Ocular auto-focusing lenses

Abstract

The present invention relates to an ocular, variable-focus lens, and in particular, to an ocular, fluid-focussed, accommodating lens having first and second fluids which are in contact over a meniscus of changeable shape, for the restoration or improvement of vision in a patient.

1 . A method of treating a vision disorder in a patient, comprising the placement of a fluid-focussed, accommodating lens on, in or near an eye of the patient, wherein the lens comprises:
 a substantially cylindrical fluid chamber having a cylinder wall and an axis, the fluid chamber including a first fluid and an axially displaced second fluid, the fluids being non-miscible, in contact over a meniscus and having different indices of refraction,   a fluid contact layer arranged on the inside of the cylinder wall,   a first electrode separated from the first fluid and second fluid by the fluid contact layer,   a second electrode acting on the second fluid,   the fluid contact layer having a wettability by the second fluid which varies under the application of a voltage between the first electrode and the second electrode, such that meniscus shape varies in dependence on the voltage,   wherein the wettability of the fluid contact layer by the second fluid is substantially equal on both sides of the intersection of the meniscus with the contact layer when no voltage is applied between the first and second electrodes.   
     
     
         2 . The method according to  claim 1 , wherein the fluid-focussed, accommodating lens is placed inside a capsular bag consisting of a lens capsule of the eye of the patient. 
     
     
         3 . The method according to  claim 2 , wherein the lens is inserted into the capsular bag through a first aperture made by an incision into the eye. 
     
     
         4 . The method according to  claim 3 , wherein the incision into the eye is a corneo-limbal incision. 
     
     
         5 . The method according to  claim 2 , wherein an anterior chamber of the eye is maintained by way of an ophthalmic viscoelastic device (OVD). 
     
     
         6 . The method according to  claim 5 , wherein the viscoelastic device is inserted into the anterior chamber of the eye, where it maintains a space inside the anterior chamber, and protects the corneal endothelium. 
     
     
         7 . The method according to  claim 2 , wherein an opening is made in the lens capsule. 
     
     
         8 . The method according to  claim 7 , wherein the opening in the lens capsule is a capsulorhexis incision. 
     
     
         9 . The method according to  claim 8 , wherein the capsulorhexis incision is 4-6 mm in diameter. 
     
     
         10 . The method according to  claim 2 , wherein the content of the lens capsule is removed by way of a phacoemulsification technique. 
     
     
         11 . The method according to  claim 2 , wherein an OVD viscoelastic substance is injected into the capsular bag, thereby reinflating the capsular bag. 
     
     
         12 . The method according to  claim 2 , wherein the lens is held in place within the capsular bag by way of a securing device. 
     
     
         13 . The method according to  claim 12 , wherein the securing device is at least one haptic. 
     
     
         14 . The method according to  claim 1 , wherein the fluid-focussed, accommodating lens is placed on the surface of the patient's eye as a contact lens. 
     
     
         15 . The method according to  claim 1 , wherein the fluid-focussed, accommodating lens is placed near the patient's eye as eyeglasses. 
     
     
         16 . The method according to  claim 1 , wherein a range finder is placed in communication with the fluid-focussed, accommodating lens, the range finder controlling the focal length of the lens. 
     
     
         17 . The method according to  claim 16 , wherein the range finder includes at least one component selected from the group comprising a power source and at least one autofocusing sensor. 
     
     
         18 . The method according to  claim 17 , wherein the range finder is internal to the eye. 
     
     
         19 . The method according to  claim 17 , wherein the range finder is external to the eye. 
     
     
         20 . The method according to  claim 17 , wherein the range finder has components that are internal and external to the patient's eye. 
     
     
         21 . The method according to  claim 17 , wherein the range finder is provided by first and second semicircular structures that attach to a peripheral region of an optical zone of the fluid-focussed, accommodating lens. 
     
     
         22 . The method according to  claim 21 , wherein the first semicircular structure contains the at least one autofocusing sensor. 
     
     
         23 . The method according to  claim 21 , wherein the first semicircular structure is located inferiorly of the fluid-focussed, accommodating lens. 
     
     
         24 . The method according to  claim 21 , wherein the second semicircular component of the range finder provides the power source, and a control unit, the control unit controlling the amount of electrical current delivered to the fluid-focussed, accommodating lens. 
     
     
         25 . The method according to  claim 21 , wherein, the second semicircular component of the range finder is placed along a superior aspect of the fluid-focussed, accommodating lens, according to an in situ position of the lens. 
     
     
         26 . The method according to  claim 16 , wherein the range finder is inserted post-operatively of the fluid-focussed, accommodating lens. 
     
     
         27 . The method according to  claim 17 , wherein the power source of the range finder is a battery. 
     
     
         28 . The method according to  claim 24 , wherein the control unit is adjustable. 
     
     
         29 . The method according to  claim 28 , wherein the control unit is adjustable by way of radiofrequency signals directed at the control unit. 
     
     
         30 . The method according to  claim 16 , wherein electrical coupling of the range finder and the lens is performed prior to closure of a surgical incision for insertion of the range finder. 
     
     
         31 . The method according to  claim 30 , wherein further adjustment of electrical coupling between the range finder and the fluid-focussed, accommodating lens is performed in a post-operative period to set the power of the lens for the patient's eye, further wherein the range of required focusing power of the lens is also adjusted. 
     
     
         32 . A fluid-focus, accommodating lens, the lens comprising:
 a substantially cylindrical fluid chamber having a cylinder wall and an axis, the fluid chamber including a first fluid and an axially displaced second fluid, the fluids being non-miscible, in contact over a meniscus and having different indices of refraction,   a fluid contact layer arranged on the inside of the cylinder wall,   a first electrode separated from the first fluid and second fluid by the fluid contact layer,   a second electrode acting on the second fluid,   the fluid contact layer having a wettability by the second fluid which varies under the application of a voltage between the first electrode and the second electrode, such that meniscus shape varies in dependence on the voltage,   wherein the wettability of the fluid contact layer by the second fluid is substantially equal on both sides of the intersection of the meniscus with the contact layer when no voltage is applied between the first and second electrodes, wherein the lens is adapted for use in the restoration or enhancement of vision in a patient, and is suitable for placement in, on or near the patient's eye.   
     
     
         33 . The fluid-focusing accommodating lens according to  claim 32 , wherein the lens is an intraocular lens. 
     
     
         34 . The fluid-focusing accommodating lens according to  claim 32 , wherein the lens has an optical zone in a range of approximately 4 to 6 millimeters. 
     
     
         35 . The fluid-focusing accommodating lens according to  claim 32 , wherein the lens is adapted for use in a contact lens. 
     
     
         36 . The fluid-focusing accommodating lens according to  claim 32 , wherein the lens is placed near the patient's eye as eye glasses. 
     
     
         37 . The fluid-focusing accommodating lens according to  claim 32 , wherein the lens further comprises a range finder. 
     
     
         38 . The fluid-focusing accommodating lens according to  claim 37 , wherein the range finder includes at least one component selected from the group comprising a power source, at least one autofocusing sensor, and a controller. 
     
     
         39 . The fluid-focusing accommodating lens according to  claim 37 , wherein the range finder is placed in communication with the fluid-focussed, accommodating lens, where the range finder controls the focal length of the lens. 
     
     
         40 . The fluid-focusing accommodating lens according to  claim 37 , the range finder is provided by first and second semicircular structures that attach to the periphery of the optical zone of the fluid-focussed, accommodating lens. 
     
     
         41 . The fluid-focusing accommodating lens according to  claim 40 , wherein the range finder is inserted post-operatively of the fluid-focussed, accommodating lens. 
     
     
         42 . The fluid-focusing accommodating lens according to  claim 40 , wherein the first semicircular structure contains the at least one autofocusing sensor. 
     
     
         43 . The fluid-focusing accommodating lens according to  claim 40 , wherein the first semicircular structure is located inferiorly of the fluid-focussed, accommodating lens, in an in situ position. 
     
     
         44 . The fluid-focusing accommodating lens according to  claim 40 , wherein the second semicircular structure of the range finder provides a power source, and a control unit, the control unit controlling an electrical current from the power source to the fluid-focussed, accommodating lens. 
     
     
         45 . The fluid-focusing accommodating lens according to  claim 44 , wherein the power source is a battery. 
     
     
         46 . The fluid-focusing accommodating lens according to  claim 40 , wherein the second semicircular component of the range finder is placed along a superior aspect of the fluid-focussed, accommodating lens. 
     
     
         47 . The fluid-focusing accommodating lens according to  claim 37 , wherein electrical coupling of the range finder and the lens is performed prior to closure of a surgical incision for insertion of the range finder. 
     
     
         48 . The fluid-focusing accommodating lens according to  claim 47 , wherein further adjustment of electrical coupling between the range finder and the fluid-focussed, accommodating lens is performed in a post-operative period to set the power of the lens for the patient's eye, further wherein the range of required focusing power of the lens is also adjusted.