Ophthalmic lens combinations

Abstract

An ophthalmic device is provided for a patient that has a basic prescription for distant vision, the ophthalmic device including a primary optic and a supplemental optic. The primary optic is configured for placement in the eye and has a base optical power configured to substantially provide the basic prescription. The supplemental optic has an optical power that is less than the optical power of the primary optic and is configured to provide, in combination with the primary optic, a combined optical power that provides the basic prescription of the patient. In addition, at least one surface of the primary optic is configured to deform in response to an ocular force so as to modify the combined optical power by at least 1 Diopter. The ophthalmic device may further include a movement assembly operably coupled to the primary optic that is structured to cooperate with the eye to effect accommodating deformation of the primary optic in response to an ocular force produced by the eye. The movement assembly may also be configured to provide accommodating axial movement of the primary optic.

1 . An ophthalmic device, comprising: 
 a primary optic having a base optical power and configured for placement in an eye of a patient with a basic prescription for distant vision, at least one surface of the primary optic being configured to deform in response to an ocular force so as to modify the base optical power by at least 1 Diopter; and    a supplemental optic having an supplemental optical power and configured to provide, in combination with the primary optic, a combined optical power capable of providing the basic prescription when disposed in the eye, the supplemental optic power being less than the primary optic power.    
     
     
         2 . The ophthalmic device of  claim 1 , wherein to deform comprises at least one of to change the radius of curvature of at least one surface of the primary optic, to change a conic constant of at least one surface of the primary optic, and to change a thickness of the primary optic.  
     
     
         3 . The ophthalmic device of  claim 1 , wherein the primary optic is configured to modify the combined optical power by at least 2 Diopter in response to an ocular force.  
     
     
         4 . The ophthalmic device of  claim 1 , wherein the base optical power is within 4 Diopters of the basic prescription.  
     
     
         5 . The ophthalmic device of  claim 1 , wherein the base optical power is within 2 Diopters of the basic prescription.  
     
     
         6 . The ophthalmic device of  claim 1 , wherein the base optical power is greater than 20 Diopters.  
     
     
         7 . The ophthalmic device of  claim 1 , wherein the base optical power is greater than the supplemental optical power by at least 10 Diopters.  
     
     
         8 . The ophthalmic device of  claim 1 , wherein the supplemental optical power is within the range of about −4 Diopters to about +4 Diopters.  
     
     
         9 . The ophthalmic device of  claim 1 , wherein the supplemental optic is a diffractive optic.  
     
     
         10 . The ophthalmic device of  claim 1 , wherein the primary optic is configured to be disposed within a capsular bag of the eye.  
     
     
         11 . The ophthalmic device of  claim 1 , wherein the supplemental optic is configured to be disposed within an anterior chamber of the eye.  
     
     
         12 . The ophthalmic device of  claim 1 , wherein the supplemental optic is configured to be implanted separately from the primary optic.  
     
     
         13 . The ophthalmic device of  claim 1 , wherein the supplemental optic is a corneal implant configured to be disposed within a cornea of the eye.  
     
     
         14 . The ophthalmic device of  claim 1 , wherein the supplemental optic is a surface profile disposed on or within the cornea and is formed by a laser.  
     
     
         15 . The ophthalmic device of  claim 1 , wherein the primary optic and the supplemental optic are configured to maintain separation between one another within the eye that is greater than a predetermined amount.  
     
     
         16 . The ophthalmic device of  claim 15 , wherein the predetermined amount is at least 500 micrometers.  
     
     
         17 . The ophthalmic device of  claim 1 , further comprising a movement assembly operably coupled to the primary optic and a fixation member operably coupled to the supplemental optic.  
     
     
         18 . The ophthalmic device of  claim 17 , wherein the movement assembly is structured to cooperate with the eye to effect accommodating axial movement of the primary optic and accommodating deformation of the primary optic in response to an ocular force produced by the eye.  
     
     
         19 . An ophthalmic device, comprising; 
 a primary optic having a base optical power and configured for placement in an eye of a patient with a basic prescription for distant vision, the base optical power selected to provide vision correction that is within  4  Diopters of the basic prescription; and    a supplemental optic having a supplemental optical power and configured to modify the vision correction provided by the primary optic so as to provide the basic prescription;    at least one surface of the primary optic being configured to deform in response to an ocular force so as to provide an add power at least 1 Diopter.    
     
     
         20 . The ophthalmic device of  claim 19 , wherein the supplemental optical power that is within a range of −4 Diopters to +4 Diopters  
     
     
         21 . The ophthalmic device of  claim 19 , wherein at least one surface of the primary optic is configured to deform in response to an ocular force so as to provide an add power of at least 3 Diopters.  
     
     
         22 . An ophthalmic device, comprising: 
 a primary optic having a base optical power and configured for placement in an eye of a patient with a basic prescription for distant vision, the base optical power selected to provide the basic prescription when disposed in the eye for at least one of distant vision, intermediate vision, or near vision when disposed within the eye, at least one surface of the primary optic being configured to deform in response to an ocular force so as to modify the base optical power by at least 1 Diopter; and    an optical corrector configured to correct at least one of a monochromatic aberration and a chromatic aberration of the primary optic and/or the eye.    
     
     
         23 . The ophthalmic device of  claim 22 , wherein the optical corrector is an intraocular lens comprising one or more optical elements.  
     
     
         24 . The ophthalmic device of  claim 22 , wherein the optical corrector is at least one surface of the primary optic.  
     
     
         25 . The ophthalmic device of  claim 22 , wherein the optical corrector is a surface profile disposed on or within the cornea and is formed by a laser.  
     
     
         26 . The ophthalmic device of  claim 22 , wherein the optical corrector is a corneal implant configured to be disposed within a cornea of the eye.  
     
     
         27 . The ophthalmic device of  claim 22 , wherein the monochromatic aberration is at least one of an astigmatic aberration, a spherical aberration, and a comatic aberration.  
     
     
         28 . A system of intraocular lenses, comprising: 
 a primary optic having a base optical power and configured for placement in an eye of a patient with a basic prescription for distant vision, at least one surface of the primary optic being configured to deform in response to an ocular force so as to modify the base optical power by at least 1 Diopter; and    a plurality of supplemental optics each having a supplemental optical power that is less than the primary optical power, each supplemental optic being configured for placement within the eye and having a value of an optical characteristic that is different from that of the other supplemental optics of the plurality, at least one of the supplemental optics configured to provide, when disposed in the eye and in combination with the primary optic, at least one of the basic prescription and a reduced optical aberration.    
     
     
         29 . The system of intraocular lenses of  claim 28 , wherein the supplemental optical power is substantially zero.  
     
     
         30 . The system of intraocular lenses of  claim 28 , wherein the different optical characteristic is a different optical power.  
     
     
         31 . The system of intraocular lenses of  claim 28 , wherein the different optical characteristic is a different amount of an optical aberration correction.  
     
     
         32 . The system of intraocular lenses of  claim 31 , wherein the optical aberration correction is a spherical aberration correction.