Multifocal optical lens |
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| 申请号 | EP90308035.6 | 申请日 | 1990-07-23 | 公开(公告)号 | EP0409667A2 | 公开(公告)日 | 1991-01-23 |
| 申请人 | AMO PUERTO RICO INC.; | 发明人 | Gupta, Amitava; | ||||
| 摘要 | A multifocal lens suitable for use as a contact lens or an intraocular lens which comprises at least 3 zones, the first zone comprising a polymer of a specified refractive index, the second zone comprising a polymer having the same repeating units as the polymer comprising the first zone and having a specified refractive index differing from the refractive index of the polymer comprising the first zone by not more than 0.1 units and by not less than 0.01 units and the third zone between the first and second zones comprising a polymer having the same repeating units as the polymer comprising the first and second zones and having a refractive index continuously variable between that of the polymer comprising the first zone and that of the polymer comprising the second zone, the at least three zones being transparent and having no discontinuities visible to the human eye between the zones. | ||||||
| 权利要求 | |||||||
| 说明书全文 | The present invention relates to multifocal lens which are suitable for use as a contact lens or can be implanted as an intraocular lens and which lens are free of discontinuities between adjacent focal zones. Currently available multifocal optical lenses have discontinuities such as lines of demarcation between adjacent zones of different refractive indices. These discontinuities cause incident light to be scattered causing undesirable glare and aberration. United States Patent No. 3472581 describes a multifocal lens which is produced by machining a lens from a disc made of two materials of different refractive indices which have been fused together. At the junction between the two materials, there is a discontinuity which results in a scattering plane for incidental light which thus produces undesirable glare for the user. United States Patent No. 3560598 describes forming a two component disc by the sequential polymerisation of two materials of differing refractive index. These polymeric material, however, have a line of demarcation therebetween. Thus, incident light is scattered at the interface junction. The present invention seeks to overcome these prior art difficulties in providing a multifocal lens having a plurality of zones and in which there are no discontinuities between the zones which are visible to the human eye. The present invention, therefore, comprises a multifocal lens which is useful as a contact lens or an intraocular lens for implantation which is free of discontinuities between adjacent zones by virtue of being constructed of polymeric materials which has at least two common monomers in adjacent zones thereby causing a third zone to form between adjacent zones having a constituency essentially the same as that of the adjacent zones, but differing in proportion of monomers making up the polymers comprising the adjacent zones. The refractive index to the third zone, intermediate the first and second zones is continuously variable and will vary between that of the first and second zones depending on the point at which it is determined. The term discontinuity as used herein referring to discontinuities between adjacent zones according to prior art lenses, refers to the presence of something which causes the scattering of light, glare and/or a distortion of image or discomfort to the person wearing the lens. Examples of typical discontinuities include the above, as well as, visible lines between adjacent zones. In accordance, with one embodiment of the invention the multifocal lens comprises at least 3 zones, the first zone comprising a polymer of a first specified refractive index, the second zone comprising a polymer having the same repeating units as the polymer comprising the first zone and having a second specified refractive index which differs from the first refractive index by not more than 0.1 units and by not less than 0.01 units and the third zone between the first and second zones comprising a polymer having the same repeating units as the polymers comprising the first and second zones and having a third refractive index which is continuously variable between that of the first and second refractive indices, said zones being transparent and having no discontinuities visible to the human eye between the zones. The lenses of the invention may comprise more than three zones. According to a further embodiment of the present invention, the multifocal lens comprises five zones wherein the fourth zone is adjacent the second zone and comprises a polymer having the same repeating units as the polymer comprising the first and second zones and has a specified refractive index differing from the refractive index of the polymer comprising the second zone by not more than 0.1 units and by not less than 0.02 units and the fifth zone between the second and fourth zones comprising a polymer having the same repeating units as the polymer comprising the first, second and fourth zones and having a refractive index continuously variable between that of the polymer comprising the second zone and that of the polymer comprising the fourth zone. Based on technology presently available, there is not believed to be any advantage to having more than seven zones. Where the multifocal lens of the present invention is constructed having seven zones the fourth zone is adjacent the second zone and comprises a polymer having the same repeating units as the polymer comprising the first and second zones and has a specified refractive index differing from the refractive index of the polymer comprising the second zone by not more than 0.1 units and by not less than 0.02 units. The fifth zone between the second and fourth zones comprises a polymer having the same repeating units as the polymer comprising the first, second and fourth zones, and has a refractive index continuously variable between that of the polymer comprising the second zone and that of the polymer comprising the fourth zone. The sixth zone is adjacent the fourth zone and comprises a polymer having the same repeating units as the polymer comprising the first, second and fourth zones and has a specified refractive index differing from the refractive index of the polymer comprising the fourth zone by not more than 0.1 units and by not less than 0.02 units. The seventh zone is between the fourth and sixth zones and comprises a polymer having the same repeating units as the first, second, fourth and sixth zones and has a refractive index continuously variable between that of the polymer comprising the fourth zone and that of the polymer comprising the sixth zone. It is important that the refractive index of the polymer comprising the adjacent zones differs by aptly not more than 0.1 units and by not less than 0.01 units. Preferably the refractive indices differ by not more than 0.05 units and by not less than 0.02 units. Preferably the specified refractive index of the polymer of the first and second zones differ by not more than 0.05 units and by not less than 0.02 units. Where the lens contain more than three zones the specified refractive index of the polymer of the second and fourth zones preferably differs by not more than 0.05 units and by not less than 0.02 units. Similarly where the lens contains more than five zones it is preferred that the specified refractive index of the polymer of the fourth and sixth zones differ by not more than 0.05 units and by not less than 0.02 units. As described above, the polymer comprising each zone comprises a mixture of at least two monomers. Aptly each zone comprises a mixture of two monomers in a mole ratio of 80:20 to 20:80, preferably 70:30 to 30:70. In those cases where each zone comprises a mixture of three or more monomers, at least two of the monomers are the same in adjacent zones and are present in the above noted mole ratios. The polymers comprising each zone may have a particle size less than 1,000 angstroms. Preferred monomers for the polymers to be used in the lens of the present invention include methyl methacrylate, cyclohexyl methacrylate and trifluoro-ethyl methacrylate. The present invention also comprises a method of making a multifocal lens useful as a contact lens or implantable as an intraocular lens which comprises polymerising at least two suitable monomers M₁ and M₂ to form a polymer comprising a first zone having a specified refractive index into sheet form, removing a second zone from the first zone, adding a mixture of monomers which contain at least monomers M₁ and M₂ in a mole ratio sufficient upon polymerisation to form a polymer having refractive index which differs from the refractive index of the polymer comprising the first zone of not more than 0.1 units and by not less than 0.01 units, whereby a third zone forms between the first and second zones comprising a polymer having the same repeating units as the polymer comprising the first and second zones and having a refractive index continuously variable between that of the polymer comprising the first zone and that of the polymer comprising the second zone, the at least three zones being transparent and having no visible discontinuities between adjacent zones. The second zone is created by excising material from the first zone and replacing the excised material with the second polymer. Subsequent zones may be produced in a similar manner. The excised initially polymerised material may be removed by any suitable technique such as cutting discs, drilling or otherwise forming a pattern or cavity of patterns which are filled by subsequent monomers of the type above described. Thus, after forming the initial sheet of the polymer and forming a cavity or pattern of cavities to form additional zones, the mixture of at least two monomers wherein at least two monomers are common to the adjacent zone is used to fill each subsequent cavity until the desired number of zones of produced. The resulting completed sheet with a plurality of filled cavities therein comprising zones, may then be cut or otherwise machined to form a contact lens or an intraocular lens. In the case of an intraocular lens the lens may have haptics secured thereto according to conventional techniques or the intraocular lens may be formed with integral haptics according to conventional techniques. Table 1 below lists representative acrylic polymers and their refractive indices which polymers are useful according to the present invention. The refractive index of any copolymer can be calculated from this Table. The lens of the present invention may be formed by forming a blank, for example in the form of a sheet, comprising the first polymer. The material forming the blank comprises the first zone. The selected monomers may be combined with a free radical initiator such as USP245. (USP245 is believed to be a member of the class of aliphatic peroxides and comprises (2,5-dimethyl-2,5-bis)2-ethyl hexoyl peroxy hexane). For example 0.45gm of iniator may be mixed with 100gm of the monomer mixture. The mixture can then be deaerated and poured into a glass mold consisting of tempered glass plates separated by a flexible gasket. The monomer mixture may be polymerised by holding the filled mould in a convection oven at about 55°C for 16 hours and then at about 90°C for 24 hours. After cooling the resultant clear monomer sheet may be removed from the mould and appropriate size disc, for example, size 16 mm size disc may be cut therefrom depending upon the number of zones desired. The discs may be cut therefrom by any suitable technique. A disc can be cut into the form of a cone or truncated cone. The mould may comprise small upper and lower tempered plates separated and bounded by a flexible gasket and the cut disc may be placed in the mold with the upper surface exposed to receive a second monomer mixture. The second monomer mixture which comprises at least two monomers common to the first monomer mixture may be formed as above described for the first monomer mixture. A cavity or zone in the first monomer sheet may be filled with a second monomer mixture and the second monomer mixture can be allowed to swell within the mould at room temperature for about 30 minutes under 1 atmosphere of dry nitrogen. The second monomer mixture may then be polymerised in the same manner as for the first monomer mixture at a temperature of from about 60° to 65°C. Subsequent zones are formed and filled as above described with monomer mixtures wherein at least two monomers of the mixture are common to the monomer mixture of the adjacent zone or cavity. Thus, for example, the first mixture of monomers may comprise poly(methyl methacrylate) 0.8 and co-(trifluoroethyl methacrylate) 0.2 and the second monomer mixture would comprise the same mixture of monomers but in a slightly different molar proportion. The resulting disc would have a constant gradient of refractive index ranging from about 1.507 to 1.437. An intraocular lens fabricated from the disc and designed to have a power of about 11.3 diopters at the other end. The invention will be further described with reference to the accompanying drawings in which:
Referring to Figure 1 of the drawings a plano-convex lens 10 comprises a first annular outer zone 1 formed of a first polymer and a second inner inverted frusto-conical zone 2 formed from a second polymer. The polymer comprising the first and second zones have the same repeating units but have different refractive indices. An annular third zone 3 is formed intermediate the first and second zones, the refractive index of which will vary from that of the first zone at the interface between the first and third zones and that at the interface between the second and third zones. In the five zone lens shown in Figure 2, the annular third zone 3 is immediately adjacent the outer annular zone 1. However, the inner frusto-conical zone 2 is surrounded by another annular zone 4 which is formed from a polymer which has the same repeating units as the first and second zones. This fourth zone has a different refractive index to that of the first and second zones. Lying intermediate the second and fourth zones is an annular zone 5. This fifth zone has a refractive index, depending upon the point of measurement, which varies between that of the second zone at its interface with the fifth zone and that of the fourth zone at its interface with the fifth zone. Figure 3 is a schematic representation of the third (or fifth) zone. The line A represents the interface between the first and third zones and line B, the interface between the third and second zones. The distance between points A and B being the thickness of zone 3. The horizontal lines schematically depict the amount of a polymer M₁ in the third zone at given points between A and B. The vertical lines schematically show the concentration of polymer M₂ at given points in the third zone between B and A. The 'concentration gradient' of M₁ decreases from A to B. Similarly the 'concentration gradient' of M¹ falls from A to B. The refractive index through zone 3 changes from that of the polymer in zone 1 at A to that of the polymer comprising zone 2 at B. The refractive index at a line through point C is there a function of the monomeric constituents which make up the polymer M₁-M₂ at that point. The following examples are given to illustrate the present invention. A monomer formulation consisting of purified methyl methacrylate (95g), trifluoroethyl methacrylate (40g) 2-hydroxy 4-ethoxyacryloxy benzophenone (1.5g) and ethylene glycol dimethacrylate (2.5g) was mixed with USP245 free radical initiator such as USP245 (0.25g), then cast into a clear polymer sheet using thermal initiation. The monomer mixture was deaerated by bubbling high purity nitrogen gas through it for five minutes then poured into a mould consisting of two sheets of tempered glass separated by a flexible gasket. The mould was clamped at the edges and was placed in a bag which was flushed with nitrogen. The bag containing the mould was placed in a convection oven set at 55°C. The polymerisation was complete in 16 hours. Following this reaction, the temperature of the oven was increased to 90°C, and the mould was held at this temperature for 24 hours. Then the oven was switched off and the mould opened to obtain the clear polymer sheet. 16mm discs were machined from the sheet. The discs were milled to form cavities of conical cross-section therein. The cavities were filled with a deoxygenated liquid monomer mixture of methyl methacrylate (40g) trifluoroethyl methacrylate (98g), 2-hydroxy-4-ethyoxyacryloxy benzophenone (1.5g) and a free radical initiator (0.5g) such as USP245. The discs were placed between mould plates, and thermally polymerised. Following polymerisation, a one piece, intraocular lens was fabricated from each disc. The lenses had a refractive index gradient at their central zones. In such zones, the power of the lenses decreased continuously and smoothly until at their centres it reached a value of 0.63 times the power at their edges. In other words, a 20 diopter lens had a power at its centre equal to 12.6 diopters. The third zone is formed by an interpenetrating network of the monomers which thus produces a zone between the first and second zones having a refractive index continuously variable between that of the polymer comprising the first zone and that of the polymer comprising the second zone. A clear polymer sheet was cast by polymerisation (as previously described) from the formulation described below: The sheet was cut into discs each with one or more cavities therein. The cavities were filled with the formulation described below: The zones or cavities formed in the first sheet were then filled as above described and the monomer mixtures in the desired mole ratios were polymerised to form upto seven zones. In the case of the seven zone multifocal lens, the zones or cavities are drilled for the first, second, fourth and sixth zones and the third, fifth and seven zones are formed as above described between the first and second, second and fourth and fourth and sixth zones respectively. |
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