Abstract: An intraocular lens implantable in an eye includes an optic for placement in the capsular bag of the eye and for directing light toward the retina of the eye. The optic has a central optical axis, an anterior face, an opposing posterior face and a peripheral edge between the faces. The peripheral edge has one or more curved or angled surfaces that reduce glare within the IOL. For instance, a rounded transition surface on the anterior side of the peripheral edge diffuses the intensity of reflected light, or a particular arrangement of straight edge surfaces refracts the light so as not to reflect, or does not reflect at all. The intersection of the peripheral edge and at least one of the anterior face and the posterior face, preferably both of such faces, forms a peripheral corner located at a discontinuity between the peripheral edge and the intersecting face or faces.

Abstract: An intraocular lens system including one or more intraocular lenses (IOL) and a peripheral holder. The peripheral holder is configured to receive and retain the distal end of a fixation member of the IOL and provide a dynamic interface between the natural capsular bag and fixation member. The holder is preferably annular and flexible and transmits movement of the capsular bag from the surrounding ciliary muscles to the IOL. In this manner, a circumferential surface contact with the capsular bag is provided and accommodation of the IOL is improved. If two IOLs are received in the holder, a spacer may be provided to insure consistent spacing between the IOLs. Alternatively, an IOL system may include two IOLs and a spacer, without the holder. The holder desirably includes a sharp exterior corner to inhibit cell growth and posterior capsular opacification.

Abstract: A foldable intraocular lens (IOL) includes an optic and at least one fixation member for supporting the optic in the anterior chamber of an eye. The fixation member includes an intermediate portion that extends a first direction away from the optic, and a leg portion that intersects with an outer end of the intermediate portion and extends a second direction, different from the first direction, away from the outer end. The leg portion preferably includes a reduced width region near the intersection with the intermediate portion. The reduced width region acts essentially as a hinge allowing the leg portion to flex about the intermediate portion in responsive to compressive forces, while the intermediate portion and optic remain stable.

Abstract: Apparatus for inserting intraocular lenses (IOLs) into eyes include a hollow tube including a material and having an interior wall defining a hollow space through which an IOL is passed and an outlet through which the IOL is passed from the hollow space into an eye, and a lubricity enhancing component physically secured to said hollow tube and concentrated at or near the interior wall in an amount effective to facilitate the passage of the IOL through the hollow space.

Abstract: An intraocular lens (IOL) includes an optic for focusing light and an accommodation assembly for axially moving and/or deforming the optic in response to naturally occurring actions of the eye, thus allowing a patient to more effectively focus on near objects. In addition, the optic may be multifocal or aspheric, wherein the maximum add power of the lens is combined with the increase in diopter power obtained through axial movement and/or deformation of the optic, resulting in enhanced accommodation.

Abstract: An iris-supported intraocular lens having an optic portion and a plurality of fixation members coupled thereto. Each fixation member has a pair of pincer arms that separate outward of the optic and converge toward one another at aligned end tips. One or both of the end tips are covered with a soft sleeve or cap. The IOL is fixed in the anterior chamber of the eye by pinching the iris tissue between the end tips of each pair of pincer arms. The soft sleeves eliminate damage to the iris tissue.

Abstract: An intraocular lens for implantation in an eye comprising an optic configured so that the optic can be deformed to permit the intraocular lens to be passed through an incision into the eye. A peripheral zone circumscribes the optical zone of the optic and one or more fixation members coupled to the peripheral zone and extending outwardly from the peripheral zone to retain the optic in the eye are provided. In one embodiment the fixation member or members are located so that the optical zone is free of such member or members. The peripheral zone preferably has a maximum axial thickness which is larger than the maximum axial thickness of the periphery of the optical zone.

Abstract: Intracomeal lenses having flow enhancement regions facilitate optimized nutrient transmission from posterior to anterior sides of lenses. Thinning, fenestration, and related structural emplacements permit, for example, hyperopic lenses to be crafted whereby nutrient transport is substantially enhanced in novel ways.

Abstract: Apparatus for inserting intraocular lenses (IOLs) into eyes include a hollow tube including a material and having an interior wall defining a hollow space through which an IOL is passed and an outlet through which the IOL is passed from the hollow space into an eye, and a lubricity enhancing component physically secured to said hollow tube and concentrated at or near the interior wall in an amount effective to facilitate the passage of the IOL through the hollow space.

Abstract: A foldable intraocular lens for implantation in the eye includes an optic made of a highly pliable material and a pair of fixation members made of a material that is flexible, but more rigid than the optic. The fixation members are integral with a cantilevered arm that extends radially outward from the optic. Each fixation member includes a proximal end at the outer end of the cantilevered arm, a distal end, and a flex portion intermediate the proximal and distal ends. The flex portions of the two fixation member extend generally away from one other adjacent their respective proximal ends on diametrically-opposed sides of the optic.

Abstract: An intraocular lens (IOL) insertion system for implanting IOLs into the eye. The insertion system includes an insertion cartridge that receives the IOL and cooperates with a handpiece. The cartridge includes a longitudinal lumen from a loading chamber to an open distal mouth that gradually narrows in dimension so as to fold the IOL into a tube for insertion through an incision in the eye. A distal tip member of a plunger rod in the handpiece enters the loading chamber of the cartridge and urges the IOL therethrough. The distal tip member has a portion that enters the folded IOL and is trapped therein for maximum control of IOL advancement. A soft tip, such as silicone, may cover a longitudinally extending portion of the distal tip to effect the IOL trapping. The distal tip member further has a portion that engages and pushes the IOL optic.

Abstract: An intraocular lens having an ultrathin and highly pliable optic and relatively more rigid fixation members extending outward therefrom. The optic desirably includes a flange to which a common arm of a pair of joined fixation members attaches. The fixation members extend on opposite sides of the optic in U-shaped flex portions spanning a distance larger than the diameter of the optic. The fixation members may be flexed inward so as to overlap within the diameter of the optic and define an insertion profile of less than about 5 mm. For anterior implantation, four relatively evenly circumferentially spaced pods are provided by the pair of fixation members. The optic center desirably has a thickness of less than about 0.5 mm for meniscus type optics, and may be made of silicone, hydrophilic acrylic, or hydrophobic acrylic. The fixation members have a thickness of about 0.25 mm and are desirably made of poly methyl methacrylate (PMMA) or polyether sulfone.

Abstract: Intraocular lens combinations are provided which include a first optic having a negative optical power and being adapted to be placed in a substantially fixed position in a mammalian eye. A second optic having a higher optical power than the first optic is provided. In addition, a movement assembly is provided which is coupled to the second optic and is adapted to cooperate with the eye to effect accommodating movement of the second optic in the eye. Very effective accommodation is provided with the present intraocular lens combination. The present combinations can be effectively positioned to effectively inhibit or reduce the risk of posterior capsular opacification (PCO).

Abstract: An intraocular lens (IOL) for insertion in a capsular bag of an eye includes an optic for focusing light and a movement assembly coupled to the optic. The movement assembly is adapted to cooperate with the capsular bag to effect accommodating movement of the optic. The movement assembly includes one or more elongated fixation members coupled to a periphery of the optic and adapted to convert radial movement of the capsular bag to axial movement of the optic. The fixation members extend spirally at least half-way around the optic. Angled transition sections may be provided between each fixation member and the optic periphery. The anterior and posterior edges of the optic periphery may have relatively sharp angles to reduce epithelial cell growth.

Abstract: An intraocular lens implantable in an eye includes an optic for placement in the capsular bag of the eye and for directing light toward the retina of the eye. The optic has a central optical axis, an anterior face, an opposing posterior face and a peripheral edge between the faces. The peripheral edge has one or more curved or angled surfaces that reduce glare within the IOL. For instance, a rounded transition surface on the anterior side of the peripheral edge diffuses the intensity of reflected light, or a particular arrangement of straight edge surfaces refracts the light so as not to reflect, or does not reflect at all. The intersection of the peripheral edge and at least one of the anterior face and the posterior face, preferably both of such faces, forms a peripheral corner located at a discontinuity between the peripheral edge and the intersecting face or faces.

Abstract: An intraocular lens (IOL) includes an optic for focusing light, an outer ring for supporting the optic in a capsular bag of an eye and a plurality of radially spaced apart, elongated intermediate members connecting the optic to the outer ring. The intermediate members are configured to convert radial forces exerted by the capsular bag on the support ring into axial movement of the optic, allowing a presbyopic patient to more effectively focus on near objects. The outer ring is preferably contoured to conform to the portion of the capsular bag between the anterior and posterior zonules, and has sufficient axial thickness to contact both sets of zonules. In addition, the edge of the ring includes at least one sharp edge corner to prevent epithelial cell growth toward the optic. In addition, the outer ring may include weakened areas configured to allow consistent and repeatable deformation in response to compressive forces.

Abstract: An intraocular lens implantable in an eye includes an optic for placement in the capsular bag of the eye and for directing light toward the retina of the eye. The optic has a central optical axis, an anterior face, an opposing posterior face and a peripheral edge between the faces. The peripheral edge has one or more curved or angled surfaces that reduce glare within the IOL. For instance, a rounded transition surface on the anterior side of the peripheral edge diffuses the intensity of reflected light, or a particular arrangement of straight edge surfaces refracts the light so as not to reflect, or does not reflect at all. The intersection of the peripheral edge and at least one of the anterior face and the posterior face, preferably both of such faces, forms a peripheral corner located at a discontinuity between the peripheral edge and the intersecting face or faces.

Abstract: A biocompatible implant for continuous in vivo release of a neurotoxin over a treatment period extending from one month to five years. The implant can be made of casting a solution of a polymer, such as an ethyl vinyl acetate copolymer and the neurotoxin. The neurotoxin can be a botulinum toxin.

Abstract: An intraocular lens implantable in an eye includes an optic for placement in the capsular bag of the eye and for directing light toward the retina of the eye. The optic has a central optical axis, an anterior face, an opposing posterior face and a peripheral edge between the faces. The peripheral edge has one or more curved or angled surfaces that reduce glare within the IOL. For instance, a rounded transition surface on the anterior side of the peripheral edge diffuses the intensity of reflected light, or a particular arrangement of straight edge surfaces refracts the light so as not to reflect, or does not reflect at all. The intersection of the peripheral edge and at least one of the anterior face and the posterior face, preferably both of such faces, forms a peripheral corner located at a discontinuity between the peripheral edge and the intersecting face or faces.

Abstract: An intraocular lens (IOL) insertion apparatus including a cartridge with an IOL-receiving chamber, a handpiece into which the cartridge is loaded, and a plunger rod that extends through a lumen in the cartridge to reliably engage the IOL therein. The chamber is stepped in one section to cause the IOL positioned therein to assume a complex curve. A lip or projection on the plunger rod is aligned with the complex curve and intersects the IOL to reliably engage the IOL across its thickness. The cartridge may be a folding type with a pair of arcuate walls and extension wings joined at a living hinge. The stepped section of the chamber may coincide with the location of the hinge.