Adjustable intraocular lens for insertion into the capsular bag

1 . A method of replacing a natural lens in an eye, comprising the steps of:

removing the natural lens while leaving the capsular bag substantially intact;

removing a portion of the capsular bag along the main optical axis;

inserting an artificial bag within the capsular bag;

injecting a synthetic material into the artificial bag to form an artificial lens, the synthetic material having loose monomers and a polymerization initiator so that the synthetic material changes its volume when exposed to an energy source;

selectively exposing portions of the artificial lens to an energy source to alter the refractive properties of the artificial lens.

2 . A method according to claim 1 , wherein

the energy source is light.

3 . A method according to claim 1 , wherein

the synthetic material is injected using a fiber optic tube extending through an entrance port into the capsular bag.

4 . A method according to claim 3 , further comprising the step of

directing light down the fiber optic tube while withdrawing the fiber optic tube to initiate polymerization of the synthetic material and seal the entrance port to the artificial bag.

5 . A method according to claim 1 , further comprising the step of:

exposing substantially the entire artificial lens to an energy source to polymerize substantially all of the loose monomers, thereby fixing the refractive power of the synthetic material.

6 . A method according to claim 5 , further comprising the step of

performing an anterior capsulotomy to allow the central portion of the artificial lens to bulge forward during accommodation.

7 . A method according to claim 1 , wherein

the step of inserting an artificial bag includes inserting an artificial bag having a first internal chamber and a second internal chamber.

8 . A method according to claim 7 , wherein

said first internal chamber includes a polymerized material; and

said step of injecting a synthetic material into the artificial bag includes injecting said synthetic material into said second chamber.

9 . A method according to claim 1 , wherein

a portion of said artificial bag includes a polymerized material.

10 . A method of treating an eye with a natural lens, comprising the steps of:

removing the natural lens while leaving the capsular bag substantially intact;

inserting an artificial bag into said capsular bag, said artificial bag including a front portion and rear portion;

filling the rear portion with a first substantially liquid material, first the substantially liquid material being adapted to change in volume when exposed to an energy source;

filling the front portion with a second substantially liquid material, the front portion adapted to change shape during accommodation;

measuring the eye to determine any optical aberrations; and

applying energy to the first substantially liquid material in a selective pattern to alter the refractive properties of the first substantially liquid material to correct for any optical aberrations in they eye.

11 . A method according to claim 10 , wherein

the front portion is filled by injecting the second substantially liquid material using a hollow tube extending through an entrance port to the artificial bag.

12 . A method according to claim 11 , wherein

the hollow tube conducts light; and

light is directed through the fiber optic tube while withdrawing the fiber optic tube to initiate polymerization of the synthetic material and seal the entrance port to the artificial bag

13 . A method according to claim 10 , wherein

the artificial bag is self sealing.

14 . A method according to claim 10 , further comprising the step of

exposing substantially all of the first substantially liquid material to an energy source to fix the refractive power of the material.

15 . A method according to claim 10 , further comprising the step of

performing an anterior capsulotomy to allow the central portion of the second substantially liquid material to bulge forward during accommodation.

16 . An intraocular lens, comprising:

a flexible capsule adapted to be inserted into the natural lens capsular bag;

a polymerized portion positioned within said flexible capsule; and

an unpolymerized material positioned within said flexible capsule, and having loose monomers and a polymerization initiator so that the unpolymerized material changes its volume when exposed to an energy source.

17 . An intraocular lens according to claim 16 , wherein

said polymerization initiator is a photoinitiator.

18 . An intraocular lens according to claim 16 , wherein

said flexible capsule includes a first interior chamber and a second interior chamber.

19 . An intraocular lens according to claim 18 , wherein

wherein said first interior chamber is positioned in the front of the flexible capsule with respect to the eye and said second interior chamber is positioned is the rear of the flexible capsule with respect to the eye.

20 . An intraocular lens according to claim 19 , wherein

said polymerized portion is positioned in said second interior chamber; and

said an unpolymerized material is positioned in said first interior chamber.

21 . An intraocular lens according to claim 16 , wherein

said flexible capsule is adapted to be inserted into the natural lens capsular bag with haptics.

22 . An intraocular lens according to claim 16 , wherein

said unpolymerized material is adapted to change volume such that its diopter power increases.

23 . An intraocular lens according to claim 16 , wherein

said unpolymerized material is adapted to change volume such that its diopter power decreases.

24 . An intraocular lens, comprising:

a flexible capsule adapted to be inserted into the natural lens capsular bag, said flexible capsule having a first interior chamber and a second interior chamber;

an unpolymerized material positioned in said first interior chamber, and having loose monomers and a polymerization initiator so that the unpolymerized material changes its volume when exposed to an energy source; and

a liquid located in said second chamber, said liquid adapted to allow the flexible capsule to change shape when the natural lens focuses on a near object.

25 . An intraocular lens according to claim 24 , wherein

said unpolymerized material is adapted to change volume such that its diopter power increases.

26 . An intraocular lens according to claim 24 , wherein

said unpolymerized material is adapted to change volume such that its diopter power decreases.

27 . An intraocular lens according to claim 24 , wherein

said polymerization initiator is a photoinitiator.

28 . An intraocular lens according to claim 24 , wherein

wherein said first interior chamber is positioned in the rear of the flexible capsule with respect to the eye and said second interior chamber is positioned is the front of the flexible capsule with respect to the eye.

29 . An intraocular lens according to claim 24 , wherein

said flexible capsule is adapted to be inserted into the natural lens capsular bag with haptics.

30 . An intraocular lens according to claim 24 , wherein

said flexible capsule third chamber; and third chamber includes a polymerized material.

31 . An intraocular lens, comprising:

a flexible capsule adapted to be inserted into the natural lens capsular bag;

a polymerized portion positioned adapted to be positioned adjacent said flexible capsule when said flexible capsule is inserted into the natural lens capsular bag; and

an unpolymerized material positioned within said flexible capsule, and having loose monomers and a polymerization initiator so that the unpolymerized material changes its volume when exposed to an energy source.

32 . An intraocular lens according to claim 31 , wherein

said polymerization initiator is a photoinitiator.

33 . An intraocular lens according to claim 31 , wherein

said unpolymerized material is adapted to change volume such that its diopter power increases.

34 . An intraocular lens according to claim 31 , wherein

said unpolymerized material is adapted to change volume such that its diopter power decreases.