IP Library Granted Patent US 8,715,266
Granted Patent B2
US 8,715,266 · App. 12/557,832 · Granted May 6, 2014

Glaucoma surgery

Inventor: Gilles Bos (Plan les Ouates, FR)
Assignee: Aptissen SA
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Quick Facts
Patent No.
US 8,715,266
App. No.
12/557,832
Granted
May 6, 2014
Kind
B2
Abstract

Eye diseases such as glaucoma can be treated using a composition containing cross-linked hyaluronic acid or a cross-linked salt of hyaluronic acid such as sodium hyalurate. The composition can be a monophasic gel. The composition can include a cross-linking agent such as 1,4-butanediol diglycidylether. The composition can contains about 2.25% (w/w) of the salt of hyaluronic acid. The composition can have a cross-linking rate of about 0.5 to 50%.

Claims (44)

1. A method of treating glaucoma or other eye disease, comprising:

during eye surgery, injecting the eye of the patient with a cohesive monophasic gel comprising a cross-linked hyaluronic acid or its salt, under a scleral flap and/or conjunctiva of the eye, thereby creating and maintaining a conjunctival bleb,

wherein the concentration of the hyaluronic acid in the gel is in a range of 0.1% to 20% by weight.

2. The method according to claim 1 , wherein the cross-linked salt of hyaluronic acid is sodium hyaluronate.

3. The method according to claim 1 , wherein the cohesive monophasic gel comprises a cross-linking agent selected from the group consisting of 1,4-butanediol diglycidylether, 1,2,7,8-Diepoxyoctane, divinylsulfone, carbodiimide, 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide and N-cyclohexyl-N-(4-methylmorpholinium) ethyl carbodiimide.

4. The method according to claim 1 , wherein the cohesive monophasic gel comprises about 2.25% (w/w) of the hyaluronic acid or its salt.

5. The method according to claim 1 , wherein the cross-linked hyaluronic acid or its salt has a cross linking ratio of about 0.5% to about 50%.

6. The method according to claim 1 , wherein the gel is injected under a scleral flap of the patient.

7. The method according to claim 1 , wherein the gel is injected under conjunctiva of the patient.

8. The method according to claim 1 , wherein the eye surgery comprises performing a trabeculectomy on the patient.

9. The method according to claim 8 , wherein the trabeculectomy comprises:

applying peribulbar anesthesia;

dissecting a scleral flap;

performing an iridotomy to allow an iris to fall back;

suturing the scleral flap;

injecting the gel under the scleral flap; and

injecting the gel under the conjunctiva.

10. The method according to claim 1 , wherein the eye surgery comprises performing a visocanalostomy on the patient.

11. The method according to claim 10 , wherein the visocanalostomy comprises:

applying peribulbar or topical anesthesia;

dissecting a first scleral flap at a site with at least one apparent collecting channel;

dissecting a second scleral flap close to a ciliary body;

unroofing a Schlemms' canal by pulling on the second scleral flap;

creating a Trabeculo-Descement-Membrane window;

inserting a canula into two ostia of the Schlemms' canal;

repeatedly injecting the gel into the two ostia;

injecting the gel into at least one scleral flap; and

injecting the gel under the conjunctiva.

12. The method according to claim 1 , wherein the eye surgery comprises performing a deep sclerectomy on the patient.

13. The method according to claim 12 , wherein the deep sclerectomy comprises:

applying peribulbar or topical anesthesia;

dissecting a first scleral flap into clear cornea;

dissecting a second scleral flap close to a ciliary body;

when reaching a Schlemm's canal, unroofing the second scleral flap;

creating a Trabeculo-Descement-Membrane window;

excising the second scleral flap;

injecting the gel into at least one scleral flap; and

injecting the gel under the conjunctiva.

14. The method according to claim 1 , wherein the eye surgery is glaucoma surgery.

15. A method of treating glaucoma or other eye disease, comprising:

during eye surgery, injecting the eye of the patient with a cohesive monophasic hydrogel comprising a cross-linked hyaluronic acid or its salt, under a scleral flap and/or conjunctiva of the eye, thereby creating and maintaining a conjunctival bleb,

wherein the concentration of the hyaluronic acid or its salt in the hydrogel is in a range of 1.5% to 3% by weight,

the cross-linked hyaluronic acid or its salt has a cross linking ratio of 2% to 20%.

16. The method according to claim 15 , wherein the concentration of the hyaluronic acid or its salt in the hydrogel is about 2.25% and the cross linking ratio is about 5%.

Assignments (4)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jun 4, 2021
From: APTISSEN SA
To: SYRHA TRADING SA
Reel/Frame 056443/0704 →
CHANGE OF NAME Recorded Jan 30, 2014
From: APTEN SA
To: APTISSEN SA
Reel/Frame 032137/0617 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jan 29, 2014
From: ANTEIS SA
To: APTEN SA
Reel/Frame 032074/0334 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Nov 27, 2009
From: BOS, GILLES
To: ANTEIS SA
Reel/Frame 023575/0437 →
Continuity (2)
Provisional Application 61096654 · Sep 12, 2008
Related Publication 20100069938A1 · Mar 18, 2010