Ocular implants and methods for delivering ocular implants into the eye
An ocular implant is provided. In some embodiments, the ocular implant includes a body that is curved about a longitudinal central axis and a distal body portion that defines a longitudinal channel including a channel opening. The implant is sized and configured such that the ocular implant assumes an orientation in which the channel opening is adjacent a major side of Schlemm's canal when the ocular implant is disposed in Schlemm's canal. Methods for delivering ocular implants into Schlemm's canal are also provided. Some methods include covering openings in the ocular implant, advancing the implant into Schlemm's canal while at least some of the openings are covered, and uncovering the openings while the distal portion of the implant is disposed in Schlemm's canal.
1. A method of placing an ocular implant into Schlemm's canal of a patient's eye, the ocular implant having a lateral cross section with a first lateral extent and a second lateral extent, an aspect ratio of the first lateral extent to the second lateral extent being greater than or equal to two, the method comprising:
placing the ocular implant within Schlemm's canal with the first lateral extent oriented with a first side of Schlemm's canal and the second lateral extent oriented with a second side of Schlemm's canal, the first side of Schlemm's canal being longer than the second side; wherein the placing step comprises advancing the ocular implant out of a cannula into Schlemm's canal; and further comprising placing a distal opening of the cannula in fluid communication with Schlemm's canal.
2. The method of claim 1 further comprising advancing a distal end of the cannula through trabecular meshwork into Schlemm's canal.
3. The method of claim 1 further comprising placing a distal opening of the cannula in fluid communication with Schlemm's canal.
4. The method of claim 1 wherein the ocular implant is curved and the cannula is curved, the method further comprising orienting a curvature of the ocular implant with a curvature of the cannula.
5. The method of claim 1 wherein the ocular implant comprises a longitudinal channel and a channel opening in fluid communication with the longitudinal channel, the placing step comprising positioning the channel opening adjacent the first side of Schlemm's canal.
6. The method of claim 5 wherein the placing step comprises orienting the channel opening away from a pupil of the eye.
7. The method of claim 1 wherein the placing step comprises orienting a curvature of the ocular implant with a curvature of Schlemm's canal.
8. The method of claim 1 further comprising disposing a proximal end of the ocular implant in an anterior chamber of the eye.
9. A method of placing an ocular implant into Schlemm's canal of a patient's eye, the method comprising:
advancing a distal end of a cannula through trabecular meshwork into Schlemm's canal;
placing a distal opening of the cannula in fluid communication with Schlemm's canal;
advancing the ocular implant through the distal opening of the cannula into Schlemm's canal, the ocular implant having a lateral cross section with a first lateral extent and a second lateral extent, an aspect ratio of the first lateral extent to the second lateral extent being greater than or equal to about two; and
placing the ocular implant within Schlemm's canal with the first lateral extent oriented with a first side of Schlemm's canal and the second lateral extent oriented with a second side of Schlemm's canal, the first side of Schlemm's canal being longer than the second side.
10. The method of claim 9 wherein the ocular implant comprises a longitudinal channel and a channel opening in fluid communication with the longitudinal channel, the placing step comprising positioning the channel opening adjacent the first side of Schlemm's canal.
11. The method of claim 10 wherein the positioning step comprises orienting a curvature of the ocular implant with a curvature of Schlemm's canal.
12. The method of claim 10 wherein the positioning step comprises orienting the channel opening away from a pupil of the eye.
13. The method of claim 9 further comprising disposing a proximal end of the ocular implant in an anterior chamber of the eye.
14. The method of claim 9 wherein the ocular implant is curved and the cannula is curved, the method further comprising orienting a curvature of the ocular implant with a curvature of the cannula.