stent device of  claim 27 , wherein said body has a curve having a radius of about 6 mm.  
     
     
         29 . The stent device of  claim 24 , wherein said body has an outer diameter of about 0.1 to 0.5 mm.  
     
     
         30 . The stent device of  claim 29 , wherein said body has an outer diameter of about 0.3 mm.  
     
     
         31 . The stent device of  claim 24 , wherein said body has a length of about 1 mm to 40 mm.  
     
     
         32 . The stent device of  claim 31 , wherein said body has a length of about 20 mm.  
     
     
         33 . The stent device of  claim 24 , wherein the body provides for drainage in both directions along Schlemm's canal.  
     
     
         34 . The stent device  claim 24 , wherein the body has a plurality of fenestrations therein that allow the passage of fluid into Schlemm's canal.  
     
     
         35 . The stent device of  claim 24 , wherein the body is curved to define a trough-like, partially open channel along at least some of the length of the body open toward the collecting channels of the eye.  
     
     
         36 . The stent device of  claim 24 , wherein the stent further comprises a therapeutic agent.  
     
     
         37 . A method for the surgical treatment of glaucoma, comprising, performing a trabeculotomy through a conjunctival flap made at the limbus; developing a partial thickness scleral flap; radially incising the junction between the angle tissue and the sclera, which is surgically extended until Schlemm's canal is entered posteriorly, and placing one or more of the stent devices of any of claims  24 - 36  within Schlemm's canal.