Abstract: The present invention relates to a method of determining the IOL refractive index for an ocular replacement material for replacing tissue in the capsular bag comprising combining a neutral (non-correcting) reference refractive index (“NRRI”) of between 1.421 and 1.450 with a refractive index correction factor (“RICF”) ascertained by reference to the refractive power required to correct the patient's refractive error. The present invention also relates to methods of treating presbyopia, myopia and hyperopia using the above method.

Abstract: A method for selecting an intraocular lens for an aphakic eye that has previously been subjected to refractive surgery by calculating the required power of an IOL to provide the desired refraction using a known formula, and then applying an adjustment based upon the spherical equivalence of the eye prior to refractive surgery.

Abstract: A vision enhancing device for a person having macular degeneration of the retina, comprises a lens and a light diverging surface on the lens that symmetrically diverges away from the eye at an angle relative to an optic axis to redirect incident light away from the optic axis outwardly toward an un-diseased region of the retina. The light diverging surface can be a smooth surface, which can be a continuous curved surface, and can be a diverging conical surface. The lens can be an eyeglass lens, contact lens, intraocular lens, telescopic lens, correction lens, or magnification lens. A light diverging insert having a conical surface and, optionally, an end surface can be used in a lens for redirecting light to the un-diseased region of the retina.

Abstract: Devices, systems, and methods for developing prescriptions for and/or treating presbyopia may use a combination of an alteration to the refractive tissues of the eye with changes in the response of the visual system. The visual system response may include using residual accommodation in a manner similar to that employed by latent hyperopes, a trained response of the pupil, trained psychophysics, or the like. Associated refractive prescriptions may be tailored to take advantage of the subsequent visual system response so as to mitigate presbyopia.

Abstract: Devices, systems, and methods for treating and/or determining appropriate prescriptions for one or both eyes of a patient are particularly well-suited for addressing presbyopia, often in combination with concurrent treatments of other vision defects. High-order spherical aberration may be imposed in one or both of a patient's eyes, often as a controlled amount of negative spherical aberration extending across a pupil. A desired presbyopia-mitigating quantity of high-order spherical aberration may be defined by one or more spherical Zernike coefficients, which may be combined with Zernike coefficients generated from a wavefront aberrometer. The resulting prescription can be imposed using refractive surgical techniques such as laser eye surgery, using intraocular lenses and other implanted structures, using contact lenses, using temporary or permanent corneal reshaping techniques, and/or the like.

Abstract: A method for calculating the required cylindrical power of a toric implant by using both the measured pre-operative corneal/ocular astigmatism and the predicted surgically-induced astigmatism. The post-operative corneal/ocular astigmatism is predicted using power vector analysis of the surgical technique employed by the surgeon. Such a method provides a more accurate method of calculating the required spherocylindrical refractive power of the implant. The method can be implemented manually, but preferably is automated by implementation on a computer through appropriate software.

Abstract: An intraocular lens for providing accommodative visions to a subject includes an adjustable optic and a haptic that is operably coupled to the optic. The adjustable optic comprises an optical axis, a central zone disposed about the optical axis, and an annular zone surrounding the central zone. The optic may also comprise additional annular zones disposed about the central zone and the first annular zone. The haptic comprises a transparent portion protruding into the adjustable optic. The intraocular lens has a disaccommodative configuration in which the central zone has a base optical power and an accommodative configuration in which the central zone has an add optical power that is at least about 1 Diopter greater than the base optical power, preferably at least about 2 Diopters greater than the base optical power. In some embodiments, the add optical power is at least 3 Diopters, or even 4 Diopters, greater than the base optical power.

Abstract: An accommodating lens where the optic is moveable relative to the ends of the extended haptic portions. The lens comprises an optic made from a flexible material combined with haptics capable of multiple flexions without breaking. The haptics having in longitudinal cross section wide and deep hinges adjacent the optic to better allow the elastic hinges to “stretch” when the optic is subjected to posterior pressure thus allowing the optic to move forward relative to both the outer and inner ends of the haptics. When this movement is combined with the movement of the optic relative to the outer ends of the haptics and the anterior movement of the whole lens, the refractive power of the eye is further enhanced.

Abstract: An adjustable ocular insert to be implanted during refractive cataract surgery and clear (human) crystalline lens refractive surgery and adjusted post-surgically. The implant comprises relatively soft but compressible and resilient base annulus designed to fit in the lens capsule and keep the lens capsule open. Alternatively the annulus may be placed in the anterior or posterior chamber. The annulus can include a pair of opposed haptics for secure positioning within the appropriate chamber. A rotatable annular lens member having external threads is threadedly engaged in the annulus. The lens member is rotated to move the lens forward or backward so to adjust and fine-tune the refractive power and focusing for hyperopia, myopia and astigmatism. The intraocular implant has a power range of approximately +3?0??3 diopters.

Abstract: Devices, systems, and methods for treating and/or determining appropriate prescriptions for one or both eyes of a patient are particularly well-suited for addressing presbyopia, often in combination with concurrent treatments of other vision defects. High-order spherical aberration may be imposed in one or both of a patient's eyes, often as a controlled amount of negative spherical aberration extending across a pupil. A desired presbyopia-mitigating quantity of high-order spherical aberration may be defined by one or more spherical Zernike coefficients, which may be combined with Zernike coefficients generated from a wavefront aberrometer. The resulting prescription can be imposed using refractive surgical techniques such as laser eye surgery, using intraocular lenses and other implanted structures, using contact lenses, using temporary or permanent corneal reshaping techniques, and/or the like.

Abstract: An accommodating intraocular lens comprising a flexible body, a flexible optic which is moveable anteriorly and posteriorly relative to the lens body, and hinged portions longitudinally connecting the optic to the body. The body may have extending centration and fixation loops on its distal ends.

Abstract: A polymeric material including a UV initiator, a UV absorber, and one or monomers, wherein the polymeric material is cured using UV light.

Abstract: The invention provides in one form a macromonomer comprising a polysiloxane copolymer having a backbone structure derived from siloxane monomer units that are substituted or unsubstituted arylsiloxanes, arylalkylsiloxanes, alky(alkyl)siloxanes of the general formula —R1R2SiO— and wherein the terminal groups of the copolymer backbone include crosslinkable groups and wherein pendent from the backbone are at least two crosslinkable groups. The macromonomer may be cured in vivo by ultraviolet or visible light. The invention includes intraocular lenses formed by such macromonomers.

Abstract: An accommodating intraocular lens comprising an optic made from solid silicone and liquid silicone. The optic has a central anterior area or membrane that can vary in radius and thus charge power.

Abstract: The invention relates to a method for measuring an optimally adapted intraocular lens for patients having a refractively modified cornea. The inventive method includes the following steps: determining the formula-specific corneal refractive powers before the refractive intervention; determining the formula-specific corneal refractive powers after the refractive intervention, and; putting the formula-specific corneal refractive powers before and after the refractive intervention into the respective IOL formula.

Abstract: Apparatus for enhancing vision of a user includes a focal modulation device (22), which is adapted to focus light from objects in a field of view of the user onto the retina while alternating between at least first and second focal states that are characterized by different, respective first and second focal depths, at a rate in excess of a flicker-fusion frequency of the user.

Abstract: An intra-ocular artificial lens with variable optical strength, wherein the artificial lens comprises two optical elements which are movable relative to each other in a direction extending transversely of the optical axis, wherein the optical elements have a form such that in different relative positions they together have different optical strengths, wherein the movable optical elements are connected to positioning means which are adapted for coupling to the iris of the eye for the purpose of driving. This measure makes use of the fact that one or both of the optical elements can be displaced relative to each other through the driving of the natural orbicularis muscle of the iris in order to obtain an accommodating function.

Abstract: The present invention discloses a multi-component intraocular lens implanted in an optical system of a human eye, including one or more foldable removable components, each component being foldable. One component acts as a base lens, including a flange with an aperture. Another component acts as a mid lens, including a tab which engages the aperture. A third component acts as a top lens, which engages the mid lens. Because the lens components are foldable, they may be inserted into the eye using an incision smaller than the diameter of the unfolded lens. The removable components may be used to correct various medical conditions of the eye, as well as to improve and enhance vision, and for cosmetic purposes.

Abstract: Provided is an intraocular lens that inhibits secondary cataract which occurs after insertion of an intraocular lens and that is free from the adherence and deposition of a protein, etc., to/on the front surface of the lens, and the intraocular lens has an optic portion with a front surface and a back surface, said front surface and said back surface being different from each other in the property of adhering to a protein and satisfying the relationship of the expression (x), PAF<PAB ??(x) wherein PAF is the property of adherence of said front surface to fibronectin and PAB is the property of adherence of said back surface to fibronectin in a fibronectin adherence test.

Abstract: An IOL having an optic and a peripheral stabilizing ring. The optic and the ring are connected by a flexible bridge. An area on the ring coinciding with a feature on the optic helps to locate the optic within the ring in an unstressed state until the capsular bag collapses and locks the optic into place.

Abstract: An intraocular lens is disclosed, with an optic that changes shape in response to a deforming force exerted by the zonules of the eye. A haptic supports the optic around its equator and couples the optic to the capsular bag of the eye. The region of contact between the optic and the haptic extends into the edge of the optic, similar to the interface between a bicycle tire and the rim that holds it in place. The haptic may be stiffer than the optic. The haptic may have the same refractive index as the optic. The haptic may include a saddle-shaped portion in contact with the adjustable optic, with a convex profile along an optical axis; and a concave profile in a plane perpendicular to the optical axis.

Abstract: The present invention provides optic portions, intraocular lenses, and polymers for use in manufacturing optic portions and intraocular lenses. The optic portions include a polymer that comprises (a) one or more alkoxyalkyl methacrylate monomers and/or one or more alkoxyalkyl acrylate monomers that are incorporated in the polymer; (b) one or more hydroxyalkyl methacrylate monomers and/or one or more hydroxyalkyl acrylate monomers that are incorporated in the polymer; and (c) optionally, one or more crosslinking agents that are incorporated in the polymer.

Abstract: The present invention relates to thermoresponsive adhesives. The invention further relates to methods for the reversible attachment of retinal implants, other implants, and drug delivery devices.

Abstract: A method of designing a multifocal ophthalmic lens with one base focus and at least one additional focus, capable of reducing aberrations of the eye for at least one of the foci after its implantation, comprising the steps of: (i) characterizing at least one corneal surface as a mathematical model; (ii) calculating the resulting aberrations of said corneal surface(s) by employing said mathematical model; (iii) modeling the multifocal ophthalmic lens such that a wavefront arriving from an optical system comprising said lens and said at least one corneal surface obtains reduced aberrations for at least one of the foci. There is also disclosed a method of selecting a multifocal intraocular lens, a method of designing a multifocal ophthalmic lens based on corneal data from a group of patients, and a multifocal ophthalmic lens.

Abstract: A method of folding a multiple element IOL comprising folding the first lens element and second lens element such that the second lens element at least partially surrounds the first lens element and such that, after folding, both the first lens element and the second lens element are substantially aligned along the optical axis. A hinged apparatus such as a cartridge may be used to cause the second lens element to be folded. A method of loading a multielement IOL comprising folding the haptics such that a portion of the haptics contacts an exterior side of one of the first lens element and the second lens element.

Abstract: This invention relates to novel copolymers preferably for intraocular lenses (“IOL”), contact lens, and other ophthalmic and optical applications. This invention, in one aspect, relates to copolymer compositions comprising limited amounts of a monomer having a naphthyl moiety or naphthyl functionalities, naphthalene, or a naphthyl group.

Abstract: In one aspect, the present invention provide an ophthalmic lens (e.g., an IOL) that includes an optic having an anterior optical surface and a posterior optical surface, where the optic provides an optical power in a range of about 16 D to about 25 D as measured in a medium having an index of refraction substantially similar to that of the eye's aqueous humor (e.g., about 1.336). At least one of the optical surfaces is characterized by an aspherical base profile such that the optic exhibits a negative spherical aberration in a range of about ?0.202 microns to about ?0.190 microns across the power range.

Abstract: The multipurpose contact lens accessory comprises a casing having a contact end and a viewing end, the viewing end having a lens therein, wherein the contact end engages a contact thereon for viewing and/or insertion of same and the viewing end allows for viewing of the contact engaged to the contact end for determining if any visible defects exist in the contact and/or whether the contact is inside out.

Abstract: Polymerizable light absorbing azo dyes are disclosed useful as monomers in the formation of devices such as, but not limited to ocular lenses. Specifically, intraocular lenses (IOL) are disclosed wherein one or more of the light absorbing dye is covalently bonded to other structural polymers though ethylene unsaturated groups. The resulting IOLs possess light absorbing properties without significant amounts of free (un-bound) azo dye molecules present in the final structural polymer matrix.

Abstract: Disclosed are soft, high refractive index, acrylic materials. These materials, especially useful as intraocular lens materials, contain an aryl acrylic hydrophobic monomer as the single principal device-forming monomer and a tack-reducing macromer additive. In addition to their use as intraocular lens materials, the present materials are also suitable for use in other ophthalmic or otorhinolaryngological devices, such as contact lenses, keratoprostheses, corneal inlays or rings; otological ventilation tubes and nasal implants.

Abstract: Disclosed are soft, high refractive index, acrylic materials. These materials, especially useful as intraocular lens materials, contain an aryl acrylic hydrophobic monomer as the single principal device-forming monomer and a tack-reducing macromer additive. In addition to their use as intraocular lens materials, the present materials are also suitable for use in other ophthalmic or otorhinolaryngological devices, such as contact lenses, keratoprostheses, corneal inlays or rings; otological ventilation tubes and nasal implants.

Abstract: A method for modifying the refractive index of an optical, polymeric material. The method comprises irradiating select regions of the optical, polymeric material with a focused, visible or near-IR laser having a pulse energy from 0.05 nJ to 1000 nJ. The irradiation results in the formation of refractive optical structures, which exhibit little or no scattering loss. The method can be used to modify the refractive index of an intraocular lens following the surgical implantation of the intraocular lens in a human eye. The invention is also directed to an optical device comprising refractive optical structures, which exhibit little or no scattering loss and are characterized by a positive change in refractive index.

Abstract: Ocular tissue separation areas having a barrier region are described herein. In one embodiment, the tissue separation area can have an implant placement site configured to accept an ocular implant. The barrier region can be located about at least a portion of the periphery of the implant placement site. The barrier region can include one or more barrier structures. An example barrier structure is a channel formed on one side of the tissue separation area with a corresponding ridge formed on the opposite side. The channel/ridge structure can be configured to impede epithelial ingrowth to the implant placement site.

Abstract: The present invention relates to an intraocular lens which exhibits reduced or eliminated glistenings when implanted into the eye of a patient in need thereof and to a method of preparing such lens.

Abstract: Hydrophilic, arylsiloxy-containing macromonomers have at least a terminal hydrophilic group attached to an arylsiloxy group. The aryl groups attached to siloxy groups can be substituted with other hydrophilic groups. Polymers comprising such hydrophilic, arylsiloxy-containing macromonomers avoid or reduce the risk of forming vacuoles of absorbed water. Furthermore, such polymers have high refractive index, and, thus, are advantageously used for making ophthalmic devices, such as intraocular lenses, contact lenses, corneal rings, corneal inlays, and keratoprostheses.

Abstract: Biocompatible polymers useful for making anterior chamber intraocular lenses (AC-IOL) are provided. The biocompatible polymers are generally composed of one or more acrylate monomers, crosslinked with at least one diacrylate ester and may include one or more additional components such as ultraviolet light and/or blue-violet light absorbing dyes. The AC-IOLs made using the biocompatible polymers disclosed herein are suitable for placement in phakic or aphakic eyes and are intended for refractive correction including myopia, hyperopia, presbyopia and astigmatisms.

Abstract: The present invention discloses methods of obtaining ophthalmic lens capable of reducing the aberrations of the eye comprising the steps of characterizing at least one corneal surface as a mathematical model, calculating the resulting aberrations of said corneal surface(s) by employing said mathematical model, selecting the optical power of the intraocular lens. From this information, an ophthalmic lens is modeled so a wavefront arriving from an optical system comprising said lens and corneal model obtains reduced aberrations in the eye. Also disclosed are ophthalmic lenses as obtained by the methods which are capable reducing aberrations of the eye.

Abstract: The invention includes a method for the passivation of the surface of an intraocular lens, wherein the surface includes Brönsted sites. The intraocular lens is dipped into a solution of a fluoroalkyl silane having the general formula: Rf—(CH2)n—Si—(O—R)3. The residue R is selected from the group of H, CH3, C2H5 and C3H7 and the fluoroalkyl residue Rf is selected from the series CF3(CF2)m, with m=3 to 11 and n=0 to 4. The Brönsted sites on the surface are thereby deactivated by formation of Si—Q—bonds.

Abstract: The present invention provides engineered proteins and biomedical products made from the engineered proteins. The biomedical products include lenses useful for ophthalmic purposes.

Abstract: The invention relates to a folder module for folding a flexible intraocular implant for injection into the eye of a patient. The module comprises two jaws that are movable relative to each other, each jaw having a folder wall constituted by a portion of a cylindrical surface, and a plane wall secured to the folder wall, the two plane walls lying in parallel planes; a pivot axis orthogonal to the plane walls to control relative pivoting movement of one jaw relative to the other; one of the jaws being capable of occupying relative to the other a first position in which said plane walls are offset relative to each other; a second position in which the plane walls face each other so as to define an implant confinement volume; and a third position in which the folder walls meet each other to define a folder chamber enabling the implant to be finally folded.

Abstract: The present invention discloses to a high refractive index polysiloxane (co)polymer comprising refractive index modifying groups chemically bonded in clustered configuration to the polysiloxane backbone. The invention also discloses methods for the preparation of such high refractive index polysiloxane (co)polymers. A polysiloxane according to the invention is very suitable for use as a material for the production of intra-ocular lenses.

Abstract: An accommodating intraocular lens is provided in which a deflectable lens element is anchored to a substrate along its optical axis to define a fluid filled space. Fluid-filled haptics disposed in fluid communication with the space vary the fluid volume in the space responsive to forces applied by the ciliary muscles, thereby causing the periphery of the lens element to deflect relative to the substrate and changing the optical power of the intraocular lens.

Abstract: Covalently-bound, hydrophilic copolymer coatings for implants are disclosed. The copolymer coatings comprise a hydrophobic aryl acrylic monomer, a hydrophilic monomer selected from the group consisting of hydroxyalkyl (meth)acrylates, n-vinyl pyrrolidone and acrylamides, and a (meth)acrylamide reactive plasticizer.

Abstract: Soft, durable, polymeric compositions with one or more reactive polyhedral oligomeric silsesquioxane reinforcing agents and ophthalmic devices such as for example intraocular lenses and corneal inlays made therefrom are described herein.

Abstract: A lens delivery system having a plunger, an injector body and a nozzle portion connected to the injector body, the nozzle portion having a hinged lid and a hollow body with a lens holding platform formed beneath the hinged lid. The cartridge has an elongated nozzle tube or tip with a bore, the bore communicating with the lens holding platform. The bottom of the bore is rounded, which causes the edges of the lens between the lens haptics to fold upwardly as the lens is pushed down the bore from the platform by the plunger. A removable pin fits into the lid and prevents the lens from moving down the bore of the tip during shipment and storage.

Abstract: An intraocular correction lens has at least one aspheric surface which when its aberrations are expressed as a linear combination of polynomial terms, is capable of, in combination with a lens in the capsular bag of an eye, reducing similar such aberration terms obtained in a wavefront having passed the cornea, thereby obtaining an eye sufficiently free from aberrations.

Abstract: A hydrophilic ethylenically unsaturated macromonomer is disclosed that is prepared by the addition polymerization of addition polymerizable monomers that include monomers that have hydroxyl or amino functional groups, some of which may be subsequently reacted to provide (meth)acryl ethylenic unsaturation. The macromonomers may be used to form intraocular lenses in situ by polymerization of the macromonomers, and thus treat presbyopia.

Abstract: An apparatus and methods for delivering ocular implants or microimplants. The apparatus is ergonomically designed for ease of use, and a simple manual depression of an actuator produces proportional movement of a linkage causing the implant or microimplant to be ejected through a cannula disposed at the desired location in the eye. Small gauge cannulas are provided for self-sealing methods of delivery.

Abstract: A high refractive index, foldable polymer suitable for use in ophthalmic devices, such as intraocular lenses, is provided. The polymer may be produced from a polymerization reaction of first, second and third monomeric components and a crosslinking agent. The first monomeric component includes an aryl acrylate or an aryl methacrylate. The second monomeric component, which is not an acrylate, includes a monomer having an aromatic ring with a substituent having at least one site of ethylenic unsaturation. The third monomeric component includes a high water content hydrogel-forming monomer. The resulting high refractive index copolymer is durable enough to be cut and polished when dry, and becomes soft and foldable when hydrated.

Abstract: An instrument for double-folding an elastically deformable IOL and for inserting the IOL into the anterior chamber of a patient's eye has a first elongate member and a second elongate member which are independently slidable within a handle. The distal ends of the first elongate member and the second elongate member protrude outwardly from the handle to provide a pair of forceps jaws suitable for gripping an IOL. The forceps jaws can be thrust through a double-folding member wherein the IOL is double-folded. After being double-folded, the IOL can be inserted into a patient's eye where it can be released by the forceps and allowed to unfold.