WO2025110869A1 - Continuous multifocal intraocular lens and insertion method thereof - Google Patents
Continuous multifocal intraocular lens and insertion method thereof Download PDFInfo
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- WO2025110869A1 WO2025110869A1 PCT/KR2024/096617 KR2024096617W WO2025110869A1 WO 2025110869 A1 WO2025110869 A1 WO 2025110869A1 KR 2024096617 W KR2024096617 W KR 2024096617W WO 2025110869 A1 WO2025110869 A1 WO 2025110869A1
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- Prior art keywords
- lens
- optical
- iol
- present
- intraocular lens
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses or corneal implants; Artificial eyes
- A61F2/16—Intraocular lenses
- A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
- A61F2/1616—Pseudo-accommodative, e.g. multifocal or enabling monovision
- A61F2/1618—Multifocal lenses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses or corneal implants; Artificial eyes
- A61F2/16—Intraocular lenses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00861—Methods or devices for eye surgery using laser adapted for treatment at a particular location
- A61F2009/0087—Lens
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00179—Ceramics or ceramic-like structures
- A61F2310/00185—Ceramics or ceramic-like structures based on metal oxides
- A61F2310/00215—Ceramics or ceramic-like structures based on metal oxides containing silica or silicon oxide
Definitions
- the present invention relates to a continuous multifocal intraocular lens and a method for inserting the same.
- the present invention relates to a continuous multifocal intraocular lens, in which the boundary of the curved surface does not appear on the lens surface, which is designed to produce a magnifying effect in the intraocular lens.
- conventional existing technologies related to artificial lenses are diffractive multifocal IOLs that are made to produce a magnifying glass effect with multiple spiral edges, or refractive multifocal IOLs that have different partial refractive powers.
- the disadvantage of multifocal IOLs is that in the case of diffractive multifocal IOLs, light is reflected in the spiral edge portion, and in the case of refractive IOLs, the refractive area is partially divided, causing image distortion, light scattering, and glare.
- presbyopia contact lenses do not have separate refractive areas that produce a magnifying effect.
- the problem is that the position is not fixed after being worn on the cornea, so the magnifying effect cannot be seen.
- the problem to be solved by the present invention is to provide a continuous multifocal intraocular lens and a method for inserting the same, which can overcome the disadvantages and side effects of existing presbyopic contact lenses by combining a monofocal intraocular lens and a presbyopic contact lens.
- a continuous multifocal artificial lens comprises an integral part including an optical part including an optical lens and a base lens formed on a surface that is coupled to the optical part and contacts the optical part, wherein the optical part is formed to be detachable from the integral part while the integral part is inserted into a user's eye, and parameters regarding optical properties of the optical lens and the base lens may be different from each other.
- the optical lens may include a continuous multifocal lens and may provide variable refractive power required for near, intermediate and far distance vision.
- the basic lens may include a single-focus lens.
- the single-focus lens may include a single-focus lens having a biconvex shape.
- the optical portion further includes a connector
- the integral portion includes a connector
- the connector and the connector can be coupled to each other, and the connector and the connector can be at least two or more in the same number.
- the connector and the connecting body may have shapes corresponding to each other so that they can be combined with each other.
- the integral part may include a predetermined number of through holes.
- it may include a sealing button that can be inserted into the through hole.
- the material of the optical portion and the integral portion may include a biocompatible material.
- the biocompatible material may include at least one of silicone and hydrogel.
- a continuous multifocal intraocular lens and a method for inserting the same have a novel effect of overcoming the disadvantages and side effects of existing monofocal intraocular lenses and existing presbyopic contact lenses by combining a monofocal intraocular lens and a presbyopic contact lens.
- the continuous multifocal intraocular lens and the insertion method thereof can prevent the defects of existing technologies, such as diffuse reflection of light, image distortion, light scattering, glare, non-fixation of lens position, stepped edges, and discontinuity of curved surfaces, by combining a monofocal intraocular lens and a presbyopic contact lens.
- FIGS. 1A to 1D illustrate a continuous multifocal intraocular lens according to some embodiments of the present invention.
- FIG. 2 is a drawing for explaining an optical lens of an optical unit according to some embodiments of the present invention.
- FIGS. 3A and 3B are drawings for explaining a connection method of a connector and a connecting body according to some embodiments of the present invention.
- FIG. 4 is a drawing for explaining a sealing button and a through hole according to some embodiments of the present invention.
- Figures 5a and 5b are drawings for explaining problems of an integrated artificial lens.
- FIG. 6 is a flow chart illustrating a method for inserting an artificial lens into an eye according to some embodiments of the present invention.
- FIG. 7 is a flow chart illustrating a retinal surgery method through a through-hole and a through-hole sealing method according to some embodiments of the present invention.
- first, second, A, B, etc. used in this specification and claims may be used to describe various components, but the components should not be limited by the terms. The terms are used only for the purpose of distinguishing one component from another. For example, it could be called the first component without departing from the scope of the present invention.
- the term 'and/or' includes any combination of a plurality of related described items or any item among a plurality of related described items.
- FIGS. 1A to 1D illustrate a continuous multifocal intraocular lens according to some embodiments of the present invention.
- the intraocular lens (hereinafter referred to as “IOL”) illustrated in FIGS. 1A to 1D is an intraocular lens (IOL) in which an optical section can be added to an integral part including a basic lens.
- the material of the intraocular lens (IOL) of the present invention may include a soft and flexible material among biocompatible materials, such as silicone and/or hydrogel, but the embodiments of the present invention are not limited thereto.
- an artificial lens may include an optical part (hereinafter referred to as “OP”) and a whole portion (hereinafter referred to as “WP”).
- the IOL of the present invention may perform refractive power correction or individualization, etc., by additionally using an optical lens (OP_lens) of the optical part (OP), in addition to a basic lens (WP_lens) included in the whole portion (WP). That is, the IOL according to some embodiments of the present invention may correct the optical properties of the whole portion (WP) through the optical part (OP).
- the optical lens (OP_lens) included in the optical unit (OP) and the basic lens (WP_lens) included in the integral unit (WP) may have different parameters regarding optical properties.
- the optical lens (OP_lens) and the basic lens (WP_lens) may have different parameters regarding fixed focal length, refractive index, etc.
- the optical lens (OP_lens) may include a contact lens for correcting presbyopia, such as a continuous multifocal lens
- the basic lens (WP_lens) may include a single focal lens.
- the embodiments of the present invention are not limited thereto.
- the optical section (OP) can assist or correct the role of collecting light or concentrating light to change the direction of light propagation by the integral section (WP).
- the optical unit (OP) may include an optical lens (OP_lens).
- the optical lens (OP_lens) may have various parameter values.
- the parameters of the optical lens (OP_lens) may include the type of the optical lens (OP_lens), the focal length, the refractive index, the traveling angle, the diameter, the thickness, etc., but the embodiments of the present invention are not limited thereto.
- the types of the optical lens (OP_lens) may include a biconvex lens, a single-sided convex lens, a bending concave lens, etc., but the embodiments of the present invention are not limited thereto.
- the optical lens (OP_lens) may include a presbyopic contact lens.
- the optical properties of the optical lens (OP_lens) may be for correcting vision for presbyopia.
- the optical lens (OP_lens) may be in the form of a continuous multifocal lens, i.e., the optical lens (OP_lens) may provide variable refractive powers required for near, intermediate, and far vision.
- optical lens (OP_lens) of the present invention will be described in more detail with reference to FIG. 2.
- FIG. 2 is a drawing for explaining an optical lens of an optical unit according to some embodiments of the present invention.
- the optical lens may include a form of a continuous multifocal lens used as a presbyopic contact lens.
- an optical lens can provide variable refractive power required for near, intermediate, and far vision.
- the optical lens (OP_lens) may include a first region (R1) that provides refractive power required for near vision, a second region (R2) that provides refractive power required for intermediate vision, and a third region (R3) that provides refractive power required for far vision.
- the refractive powers of the first region (R1) to the third region (R3) may be different from each other.
- optical lens can be designed to have various shapes and optical properties.
- the integral part (WP) performs refractive power correction or improvement, etc., and is also connected to the optical part (OP) to support and sustain the optical part (OP).
- integral part (WP) is illustrated in FIGS. 1A to 1D as having a rectangular solid shape with rounded corners, the embodiment of the present invention is not limited thereto, and it is obvious that the shape of the integral part (WP) may have various shapes such as a cube with rounded corners, a cylinder, a cone, etc.
- a component may include a base lens (WP_lens).
- the basic lens (WP_lens) can perform refractive power correction or improvement, etc.
- the basic lens (WP_lens) can have various parameter values.
- the parameters of the basic lens (WP_lens) can include the type of the basic lens (WP_lens), the focal length, the refractive index, the traveling angle, the diameter, the thickness, etc., but the embodiments of the present invention are not limited thereto.
- the types of the basic lens (WP_lens) can include a biconvex lens, a single convex lens, a bending concave lens, etc., but the embodiments of the present invention are not limited thereto.
- the basic lens (WP_lens) may include a single-focus lens.
- the optical properties of the optical lens (OP_lens) may be designed according to the single-focus lens.
- the basic lens (WP_lens) may include various forms of single-focus lenses.
- the basic lens (WP_lens) may include various forms of single-focus lenses such as a biconvex single-focus lens, a biconcave single-focus lens, a concave-convex single-focus lens, a plano-convex single-focus lens, and a plano-concave single-focus lens.
- FIG. 1d illustrates a case in which the basic lens (WP_lens) is a biconvex single-focus lens as a main embodiment of the present invention, but the present invention is not limited thereto.
- the intraocular lens (IOL) combines an integral part (WP) having the form of a monofocal IOL and an optical part (OP) having the form of a presbyopic contact lens, thereby having a new effect that can overcome the disadvantages and side effects of existing monofocal IOLs and existing presbyopic contact lenses.
- WP integral part
- OP optical part
- an intraocular lens (IOL) may not cause the defects of existing technologies, such as diffuse reflection of light, image distortion, light scattering, glare, non-fixation of lens position, and discontinuity of stepped edge curvature, by combining a single focus IOL and a presbyopic contact lens.
- the intraocular lens (IOL) may enable additional attachment and replacement of an optical portion (optical portion, OP) after the integral portion (WP) including the basic lens (WP_lens) is inserted into the eye. That is, the intraocular lens (IOL) of the present invention can have an optical portion (OP) additionally attached without removing the IOL itself after the integral portion (WP) including the basic lens (WP_lens) is inserted into the eye, thereby having the effect of easily performing refractive correction, etc.
- an optical portion optical portion
- the IOL can be used to replace the optical part (OP) without removing the already inserted IOL when refractive correction is required after IOL insertion, making the surgical procedure simpler and safer.
- optical part (OP) and the integral part (WP) can have corresponding shapes so that they can be combined with each other.
- the optical portion (OP) may be formed with a curvature corresponding to the curvature of the basic lens (WP_lens) of the integral portion (WP).
- the curvature of the optical portion (OP) may be identical to or very similar to the curvature of the basic lens (WP_lens) of the integral portion (WP).
- the optical unit (OP) may include a connector (OP_access) for coupling with the integral unit (WP), and the integral unit (WP) may include a connector (WP_connect) for coupling with the optical unit (OP).
- the connector (OP_access) and the connector (WP_connect) may be coupled to each other.
- the connector (OP_access) can be connected to the connector (WP_connect) of the integral part (WP).
- the connector (OP_access) of the optical part (OP) can be connected to the connector (WP_connect) of the integral part (WP) to form a union.
- Fig. 1b the shape of the connector (OP_access) is depicted as a rod shape and the number of connectors (OP_access) is depicted as two, but this is only for convenience of explanation. In other words, the shape and number of connectors (OP_access) are not limited to those depicted in Fig. 1b and can be freely modified.
- the connector (WP_connect) can be connected to the connector (OP_access) of the optical unit (OP).
- the connector (WP_connect) of the integral unit (WP) can be connected to the connector (OP_access) of the optical unit (OP) to form a union.
- the shape of the connector (WP_connect) is shown as an L-shape and the number of connectors (WP_connect) is shown as two, but this is only for convenience of explanation. In other words, the shape and number of connectors (WP_connect) are shown in Fig. 5b.
- connection method of a connector (OP_access) and a connection body (WP_connect) will be described with reference to FIGS. 3a and 3b.
- FIGS. 3A and 3B are drawings for explaining a connection method of a connector and a connecting body according to some embodiments of the present invention.
- FIGS. 3A and 3B are drawings for explaining a connection method of a connector and a connecting body according to some embodiments of the present invention.
- an access and a connect can be connected to each other to form a union.
- the connector (access) illustrated in FIGS. 3a and 3b may refer to a connector (OP_access) included in an artificial lens (IOL) illustrated in FIGS. 1a to 1d
- the connector (connect) illustrated in FIGS. 3a and 3b may refer to a connector (WP_connect) included in an artificial lens (IOL1) illustrated in FIGS. 1a to 1d.
- Fig. 3a illustrates a connection method in which an access is formed in the shape of a hook or a hook and is wound around an access
- Fig. 3b illustrates a connection method in which an access is inserted into and fixed inside an access.
- connection method of the access and the connect is not limited to that shown in FIGS. 3a and 3b.
- the integral part (WP) may include a predetermined number of through holes (WP_hole).
- the through holes (WP_hole) may serve as a space into which a surgical instrument for simple retinal surgery may be inserted.
- the through holes (WP_hole) may be utilized as a space into which a surgical instrument for simple retinal surgery may be inserted.
- Simple retinal surgery may include treatment for floaters, small-volume vitrectomy, treatment for micro-retinal tears, etc., but the embodiments of the present invention are not limited thereto.
- the diameter of the through holes (WP_hole) may be 2 mm or less, and the diameter of the surgical instrument inserted into the through holes (WP_hole) may be 1 mm or less, but the embodiments of the present invention are not limited thereto.
- the shape of the through hole (WP_hole) is depicted as an arc and the number of through holes (WP_hole) is two, but this is only for convenience of explanation. In other words, the shape and number of through holes (WP_hole) are not limited to those depicted in FIGS. 1A to 1D and can be freely modified.
- the artificial lens (IOL) of the present invention may further include a sealing button inserted into the through hole (WP_hole).
- FIG. 4 is a drawing for explaining a sealing button and a through hole according to some embodiments of the present invention.
- a sealing button (hereinafter referred to as “SB”) can be connected to a through hole.
- the sealing button (SB) can be inserted into a through hole.
- the through hole (hole) may mean a through hole (WP_hole) included in an artificial lens (IOL) as shown in FIGS. 1a to 1d.
- the sealing button (SB) may have a shape corresponding to the through hole.
- the sealing button (SB) may also have a shape corresponding to the arc, but the embodiments of the present invention are not limited thereto.
- the present invention can prevent the vitreous body filling the retinal area behind the lens capsule from being detached through the through hole by means of a sealing button (SB) inserted into the through hole.
- SB sealing button
- the artificial lens (IOL) of the present invention includes a through hole to facilitate simple retinal surgery.
- the through hole is open, there may be a problem in which the vitreous body at the back of the lens capsule leaks out through the through hole.
- the artificial lens (IOL) of the present invention has the effect of achieving both the convenience of retinal surgery and the prevention of vitreous detachment by opening the penetration hole when retinal surgery is required and blocking the penetration hole with a sealing button (SB) in other cases.
- the intraocular lens (IOL) of the present invention is implemented in a functional manner in which the optical portion (OP) and the integral portion (WP) can be assembled.
- the intraocular lens (IOL) of the present invention may be a functional continuous multifocal IOL implemented in a form in which the optical portion (OP) including a presbyopic contact lens and the integral portion (WP) including a single-focus lens can be assembled.
- a user using the artificial lens (IOL) of the present invention can wear the IOL of the present invention through a first wearing method in which the optical part (OP) and the integral part (WP) are inserted into the user's eyeball in an assembled state, or a second wearing method in which only the integral part (WP) is inserted into the user's eyeball and then the optical part (OP) is coupled to the integral part (WP) while the integral part (WP) is mounted on the user's eyeball.
- Figures 5a and 5b are drawings for explaining problems of an integrated artificial lens.
- a conventional integral artificial lens is an integral product composed of a central part including an optical lens and a peripheral part (haptic part) that supports the central part.
- a new artificial lens IOL must be inserted to resolve this.
- the need to replace the IOL occurs when a refractive error occurs after cataract surgery, when the function of the IOL needs to be supplemented from monofocal to multifocal or corrected from multifocal to monofocal, when the IOL is dislocated from the lens capsule (hereinafter referred to as "LC"), when the IOL becomes cloudy, when the IOL causes bullous keratopathy (corneal endothelial thinning or cystic macular edema), and when the IOL is lost due to trauma.
- LC lens capsule
- the lens capsule (LC) is not absorbed by the IOL within a few months (e.g., 3 months) after the IOL is inserted (see ⁇ A1> in Fig. 5a)
- the IOL inside the lens capsule (LC) must be cut into several pieces, extracted out of the eye, a new IOL must be inserted, and the IOL extraction site must be sutured. This is a complicated and time-consuming surgical procedure, and there is also a possibility that the corneal endothelial cells may be touched or the lens capsule (LC) may rupture.
- IOL intraocular lens
- EC epithelial cells
- the inserted artificial lens (IOL) is firmly fixed to the lens bag (LC), it is very difficult to extract and exchange the IOL adsorbed on the lens bag (LC).
- the surgical process is complicated and takes a long time, and the lens bag (LC) adsorbed on the IOL can be easily torn when trying to separate it, and if the lens bag (LC) is torn, not only can the vitreous humor filling the retinal area behind the lens bag (LC) leak out, but also it is impossible to insert a new IOL into the lens bag (LC) after extracting the IOL.
- anterior chamber IOL implantation is a method of connecting both ends of the peripheral part that supports the optical part of the IOL with sutures, and then suturing both ends of the peripheral part to the adjacent sclera. This makes the surgical process complicated, takes a long time, and has the disadvantage of causing visual discomfort because it is not fixed in the lens capsule (LC) like an IOL after surgery.
- LC lens capsule
- a secondary cataract is a symptom in which epithelial cells proliferate and clouding occurs in the posterior capsule (LC) behind the lens, that is, the posterior capsule (LC_back).
- the posterior capsule (LC_back) is burned and removed with a laser during secondary cataract surgery.
- the artificial lens (IOL) needs to be replaced and the IOL is removed, the highly viscous vitreous body that fills the retina behind the lens capsule (LC) inevitably leaks.
- Fig. 6 is a flow chart illustrating a method for inserting an artificial lens into an eye according to some embodiments of the present invention.
- Each step (S100 to S500) of Fig. 6 can be performed by a human and/or automated medical equipment, ocular surgical equipment, surgical gown, etc.
- FIG. 6 is a flowchart illustrating a process of connecting an optical part (OP) after inserting an integral part (WP) of an artificial lens (IOL) illustrated in FIGS. 1A to 1D into an eyeball.
- FIG. 6 is a flowchart illustrating a second wearing method, that is, a method in which only the integral part (WP) is inserted into a user's eyeball and then the optical part (OP) is connected to the integral part (WP) while the integral part (WP) is mounted on the user's eyeball.
- an integral part (WP) of a continuous multifocal IOL can be inserted into a capsular bag (S100).
- the integral part (WP) can include a basic lens (WP_lens), a connector (WP_connect), a through hole (WP_hole), etc.
- the basic lens (WP_lens) can include a biconvex single-focus lens, but the embodiment of the present invention is not limited thereto.
- vision correction is necessary (S200). For example, it is possible to determine whether presbyopia correction is necessary. At this time, it is possible to determine whether presbyopia correction is necessary by determining the degree of error in the refractive power of the artificial lens (IOL), or, if requested by the user, it is possible to determine that presbyopia correction is necessary.
- IOL artificial lens
- a portion of the lens capsule near the connection (WP_connect) of the integral part (WP) can be resected (S300)
- optical unit (OP) can be connected to the integral unit (WP) (S400).
- the connector (OP_access) of the optical part (OP) and the connector (WP_connect) of the integral part (WP) can be connected to each other.
- the parameter value of the optical lens (OP_lens) included in the optical part (OP) may be the same as or different from the parameter value of the basic lens (WP_lens) of the integral part (WP).
- the optical part (OP) may include an optical lens (OP_lens).
- the optical lens (OP_lens) may include a presbyopic contact lens.
- the optical properties of the optical lens (OP_lens) may be for correcting vision of presbyopia.
- the optical lens (OP_lens) may be in the form of a continuous multifocal lens. That is, the optical lens (OP_lens) may provide variable refractive power required for near, intermediate, and far vision.
- FIG. 7 is a flow chart illustrating a retinal surgery method through a through-hole and a through-hole sealing method according to some embodiments of the present invention.
- Each step (S600 to S900) of FIG. 7 can be performed by a human and/or automated medical equipment, ocular surgical equipment, surgical robot, etc.
- local anesthesia can be performed after the surgery (S600).
- local anesthesia can be performed after the surgeon's pupil is dilated.
- a surgical instrument can be inserted through the through hole (WP_hole) (S700).
- the diameter of the through hole (WP_hole) may be 2 mm or less, and the diameter of the surgical instrument may be 1 mm or less, but the embodiment of the present invention is not limited thereto.
- a surgical instrument can be inserted into the retina to perform surgery (S800).
- the surgery performed at this time may include treatment of vitrectomy, small-volume vitrectomy, treatment of microscopic retinal tears, etc., but the embodiments of the present invention are not limited thereto.
- the through hole (WP_hole) can be sealed with a sealing button (SB) (S900).
- the sealing button (SB) can have a shape corresponding to the through hole (WP_hole).
- the sealing button (SB) can also have a shape corresponding to an arc, but the embodiment of the present invention is not limited thereto.
- the present invention can prevent the vitreous body filling the retinal region behind the lens capsule from being detached through the through hole (WP_hole) by using a sealing button (SB) inserted into the through hole (WP_hole).
- SB sealing button
- the artificial lens (IOL) of the present invention includes a through hole (WP_hole) to facilitate the aforementioned simple retinal surgery.
- WP_hole a through hole
- the through hole (WP_hole) is open, a problem may occur in which the vitreous body at the back of the lens capsule leaks out through the through hole (WP_hole).
- the artificial lens (IOL) of the present invention has the effect of achieving both convenience of retinal surgery and prevention of vitreous detachment by opening the through hole (WP_hole) when retinal surgery is required and blocking the through hole (WP_hole) with a sealing button (SB) in other cases.
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Abstract
Description
본 발명은 연속 다초점 인공수정체 및 이의 삽입 방법에 관한 것이다.The present invention relates to a continuous multifocal intraocular lens and a method for inserting the same.
구체적으로, 본 발명은 인공수정체에 돋보기 효과를 발생시키기 위해 만들어진, 굴곡면의 경계가 렌즈 표면에 나타나지 않는 연속 다초점 인공수정체에 관한 것이다.Specifically, the present invention relates to a continuous multifocal intraocular lens, in which the boundary of the curved surface does not appear on the lens surface, which is designed to produce a magnifying effect in the intraocular lens.
일반적으로, 인공수정체와 관련한 종래의 기존 기술은 다중의 나선형 에지로 돋보기 효과를 내도록 만든 회절형 다초점인공수정체 또는 부분 굴절력을 다르게 만든 굴절형 다초점인공수정체이다. 다초점인공수정체의 단점은 회절형의 경우 나선형 에지부분에서 빛의 난반사가 발행하며 굴절형의 경우 굴절 영역이 부분적으로 나뉘면서 이로 인한 이미지의 왜곡 또는 빛번짐, 눈부심 현상이 유발되는 것이다.In general, conventional existing technologies related to artificial lenses are diffractive multifocal IOLs that are made to produce a magnifying glass effect with multiple spiral edges, or refractive multifocal IOLs that have different partial refractive powers. The disadvantage of multifocal IOLs is that in the case of diffractive multifocal IOLs, light is reflected in the spiral edge portion, and in the case of refractive IOLs, the refractive area is partially divided, causing image distortion, light scattering, and glare.
한편, 장년층, 노년층의 경우 노안 콘택트렌즈를 사용하는 경우가 많다. 이러한 노안 콘택트렌즈는 돋보기 효과를 내는 굴절영역이 나뉘지 않는다. 문제점은 각막에 착용 후 위치가 고정되지 못해 돋보기 효과를 볼 수 없는 것이 단점이다.On the other hand, middle-aged and elderly people often use presbyopia contact lenses. These presbyopia contact lenses do not have separate refractive areas that produce a magnifying effect. The problem is that the position is not fixed after being worn on the cornea, so the magnifying effect cannot be seen.
이렇듯, 기존의 단초점 인공수정체와 노안 콘택트렌즈는 각자의 단점이 명백히 존재한다.As such, existing single-focus artificial lenses and presbyopia contact lenses each have their own clear shortcomings.
본 발명이 해결하고자 하는 과제는 단초점 인공수정체와 노안 콘택트렌즈를 결합하여, 기존의 노안 콘택트렌즈의 단점 및 부작용을 극복할 수 있는 연속 다초점 인공수정체 및 이의 삽입 방법을 제공하는 것이다.The problem to be solved by the present invention is to provide a continuous multifocal intraocular lens and a method for inserting the same, which can overcome the disadvantages and side effects of existing presbyopic contact lenses by combining a monofocal intraocular lens and a presbyopic contact lens.
본 발명의 목적들은 이상에서 언급한 목적으로 제한되지 않으며, 언급되지 않은 본 발명의 다른 목적 및 강점들은 하기의 설명에 의해서 이해될 수 있고, 본 발명의 실시예에 의해 보다 분명하게 이해될 것이다. 또한, 본 발명의 목적 및 장점들은 특허 청구 범위에 나타낸 수단 및 그 조합에 의해 실현될 수 있음을 쉽게 알 수 있을 것이다.The purposes of the present invention are not limited to the purposes mentioned above, and other purposes and advantages of the present invention which are not mentioned can be understood by the following description, and will be more clearly understood by the embodiments of the present invention. In addition, it will be easily understood that the purposes and advantages of the present invention can be realized by the means and combinations thereof indicated in the claims.
본 발명의 몇몇 실시예에 따른 연속 다초점 인공수정체는, 광학 렌즈를 포함하는 광학부 및 상기 광학부와 결합되며, 상기 광학부와 접촉하는 면에 형성된 기본 렌즈를 포함하는 일체부를 포함하되, 상기 광학부는 상기 일체부가 사용자의 안구에 삽입된 상태에서 상기 일체로부터 탈착 가능하도록 형성되고, 상기 광학 렌즈와 상기 기본 렌즈는 광학적 성질에 관한 피라미터가 서로 상이할 수 있다.A continuous multifocal artificial lens according to some embodiments of the present invention comprises an integral part including an optical part including an optical lens and a base lens formed on a surface that is coupled to the optical part and contacts the optical part, wherein the optical part is formed to be detachable from the integral part while the integral part is inserted into a user's eye, and parameters regarding optical properties of the optical lens and the base lens may be different from each other.
또한, 상기 광학 렌즈는, 연속 다초점 렌즈를 포함하고, 근거리, 중간거리 및 원거리 시력에 필요한 가변 굴절력을 제공할 수 있다.Additionally, the optical lens may include a continuous multifocal lens and may provide variable refractive power required for near, intermediate and far distance vision.
또한, 상기 기본 렌즈는, 단초점 렌즈를 포함할 수 있다.Additionally, the basic lens may include a single-focus lens.
또한, 상기 단초점 렌즈는, 양면 볼록 형태의 단초점 렌즈를 포함할 수 있다.Additionally, the single-focus lens may include a single-focus lens having a biconvex shape.
또한, 상기 광학부는 접속체를 더 포함하고, 상기 일체부는 연결체를 포함하며, 상기 접속체와 상기 연결체는 서로 결합될 수 있고, 상기 접속체와 상기 연결체는 적어도 둘 이상의 동일한 개수일 수 있다.In addition, the optical portion further includes a connector, the integral portion includes a connector, the connector and the connector can be coupled to each other, and the connector and the connector can be at least two or more in the same number.
또한, 상기 접속체와 상기 연결체는 서로 결합될 수 있도록 서로 간에 대응되는 형상을 가질 수 있다.Additionally, the connector and the connecting body may have shapes corresponding to each other so that they can be combined with each other.
또한, 상기 일체부는, 미리 정해진 개수의 관통홀을 포함할 수 있다.Additionally, the integral part may include a predetermined number of through holes.
또한, 상기 관통홀에 삽입될 수 있는 밀폐 버튼을 포함할 수 있다.Additionally, it may include a sealing button that can be inserted into the through hole.
또한, 상기 광학부 및 상기 일체부의 재질은, 생체적합성 물질을 포함할 수 있다.Additionally, the material of the optical portion and the integral portion may include a biocompatible material.
또한, 상기 생체적합성 물질은, 실리콘(Silicon) 및 하이드로겔(Hydrogel) 중 적어도 하나를 포함할 수 있다.Additionally, the biocompatible material may include at least one of silicone and hydrogel.
본 발명의 몇몇 실시예에 따른 연속 다초점 인공수정체 및 이의 삽입 방법은, 단초점 인공수정체와 노안 콘택트렌즈를 결합하여, 기존의 단초점 인공수정체와 기존의 노안 콘택트렌즈의 단점 및 부작용을 극복할 수 있는 새로운 효과를 갖는다.A continuous multifocal intraocular lens and a method for inserting the same according to some embodiments of the present invention have a novel effect of overcoming the disadvantages and side effects of existing monofocal intraocular lenses and existing presbyopic contact lenses by combining a monofocal intraocular lens and a presbyopic contact lens.
구체적으로, 본 발명의 몇몇 실시예에 따른 연속 다초점 인공수정체 및 이의 삽입 방법은, 단초점 인공수정체와 노안 콘택트렌즈를 결합함으로써, 기존 기술에 존재하는 단점인 빛의 난반사, 이미지 왜곡, 빛번짐, 눈부심 현상, 렌즈 위치 미고정, 계단식 엣지, 굴곡면의 단절 등을 초래하지 않을 수 있다.Specifically, the continuous multifocal intraocular lens and the insertion method thereof according to some embodiments of the present invention can prevent the defects of existing technologies, such as diffuse reflection of light, image distortion, light scattering, glare, non-fixation of lens position, stepped edges, and discontinuity of curved surfaces, by combining a monofocal intraocular lens and a presbyopic contact lens.
상술한 내용과 더불어 본 발명의 구체적인 효과는 이하 발명을 실시하기 위한 구체적인 사항을 설명하면서 함께 기술한다.In addition to the above-described contents, the specific effects of the present invention are described together with the specific matters for carrying out the invention below.
도 1a 내지 도 1d는 본 발명의 몇몇 실시예에 따른 연속 다초점 인공수정체를 도시한 것이다.FIGS. 1A to 1D illustrate a continuous multifocal intraocular lens according to some embodiments of the present invention.
도 2는 본 발명의 몇몇 실시예에 따른 광학부의 광학 렌즈를 설명하기 위한 도면이다.FIG. 2 is a drawing for explaining an optical lens of an optical unit according to some embodiments of the present invention.
도 3a 및 도 3b는 본 발명의 몇몇 실시예에 따른 접속체와 연결체의 연결방식을 설명하기 위한 도면이다.FIGS. 3A and 3B are drawings for explaining a connection method of a connector and a connecting body according to some embodiments of the present invention.
도 4는 본 발명의 몇몇 실시예에 따른 밀폐버튼과 관통홀을 설명하기 위한 도면이다.FIG. 4 is a drawing for explaining a sealing button and a through hole according to some embodiments of the present invention.
도 5a 및 도5b는 일체형 인공수정체의 문제점을 설명하기 위한 도면이다.Figures 5a and 5b are drawings for explaining problems of an integrated artificial lens.
도 6은 본 발명의 몇몇 실시예에 따른 인공수정체의 안구 삽입 방법을 도시한 흐름도이다.FIG. 6 is a flow chart illustrating a method for inserting an artificial lens into an eye according to some embodiments of the present invention.
도 7은 본 발명의 몇몇 실시예에 따른 관통홀을 통한 망막 수술 방법 및 관통홀 밀폐 방법을 도시한 흐름도이다.FIG. 7 is a flow chart illustrating a retinal surgery method through a through-hole and a through-hole sealing method according to some embodiments of the present invention.
본 명세서 및 특허청구범위에서 사용된 용어나 단어는 일반적이거나 사전적인 의미로 한정하여 해석되어서는 아니된다. 발명자가 그 자신의 발명을 최선의 방법으로 설명하기 위해 용어나 단어의 개념을 정의할 수 있다는 원칙에 따라, 본 발명의 기술적 사상과 부합하는 의미와 개념으로 해석되어야 한다. 또한, 본 명세서에 기재된 실시예와 도면에 도시된 구성은 본 발명이 실현되는 하나의 실시예에 불과하고, 본 발명의 기술적 사상을 전부 대변하는 것이 아니므로, 본 출원 시점에 있어서 이들을 대체할 수 있는 다양한 균등물과 변형 및 응용 가능한 예들이 있을 수 있음을 이해하여야 한다.The terms or words used in this specification and the claims should not be interpreted as limited to their general or dictionary meanings. In accordance with the principle that the inventor can define the concept of a term or word in order to best explain his or her invention, they should be interpreted as meanings and concepts that are consistent with the technical idea of the present invention. In addition, the embodiments described in this specification and the configurations illustrated in the drawings are only one embodiment in which the present invention is realized, and do not represent the entire technical idea of the present invention, so it should be understood that there may be various equivalents, modifications, and applicable examples that can replace them at the time of this application.
본 명세서 및 특허청구범위에서 사용된 제1, 제2, A, B 등의 용어는 다양한 구성요소들을 설명하는데 사용될 수 있지만, 구성요소들은 용어들에 의해 한정되어서는 안 된다. 용어들은 하나의 구성요소를 다른 구성요소로부터 구별하는 목적으로만 사용된다. 예를 들어, 본 발명의 권리 범위를 벗어나지 않으면서 제1 구성요소로 명명될 수 있다. '및/또는' 이라는 용어는 복수의 관련된 기재된 항목들의 조합 또는 복수의 관련된 기재된 항목들 중의 어느 항목을 포함한다.The terms first, second, A, B, etc. used in this specification and claims may be used to describe various components, but the components should not be limited by the terms. The terms are used only for the purpose of distinguishing one component from another. For example, it could be called the first component without departing from the scope of the present invention. The term 'and/or' includes any combination of a plurality of related described items or any item among a plurality of related described items.
본 명세서 및 특허청구범위에서 사용된 용어는 단지 특정한 실시 예를 설명하기 위해 사용된 것으로, 본 발명을 한정하려는 의도가 아니다. 단수의 표현은 문맥상 명백하게 다르게 뜻하지 않는 한, 복수의 표현을 포함한다. 본 출원에서 "포함하다" 또는 "가지다" 등의 용어는 명세서상에 기재된 특징, 숫자, 단계, 동작, 구성요소, 부품 또는 이들을 조합한 것들의 존재 또는 부가 가능성을 미리 배제하지 않는 것으로 이해되어야 한다.The terminology used in this specification and claims is only used to describe specific embodiments and is not intended to limit the present invention. The singular expression includes the plural expression unless the context clearly indicates otherwise. It should be understood that the terms "comprise" or "have" in this application do not exclude in advance the possibility of the presence or addition of features, numbers, steps, operations, components, parts or combinations thereof described in the specification.
다르게 정의되지 않는 한, 기술적이거나 과학적인 용어를 포함해서 여기서 사용되는 모든 용어들은 본 발명이 속하는 기술 분야에서 통상의 지식을 가진 자에 의해서 일반적으로 이해되는 것과 동일한 의미를 가지고 있다.Unless otherwise defined, all terms used herein, including technical or scientific terms, have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs.
일반적으로 사용되는 사전에 정의되어 있는 것과 같은 용어들은 관련 기술의 문맥 상 가지는 의미와 일치하는 의미를 가지는 것으로 해석되어야 하며, 본 출원에서 명백하게 정의하지 않는 한, 이상적이거나 과도하게 형식적인 의미로 해석되지 않는다. 또한, 본 발명의 각 실시예에 포함된 각 구성, 과정, 공정 또는 방법 등은 기술적으로 상호 간 모순되지 않는 범위 내에서 공유될 수 있다.Terms defined in commonly used dictionaries should be interpreted as having a meaning consistent with the meaning they have in the context of the relevant technology, and shall not be interpreted in an ideal or overly formal sense unless explicitly defined in this application. In addition, each configuration, process, process, or method included in each embodiment of the present invention may be shared within a scope that is not technically contradictory to one another.
이하에서는, 도 1a 내지 도7을 참조하여, 본 발명의 몇몇 실시예에 따른 연속 다초점 인공수정체 및 이의 삽입 방법에 대하여 설명한다.Hereinafter, with reference to FIGS. 1A to 7, a continuous multifocal intraocular lens and a method for inserting the same according to some embodiments of the present invention will be described.
도 1a 내지 도 1d는 본 발명의 몇몇 실시예에 따른 연속 다초점 인공수정체를 도시한 것이다.FIGS. 1A to 1D illustrate a continuous multifocal intraocular lens according to some embodiments of the present invention.
도 1a 내지 도 1d에 도시된 인공수정체((Intra-Ocular, 이하 "IOL"이라 한다)는 기본 렌즈를 포함하는 일체부에 광학부가 추가될 수 있는 인공수정체(IOL)이다. 이때, 본 발명의 인공수정체(IOL)의 재질은 생체적합성 물질 중 소프트(soft)하고 플렉서블(flexible)한 재질, 예컨대 실리콘(Silicon) 및/또는 하이드로겔(Hydrogel) 등을 포함할 수 있으나, 본 발명의 실시예가 이에 제한되는 것은 아니다.The intraocular lens (hereinafter referred to as “IOL”) illustrated in FIGS. 1A to 1D is an intraocular lens (IOL) in which an optical section can be added to an integral part including a basic lens. At this time, the material of the intraocular lens (IOL) of the present invention may include a soft and flexible material among biocompatible materials, such as silicone and/or hydrogel, but the embodiments of the present invention are not limited thereto.
도 1a 내지 도 1d를 참조하면, 인공수정체(IOL)는 광학부(Optical Part, 이하 "OP"라 한다)와 일체부(Whole Portion, 이하 "WP"라 한다)를 포함할 수 있다. 본 발명의 인공수정체(IOL)는 일체부(WP)에 포함된 기본 렌즈(WP_lens)에 더불어, 광학부(OP)의 광학 렌즈(OP_lens)를 추가로 이용하여 굴절력 교정 또는 개성 등을 수행할 수 있다. 즉, 본 발명의 몇몇 실시예에 따른 인공수정체(IOL)는 광학부(OP)를 통해 일체부(WP)의 광학적 성질을 보정할 수 있다.Referring to FIGS. 1A to 1D, an artificial lens (IOL) may include an optical part (hereinafter referred to as “OP”) and a whole portion (hereinafter referred to as “WP”). The IOL of the present invention may perform refractive power correction or individualization, etc., by additionally using an optical lens (OP_lens) of the optical part (OP), in addition to a basic lens (WP_lens) included in the whole portion (WP). That is, the IOL according to some embodiments of the present invention may correct the optical properties of the whole portion (WP) through the optical part (OP).
이때, 광학부(OP)에 포함된 광학 렌즈(OP_lens)와 일체부(WP)에 포함된 기본 렌즈(WP_lens)는 광학적 성질에 관한 파라미터가 서로 상이할 수 있다. 예를 들어, 광학 렌즈(OP_lens)와 기본 렌즈(WP_lens)는 초점 거리의 고정 여부, 굴절률 등이 서로 상이할 수 있다. 예컨대, 광학 렌즈(OP_lens)는 노안 교정용 콘택트렌즈, 예컨대 연속 다초점 렌즈를 포함할 수 있고, 기본 렌즈(WP_lens)는 단초점 렌즈를 포함할 수 있다. 다만, 본 발명의 실시예가 이에 제한되는 젓은 아니다.At this time, the optical lens (OP_lens) included in the optical unit (OP) and the basic lens (WP_lens) included in the integral unit (WP) may have different parameters regarding optical properties. For example, the optical lens (OP_lens) and the basic lens (WP_lens) may have different parameters regarding fixed focal length, refractive index, etc. For example, the optical lens (OP_lens) may include a contact lens for correcting presbyopia, such as a continuous multifocal lens, and the basic lens (WP_lens) may include a single focal lens. However, the embodiments of the present invention are not limited thereto.
광학부(OP)는 일체부(WP)로 광을 수집하거나, 광을 집중시켜 광의 진행 방향을 바꾸는 역할을 보조, 교정할 수 있다.The optical section (OP) can assist or correct the role of collecting light or concentrating light to change the direction of light propagation by the integral section (WP).
몇몇 예로, 광학부(OP)는 광학 헨즈(OP_lens)를 포함할 수 있다.As some examples, the optical unit (OP) may include an optical lens (OP_lens).
광학 렌즈(OP_lens)는 다양한 파라미터 값을 가질 수 있다. 광학 렌즈(OP_lens)의 파라미터는 광학 렌즈(OP_lens)의 종류, 초점 거리, 굴절률, 진행각, 지름, 두께 등을 포함할 수 있으나, 본 발명의 실시예가 이에 제한되는 것은 아니다. 광학 렌즈(OP_lens)의 종류는 양면 볼록 렌즈, 일면 볼록 렌즈, 벤딩(bending) 오목 렌즈 등을 포함할 수 있으나, 본 발명의 실시예가 이에 제한되는 것은 아니다.The optical lens (OP_lens) may have various parameter values. The parameters of the optical lens (OP_lens) may include the type of the optical lens (OP_lens), the focal length, the refractive index, the traveling angle, the diameter, the thickness, etc., but the embodiments of the present invention are not limited thereto. The types of the optical lens (OP_lens) may include a biconvex lens, a single-sided convex lens, a bending concave lens, etc., but the embodiments of the present invention are not limited thereto.
이때, 광학 렌즈(OP_lens)는 노안 콘택트렌즈를 포함할 수 있다. 다시 말하면, 광학 렌즈(OP_lens)의 광학적 성질은, 노안의 시력교정을 위한 것일 수 있다.At this time, the optical lens (OP_lens) may include a presbyopic contact lens. In other words, the optical properties of the optical lens (OP_lens) may be for correcting vision for presbyopia.
예를 들어, 광학 렌즈(OP_lens)는 연속 다초점 렌즈의 형태일 수 있다. 즉, 광학 렌즈(OP_lens)는 근거리, 중간거리 및 원거리 시력에 필요한 가변 굴절력을 제공할 수 있다.For example, the optical lens (OP_lens) may be in the form of a continuous multifocal lens, i.e., the optical lens (OP_lens) may provide variable refractive powers required for near, intermediate, and far vision.
이하, 도2를 참조하여 본 발명의 광학 렌즈(OP_lens)에 대해 더 자세히 설명하기로 한다.Hereinafter, the optical lens (OP_lens) of the present invention will be described in more detail with reference to FIG. 2.
도 2는 본 발명의 몇몇 실시예에 따른 광학부의 광학 렌즈를 설명하기 위한 도면이다.FIG. 2 is a drawing for explaining an optical lens of an optical unit according to some embodiments of the present invention.
도 2를 참조하면, 광학 렌즈(OP_lens)는 노안 콘택트렌즈로 이용되는 연속 다초점 렌즈의 형태를 포함할 수 있다.Referring to FIG. 2, the optical lens (OP_lens) may include a form of a continuous multifocal lens used as a presbyopic contact lens.
예를 들어, 광학 렌즈(OP_lens)는 근거리, 중간거리 및 원거리 시력에 필요한 가변 굴절력을 제공할 수 있다.For example, an optical lens (OP_lens) can provide variable refractive power required for near, intermediate, and far vision.
도 2를 예를 들어 설명하면, 광학 렌즈(OP_lens)는 근거리 시력에 필요한 굴절력을 제공하는 제1 영역(R1), 중간거리 시력에 필요한 굴절력을 제공하는 제2 영역(R2) 및 원거리 시력에 필요한 굴절력을 제공하는 제3 영역(R3) 등을 포함할 수 있다. 이때, 제1 영역(R1) 내지 제3 영역(R3)의 굴절력은 서로 상이할 수 있다.Taking Fig. 2 as an example, the optical lens (OP_lens) may include a first region (R1) that provides refractive power required for near vision, a second region (R2) that provides refractive power required for intermediate vision, and a third region (R3) that provides refractive power required for far vision. At this time, the refractive powers of the first region (R1) to the third region (R3) may be different from each other.
다만, 본 발명의 실시예가 이에 제한되는 것은 아니며, 광학 렌즈(OP_lens)는 다양한 형태 및 광학적 성질을 가지도록 설계될 수 있음은 당연하다.However, the embodiments of the present invention are not limited thereto, and it is obvious that the optical lens (OP_lens) can be designed to have various shapes and optical properties.
다시 도 1a 내지 도 1d를 참조하면, 일체부(WP)는 굴절력 교정 또는 개선 등을 수행하고, 또한 광학부(OP)와 연결되어 광학부(OP)를 지지, 지탱하는 역할을 수행한다.Referring again to FIGS. 1A to 1D, the integral part (WP) performs refractive power correction or improvement, etc., and is also connected to the optical part (OP) to support and sustain the optical part (OP).
도 1a 내지 도 1d에는 일체부(WP)가 모서리가 둥근 형태의 직육면체 형상인 것으로 도시되어 있으나, 본 발명의 실시예가 이에 제한되는 것은 아니며, 일체부(WP)의 형상은 모서리가 둥근 정육면체, 원통, 원뿔 등 다양한 형상을 가질 수 있음은 당연하다.Although the integral part (WP) is illustrated in FIGS. 1A to 1D as having a rectangular solid shape with rounded corners, the embodiment of the present invention is not limited thereto, and it is obvious that the shape of the integral part (WP) may have various shapes such as a cube with rounded corners, a cylinder, a cone, etc.
일체부(WP)는 기본 렌즈(WP_lens)를 포함할 수 있다.A component (WP) may include a base lens (WP_lens).
몇몇 예로, 기본 렌즈(WP_lens)는 굴절력 교정 또는 개선 등을 수행할 수 있다. 이때, 기본 렌즈(WP_lens)는 다양한 파라미터 값을 가질 수 있다. 기본 렌즈(WP_lens)의 파라미터는 기본 렌즈(WP_lens)의 종류, 초점 거리, 굴절률, 진행각, 지름, 두께 등을 포함할 수 있으나, 본 발명의 실시예가 이에 제한되는 것은 아니다. 기본 렌즈(WP_lens)의 종류는 양면 볼록 렌즈, 일면 볼록 렌즈, 벤딩(bending) 오목 렌즈 등을 포함할 수 있으나, 본 발명의 실시예가 이에 제한되는 것은 아니다.As some examples, the basic lens (WP_lens) can perform refractive power correction or improvement, etc. At this time, the basic lens (WP_lens) can have various parameter values. The parameters of the basic lens (WP_lens) can include the type of the basic lens (WP_lens), the focal length, the refractive index, the traveling angle, the diameter, the thickness, etc., but the embodiments of the present invention are not limited thereto. The types of the basic lens (WP_lens) can include a biconvex lens, a single convex lens, a bending concave lens, etc., but the embodiments of the present invention are not limited thereto.
이때, 기본 렌즈(WP_lens)는 단초점 렌즈를 포함할 수 있다. 다시 말하면, 광학 렌즈(OP_lens)의 광학적 성질은, 단초점 렌즈에 따라 설계될 수 있다. 이때, 기본 렌즈(WP_lens)는 다양한 형태의 단초점 렌즈를 포함할 수 있다. 예를 들어, 기본 렌즈(WP_lens)는 양면볼록 단초점 렌즈, 양면오목 단초점 렌즈, 오목볼록 단초점 렌즈, 평면볼록 단초점 렌즈, 평면오목 단초점 렌즈 등 다양한 형태의 단초점 렌즈를 포함할 수 있다.At this time, the basic lens (WP_lens) may include a single-focus lens. In other words, the optical properties of the optical lens (OP_lens) may be designed according to the single-focus lens. At this time, the basic lens (WP_lens) may include various forms of single-focus lenses. For example, the basic lens (WP_lens) may include various forms of single-focus lenses such as a biconvex single-focus lens, a biconcave single-focus lens, a concave-convex single-focus lens, a plano-convex single-focus lens, and a plano-concave single-focus lens.
도 1d에는 본 발명의 주요 실시예로서 기본 렌즈(WP_lens)가 양면볼록 단초점 렌즈인 경우가 도시되어 있으나, 본 발명의 실시예가 이에 제한되는 것은 아니다.FIG. 1d illustrates a case in which the basic lens (WP_lens) is a biconvex single-focus lens as a main embodiment of the present invention, but the present invention is not limited thereto.
이렇듯, 본 발명의 몇몇 실시예에 따른 인공수정체(IOL)는 단초점 인공수정체의 형태를 갖는 일체부(WP)와 노안 콘택트렌즈의 형태를 갖는 광학부(OP)를 결합하여, 기존의 단초점 인공수정체와 기존의 노안 콘택트렌즈의 단점 및 부작용을 극복할 수 있는 새로운 효과를 갖는다.In this way, the intraocular lens (IOL) according to some embodiments of the present invention combines an integral part (WP) having the form of a monofocal IOL and an optical part (OP) having the form of a presbyopic contact lens, thereby having a new effect that can overcome the disadvantages and side effects of existing monofocal IOLs and existing presbyopic contact lenses.
즉, 본 발명의 몇몇 실시예에 따른 인공수정체(IOL)는 단초점 인공수정체와 노안 콘택트렌즈를 결합함으로써, 기존 기술에 존재하는 단점인 빛의 난반사, 이미지 왜곡, 빛번짐, 눈부심 현상, 렌즈 위치 미고정, 계단식 엣지 굴곡면의 단절 등을 초래하지 않을 수 있다.That is, an intraocular lens (IOL) according to some embodiments of the present invention may not cause the defects of existing technologies, such as diffuse reflection of light, image distortion, light scattering, glare, non-fixation of lens position, and discontinuity of stepped edge curvature, by combining a single focus IOL and a presbyopic contact lens.
추가적으로, 본 발명의 몇몇 실시예에 따른 인공수정체(IOL)는 기본 렌즈(WP_lens)를 포함하는 일체부(WP)가 안구에 삽입된 후, 광학부(광학부, OP)의 추가 장착 및 교체가 가능할 수 있다. 즉, 본 발명의 인공수정체(IOL)는 기본 렌즈(WP_lens)를 포함하는 일체부(WP)가 안구에 삽입된 후, 인공수정체 자체의 적출 없이도 광학부(OP)를 추가 장착할 수 있어, 굴절력 교정 등을 간편히 수행할 수 있는 효과를 갖는다.Additionally, the intraocular lens (IOL) according to some embodiments of the present invention may enable additional attachment and replacement of an optical portion (optical portion, OP) after the integral portion (WP) including the basic lens (WP_lens) is inserted into the eye. That is, the intraocular lens (IOL) of the present invention can have an optical portion (OP) additionally attached without removing the IOL itself after the integral portion (WP) including the basic lens (WP_lens) is inserted into the eye, thereby having the effect of easily performing refractive correction, etc.
더불어, 인공수정체(IOL)는 도 기존의 일체형 인공수정체와 달리, 인공수정체 삽입 후 굴절력 교정 등이 필요한 경우, 기 삽입된 인공수정체를 제거할 필요가 없이 광학부(OP) 교체를 수행함으로써, 수술 과정이 간단하고, 더욱 안전한 수술이 가능한 효과를 추가적으로 가지게 된다.In addition, unlike conventional integral IOLs, the IOL can be used to replace the optical part (OP) without removing the already inserted IOL when refractive correction is required after IOL insertion, making the surgical procedure simpler and safer.
한편, 광학부(OP)와 일체부(WP)는 상호간에 결합이 가능하도록 서로 대응되는 형상을 가질 수 있다.Meanwhile, the optical part (OP) and the integral part (WP) can have corresponding shapes so that they can be combined with each other.
일 예로, 광학부(OP)는 일체부(WP)의 기본 렌즈(WP_lens)의 곡률과 대응되는 곡률로 형성될 수 있다. 다시 말하면, 광학부(OP)의 곡률은 일체부(WP)의 기본 렌즈(WP_lens)의 곡률과 동일하거나 극히 유사할 수 있다.For example, the optical portion (OP) may be formed with a curvature corresponding to the curvature of the basic lens (WP_lens) of the integral portion (WP). In other words, the curvature of the optical portion (OP) may be identical to or very similar to the curvature of the basic lens (WP_lens) of the integral portion (WP).
다른 예로, 광학부(OP)는 일체부(WP)와 결합되기 위한 접속체(OP_access)를 포함할 수 있고, 일체부(WP)는 광학부(OP)와 결합되기 위한 연결체(WP_connect)를 포함할 수 있다. 이때, 접속체(OP_access)와 연결체(WP_connect)는 서로 결합될 수 있다.As another example, the optical unit (OP) may include a connector (OP_access) for coupling with the integral unit (WP), and the integral unit (WP) may include a connector (WP_connect) for coupling with the optical unit (OP). In this case, the connector (OP_access) and the connector (WP_connect) may be coupled to each other.
접속체(OP_access)는 일체부(WP)의 연결체(WP_connect)와 연결될 수 있다. 다시 말하면, 광학부(OP)의 접속체(OP_access)는 일체부(WP)의 연결체(WP_connect)와 연결되어 결합 상태(union)를 형성할 수 있다.The connector (OP_access) can be connected to the connector (WP_connect) of the integral part (WP). In other words, the connector (OP_access) of the optical part (OP) can be connected to the connector (WP_connect) of the integral part (WP) to form a union.
도 1b에는 접속체(OP_access)의 형태는 막대 형태이고, 접속체(OP_access)의 개수는 2개인 것으로 도시되어 있으나, 이는 설명의 편의를 위한 것일 뿐이다. 즉 접속체(OP_access)의 형태와 개수는 도 1b에 도시된 바에 제한되지 않고 자유로이 변형이 가능하다.In Fig. 1b, the shape of the connector (OP_access) is depicted as a rod shape and the number of connectors (OP_access) is depicted as two, but this is only for convenience of explanation. In other words, the shape and number of connectors (OP_access) are not limited to those depicted in Fig. 1b and can be freely modified.
연결체(WP_connect)는 광학부(OP)의 접속체(OP_access)와 연결될 수 있다. 다시 말하면, 일체부(WP)의 연결체(WP_connect)는 광학부(OP)의 접속체(OP_access)와 연결되어 결합 상태(union)를 형성할 수 있다.The connector (WP_connect) can be connected to the connector (OP_access) of the optical unit (OP). In other words, the connector (WP_connect) of the integral unit (WP) can be connected to the connector (OP_access) of the optical unit (OP) to form a union.
도 1b에는 연결체(WP_connect)의 형태가 ㄱ자 형태이고, 연결체(WP_conenct)의 개수는 2개인 것으로 도시되어 있으나, 이는 설명의 편의를 위한 것일 뿐이다. 즉 연결체(WP_connect)의 형태와 개수는 도 5b에In Fig. 1b, the shape of the connector (WP_connect) is shown as an L-shape and the number of connectors (WP_connect) is shown as two, but this is only for convenience of explanation. In other words, the shape and number of connectors (WP_connect) are shown in Fig. 5b.
도시된 바에 제한되지 않고 자유로이 변형이 가능하다.It can be freely transformed without being limited to the illustrated bar.
이하, 도 3a 및 도 3b를 참조하여 본 발명의 몇몇 실시예에 따른 접속체(OP_access)와 연결체(WP_connect)의 연결방식에 대하여 설명하기로 한다.Hereinafter, a connection method of a connector (OP_access) and a connection body (WP_connect) according to some embodiments of the present invention will be described with reference to FIGS. 3a and 3b.
도 3a 및 도 3b는 본 발명의 몇몇 실시예에 따른 접속체와 연결체의 연결방식을 설명하기 위한 도면이다.FIGS. 3A and 3B are drawings for explaining a connection method of a connector and a connecting body according to some embodiments of the present invention.
도 3a 및 도 3b는 본 발명의 몇몇 실시예에 따른 접속체와 연결체의 연결방식을 설명하기 위한 도면이다.FIGS. 3A and 3B are drawings for explaining a connection method of a connector and a connecting body according to some embodiments of the present invention.
도 3a 및 도 3b를 참조하면, 접속체(access)와 연결체(connect)는 서로 연결되어 결합 상태(union)를 형성할 수 있다.Referring to FIGS. 3a and 3b, an access and a connect can be connected to each other to form a union.
도 3a 및 도 3b에 도시된 접속체(access)는 도 1a 내지 도 1d에 도시된 인공수정체 (IOL)에 포함된 접속체(OP_access)를 의미할 수 있고, 도 3a 및 도 3b에 도시된 연결체(connect)는 도 1a 내지 도 1d에 도시된 인공수정체(IOL1)에 포함된 연결체(WP_connect)를 의미할 수 있다.The connector (access) illustrated in FIGS. 3a and 3b may refer to a connector (OP_access) included in an artificial lens (IOL) illustrated in FIGS. 1a to 1d, and the connector (connect) illustrated in FIGS. 3a and 3b may refer to a connector (WP_connect) included in an artificial lens (IOL1) illustrated in FIGS. 1a to 1d.
도 3a에는 접속체(access)가 갈고리 또는 후크(hook) 형태로 형성되어 연결체(access)에 감기는 형태의 연결 방식이 도시되어 있고, 도 3b에는 접속체(access)가 연결체(access) 내부에 삽입되어 고정되는 형태의 연결 방식이 도시되어 있다.Fig. 3a illustrates a connection method in which an access is formed in the shape of a hook or a hook and is wound around an access, and Fig. 3b illustrates a connection method in which an access is inserted into and fixed inside an access.
다만, 접속체(access)와 연결체(connect)의 연결 방식은 도 3a 및 도 3b에 도시된 바에 제한되지 않음은 당연하다.However, it is obvious that the connection method of the access and the connect is not limited to that shown in FIGS. 3a and 3b.
다시 도 1a 내지 도 1d를 참조하면, 한편, 일체부(WP)는 미리 정해진 개수의 관통홀(WP_hole)을 포함할 수 있다. 관통홀(WP_hole)은 간단한 망막 수술을 위한 수술 기구가 삽입될 수 있는 역할을 수행할 수 있다. 관통홀(WP_hole)은 간단한 망막 수술을 위한 수술 기구가 삽입될 수 있는 공간으로서 활용될 수 있다. 간단한 망막 수술이란 비문증 치료, 소량의 유리체 절제술, 미세한 망막열공 치료 등을 포함할 수 있으나, 본 발명의 실시예가 이에 제한되는 것은 아니다. 이때, 관통홀(WP_hole)의 직경은 2mm 이하일 수 있고, 관통홀(WP_hole)에 삽입되는 수술 기구의 직경은 1mm 이하일 수 있으나, 본 발명의 실시예가 이에 제한되는 것은 아니다.Referring again to FIGS. 1A to 1D , on the other hand, the integral part (WP) may include a predetermined number of through holes (WP_hole). The through holes (WP_hole) may serve as a space into which a surgical instrument for simple retinal surgery may be inserted. The through holes (WP_hole) may be utilized as a space into which a surgical instrument for simple retinal surgery may be inserted. Simple retinal surgery may include treatment for floaters, small-volume vitrectomy, treatment for micro-retinal tears, etc., but the embodiments of the present invention are not limited thereto. At this time, the diameter of the through holes (WP_hole) may be 2 mm or less, and the diameter of the surgical instrument inserted into the through holes (WP_hole) may be 1 mm or less, but the embodiments of the present invention are not limited thereto.
도 1a 내지 도 1d에는 관통홀(WP_hole)의 형태가 호(arc)의 형태이고, 관통홀(WP_hole)의 개수는 2개인 것으로 도시되어 있으나, 이는 설명의 편의를 위한 것일 뿐이다. 즉 관통홀(WP_hole)의 형태와 개수는 도 1a 내지 도 1d에 도시된 바에 제한되지 않고 자유로이 변형이 가능하다.In FIGS. 1A to 1D, the shape of the through hole (WP_hole) is depicted as an arc and the number of through holes (WP_hole) is two, but this is only for convenience of explanation. In other words, the shape and number of through holes (WP_hole) are not limited to those depicted in FIGS. 1A to 1D and can be freely modified.
도 1a 내지 도 1d에는 도시되지 않았으나, 본 발명의 인공수정체(IOL)는 관통홀(WP_hole)에 삽입되는 밀폐버튼을 더 포함할 수 있다.Although not shown in FIGS. 1A to 1D, the artificial lens (IOL) of the present invention may further include a sealing button inserted into the through hole (WP_hole).
이하, 도 4를 참조하여 본 발명의 관통홀(WP_hole)과 밀폐버튼에 대하여 설명하기로 한다.Hereinafter, the through hole (WP_hole) and sealing button of the present invention will be described with reference to FIG. 4.
도 4는 본 발명의 몇몇 실시예에 따른 밀폐버튼과 관통홀을 설명하기 위한 도면이다.FIG. 4 is a drawing for explaining a sealing button and a through hole according to some embodiments of the present invention.
도 4를 참조하면, 밀폐버튼(Sealing Button, 이하 "SB"라 한다)은 관통홀(hole)에 연결될 수 있다. 다시 말하면, 밀폐번튼(SB)은 관통홀(hole)에 삽입될 수 있다.Referring to FIG. 4, a sealing button (hereinafter referred to as “SB”) can be connected to a through hole. In other words, the sealing button (SB) can be inserted into a through hole.
이때, 관통홀(hole)은 도 1a 내지 도 1d에 도시된 인공수정체(IOL)에 포함된 관통홀(WP_hole) 등을 의미할 수 있다.At this time, the through hole (hole) may mean a through hole (WP_hole) included in an artificial lens (IOL) as shown in FIGS. 1a to 1d.
몇몇 예로, 밀폐버튼(SB)은 관통홀(hole)과 대응되는 형상을 가질 수 있다. 예컨대, 관통홀(hole)이 호(arc)의 형태인 결우, 밀폐버튼(SB) 또한 이와 대응되는 호(arc)의 형상일 수 있으나, 본 발명의 실시예가 이에 제한되는 것은 아니다.In some examples, the sealing button (SB) may have a shape corresponding to the through hole. For example, if the through hole is in the shape of an arc, the sealing button (SB) may also have a shape corresponding to the arc, but the embodiments of the present invention are not limited thereto.
본 발명은, 관통홀(hole)에 삽입되는 밀폐버튼(SB)을 통해 수정체낭 뒤쪽의 망막부위를 채우고 있는 유리체가 관통홀(hole)을 통해 이탈되는 것을 방지할 수 있다.The present invention can prevent the vitreous body filling the retinal area behind the lens capsule from being detached through the through hole by means of a sealing button (SB) inserted into the through hole.
즉, 본 발명의 인공수정체(IOL)는 간단한 망막 수술을 용이하게 수행할 수 있도록 관통홀(hole)을 포함하고 있는데, 이때 관통홀(hole)이 개방된 상태인 경우, 수정체낭 뒤쪽의 유리체가 관통홀(hole)을 통해 위부로 유출되는 문제가 발생할 수 있다.That is, the artificial lens (IOL) of the present invention includes a through hole to facilitate simple retinal surgery. However, if the through hole is open, there may be a problem in which the vitreous body at the back of the lens capsule leaks out through the through hole.
따라서, 본 발명의 인공수정체(IOL)는 망막 수술이 필요한 경우에는 관통홀(hole)을 개방시키고, 그외의 경우에는 관통홀(hole)을 밀폐버튼(SB)으로 막아둠으로써 망막 수술의 편리함과 유리체 이탈 방지를 모두 달성할 수 있는 효과를 갖게 되는 것이다.Accordingly, the artificial lens (IOL) of the present invention has the effect of achieving both the convenience of retinal surgery and the prevention of vitreous detachment by opening the penetration hole when retinal surgery is required and blocking the penetration hole with a sealing button (SB) in other cases.
다시 도 1a 내지 도 1d를 참조하면, 이렇듯 본 발명의 인공수정체(IOL)는 광학부(OP)와 일체부(WP)가 조립 가능한 기능식으로 구현된다. 다시 말하면, 본 발명의 인공수정체(IOL)는 노안 콘택트렌즈를 포함하는 광학부(OP)와 단초점렌즈를 포함하는 일체부(WP)가 조립 가능한 형태로 구현되는 기능식 연속 다초점 인공수정체일 수 있다.Referring again to FIGS. 1A to 1D, the intraocular lens (IOL) of the present invention is implemented in a functional manner in which the optical portion (OP) and the integral portion (WP) can be assembled. In other words, the intraocular lens (IOL) of the present invention may be a functional continuous multifocal IOL implemented in a form in which the optical portion (OP) including a presbyopic contact lens and the integral portion (WP) including a single-focus lens can be assembled.
이때, 본 발명의 인공수정체(IOL)를 사용하는 사용자는, 광학부(OP)와 일체부(WP)가 조립된 상태로 사용자의 안구에 삽입되는 제1 착용 방식 또는 일체부(WP)만이 사용자의 안구에 삽입된 후, 일체부(WP)가 사용자의 안구에 장착된 상태에서 광학부(OP)가 일체부(WP)에 결합되는 제2 착용 방식 등을 통해 본 발명의 인공수정체(IOL)를 착용할 수 있다.At this time, a user using the artificial lens (IOL) of the present invention can wear the IOL of the present invention through a first wearing method in which the optical part (OP) and the integral part (WP) are inserted into the user's eyeball in an assembled state, or a second wearing method in which only the integral part (WP) is inserted into the user's eyeball and then the optical part (OP) is coupled to the integral part (WP) while the integral part (WP) is mounted on the user's eyeball.
이하에서는, 사용자가 본 발명의 인공수정체(IOL)를 전술한 제2 착용 방식을 통해 착용되는 과정 및 이점에 대하여 설명하기로 한다.Hereinafter, the process and advantages of wearing the intraocular lens (IOL) of the present invention by a user through the second wearing method described above will be described.
도 5a 및 도 5b는 일체형 인공수정체의 문제점을 설명하기 위한 도면이다.Figures 5a and 5b are drawings for explaining problems of an integrated artificial lens.
도 5a 및 도 5b를 참조하면, 종래의 일체형 인공수정체(IOL)는 광학 렌즈를 포함하는 중심부와, 중심부를 지지하는 주변부(Haptic part)로 구성된 일체형 제품이다.Referring to FIGS. 5a and 5b, a conventional integral artificial lens (IOL) is an integral product composed of a central part including an optical lens and a peripheral part (haptic part) that supports the central part.
이때, 인공수정체(IOL)를 교체할 필요성이 발생하는 경우, 이를 해결하기 위해서는 새로운 인공수정체(IOL)를 삽입해야 한다. 인공수정체(IOL)를 교체할 필요성이 있는 경우란, 백내장 수술 후 굴절력 오차가 발생하는 경우, 인공수정체(IOL)의 기능을 단초점에서 다초점으로 보완하거나 다초점에서 단초점으로 수정해야 할 경우, 인공수정체(IOL)가 수정체낭(Lens Capsule, 이하 "LC"라 한다)에서 탈구될 경우, 인공수정체(IOL)에 혼탁이 생길 경우, 인공수정체(IOL)로 인해 수포각막병증(각막내피감소 또는 낭포성 황반부종)이 생길 경우, 외상으로 인공수정체(IOL)가 소실될 경우 등이다.At this time, if there is a need to replace the artificial lens (IOL), a new artificial lens (IOL) must be inserted to resolve this. The need to replace the IOL occurs when a refractive error occurs after cataract surgery, when the function of the IOL needs to be supplemented from monofocal to multifocal or corrected from multifocal to monofocal, when the IOL is dislocated from the lens capsule (hereinafter referred to as "LC"), when the IOL becomes cloudy, when the IOL causes bullous keratopathy (corneal endothelial thinning or cystic macular edema), and when the IOL is lost due to trauma.
일반적으로, 새로운 인공수정체(IOL)를 삽입하기 위해서는 기존의 인공수정체(IOL)를 적출하는 과정이 선행되는데, 이러한 방법은 인공수정체(IOL)와 수정체낭(LC)이 흡착되었을 경우에는 이용하기 매우 어렵고, 또한 만약 후발 백내장 수술을 시행한 경우에는 불가능한 방법이다.In general, the process of extracting the existing intraocular lens (IOL) before inserting a new intraocular lens (IOL) is required. However, this method is very difficult to use when the IOL and the lens capsule (LC) are absorbed, and is also impossible if a subsequent cataract surgery has been performed.
구체적으로 설명하면, 우선, 인공수정체(IOL)를 삽입한지 몇개월(예: 3개월) 지나지 않아, 수정체낭(LC)이 인공수정체(IOL)에 흡착되지 않은 경우(도 5a의 <A1> 참조), 인공수정체(IOL)를 교체하기 위해서는 수정체낭(LC) 안에 들어있는 인공수정체(IOL)를 잘라서 여러 조각으로 만든 후 눈 밖으로 적출하고, 새로운 인공수정체(IOL)를 삽입한 후 인공수정체(IOL) 적출 부위를 꿰메야 한다. 이는 복잡하고 시간이 많이 걸리는 수술 과정이며, 또한 각막의 내피세포를 건드리거나 수정체낭(LC)이 파열될 가능성이 있다.Specifically, first, if the lens capsule (LC) is not absorbed by the IOL within a few months (e.g., 3 months) after the IOL is inserted (see <A1> in Fig. 5a), in order to replace the IOL, the IOL inside the lens capsule (LC) must be cut into several pieces, extracted out of the eye, a new IOL must be inserted, and the IOL extraction site must be sutured. This is a complicated and time-consuming surgical procedure, and there is also a possibility that the corneal endothelial cells may be touched or the lens capsule (LC) may rupture.
이어서, 수정체낭(LC)에 인공수정체(IOL)가 삽입된 지 대략 3~6개월이 지나면 수정체낭(LC)의 빈 공간을 상피세포(EC)가 증식되며 인공수정체(IOL)를 단단히 흡착하게 된다(도 5a의 <A2> 참조).Then, approximately 3 to 6 months after the intraocular lens (IOL) is inserted into the lens capsule (LC), epithelial cells (EC) proliferate in the empty space of the lens capsule (LC) and firmly adhere to the IOL (see <A2> in Figure 5a).
이때, 삽입된 인공수정체(IOL)가 수정체낭(LC)에 단단히 고정되기 때문에, 수정체낭(LC)에 흡착된 인공수정체(IOL)를 적출하고 교환하는 것이 매우 어렵다. 이러한 인공수정체(IOL)를 적출시, 수술 과정도 복잡하고 수술 시간도 오래 걸릴뿐더러 인공수정체(IOL)에 흡착된 수정체낭(LC)을 분리하려다가 수정체낭(LC)이 찢어지기 쉽고, 수정체낭(LC)이 찢어지면 수정체낭(LC) 뒤쪽의 망막부위를 채우고 있는 유리체가 누출되는 것은 물론, 인공수정체(IOL)를 적출 후 새로운 인공수정체(IOL)를 수정체낭(LC)안에 삽입하는 것은 불가능하다.At this time, since the inserted artificial lens (IOL) is firmly fixed to the lens bag (LC), it is very difficult to extract and exchange the IOL adsorbed on the lens bag (LC). When extracting such an IOL, the surgical process is complicated and takes a long time, and the lens bag (LC) adsorbed on the IOL can be easily torn when trying to separate it, and if the lens bag (LC) is torn, not only can the vitreous humor filling the retinal area behind the lens bag (LC) leak out, but also it is impossible to insert a new IOL into the lens bag (LC) after extracting the IOL.
따라서 전술한 위와 같은 이유로 수정체 낭안에 인공수정체(IOL)를 삽입하지 못하게 될 경우, 기존에는 새로운 인공수정체(IOL)를 홍채 앞쪽에 삽입하는 전방 인공수정체(IOL) 삽입술과 홍채 뒤쪽에 삽입하는 후방 인공수정체(IOL) 삽입술을 사용하여 이러한 문제점을 해결하였다.Therefore, in cases where it is not possible to insert an artificial lens (IOL) into the lens capsule for the reasons described above, this problem has been solved by using an anterior segment IOL implantation surgery, in which a new IOL is inserted in front of the iris, and a posterior segment IOL implantation surgery, in which the IOL is inserted behind the iris.
다만, 전방 인공수정체(IOL) 삽입술은 각막내피가 손상되고 전방각이 막혀 녹내장이 생길 수 있는 부작용이 발생할 가능성이 크다. 또한, 후방 인공수정체(IOL) 삽입술은 인공수정체(IOL)의 광학부를 지지하는 주변부의 양쪽 끝을 봉합사로 연결한 후, 주변주의 양 끝을 인접한 공막에 꿰메는 방식으로서, 수술과정이 복잡하고 수술 시간이 길며 수술 후 수정체낭(LC) 안에 있는 인공수정체(IOL)처럼 고정되질 못해 시력 불편이 발생하는 단점을 갖고 있다.However, there is a high possibility that anterior chamber IOL implantation will cause side effects such as corneal endothelium damage, anterior chamber angle blockage, and glaucoma. In addition, posterior chamber IOL implantation is a method of connecting both ends of the peripheral part that supports the optical part of the IOL with sutures, and then suturing both ends of the peripheral part to the adjacent sclera. This makes the surgical process complicated, takes a long time, and has the disadvantage of causing visual discomfort because it is not fixed in the lens capsule (LC) like an IOL after surgery.
위와 같은 단점을 해결하고자 인공수정체(IOL)의 지지부를 만들고 열소작기로 주변부를 녹여 판형의 플린지(flenge)에 고정시키는 수술과정이 있긴 하나, 보편적으로 실행되고 있는 수술법은 아니다.To address the above shortcomings, there is a surgical procedure that involves creating a support for an artificial lens (IOL) and melting the surrounding area with a thermocautery device to secure it to a plate-shaped flange. However, this is not a commonly performed surgical procedure.
만약 백내장 수술 후에 인공수정체(IOL) 후면에 흡착된 수정체낭(LC), 즉 수정체 후낭(LC_back)을 레이저로 제거하는 후발성 백내장 수술을 실행한 경우엔, 인공수정체(IOL)의 교환은 완전히 불가능하게 된다.If secondary cataract surgery is performed to remove the posterior capsule (LC_back) of the lens capsule (LC) adhered to the back of the artificial lens (IOL) after cataract surgery, exchange of the IOL becomes completely impossible.
도 5b를 참조하면, 후발성백내장이란 수정체 뒤쪽의 수정체낭(LC), 즉 수정체 후낭(LC_back)에 상피세포가 증식되며 혼탁이 발생되는 증상이다. 이를 해결하기 위해 후발성백내장 수술 시 레이저로 수정체 후낭(LC_back)을 태워서 제거한다. 이때, 만약 인공수정체(IOL)의 교체 필요성이 있다고 하여 인공수정체(IOL)를 제거하게 되면, 수정체낭(LC) 뒤편의 망막부위를 채우고 있던 점도가 높은 유리체의 누출이 필연적으로 발생한다.Referring to Figure 5b, a secondary cataract is a symptom in which epithelial cells proliferate and clouding occurs in the posterior capsule (LC) behind the lens, that is, the posterior capsule (LC_back). To resolve this, the posterior capsule (LC_back) is burned and removed with a laser during secondary cataract surgery. At this time, if the artificial lens (IOL) needs to be replaced and the IOL is removed, the highly viscous vitreous body that fills the retina behind the lens capsule (LC) inevitably leaks.
따라서, 종래의 인공수정체(IOL)를 삽입한 후, 후발성 백내장 수술을 실행할 경우엔, 인공수정체(IOL)의 교환은 불가능하다.Therefore, when performing secondary cataract surgery after inserting a conventional intraocular lens (IOL), exchange of the IOL is not possible.
더불어, 기존 망막 내에 발생하는 소량의 비문증, 미세한 유리체 혼착 또는 미세한 망막열공이 발생할 경우, 현재까지는 이를 간단히 해결하는 방법이 존재하지 않았다. 이러한 증상들은 모두 기존의 망막 수술 과정을 통해서만 치료 되어야한 하는 관계로 망막 전문의가 아닌 안과의사들은 치료가 불가능했다.In addition, there has been no simple solution to the small amount of floaters, fine vitreous admixtures, or fine retinal tears that occur within the existing retina. Since all of these symptoms can only be treated through the existing retinal surgery process, ophthalmologists who are not retina specialists were unable to treat them.
따라서, 이러한 문제점과 불편함을 해결하기 위한 인공수정체 기술에 대한 니즈가 충분히 존재해왔다.Therefore, there has been a significant need for artificial lens technology to address these problems and inconveniences.
도 6은 본 발명의 몇몇 실시예에 따른 인공수정체의 안구 삽입 방법을 도시한 흐름도이다. 도 6의 각 단계(S100 내지 S500)는, 인간 및/또는 자동화된 의료장비, 안구 수술용 장비, 수술 로복 등에 의해 수행될 수 있다.Fig. 6 is a flow chart illustrating a method for inserting an artificial lens into an eye according to some embodiments of the present invention. Each step (S100 to S500) of Fig. 6 can be performed by a human and/or automated medical equipment, ocular surgical equipment, surgical gown, etc.
도 1a 내지 도 1d 및 도 6을 참조하면, 도 6은 도 1a 내지 도 1d에 도시된 인공수정체(IOL)의 일체부(WP)를 안구 내에 삽입한 후에 광학부(OP)를 연결하는 과정을 도시한 흐름도이다. 다시 말하면, 도 6은 제2 착용 방식, 즉 일체부(WP)만이 사용자의 안구에 삽입된 후, 일체부(WP)가 사용자의 안구에 장착된 상태에서 광학부(OP)가 일체부(WP)에 결합되는 방식을 설명하기 위한 흐름도이다.Referring to FIGS. 1A to 1D and FIG. 6, FIG. 6 is a flowchart illustrating a process of connecting an optical part (OP) after inserting an integral part (WP) of an artificial lens (IOL) illustrated in FIGS. 1A to 1D into an eyeball. In other words, FIG. 6 is a flowchart illustrating a second wearing method, that is, a method in which only the integral part (WP) is inserted into a user's eyeball and then the optical part (OP) is connected to the integral part (WP) while the integral part (WP) is mounted on the user's eyeball.
도 6을 참조하면, 우선, 연속 다초점 인공수정체(IOL)의 일체부(WP)를 수정체낭 안에 삽입할 수 있다(S100). 이때, 일체부(WP)는 기본 렌즈(WP_lens), 연결체(WP_connect), 관통홀(WP_hole) 등을 포함할 수 있다. 이때, 전술한 바와 같이 기본 렌즈(WP_lens)는 양면볼록형 단초점 렌즈를 포함할 수 있으나, 본 발명의 실시예가 이에 제한되는 것은 아니다.Referring to FIG. 6, first, an integral part (WP) of a continuous multifocal IOL can be inserted into a capsular bag (S100). At this time, the integral part (WP) can include a basic lens (WP_lens), a connector (WP_connect), a through hole (WP_hole), etc. At this time, as described above, the basic lens (WP_lens) can include a biconvex single-focus lens, but the embodiment of the present invention is not limited thereto.
이어서, 시력 교정 필요 여부를 판단할 수 있다(S200). 예컨대, 노안 교정이 필요한지 여부를 판단할 수 있다. 이때, 인공수정체(IOL)의 굴절력의 오차 정도를 판단하여 노안 교정 필요 여부를 판단하거나 또는 사용자의 요청이 있는 경우 노안 교정이 필요한 것으로 판단할 수 있다.Next, it is possible to determine whether vision correction is necessary (S200). For example, it is possible to determine whether presbyopia correction is necessary. At this time, it is possible to determine whether presbyopia correction is necessary by determining the degree of error in the refractive power of the artificial lens (IOL), or, if requested by the user, it is possible to determine that presbyopia correction is necessary.
판단 결과, 시력 교정이 필요한 경우, 일체부(WP)의 연결체(WP_connect) 근방의 수정체낭을 일부 절제할 수 있다(S300)If vision correction is required as a result of the judgment, a portion of the lens capsule near the connection (WP_connect) of the integral part (WP) can be resected (S300)
이어서, 광학부(OP)를 일체부(WP)에 연결할 수 있다(S400).Next, the optical unit (OP) can be connected to the integral unit (WP) (S400).
몇몇 예로, 광학부(OP)의 접속체(OP_access)와 일체부(WP)의 연결체(WP_connect)를 서로 연결할 수 있다. 이때, 광학부(OP)에 포함된 광학 렌즈(OP_lens)의 파라미터 값은, 일체부(WP)의 기본 렌즈(WP_lens)의 파라미터 값과 동일할 수도 있고 상이할 수도 있다.As some examples, the connector (OP_access) of the optical part (OP) and the connector (WP_connect) of the integral part (WP) can be connected to each other. At this time, the parameter value of the optical lens (OP_lens) included in the optical part (OP) may be the same as or different from the parameter value of the basic lens (WP_lens) of the integral part (WP).
이때, 광학부(OP)는 광학 렌즈(OP_lens)를 포함할 수 있다. 광학 렌즈(OP_lens)는 노안 콘택트렌즈를 포함할 수 있다. 다시 말하면, 광학 렌즈(OP_lens)의 광학적 성질은, 노안의 시력교정을 위한 것일 수 있다. 예를 들어, 광학 렌즈(OP_lens)는 연속 다초점 렌즈의 형태일 수 있다. 즉, 광학 렌즈(OP_lens)는 근거리, 중간거리 및 원거리 시력에 필요한 가변 굴절력을 제공할 수 있다.At this time, the optical part (OP) may include an optical lens (OP_lens). The optical lens (OP_lens) may include a presbyopic contact lens. In other words, the optical properties of the optical lens (OP_lens) may be for correcting vision of presbyopia. For example, the optical lens (OP_lens) may be in the form of a continuous multifocal lens. That is, the optical lens (OP_lens) may provide variable refractive power required for near, intermediate, and far vision.
도 7은 본 발명의 몇몇 실시예에 따른 관통홀을 통한 망막 수술 방법 및 관통홀 밀폐 방법을 도시한 흐름도이다. 도 7의 각 단계(S600 내지 S900)는, 인간 및/또는 자동화된 의료장비, 안구 수술용 장비, 수술 로봇 등에 의해 수행될 수 있다.FIG. 7 is a flow chart illustrating a retinal surgery method through a through-hole and a through-hole sealing method according to some embodiments of the present invention. Each step (S600 to S900) of FIG. 7 can be performed by a human and/or automated medical equipment, ocular surgical equipment, surgical robot, etc.
도 1a 내지 도 1d 및 도 7을 참조하면, 우선, 산동 후 국소마취를 실행할 수 있다(S600). 다시 말하면, 수술자의 동공을 확대시킨 후, 국소마취를 실행할 수 있다.Referring to FIGS. 1A to 1D and FIG. 7, first, local anesthesia can be performed after the surgery (S600). In other words, local anesthesia can be performed after the surgeon's pupil is dilated.
이어서, 관통홀(WP_hole)을 통해 수술 기구를 삽입할 수 있다(S700). 이때, 관통홀(WP_hole)의 직경은 2mm 이하일 수 있고, 수술 기구의 직경은 1mm 이하일 수 있으나, 본 발명의 실시예가 이에 제한되는 것은 아니다.Next, a surgical instrument can be inserted through the through hole (WP_hole) (S700). At this time, the diameter of the through hole (WP_hole) may be 2 mm or less, and the diameter of the surgical instrument may be 1 mm or less, but the embodiment of the present invention is not limited thereto.
이어서, 수술 기구를 망막 내 삽입하여 수술을 진행할 수 있다(S800). 이때 진행되는 수술은 비문증 치요, 소량의 유리체 절제술, 미세한 망막열공 치료 등을 포함할 수 있으나, 본 발명의 실시예가 이에 제한되는 것은 아니다.Next, a surgical instrument can be inserted into the retina to perform surgery (S800). The surgery performed at this time may include treatment of vitrectomy, small-volume vitrectomy, treatment of microscopic retinal tears, etc., but the embodiments of the present invention are not limited thereto.
이어서, 관통홀(WP_hole)을 밀폐버튼(SB)으로 밀폐할 수 있다(S900). 이때, 밀폐버튼(SB)은 관통홀(WP_hole)과 대응되는 형상을 가질 수 있다. 예컨대, 관통홀(WP_hole)이 호(arc)의 형태인 경우, 밀폐버튼(SB) 또한 이와 대응되는 호(arc)의 형상일 수 있으나, 본 발명의 실시예가 이에 제한되는 것은 아니다.Next, the through hole (WP_hole) can be sealed with a sealing button (SB) (S900). At this time, the sealing button (SB) can have a shape corresponding to the through hole (WP_hole). For example, if the through hole (WP_hole) is in the shape of an arc, the sealing button (SB) can also have a shape corresponding to an arc, but the embodiment of the present invention is not limited thereto.
본 발명은, 관통홀(WP_hole)에 삽입되는 밀폐버튼(SB)을 통해 수정체낭 뒤쪽의 망막부위를 채우고 있는 유리체가 관통홀(WP_hole)을 통해 이탈되는 것을 방지할 수 있다.The present invention can prevent the vitreous body filling the retinal region behind the lens capsule from being detached through the through hole (WP_hole) by using a sealing button (SB) inserted into the through hole (WP_hole).
즉 , 본 발명의 인공수정체(IOL)는 전술한 간단한 망막 수술을 용이하게 수행할 수 있도록 관통홀(WP_hole)을 포함하고 있는데, 이때 관통홀(WP_hole)이 개방된 상태인 경우, 수정체낭 뒤쪽의 유리체가 관통홀(WP_hole)을 통해 외부로 유출되는 문제가 발생할 수 있다.That is, the artificial lens (IOL) of the present invention includes a through hole (WP_hole) to facilitate the aforementioned simple retinal surgery. However, if the through hole (WP_hole) is open, a problem may occur in which the vitreous body at the back of the lens capsule leaks out through the through hole (WP_hole).
따라서, 본 발명의 인공수정체(IOL)는 망막 수술이 필요한 경우에는 관통홀(WP_hole)을 개방시키고, 그외의 경우에는 관통홀(WP_hole)을 밀폐버튼(SB)으로 막아둠으로써 망막 수술의 편리한과 유리체 이탈 방지를 모두 달성할 수 있는 효과를 갖게 되는 것이다.Accordingly, the artificial lens (IOL) of the present invention has the effect of achieving both convenience of retinal surgery and prevention of vitreous detachment by opening the through hole (WP_hole) when retinal surgery is required and blocking the through hole (WP_hole) with a sealing button (SB) in other cases.
이상의 설명은 본 실시예의 기술 사상을 예시적으로 설명한 것에 불과한 것으로서, 본 실시예가 속하는 기술 분야에서 통상의 지식을 가진 자라면 본 실시예의 본질적인 특성에서 벗어나지 않는 범위에서 다양한 수정 및 변형이 가능할 것이다. 따라서, 본 실시예들은 본 실시예의 기술 사상을 한정하기 위한 것이 아니라 설명하기 위한 것이고, 이러한 실시예에 의하여 본 실시예의 기술 사상의 범위가 한정되는 것은 아니다. 본 실시예의 보호 범위는 아래의 청구범위에 의하여 해석되어야 하며, 그와 동등한 범위 내에 있는 모든 기술 사상은 본 실시예의 권리 범위에 포함되는 것으로 해석되어야 할 것이다.The above description is merely an example of the technical idea of the present embodiment, and those skilled in the art will appreciate that various modifications and variations may be made without departing from the essential characteristics of the present embodiment. Accordingly, the present embodiments are not intended to limit the technical idea of the present embodiment, but rather to explain it, and the scope of the technical idea of the present embodiment is not limited by these embodiments. The protection scope of the present embodiment should be interpreted by the following claims, and all technical ideas within a scope equivalent thereto should be interpreted as being included in the scope of the rights of the present embodiment.
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Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2004505667A (en) * | 2000-08-04 | 2004-02-26 | テキア、 インコーポレイテッド | Two-piece "L" -shaped fake IOL |
| KR20090101486A (en) * | 2007-01-11 | 2009-09-28 | 알콘 리서치, 리미티드 | Alternating optical system: mixing and matching optics to maximize binocular visual benefits |
| KR20190040681A (en) * | 2017-10-11 | 2019-04-19 | 황호식 | Multifocal intraocular lens |
| KR20210043815A (en) * | 2019-10-14 | 2021-04-22 | 고려대학교 산학협력단 | Multi-focal intraocular lens with multiple asymmetric near add zone |
| KR20220025190A (en) * | 2017-07-11 | 2022-03-03 | 온포인트 비젼 인코포레이티드 | Intraocular pseudophakic contactlens wiht mechanism for securing by anterior leaflet of capsular wall and related system and method |
-
2023
- 2023-11-21 KR KR1020230162665A patent/KR20250075326A/en not_active Withdrawn
-
2024
- 2024-11-18 WO PCT/KR2024/096617 patent/WO2025110869A1/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2004505667A (en) * | 2000-08-04 | 2004-02-26 | テキア、 インコーポレイテッド | Two-piece "L" -shaped fake IOL |
| KR20090101486A (en) * | 2007-01-11 | 2009-09-28 | 알콘 리서치, 리미티드 | Alternating optical system: mixing and matching optics to maximize binocular visual benefits |
| KR20220025190A (en) * | 2017-07-11 | 2022-03-03 | 온포인트 비젼 인코포레이티드 | Intraocular pseudophakic contactlens wiht mechanism for securing by anterior leaflet of capsular wall and related system and method |
| KR20190040681A (en) * | 2017-10-11 | 2019-04-19 | 황호식 | Multifocal intraocular lens |
| KR20210043815A (en) * | 2019-10-14 | 2021-04-22 | 고려대학교 산학협력단 | Multi-focal intraocular lens with multiple asymmetric near add zone |
Also Published As
| Publication number | Publication date |
|---|---|
| KR20250075326A (en) | 2025-05-28 |
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