Abstract: Intraocular lenses and related assemblies and intraocular attachment methods are disclosed herein. In one embodiment, an intraocular lens assembly comprises a helical-shaped coil fastener to affix an intraocular lens to an iris to correct for astigmatism, presbyopia, and/or myopia or hyperopia. The helical-shaped coil fastener comprises a head and a helical wire extending from a bottom surface of the head and comprising a pointed tip opposite the head. The helical-shaped coil fastener is configured to be affixed to the iris by rotatable penetration of the iris, and thus can be removed from the iris by reverse rotation of the helical-shaped coil fastener. The helical-shaped coil fastener has a low volume, large surface area, low cross-sectional area of penetration, and an oblique angle of penetration. Thus, the helical-shaped coil fastener is easy to apply, easy to remove, minimizes tissue damage, maximizes stability, and minimizes penetration force.

Abstract: An adjustable annuloplasty ring includes a body in the form of an endless loop having an internal lumen therethrough, an adjustment suture extending through at least a portion of the internal lumen, a first portion of the suture exiting the lumen through a first opening in the body and a second portion of the suture exiting the lumen through a second opening in the body, and a first adjustment marker on the first portion of the suture outside of the body. The suture may be adapted to reduce the length of the body around the loop when tightened.

Abstract: A method and apparatus to treat presbyopia or pseudophakic refractive error including but not limited to astigmatism and higher order aberrations is disclosed. An intraocular lens is pierced and the resulting opening becomes a pinhole device or becomes a dual lens system device to include a primary IOL and a secondary IOL for correction of error. The lens system device is secured to the in situ intraocular lens using surgical devices and methods of the present invention. The technique does not involve removal of the intraocular lens and replacement with another intraocular lens, but rather involves the addition of a lens system device that is secured to the intraocular lens in a stable manner.

Abstract: In one aspect, the present invention provides a method of correcting vision, which comprises determining a residual accommodation exhibited by a natural, crystalline lens of an eye, and selecting a multifocal intraocular lens (IOL), which exhibits a far-focus optical power (e.g., in a range of about ?15 to about +50 Diopters (D)) and an add power (e.g., in a range of about 1 D to about 4 D), for implantation in the eye while retaining the natural lens. The add power of the IOL is selected as a function of the residual accommodation such that a combination of the IOL and the natural lens provides a visual contrast greater than about 10% at a spatial frequency of about 20 cycles/degree for viewing objects at a distance greater than about 30 cm from the eye.

Abstract: The invention relates to a system for improving vision using a pair of intraocular lenses. A standard or light adjustable intraocular lens is combined with a light adjustable “piggyback” lens such that the “piggyback” lens corrects any vision deficiencies not addressed by the first lens.

Abstract: An optical element is adapted for implantation into a vitreous chamber of an eye, and a suspension system is configured to position a portion of the optical element to intersect a visual axis of an eye.

Abstract: An intraocular lens system for implantation in the eye to modify the lens system of the eye comprising the cornea and the natural or existing artificial lens in the eye, and a method for using the same. The system and method comprises a lens having a high minus portion, adapted to be implanted in the eye to create a lens system that functions as a teledioptic lens system which, when used without an external lens, provides unmagnified and peripherally unrestricted vision and which, when used with an external lens, provides magnified and peripherally restricted vision to correct for macular degeneration. The lens can be attached to the iris, to a portion of the iris that was removed by iridectomy, or can be implanted in the cornea. The lens can also include a plus portion that is surrounded by the high minus portion.

Abstract: The present invention relates to an intraocular correction lens for implantation in the posterior chamber of the eye between the iris and the intact natural lens. The lens has a concave posterior surface which is part of a non-spherical surface that is rotation symmetric around the optical axis of said optical part, wherein the intersection between said non-spherical surface and any plane containing the optical axis of the lens represents a flawless curve free from discontinuities and points of inflection. The invention also relates to methods of selecting correction lenses based on estimations of the individual eye in need of vision correction and thereby arriving with a correction lens with a high safety for wearer with respect to surrounding eye tissues.

Abstract: A refractive intraocular lens (104) and method of locating the lens within the eye and attaching the lens to the iris. The refractive intraocular lens (104) may be attached via a staple (230), a fastener (312), anchor (412) or by the tip of the haptic (118).

Abstract: An intraocular lens has an optic and two fixation members. Each fixation member has at least one connecting element and a pincer element. The pincer element has a side region with a central portion and opposed end portions. The pincer element further has a pair of pincer arms attached end-to-end from respective opposed end portions of the side region. In one embodiment, the side region has a first location disposed closer to the optic than the pincer gap and a second side region disposed further from the optic than the pincer gap. The distance of both side regions to the central-most portion of the pincer gap is substantially identical.

Abstract: For attaching an intraocular implant having pincher like clamping arms forming a pinching area between end portions of the clamping arms to an iris of an eye, the implant is positioned against a surface of the iris in the anterior chamber of the eye, a passage in a distal end portion of an ophthalmologic surgical instrument in the anterior chamber of the eye is positioned against a surface portion of the iris closely adjacent the pinching area, and suction is applied to the passage and at least one of the end portions of the clamping arms is urged towards the iris, causing a tuck of iris material adhered to the passage to be inserted into the pinching area. Thus, a tuck adhering to the passage can easily be introduced into the pinching area between the clamping arms. An instrument and an implant specifically adapted for this method are described as well.

Abstract: A unique anterior chamber phakic lens and methods for implantation are provided. The foldable optical zone portion of the lens is secured to a pair of diametrically opposed haptic members extending outwardly from the optical zone periphery to the angle of the eye. Each of the haptic members comprises an elongated arm portion and a distal arcuate portion with an inward curvature having an abraded surface. The inventive phakic lens is angle fixated by inducing a slight amount of scar tissue where the distal ends of lens haptics rest in the angle. Accordingly, the unique phakic lens and implantation methods minimize lens related etiology such as iris chafing, glaucoma, uveitis, distortion of the iris, and/or corneal decompensation.

Abstract: An IOL implant for correcting eyesight by placement into the anterior chamber of a patient wherein a relatively mild amount of correction is provided that his on the order of less than five dioplers. The implant can be designed for an astigmatism correction or the optic can be a multifocal lens, such as a bifocal lens. Haptics are provided allowing rotation of the implant during surgery to achieve the desired axis of correction for astigmatism.

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: An intraocular lens system for implantation in the eye to modify the lens system of the eye comprising the cornea and the natural or existing artificial lens in the eye, and a method for using the same. The system and method comprises a lens having a high minus portion, adapted to be implanted in the eye to create a lens system that functions as a teledioptic lens system which, when used without an external lens, provides unmagnified and peripherally unrestricted vision and which, when used with an external lens, provides magnified and peripherally restricted vision to correct for macular degeneration. The lens can be attached to the iris, to a portion of the iris that was removed by iridectomy, or can be implanted in the cornea. The lens can also include a plus portion that is surrounded by the high minus portion.

Abstract: A device and method is disclosed for treating macular degeneration, an affliction of the eye. An incision is made in the scleral region of the eye and an optical prosthesis for diverging incoming light is inserted and positioned within the vitreous humor proximate to the retina of the eye. The optical prosthesis may be a lens having one or more concave faces. Alternately, the optical prosthesis may be an assembly including a number of optical components. The optical prosthesis intercepts light directed at the macular region of the retina and spreads the light over a larger region of the retina. The optical prosthesis may be anchored or stabilized in a variety of ways prior to closing the incision.

Abstract: A pre-crystalline intraocular implant adapted to be implanted between the front face of the crystalline lens and the iris. It comprises an optical part (31) and a haptic part. The haptic part comprises a haptic ring (32) surrounding the optical part (31), a peripheral band (34) and branches (33) linking the haptic ring (32) and the peripheral band (34). The rear face of the implant comprises a central portion with spherical surface having a first radius, a second annular spherical portion having a radius greater that the first radius and a third concentric portion with spherical surface having a radius greater than the second radius. The invention is useful for correcting ametropia of a phakic eye.

Abstract: Ocular implant of the type comprising an optical portion to which there is connected a haptic portion arranged to position the focal axis of the optical portion off-center with respect to the geometric axis of the eye, towards the nasal side, provided for insertion into a phakic eye to correct presbyopia, its optical portion having, at least in its central region (7), a multifocal treatment constituting an addition of from +1 to +3.5 diopters, and its haptic portion (6) ensuring that the focal axis (9) of the optical portion (5) is arranged from 0 to 0.75 mm off-center when the implant is in position in the eye.

Abstract: An intraocular lens is provided and includes a deformable optic; a pair of support posts spaced circumferentially about the optic and extending outwardly therefrom; and a pair of retaining elements for securing the lens portion within an anterior chamber of the eye by grasping a portion of an anterior surface of iris tissue. Each retaining element has flexible first and second pincer tips that are normally in an abutting or a close abutting relationship when the retaining element is in a closed position. Each retaining element is secured to the anterior surface by opening the first and second pincer tips and pinching the anterior surface of the iris tissue. The optic is coupled to the retaining elements by disposing the support posts within openings or slots that are defined in the retaining elements. The coupling between the posts and the retaining elements is such that the optic is not only securely held within the anterior chamber but also is easily removable and adjustable.

Abstract: A thin foldable intraocular implant specifically configured for installation into the anterior chamber of a phakic or pseudophakic eye has broad positioning flaps that do not apply any substantial pressure against the wall of the eye. It can be rolled for insertion through a corneal incision as small as 2.75 millimeters. The implant is constituted by a two-layered resiliently flexible membrane having a corrective layer of about 50 to 130 microns and an overall thickness of about 150 to 530 microns, that vaults the iris without contacting it. The optic is constituted by a multi-order diffractive (MOD) structure, and is made of silicone, PMMA, hydrogel or hydrophobic acrylate.

Abstract: A unique anterior chamber phakic lens and methods for implantation are provided. The foldable optical zone portion of the lens is secured to a pair of diametrically opposed haptic members extending outwardly from the optical zone periphery to the angle of the eye. Each of the haptic members comprises an elongated arm portion and a distal arcuate portion with an inward curvature having an abraded surface. The inventive phakic lens is angle fixated by inducing a slight amount of scar tissue where the distal ends of lens haptics rest in the angle. Accordingly, the unique phakic lens and implantation methods minimize lens related etiology such as iris chafing, glaucoma, uveitis, distortion of the iris, and/or corneal decompensation.

Abstract: An accommodating intraocular lens is disclosed that provides vision accommodation in response to contraction of an eye's ciliary muscle. The intraocular lens comprises a deformable elastic dynamic lens having a non-accommodating surface curvature and a lens-shaping member having flexible portions in contact with peripheral edge regions of the dynamic lens for enabling compressive deformation thereof for changing the lens surface curvature to achieve accommodation. Included are an elastically flexible coil member mounted around the lens-shaping member flexible portions. A first lens-supporting member has a proximal end region that engages the flexible coil member and a second lens-supporting member has a proximal end region connected to the lens-shaping member.

Abstract: Iris fixated intraocular lenses include an optic and at least one fixation member or haptic. The fixation member is joined to the optic and has a distal segment including a through-iris portion adapted to extend through an iris hole, and an anchor portion. The anchor portion has or is adapted to have an anchor structure positioned to be disposed proximate to a side of the iris so as to be effective in fixating the intraocular lens to the iris. The anchor structure may be formed prior to inserting the intraocular lens in the eye or may be formed after the intraocular lens is inserted in the eye. Methods for inserting such intraocular lenses in the eye are also provided.

Abstract: An intraocular lens (1) to be placed in an anterior chamber of a patient's eye is disclosed. The intraocular lens includes: a lens part (2) with a predetermined refractive power, including a front lens surface (2a) facing toward a cornea side and a back lens surface (2b) facing toward a fundus side when the intraocular lens is placed in the anterior chamber; a support part (3) provided in an edge of the lens part (2) and with an end positioned opposite to the edge, the end being insertable into an iris to penetrate to a fundus side thereof and back to a cornea side thereof to hold the lens part (2) in the anterior chamber; and a hook (30) provided in the end of the support part (3) for preventing the support part from coming off the iris.

Abstract: An intraocular lens configured to be implanted in the cornea from the posterior aspect. The lens has an optic and a pair fixation members extending outward therefrom. One of the fixation members includes a single enlarged foot, while the other fixation member has two bifurcated feet. The fixation members are sized and shaped to fix within tunnels formed in the cornea. A method of the invention includes forming tunnels in the stroma layer of the cornea, and positioning the fixation members in the tunnels. The tunnels may be formed from outside or inside the cornea. The method may include inserting the folded intraocular lens into the anterior chamber, permitting the lens to unfold, inserting the fixation member with the enlarged foot in one of the tunnels, and bending the two bifurcated feet of the other fixation member together so as to fit within the other tunnel.

Abstract: A phakic refractive lens which conforms to the structure of the eye, particularly to the ciliary sulcus, is disclosed. This lens minimizes stresses of the lens on the interior structure of the eye and eliminates excessive vaulting of the lens which tends to deform the shape of the eye and/or structures in the eye. The lenses comprise an optical body and at least one haptic body. The haptic body(ies) is made up of a first portion adjacent to the optical body, a second portion which extends outwardly from the first haptic portion, and a transition zone between the first and second haptic portions (for example, a groove or score line in the lens surface) which permits the second haptic portion to conform to the shape of the ciliary sulcus of the eye.

Abstract: The present invention relates to an intraocular correction lens for implantation in the posterior chamber of the eye between the iris and the intact natural lens. The lens has a concave posterior surface which is part of a non-spherical surface that is rotation symmetric around the optical axis of said optical part, wherein the intersection between said non-spherical surface and any plane containing the optical axis of the lens represents a flawless curve free from discontinuities and points of inflection. The invention also relates to methods of selecting correction lenses based on estimations of the individual eye in need of vision correction and thereby arriving with a correction lens with a high safety for wearer with respect to surrounding eye tissues.

Abstract: A corrective intraocular lens system comprises a primary intraocular lens for implanting into an individual's aphakic or phakic eye. The primary intraocular lens includes an optic portion having an optical axis and an anterior surface and a posterior surface, and includes attachment means for maintaining the optic portion centered along the optical axis of the individual's eye. The optic portion is formed having a narrow recess or groove formed into the anterior surface adjacent peripheral regions of the optical portion. The recess may extend completely or only partially around the optic. Included is an elastically deformable, corrective secondary intraocular lens having an optic portion with an anterior surface and a posterior surface.