Abstract: A contact lens for application in practice of orthokeratology on an eye, including a curved shell having a concave surface and a convex surface. The concave surface includes a carrier zone and a back shaping zone, the back shaping zone having a first curvature and the carrier zone having at least one second curvature. The curved shell has a geometric center and the back shaping zone has a shaping zone center and the back shaping zone center is offset peripherally from the geometric center. The curved shell can have an overall diameter that approximates a corneal limbal diameter of the eye to which the contact lens is to be applied.

Abstract: A method for fitting contact lenses. More specifically, methods of fitting scleral or corneo-scleral lenses utilizing data or patterns observed on a corneal topography examination to improve the fit of scleral lenses or corneo-scleral lenses. The method may use quadrant specific fitting set lenses or regular toricity in unusual portions of the lens to define which patients may most benefit from such lenses.

Abstract: An optical device comprising a lens configured to be disposed in an eye. The lens is configured to contact a sclera of the eye and have a clearance above a cornea of the eye when disposed in the eye. The lens comprises a back surface that comprises at least one non-symmetrical feature that is configured to engage a corresponding feature on the eye. The lens is configured to be rotationally stable in use based on the at least one non-symmetrical feature on the back surface of the lens.

Abstract: A method for measuring the axial length of an eye using optical coherence tomography, during which a plurality of A-scans of the OCT measurement are combined to an axial length, taking into account the alignment with which they were obtained, and taking into account the topography of the cornea. The distance of the front of the cornea from the retina is determined using OCT while measuring or controlling the alignment of the measuring device to the eye in that the topography of the front of the cornea is measured or made available. The calculation of an axial length from an A-scan of the OCT takes into account a corneal topography registered to the A-scans and is the basis for an intraocular lens calculation. The invention exhibits an increased tolerance range with regard to an imprecise alignment of the measuring device to the eye.

Abstract: The different illustrative embodiments provide a method, computer program product, and apparatus for manufacturing a scleral contact lens. A number of dimensions for the scleral lens is generated based on a shape of an eye. An alteration to a first wavefront of light caused by the first wavefront of light traveling through a pupil of the eye is identified. A modification configured to be made to a posterior surface of the scleral lens is generated based on the alteration. The modification removes the alteration for a second wavefront of light traveling through the scleral lens and the pupil of the eye.

Abstract: The present invention contemplates a refraction system facilitating for contact lens fitting via measuring the patient's refraction on the corneal plane and via introducing a conjugated plane of the corneal plane for insertion of a contact lens simulator or phase plate. The present invention also contemplates a refraction system to integrate the objective and subjective measurement into a single instrument. The present invention further contemplates a refraction system with open-field and binocular viewing to overcome instrument myopia and to measure accommodation. The present invention also further contemplates a refraction system employing a pair of optical trombones to eliminate the need of flipping plurality sets of trial lenses for defocus corrections. The present invention even further contemplates a multiple vergence acuity chart to facilitate patient's judgment of best corrected visual acuity.

Abstract: Optimizing a spectacle lens by: obtaining prescription or refraction data VA11 and VA12 of a wearer for at least two different object distances A11 and A12 (A11?A12), comprising data relating to a spherical power Sphv, a magnitude of an astigmatism CylV, and an astigmatism axis AxisV; specifying an object distance model A1(x, y), wherein A1 designates the object distance and (x, y) designates a visual spot or visual point of the spectacle lens in a predetermined direction of sight; specifying a function PRef=ƒ(A1), which describes the dependence of a power vector P Ref = ( M Ref J 0 Ref J 45 Ref ) = ( Sph V + Cyl V 2 - Cyl V 2 ? cos ? ? 2 ? ? Axis V J 45 Ref = - Cyl V 2 ? sin ? ? 2 ? ? Axis V ) of the prescription on the object distance A1, determining the components of the power vector PRef of the prescription in a plurality of visual points (x, y) on the basis of the object distance model A1(x,

Abstract: This application describes a kit of contact lenses comprising two or more contact lenses having a known higher order aberration for each given lens power. By way of example, the higher order aberration may comprise a spherical aberration, a coma aberration, or a trefoil aberration. A practitioner selects a lens from the kit and applies the lens to a patient's eye and measures a residual higher order aberration of the lens-eye system. In cases where the residual higher order aberration exceeds a predetermined magnitude, the practitioner selects a second lens from the kit, applies the second lens to the patient's eye and measures the residual higher order aberration of the lens-eye system.

Abstract: A contact lens is provided. It is a rigid gas permeable, corneal-scleral progressive, multifocal, vision lens that covers the cornea and a portion of the sclera of an eye. It is particularly beneficial for use on patients who have undergone refractive surgery and/or on patients experiencing presbyopia. The lens is designed to have dual touch contact with an eye. One contact point is the central portion of the cornea and the other contact point is a portion of the sclera.

Abstract: An auto refracto-keratometer not only produces a black-and-white image for observing the alignment of eyes to be examined using an infrared illumination light but also has a color observation optical system for observing a condition of eyes to be examined using color-illumination light. The auto refracto-keratometer comprises an infrared optical system for examining an alignment and corneal curvature of eyes to be examined; a fogging optical system for relaxing accommodation of the eyes; a measuring optical system for measuring refractive power of the eyes; and a color observation optical system having a visible light source for emitting at least one visible light to the eyes and a 2-dimensional imaging device for detecting image of visible light reflected by the eyes.

Abstract: Multifocal contact lenses and methods and uses are described. The multifocal contact lenses include an optic zone. The optic zone has an aspheric power profile that provides a near vision refractive power and a distance vision refractive power, and provides an Add power that corresponds to the difference between the near vision refractive power and the distance vision refractive power. The multifocal contact lenses can improve binocular vision of presbyopic subjects by being prescribed such that the non-dominant eye contact lens is over-corrected for distance vision, and both multifocal contact lenses are under-corrected for the Add power requirement of the subject. Batches and sets of multifocal contact lenses are also described.

Abstract: A method of obtaining an impression of an eye, the method comprises preparing an impression material, contacting the impression material with an eye of a subject, obtaining an impression of the eye on the impression material, creating an indication of the orientation of the impression with respect to the eye, and removing the impression material from the eye. The impression can be used in a method of manufacturing a lens for an eye that comprises receiving one or more data files comprising a back lens surface calculation and a front lens surface calculation, forming a back lens surface from a lens blank based on the back lens surface calculation, forming a front lens surface from the lens blank based on the front lens surface calculation, and forming one or more asymmetric features in the back lens surface based on the back lens surface calculation.

Abstract: Methods and systems for changing a property of an eye. A property of the eye can be changed using an aspheric profile for increasing a depth of focus. Aspheric profile generation can include calculating a shape for increasing the focal depth to be rotationally symmetrical.

Abstract: Described herein are methods for imaging ocular devices. The methods generally involve (a) applying a scattering agent to the ocular device; and (b) imaging the ocular device using optical coherence tomography (OCT). The methods described herein provide useful structural information about the surface of the device with high sensitivity.

Abstract: The different illustrative embodiments provide a method, computer system, and computer program product to fit a lens. The method comprises obtaining an image of the lens. The method also comprises identifying an edge of a lens on an eye in the image. The method also comprises associating a number of zones with the image of the lens based on the edge of the lens. The method also comprises identifying the value for each zone in the number of zones based on intensities within the lens. The method also comprises designing a new lens based on the value to reach a desired value.

Abstract: An auto refracto-keratometer not only produces a black-and-white image for observing the alignment of eyes to be examined using an infrared illumination light but also has a color observation optical system for observing a condition of eyes to be examined using color-illumination light. The auto refracto-keratometer comprises an infrared optical system for examining an alignment and corneal curvature of eyes to be examined; a fogging optical system for relaxing accommodation of the eyes; a measuring optical system for measuring refractive power of the eyes; and a color observation optical system having a visible light source for emitting at least one visible light to the eyes and a 2-dimensional imaging device for detecting image of visible light reflected by the eyes.

Abstract: Methods and systems for obtaining an ocular aberration measurement of an eye of a patient are provided. Exemplary techniques involve obtaining a first induced metric for the eye that corresponds to a first accommodation state of the eye, obtaining a second induced metric for the eye that corresponds to a second accommodation state of the eye, and determining a natural metric of the eye based on the first and second induced metrics. An induced metric may include a pupil size or a spherical aberration. Techniques can also include determining a target metric for the eye base on the natural metric, determining whether an actual metric of the eye meets the target metric, obtaining an ocular aberration measurement of the eye if the actual metric meets the target metric, and determining a treatment for the eye based on the ocular aberration measurement.

Abstract: A method for measuring the axial length of an eye using optical coherence tomography, during which a plurality of A-scans of the OCT measurement are combined to an axial length, taking into account the alignment with which they were obtained, and taking into account the topography of the cornea. The distance of the front of the cornea from the retina is determined using OCT while measuring or controlling the alignment of the measuring device to the eye in that the topography of the front of the cornea is measured or made available. The calculation of an axial length from an A-scan of the OCT takes into account a corneal topography registered to the A-scans and is the basis for an intraocular lens calculation. The invention exhibits an increased tolerance range with regard to an imprecise alignment of the measuring device to the eye.

Abstract: The disclosure relates to the use of contact lenses for treating ophthalmologic conditions, such as presbyopia, induced myopia, computer vision syndrome, insufficient accommodation, or a condition associated with insufficient accommodation. The contact lens may be selected based on a measured sagittal depth and/or eccentricity of the cornea. When fitted, fluid may accumulate between the cornea of the eye and the contact lens. The lens may exhibit a sufficient amount of apical clearance such that when the wearer blinks, the lens moves no more than 1 mm on the eye. The lens may be structured such that bubbles greater than 0.5 mm in diameter are prevented from forming between the contact lens and the eye. The contact lens may be used in combination with a suitable bioactive agent providing for enhanced visual correction.

Abstract: Methods and apparatus can fit coverings to treat eyes. The covering can be identified so as to provide improved flow of tear liquid under the covering. The covering can be identified based on an inner corneal curvature and an outer corneal curvature and one or more of a limbus sag height or a conjunctival sag height. The covering may form a chamber when placed on the eye to pump tear liquid under at least a portion of the covering. The covering may comprise an outer portion with rigidity to resist movement on the cornea and an inner portion to contact the cornea and provide an environment for epithelial regeneration. The covering may comprise a material having high oxygen permeability, for example silicone, with a wettable coating disposed on at least an upper surface of the coating.

Abstract: The different illustrative embodiments provide a method, computer program product, and apparatus for manufacturing a scleral contact lens. A number of dimensions for the scleral lens is generated based on a shape of an eye. An alteration to a first wavefront of light caused by the first wavefront of light traveling through a pupil of the eye is identified. A modification configured to be made to a posterior surface of the scleral lens is generated based on the alteration. The modification removes the alteration for a second wavefront of light traveling through the scleral lens and the pupil of the eye.

Abstract: A contact lens is provided. It is a rigid gas permeable, corneal-scleral progressive, multifocal, vision lens that covers the cornea and a portion of the sclera of an eye. It is particularly beneficial for use on patients who have undergone refractive surgery and/or on patients experiencing presbyopia. The lens is designed to have dual touch contact with an eye. One contact point is the central portion of the cornea and the other contact point is a portion of the sclera.

Abstract: A method, system and apparatus for providing vision correction to a patient is disclosed. The method, system and apparatus involve a) obtaining at least one bare eye data measurement, habitual lens data measurement and/or fitting lens data measurement of the patient; b) providing the at least one bare eye data measurement, the habitual lens data measurement and/or the fitting lens data measurement to a free form custom lens manufacturing system; c) producing a customized lens using the free form custom lens manufacturing system; and d) providing the custom lens to the patient.

Abstract: Multifocal contact lenses and methods and uses are described. The multifocal contact lenses include an optic zone. The optic zone has an aspheric power profile that provides a near vision refractive power and a distance vision refractive power, and provides an Add power that corresponds to the difference between the near vision refractive power and the distance vision refractive power. The multifocal contact lenses can improve binocular vision of presbyopic subjects by being prescribed such that the non-dominant eye contact lens is over-corrected for distance vision, and both multifocal contact lenses are under-corrected for the Add power requirement of the subject. Batches and sets of multifocal contact lenses are also described.

Abstract: The present invention contemplates a refraction system facilitating for contact lens fitting via measuring the patient's refraction on the corneal plane and via introducing a conjugated plane of the corneal plane for insertion of a contact lens simulator or phase plate. The present invention also contemplates a refraction system to integrate the objective and subjective measurement into a single instrument. The present invention further contemplates a refraction system with open-field and binocular viewing to overcome instrument myopia and to measure accommodation. The present invention also further contemplates a refraction system employing a pair of optical trombones to eliminate the need of flipping plurality sets of trial lenses for defocus corrections. The present invention even further contemplates a multiple vergence acuity chart to facilitate patient's judgment of best corrected visual acuity.

Abstract: The invention proposes a manual measuring appliance (112) and an analytical measuring system (110) which can be used to measure at least one analyte in an eye fluid of an eye (114). The handheld measuring appliance (112) comprises a measuring system (120) and a positioning system (122). The measuring system (120) can measure at least one property of the at least one analyte and/or at least one analyte-dependent change of property of at least one ocular sensor (116) in the eye fluid, and this can be used to infer a concentration of the analyte in the eye fluid. The positioning system (122) is set up to measure a spatial positioning, wherein the spatial positioning comprises a distance between at least one measurement location in the eye (114) and the handheld measuring appliance (112) and also furthermore at least one further positioning co-ordinate.

Abstract: The present invention provides a kit of contact lenses, comprising two or more contact lenses having a known higher order aberration for each given lens power. By way of example, the higher order aberration may comprise a spherical aberration, a coma aberration, or a trefoil aberration. A practitioner selects a lens from the kit and applies the lens to a patient's eye and measures a residual higher order aberration of the lens-eye system. In cases where the residual higher order aberration exceeds a predetermined magnitude, the practitioner selects a second lens from the kit, applies the second lens to the patient's eye and measures the residual higher order aberration of the lens-eye system.

Abstract: Disclosed is a method of determining an appropriately shaped soft contact lens for a subject with an irregular cornea, the method comprising the steps of: inferring or deducing the profile of the cornea over at least a portion thereof: selecting a first choice fitting lens, the selection being based on the profile of the cornea obtained in the preceding step; assessing the fit of the contact lens to the cornea, by investigating each of the following parameters; (i) translational movement of the lens on eye; (ii) rotation of the lens on eye; (iii) centration of the lens on eye; (iv) the perceived comfort of the lens for the subject; (v) the visual acuity of the subject when wearing the lens; and adjusting the choice of fitting lens, if required, according to the assessment and reiterating until a desired fit of lens to the cornea has been obtained.

Abstract: A surgical microscope assembly includes a microscope main objective and microscope imaging optics. The microscope main objective and microscope imaging optics define a viewing beam path that passes from a sample through the microscope main objective and the microscope imaging optics. The assembly includes an optical coherence tomography (OCT) unit having an illumination beam and a collection beam and a beamsplitter between the microscope main objective and the microscope imaging optics. The beamsplitter is configured to direct a portion of light from the microscope main objective to the microscope imaging optics and to direct another portion of light from the microscope main objective to the OCT unit collection beam. The beamsplitter is further configured to direct an illumination beam from the OCT unit to the microscope main objective and to the sample. A beam forming unit is between the OCT unit and the beamsplitter.

Abstract: Methods, devices, and systems establish an optical surface shape that mitigates or treats a vision condition in a patient. An optical surface shape for a particular patient can be determined using a set of patient parameters for the specific patient by using a compound modulation transfer function (CMTF). The compound modulation transfer function can include a combination of modulation transfer functions (MTF's) at a plurality of distinct frequencies.

Abstract: Novel polymers for biomedical use, especially rigid gas permeable contact lenses that are based on bulky side-chain siloxane cross linkers. The siloxanes, either alone, or as copolymers with bulky and non-bulky mono-functional polymerizable siloxanes, fluoro monomers, such as hexafluoroisopropyl methacrylate, and hydrophilic monomers, result in transparent, high oxygen permeable polymers possessing excellent lathing and milling characteristics.

Abstract: An auto refracto-keratometer not only produces a black-and-white image for observing the alignment of eyes to be examined using an infrared illumination light but also has a color observation optical system for observing a condition of eyes to be examined using color-illumination light. The auto refracto-keratometer comprises an infrared optical system for examining an alignment and corneal curvature of eyes to be examined; a fogging optical system for relaxing accommodation of the eyes; a measuring optical system for measuring refractive power of the eyes; and a color observation optical system having a visible light source for emitting at least one visible light to the eyes and a 2-dimensional imaging device for detecting image of visible light reflected by the eyes.

Abstract: Methods, devices, and systems establish an optical surface shape that mitigates or treats a vision condition in a patient. An optical surface shape for a particular patient can be determined using a set of patient parameters for the specific patient by using a compound modulation transfer function (CMTF). The compound modulation transfer function can include a combination of modulation transfer functions (MTF's) at a plurality of distinct frequencies.

Abstract: A method for measuring the dynamic behavior of an optical system is aimed at rendering the dynamic behavior of the optical system objectively detectable. To this end, the optical system to be measured is stimulated by stimuli whereby causing it to react, and the reaction is detected by means of a wave front analysis.

Abstract: The present invention is directed to a non-deforming contact lens for keratoconus patients having a displaced central zone. In particular, the central zone is displaced from the geometric center of the lens. The shape of the central zone is egg or spoon-shaped and is rotationally asymmetrical with one semi-meridian that is shorter than a corresponding semi-meridian. An intermediate transition zone is formed integral with the periphery of the central zone, and a peripheral zone is formed integral with the periphery of the intermediate transition zone, forming a round contact lens.

Abstract: The different illustrative embodiments provide a method, computer system, and computer program product to fit a lens. The method comprises obtaining an image of the lens. The method also comprises identifying an edge of a lens on an eye in the image. The method also comprises associating a number of zones with the image of the lens based on the edge of the lens. The method also comprises identifying the value for each zone in the number of zones based on intensities within the lens. The method also comprises designing a new lens based on the value to reach a desired value.

Abstract: A method for determining an optimal eyeglass lenses design for a viewer (1) comprising the successive steps of: showing the viewer (1) a stereoscopic scene including optical effects of a first lens design;—introducing a relative movement between the viewer (1) and the shown stereoscopic scene, said scene being shown with optical effects of the first lens design; expressing the viewer's opinion; showing the viewer (1) a stereoscopic scene including optical effects of a modified lens design; introducing a relative movement between the viewer (1) and the shown stereoscopic scene, said scene being shown with the modified lens optical effects; expressing again the viewer's opinion; repeating the three last steps up to viewer's satisfaction. A system for customizing vision correction suitable to implement said method. Related computer program for dynamically calculating a stereoscopic image. Related computer program for actuating an electro-active component.

Abstract: The present invention is directed to a non-deforming contact lens for keratoconus patients comprising a central zone having a displaced central zone. In particular, the central zone is displaced from the geometric center of the lens. The shape of the central zone is egg or spoon-shaped and is rotationally asymmetrical with one semi-meridian that is shorter than a corresponding semi-meridian. An intermediate transition zone is formed integral with the periphery of the central zone, and a peripheral zone is formed integral with the periphery of the intermediate transition zone, forming a round contact lens.

Abstract: A method and system for treating Presbyopia and pre-Presbyopia are provided that do not compromise the wearer's intermediate or distance vision. The system is a lens and a lens series, wherein the power profiles of the lenses are tailored to provide an amount of positive ADD power in the near vision zone that is slightly less than that which is normally required for near vision accommodation, while also providing an amount of negative spherical aberration in the peripheral optical zone. The dynamic ocular factors of the wearer's eye work in conjunction with the positive ADD power provided by the central optical zone and with the effective ADD gained from the negative spherical aberration provided by the peripheral optical zone to induce a minimally discernible amount of blur that is tuned to maximize the wearer's depth of focus.

Abstract: An apparatus is provided for aligning an implant with a visual axis of an eye of a patient. The apparatus has an instrument with an instrument axis and an aperture through which the patient may look along the instrument axis. The implant includes an aperture having an implant axis that can be positioned substantially collinear with the instrument axis. The implant further includes a substantially opaque annulus extending between the aperture and an outer periphery of the implant. The annulus has a nutrient transport structure for conveying nutrients between anterior and posterior surfaces of the implant.

Abstract: This disclosure describes systems and methods which utilize outcomes analysis, empirical and on-eye diagnostic fitting outcomes, and similar patient data to determine and provide a relatively optimal corrective device for the patient, in a single-use and disposable set of devices.

Abstract: Methods and systems for obtaining an ocular aberration measurement of an eye of a patient are provided. Exemplary techniques involve obtaining a first induced metric for the eye that corresponds to a first accommodation state of the eye, obtaining a second induced metric for the eye that corresponds to a second accommodation state of the eye, and determining a natural metric of the eye based on the first and second induced metrics. An induced metric may include a pupil size or a spherical aberration. Techniques can also include determining a target metric for the eye base on the natural metric, determining whether an actual metric of the eye meets the target metric, obtaining an ocular aberration measurement of the eye if the actual metric meets the target metric, and determining a treatment for the eye based on the ocular aberration measurement.

Abstract: The invention proposes a manual measuring appliance (112) and an analytical measuring system (110) which can be used to measure at least one analyte in an eye fluid of an eye (114). The handheld measuring appliance (112) comprises a measuring system (120) and a positioning system (122). The measuring system (120) can measure at least one property of the at least one analyte and/or at least one analyte-dependent change of property of at least one ocular sensor (116) in the eye fluid, and this can be used to infer a concentration of the analyte in the eye fluid. The positioning system (122) is set up to measure a spatial positioning, wherein the spatial positioning comprises a distance between at least one measurement location in the eye (114) and the handheld measuring appliance (112) and also furthermore at least one further positioning co-ordinate.

Abstract: Methods, devices, and systems establish an optical surface shape that mitigates or treats a vision condition in a patient. An optical surface shape for a particular patient can be determined using a set of patient parameters for the specific patient by using a compound modulation transfer function (CMTF). The compound modulation transfer function can include a combination of modulation transfer functions (MTF's) at a plurality of distinct frequencies.

Abstract: The present invention provides an orthokeratological contact lens to be worn on a patient's cornea and methods for prescribing the same. The contact lens comprises a parabolic lens having an inner surface configured to face an epithelium of the patient's cornea, wherein the parabolic lens is adapted to reshape the cornea by way of epithelium tissue growth. In a pre-treatment configuration, an outer surface of the epithelium does not conform to the contours of the inner surface of the parabolic lens such that there exits a gap comprising a hypertrophy volume that is disposed between the epithelium and the parabolic lens.

Abstract: Featured is a wireless scleral search coil that includes one or more passive, resonant coils and in a particular embodiment two orthogonal, passive, resonant coils, where each coil resonates at a different frequency. Each resonant coil includes a coil-capacitor circuit, each circuit being configured to resonant at a different frequency. Such a wireless scleral search coil is disposed within a biocompatible material that is shaped to conform and rest upon the eye of a subject. Also featured are system including such a wireless scleral search coil, one or more transmitter coils, an assembly of one or more receiver coils and a calculating sub-system for processing signal data to obtain eye measurement information.

Abstract: Methods and systems for obtaining an ocular aberration measurement of an eye of a patient are provided. Exemplary techniques involve obtaining a first induced metric for the eye that corresponds to a first accommodation state of the eye, obtaining a second induced metric for the eye that corresponds to a second accommodation state of the eye, and determining a natural metric of the eye based on the first and second induced metrics. An induced metric may include a pupil size or a spherical aberration. Techniques can also include determining a target metric for the eye base on the natural metric, determining whether an actual metric of the eye meets the target metric, obtaining an ocular aberration measurement of the eye if the actual metric meets the target metric, and determining a treatment for the eye based on the ocular aberration measurement.

Abstract: A contact lens having one or more fiducial marks that allow the measurement of lens rotation and centration. The lens may be a trial lens. The lenses can be used to apply correction factors for sphero-cylindrical refractive error, higher order aberrations, and corneal topography.

Abstract: The invention provides methods for designing contact lenses in which method the lens flexure is taken into account. The method of the invention is insensitive to the lens' back surface design and does not require complex back surface designs. Additionally, the lens design can be optimized virtually, eliminating the need for iterative design-test on-eye-re-design cycles.

Abstract: A method, computer program product, and data processing system for designing a contact lens. A sagittal image of an anterior portion of an eye having a sclera is measured. Measuring is performed using a digital imaging device. Measuring includes measuring the sclera. A sagittal image is formed. A shape of the eye is derived using the sagittal image, wherein the shape includes the sclera. The shape is converted to a curvature of a contact lens. The curvature is designed such that the contact lens, once manufactured, can be worn over a surface of the eye.