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CN106842613A - soft contact lens - Google Patents

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Publication number
CN106842613A
CN106842613A CN201510888716.4A CN201510888716A CN106842613A CN 106842613 A CN106842613 A CN 106842613A CN 201510888716 A CN201510888716 A CN 201510888716A CN 106842613 A CN106842613 A CN 106842613A
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arc
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contact lens
soft contact
power
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齐备
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Priority to CN201510888716.4A priority Critical patent/CN106842613A/en
Priority to PCT/CN2016/098790 priority patent/WO2017096995A1/en
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    • GPHYSICS
    • G02OPTICS
    • G02CSPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
    • G02C7/00Optical parts
    • G02C7/02Lenses; Lens systems ; Methods of designing lenses
    • G02C7/04Contact lenses for the eyes
    • G02C7/041Contact lenses for the eyes bifocal; multifocal
    • G02C7/044Annular configuration, e.g. pupil tuned
    • GPHYSICS
    • G02OPTICS
    • G02CSPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
    • G02C7/00Optical parts
    • G02C7/02Lenses; Lens systems ; Methods of designing lenses
    • G02C7/024Methods of designing ophthalmic lenses
    • G02C7/027Methods of designing ophthalmic lenses considering wearer's parameters
    • GPHYSICS
    • G02OPTICS
    • G02CSPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
    • G02C7/00Optical parts
    • G02C7/02Lenses; Lens systems ; Methods of designing lenses
    • G02C7/04Contact lenses for the eyes
    • G02C7/047Contact lens fitting; Contact lenses for orthokeratology; Contact lenses for specially shaped corneae
    • GPHYSICS
    • G02OPTICS
    • G02CSPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
    • G02C7/00Optical parts
    • G02C7/02Lenses; Lens systems ; Methods of designing lenses
    • G02C7/04Contact lenses for the eyes
    • G02C7/049Contact lenses having special fitting or structural features achieved by special materials or material structures
    • GPHYSICS
    • G02OPTICS
    • G02CSPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
    • G02C2202/00Generic optical aspects applicable to one or more of the subgroups of G02C7/00
    • G02C2202/24Myopia progression prevention

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  • Health & Medical Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Physics & Mathematics (AREA)
  • General Health & Medical Sciences (AREA)
  • General Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Eyeglasses (AREA)

Abstract

The invention discloses a kind of soft corneal contact lens, including wearing rear surface and the preceding surface relative with rear surface on the tear layer on cornea surface for being covered in, wherein, preceding surface includes circular center arc area and the annular prevention and control arc area around center arc area, the negative focal power or zero focal power with the near vision power about equivalent with hyperphoria with fixed eyeballs are formed between center arc area and rear surface, positive focal power is incremented by by amount is smooth from inside to outside in prevention and control arc area, and the positive focal power total increment value in prevention and control arc area depends on the near vision power with hyperphoria with fixed eyeballs.

Description

软性角膜接触镜soft contact lens

技术领域 technical field

本发明涉及一种软性角膜接触镜。 The invention relates to a soft corneal contact lens.

背景技术 Background technique

传统的软性角膜接触镜是一种戴在近视患者的眼球角膜上、用以矫正视力的软性材料镜片,其通过与配戴眼的近视度数对应的负焦度,来使外界物体成像在配戴眼的视网膜上,使近视患者能够清晰地看到外界物体,从而对配戴眼的近视起到了矫正作用。然而,这种传统的软性角膜接触镜并不具有控制青少年近视发展的功效。 The traditional soft contact lens is a kind of soft material lens worn on the cornea of the myopia patient to correct vision. It uses the negative focal power corresponding to the degree of myopia of the wearing eye to image the external objects in the On the retina of the wearing eye, the myopic patient can see the external objects clearly, thus correcting the myopia of the wearing eye. However, this traditional soft contact lens does not have the effect of controlling the development of myopia in adolescents.

近年来,出现了一种非球面软性角膜接触镜,又称为高解像软性角膜接触镜(high definition SCL)。这种非球面软性角膜接触镜的问世是基于以下认识:角膜的前表面并非规则的圆球面,而是在一定程度上呈非球面弧面,即角膜的中心部最弯,周边部逐渐变平,因此角膜中心部正焦力最大,向角膜周边部移位正焦力递减。目标物发出的光线,通过角膜中心部先聚焦,通过角膜周边部后聚焦,不能在眼底同步形成对应的清晰影像。因此角膜的非球面形态影响了人眼的视觉敏锐度,使眼睛的视觉微感模糊,称为眼的生理性像差,如图1所示。 In recent years, a kind of aspheric soft contact lens, also known as high definition soft contact lens (high definition SCL), has appeared. The advent of this aspheric soft contact lens is based on the following understanding: the front surface of the cornea is not a regular spherical surface, but an aspheric curved surface to a certain extent, that is, the central part of the cornea is the most curved, and the peripheral part gradually becomes curved. Flat, so the positive focal power is the largest in the center of the cornea, and the positive focal power decreases gradually as it shifts to the peripheral part of the cornea. The light emitted by the target object is first focused through the center of the cornea, and then focused after passing through the peripheral part of the cornea, which cannot simultaneously form a corresponding clear image on the fundus. Therefore, the aspherical shape of the cornea affects the visual acuity of the human eye and makes the vision of the eye slightly blurred, which is called the physiological aberration of the eye, as shown in Figure 1.

非球面软性角膜接触镜的设计要点如下,将软性角膜接触镜的前表面光学区的形态设计为逆向非球面形态,即镜片前表面的中心部曲率最平,向周边逐渐变弯,使镜片中心部负焦力最大,向角膜周边部移位负焦力逐渐递减,从而抵消角膜的生理像差,使目标光线通过的影像接近于的原始真态,如图2中所示。非球面软性角膜接触镜已经市场化十余年,临床评价公认该种镜片具有视觉清晰、对比敏感度提高和色视觉改善等特点,但 临床调查证实该种镜片也不具有控制青少年近视发展的功效。 The design points of the aspheric soft contact lens are as follows. The shape of the optical zone on the front surface of the soft contact lens is designed as a reverse aspheric shape, that is, the curvature of the center of the front surface of the lens is the flattest, and it gradually becomes curved toward the periphery, so that The negative focal force is the largest at the center of the lens, and the negative focal force gradually decreases as it moves toward the peripheral part of the cornea, thereby offsetting the physiological aberration of the cornea and making the image of the target light close to the original true state, as shown in Figure 2. Aspherical soft contact lenses have been on the market for more than ten years. Clinical evaluations have recognized that this type of lens has the characteristics of clear vision, enhanced contrast sensitivity, and improved color vision. effect.

这是由于这种非球面软性角膜接触镜的功能仅限于矫正角膜非球面弧面带来的生理性像差,即镜片前表面自中心部向周边部曲率逐渐变弯的递量与角膜自中心部向周边部曲率逐渐变平递量大致相同。已知瞳孔区角膜的生理性像差仅为0.25~1.00D。设镜片前表面的中心曲率为42.00D,则光学区边缘曲率值约设计为42.75D。 This is because the function of this kind of aspheric soft contact lens is limited to correcting the physiological aberration caused by the aspheric surface of the cornea, that is, the curvature of the front surface of the lens gradually changes from the center to the periphery. The curvature gradually flattens from the central part to the peripheral part by approximately the same amount. It is known that the physiological aberration of the cornea in the pupil area is only 0.25-1.00D. Assuming that the central curvature of the front surface of the lens is 42.00D, the curvature value of the edge of the optical zone is designed to be approximately 42.75D.

与软性角膜接触镜相对的另一种角膜接触镜为角膜塑形镜,又称为角膜塑形用硬性透气接触镜(Ortho-k lens)。角膜塑形镜采用硬质透气高分子聚合物材料制作,主要成分为氟化硅氧烷聚甲基丙烯酸甲酯,该种材料含水量<1.0%,变形强度>70g。内表面设计为四种不同的弧面,使镜片对角膜起到了压平塑形的作用,摘下镜片以后,在一定时间内一定程度上使配戴眼近视获得矫正。镜片通常在夜间配戴,使用周期视保养质量有一定差异,通常在一年以上。 Another kind of contact lens opposite to soft contact lens is orthokeratology lens, also known as rigid gas permeable contact lens (Ortho-k lens) for orthokeratology. Orthokeratology lenses are made of rigid breathable polymer material, the main component is fluorinated silicone polymethyl methacrylate, the water content of this material is <1.0%, and the deformation strength is >70g. The inner surface is designed with four different curved surfaces, so that the lens can flatten and shape the cornea. After the lens is taken off, the myopia of the wearing eye can be corrected to a certain extent within a certain period of time. Lenses are usually worn at night, and the service life varies depending on the quality of maintenance, usually more than one year.

图3示出了角膜塑形镜的冠状面图。图4示出了角膜塑形镜的矢状面图。如图3、4中所示,角膜塑形镜的后表面由中心向周边依次设计为基弧、反转弧、配适弧和边缘弧等四个部分。与角膜前表面从中心向周边越来越平坦的形态规律相反,即镜片中心区的基弧比角膜中心部平坦,围绕在基弧以外的反转弧为了消解基弧的平坦度比同区角膜弯曲,围绕在反转弧以外的配适弧与同区角膜曲率相同。 Figure 3 shows a coronal view of an orthokeratology lens. Figure 4 shows a sagittal view of an orthokeratology lens. As shown in Figures 3 and 4, the rear surface of the orthokeratology lens is sequentially designed into four parts from the center to the periphery, including a base arc, an inversion arc, a fitting arc, and a marginal arc. Contrary to the morphological law that the front surface of the cornea becomes flatter from the center to the periphery, that is, the base curve in the center of the lens is flatter than the center of the cornea, and the inversion curve around the base curve is to eliminate the flatness of the base curve compared with the cornea in the same area. Curved, the fitting arc surrounding the inversion arc has the same curvature as the cornea in the same area.

当镜片附着角膜时,由于配适弧与角膜同区弧度相同,在泪液的充填作用下,镜片内表面与角膜前表面产生较为稳定的附着张力。与此同时由于镜片中心区的基弧比角膜中心区稍平坦,则对角膜起到了压平的作用,从而达到矫正近视的效果,长时间的压平效应的积累就会将角膜中心局部维持在变平的“塑形”状态,在摘下镜片以后角膜就会发生物理学上的形态性“记忆”效果。角膜中心部平坦以后使角膜的正焦力减量,若压平塑形的量值与配戴眼的近视程度等量,则可使目标光线进入眼睛以后在视网膜上聚焦,因而可以使近视眼获得清晰视力。 When the lens is attached to the cornea, because the fitting arc is the same as the curvature of the same area of the cornea, under the filling action of tears, the inner surface of the lens and the front surface of the cornea generate a relatively stable adhesion tension. At the same time, because the base arc of the central area of the lens is slightly flatter than the central area of the cornea, it has a flattening effect on the cornea, thereby achieving the effect of correcting myopia. The long-term accumulation of the flattening effect will locally maintain the center of the cornea In the flattened "shaping" state, after the lens is removed, the cornea will have a physical morphological "memory" effect. After the center of the cornea is flat, the positive focal force of the cornea is reduced. If the amount of flattening and shaping is equal to the degree of myopia of the wearing eye, the target light can be focused on the retina after entering the eye, thus making the myopia Get clear vision.

角膜在镜片的压平作用下,可以产生物理学上的形态“记忆”效果, 但仍然保持生物学的形态恒常性质,因此角膜塑形镜的塑形作用是暂时的、有限度的。在停止配戴角膜塑形镜以后,数天之内配戴眼的近视就会恢复原来的程度,故角膜塑形镜并不能治愈近视。 Under the flattening action of the lens, the cornea can produce a physical shape "memory" effect, but still maintain the biological shape constant properties, so the shaping effect of orthokeratology lenses is temporary and limited. After stopping wearing orthokeratology lenses, the myopia of the wearing eyes will return to the original level within a few days, so orthokeratology lenses cannot cure myopia.

角膜塑形镜最初的矫治目标定位在矫正近视,镜片通常在夜间配戴,取夜间镜片居中稳定定位,而白天摘下镜片后,配戴者可以在一整天时间内不用戴任何矫正眼镜,维持可用的矫正视力,与没有近视眼一样。然而角膜塑形镜流行数年以后,在积累了大量配戴人群样本后,逐渐发现部分配戴角膜塑形镜案例的近视程度发展趋缓。对于这一始料未及的发现,有验配师对上述临床现象做了大量随访观察,有文献对于配戴角膜塑形镜与配戴普通软性角膜接触镜数年间近视发展程度进行比较分析,结果证实配戴角膜塑形镜以后配戴眼的近视程度的发展趋缓有显著性差异。又有文献对配戴角膜塑形镜与配戴普通软性角膜接触镜数年间眼轴长延长程度进行比较分析,结果证实配戴角膜塑形镜以后配戴眼的眼轴长延长程度的发展趋缓有显著性差异。 The initial target of orthokeratology is to correct myopia. The lens is usually worn at night, and the night lens is centered and positioned stably. After taking off the lens during the day, the wearer does not need to wear any corrective glasses throughout the day. Maintain usable corrected vision as if without myopia. However, several years after orthokeratology lenses became popular, and after accumulating a large number of wearer samples, it was gradually found that the development of myopia in some cases of orthokeratology lenses has slowed down. For this unexpected discovery, a fitter made a lot of follow-up observations on the above clinical phenomena, and some literature compared and analyzed the degree of myopia development between wearing orthokeratology lenses and wearing ordinary soft contact lenses for several years , the results confirmed that after wearing orthokeratology lenses, there is a significant difference in the slowing down of the degree of myopia in the wearing eyes. There are also literatures that compare and analyze the degree of eye axial length extension between wearing orthokeratology lenses and wearing ordinary soft contact lenses for several years, and the results confirm that the development of eye axis length extension after wearing orthokeratology lenses There was a significant difference in slowing down.

配戴角膜塑形镜以后配戴眼的近视程度的发展趋缓已成为不争的事实。对于其成因,近年来的研究认为近视的发生发展与视网膜的模糊影像相关,当视网膜出现模糊影像就会影响视网膜神经递质的水平,继而影响眼球轴长的生长发育。由于眼轴异常延长,则外界目标物的影像就会聚焦于视网膜前方,从而形成近视。 It is an indisputable fact that after wearing orthokeratology lenses, the development of myopia in the wearing eyes slows down. As for its cause, recent studies believe that the occurrence and development of myopia is related to the blurred image of the retina. When the blurred image appears on the retina, it will affect the level of retinal neurotransmitters, and then affect the growth and development of the axial length of the eyeball. Due to the abnormal extension of the eye axis, the image of the external object will be focused in front of the retina, thus forming myopia.

有学说认为在通常的光学眼镜矫正近视以后,角膜的非球面形态使得视网膜周边区域的影像在视网膜后方结像,故呈模糊状态,被称为周边离焦。而在角膜塑形镜在配戴过程中,由于反转弧区域不与角膜接触,其间收纳的泪液排出后形成负压,使得同区角膜增焦,诱使塑形后的角膜生理性像差被修正,周边模糊影像在戴镜眼的视野中减少,从而使戴镜眼近视发展趋缓。另一种学说则认为在通常的光学眼镜矫正近视以后,配戴眼注视近目标时存在着异常调节滞后,即在注视近目标时配戴眼不能动员足够的调节,视网膜中心区影像模糊,被称为中心离焦。而在现代生存环境中,青少年近用视力的使用率已经超过90%,使得这一致病诱因被凸显。而角 膜塑形镜在配戴过程中反转弧区域的增焦,使得视网膜周边部具有足量的正焦力,不仅有效地控制了视网膜影像的周边离焦,且使目标影像在视网膜前方适当的焦位结像,因此在注视近目标时,限制了眼的异常调节滞后。视网膜中心影像清晰度的提高,对于使戴镜眼近视发展趋缓起到至关重要的作用。 There is a theory that after normal optical glasses correct myopia, the aspherical shape of the cornea makes the image in the peripheral area of the retina form behind the retina, so it is in a blurred state, which is called peripheral defocus. However, during the wearing process of orthokeratology lenses, since the inversion arc area does not contact the cornea, the tears contained in it will be discharged and form a negative pressure, which will increase the focus of the cornea in the same area and induce physiological aberrations of the cornea after shaping. After being corrected, the peripheral blurred image is reduced in the field of vision of the glasses, so that the development of myopia in the glasses is slowed down. Another theory is that after the usual optical glasses correct myopia, there is an abnormal adjustment lag when the wearing eye is gazing at the near target, that is, the wearing eye cannot mobilize enough adjustment when gazing at the near target, and the image in the central area of the retina is blurred and is blocked. called central defocus. However, in the modern living environment, the utilization rate of young people's near vision has exceeded 90%, which makes this pathogenic factor highlighted. However, during the wearing process of orthokeratology lenses, the focal increase in the reverse arc area makes the peripheral part of the retina have sufficient positive focal power, which not only effectively controls the peripheral defocus of the retinal image, but also makes the target image properly in front of the retina. The focal position of the eye is imaged, thus limiting the abnormal accommodation lag of the eye when fixating on near objects. The improvement of the image clarity in the center of the retina plays a vital role in slowing down the development of myopia in glasses-wearing eyes.

但角膜塑形镜存在着以下缺点: But orthokeratology lenses have the following disadvantages:

(1)配戴角膜塑形镜会使角膜中心区域受压,带来角膜上皮细胞层的病理性改变和角膜各层次间隙的改变,可能引发角膜上皮屏障功能破坏和泪液层的紊乱而带来上皮损伤,并可能因戴镜而产生眼并发症和远期后遗症。 (1) Wearing orthokeratology lenses will put pressure on the central area of the cornea, resulting in pathological changes in the corneal epithelial cell layer and changes in the gaps between layers of the cornea, which may cause damage to the corneal epithelial barrier function and tear layer disorder. Epithelial damage, eye complications and long-term sequelae may occur due to wearing glasses.

(2)角膜塑形镜的后表面只有配适弧区域与角膜紧密配合,其面积仅约占镜片总面积的30%,更由于角膜的非球面和环曲面形态存在个体差异,使镜片的后表面与角膜的接触面更小,因此镜片的配适不够稳定,配适弧的精确定量成为矫正成败的关键,配适弧参数必须通过耗时的反复试戴才能确定,这是角膜塑形镜验配的难点所在。常诱发近视矫正不足、不规则散光、偏位棱镜,故角膜塑形镜的矫正焦量仅为近似值,有一定比率的配戴者无论怎样修改矫正方案均不能成功,近视超过5.00D的案例矫正失败率则更高。即使低度近视矫正成功后,也不能避免由于角膜塑形量的弹复导致的上午与下午矫正量的变化,晚间因瞳径扩大,入眼光线景深缩短,矫正视力尤为模糊。角膜塑形镜验配技术的繁复耗时,以及不能克服的矫正误差和矫正失败,饱受验配师诟病。 (2) The rear surface of the orthokeratology lens only fits closely with the cornea in the area of the fitting arc, and its area only accounts for about 30% of the total area of the lens. Moreover, due to the individual differences in the shape of the aspheric surface and toric surface of the cornea, the posterior surface of the lens The contact surface between the surface and the cornea is smaller, so the fitting of the lens is not stable enough, and the accurate quantification of the fitting arc becomes the key to the success of the correction. The fitting arc parameters must be determined through time-consuming and repeated try-ins. The difficulty of fitting. It often induces insufficient myopia correction, irregular astigmatism, and deviating prisms. Therefore, the correction focus of orthokeratology lenses is only an approximate value. A certain percentage of wearers cannot succeed no matter how they modify the correction plan. Cases with myopia exceeding 5.00D are corrected The failure rate is even higher. Even after the successful correction of low myopia, it is unavoidable to change the amount of correction in the morning and afternoon due to the recovery of orthokeratology. In the evening, due to the enlarged pupil diameter, the depth of field of the light entering the eye is shortened, and the corrected vision is particularly blurred. Orthokeratology lens fitting technology is complicated and time-consuming, as well as insurmountable correction errors and correction failures, which have been criticized by fitters.

(3)角膜塑形镜因镜片硬度大,镜片内表面与角膜形态不一致,导致很多配戴者首次配戴即因异物感不能接受,即使勉强戴镜也要渡过3天以上的适应期,配戴眼角膜的感觉阈值升高,使角膜长期处于感觉钝化状态,由于角膜感觉麻木导致瞬目减少,导致继发眼干症状。配戴者常因不堪忍受戴镜痛苦发生停戴或放弃矫治。尤其儿童受众人群对角膜塑形镜存在接受瓶颈和恐惧心理。 (3) Orthokeratology lenses are hard and the inner surface of the lens is not consistent with the shape of the cornea. As a result, many wearers cannot accept the foreign body sensation when wearing them for the first time. The sensory threshold of wearing the cornea increases, so that the cornea is in a state of sensory insensitivity for a long time, and the blinking decreases due to the numbness of the cornea, resulting in secondary dry eye symptoms. Wearers often stop wearing or give up treatment due to the unbearable pain of wearing glasses. Especially children audiences have acceptance bottlenecks and fears for orthokeratology lenses.

可见,本领域中需要一种改进的能够防控近视发展且克服了角膜塑形 镜缺点的技术方案。 It can be seen that there is a need in the art for an improved technical solution that can prevent and control the development of myopia and overcome the shortcomings of orthokeratology lenses.

发明内容 Contents of the invention

为解决上述技术问题,提出了本发明的技术方案。 In order to solve the above technical problems, the technical solution of the present invention is proposed.

在本发明的一个方面,提供了一种软性角膜接触镜,包括用于覆盖于配戴眼角膜表面的泪液层上的后表面以及与后表面相对的前表面,其中,前表面包括圆形的中心弧区与围绕中心弧区的环形防控弧区,中心弧区与后表面之间形成与配戴眼的近视焦度大约等量的负焦度或零焦度,防控弧区由内向外正焦度逐量平滑递增,防控弧区的正焦度总增量值取决于配戴眼的近视焦度。 In one aspect of the present invention, a soft contact lens is provided, comprising a posterior surface for covering the tear layer of the corneal surface of the wearing eye and an anterior surface opposite to the posterior surface, wherein the anterior surface comprises a circular The central arc area and the ring-shaped prevention and control arc area surrounding the central arc area form a negative focal power or zero focal power approximately equal to the myopia power of the wearing eye between the central arc area and the rear surface, and the prevention and control arc area consists of The positive power increases smoothly from inside to outside, and the total incremental value of the positive power in the prevention and control arc area depends on the myopia power of the wearing eye.

本发明的软性角膜接触镜避免了角膜塑性镜的各项缺点,保留了角膜塑性镜预防近视发展的功效。 The soft corneal contact lens of the present invention avoids various disadvantages of the orthokeratology lens, and retains the effect of the orthokeratology lens on preventing the development of myopia.

附图说明 Description of drawings

图1示意性地示出了角膜的生理性像差(现有技术); Fig. 1 schematically shows the physiological aberrations of the cornea (prior art);

图2示意性地示出了非球面软性角膜接触镜克服了角膜的生理性像差(现有技术); Fig. 2 schematically shows that the aspherical soft contact lens overcomes the physiological aberration of the cornea (prior art);

图3示意性地示出了角膜塑形镜的冠状面图(现有技术); Fig. 3 schematically shows a coronal view of an orthokeratology lens (prior art);

图4示意性地示出了角膜塑形镜的矢状面图(现有技术); Figure 4 schematically shows a sagittal view of an orthokeratology lens (prior art);

图5示意性地示出了角膜塑形后角膜前表面的形态变化; Figure 5 schematically shows the morphological changes of the anterior surface of the cornea after orthokeratology;

图6示意性地示出了采用角膜后表面平行前移分析角膜塑形后的生理透镜; Fig. 6 schematically shows a physiological lens after orthokeratology analysis using parallel anterior movement of the posterior corneal surface;

图7示意性地示出了采用软性角膜接触镜模拟角膜塑形后的生理透镜; Fig. 7 schematically shows the physiological lens after using the soft contact lens to simulate orthokeratology;

图8示意性地示出了根据本发明的实施例的软性角膜接触镜的前表面全景图; Fig. 8 schematically shows a panoramic view of the front surface of a soft contact lens according to an embodiment of the present invention;

图9示意性地示出了根据本发明的实施例的软性角膜接触镜的前表面主要弧区细分图; Fig. 9 schematically shows a subdivision of the main arc areas of the front surface of the soft contact lens according to an embodiment of the present invention;

图10示意性地示出了根据本发明的实施例的软性角膜接触镜的主要弧区矢状各弧曲率半径图; Fig. 10 schematically shows the radius of curvature of each sagittal arc in the main arc area of the soft contact lens according to an embodiment of the present invention;

图11示意性地示出了根据本发明的实施例的软性角膜接触镜的前有效弧递变率分析图。 Fig. 11 schematically shows an analysis diagram of the anterior effective arc transition rate of the soft contact lens according to an embodiment of the present invention.

具体实施方式 detailed description

本发明的基本思想的形成受到角膜塑形镜的启示。鉴于大量临床实验证实角膜塑形镜可以在一定程度上防控近视的发生与发展,本发明拟将角膜塑形镜成功案例的角膜形态所显示的有效元素提取,设计成软性角膜接触镜,使配戴者不必修改角膜形态同样达到防控近视的目的。借鉴非球面软性角膜接触镜并不能防控近视的经验,在进行镜片面形设计时突破矫正角膜生理性像差的限制。也就是说,本发明采用软性角膜接触镜模拟了角膜塑形镜成功案例的角膜形态,保留了角膜塑形镜成功案例的角膜光学界面中近视防控的有效元素。 The formation of the basic idea of the invention was inspired by orthokeratology lenses. In view of the fact that a large number of clinical experiments have confirmed that orthokeratology lenses can prevent and control the occurrence and development of myopia to a certain extent, this invention intends to extract the effective elements shown in the corneal morphology of successful cases of orthokeratology lenses, and design them into soft contact lenses. The wearer does not need to modify the shape of the cornea to achieve the purpose of preventing and controlling myopia. Drawing on the experience that aspheric soft contact lenses cannot prevent and control myopia, we broke through the limitation of correcting corneal physiological aberrations when designing the lens surface. That is to say, the present invention uses soft contact lenses to simulate the corneal shape of successful cases of orthokeratology lenses, and retains the effective elements of myopia prevention and control in the corneal optical interface of successful cases of orthokeratology lenses.

本发明的软性角膜接触镜例如可以采用软质高分子聚合物材料制作,其主要成分例如可以为诸如聚甲基丙烯酸羟乙酯的水凝胶材料。该种材料质地柔软,含水量可为38~70%。镜片内表面形态设计可以与角膜前表面最大限度吻合,故镜片对于角膜并无塑形作用。在戴镜状态下,镜片对于近视起到矫正作用,在摘下镜片以后,角膜形态不变,配戴眼立即恢复原有的近视状态。该软性角膜接触镜的配戴方式可以为日戴,即在非睡眠时间配戴,而无需夜间配戴。 The soft contact lens of the present invention can be made of, for example, soft high molecular polymer material, and its main component can be, for example, a hydrogel material such as polyhydroxyethyl methacrylate. The material is soft in texture and has a water content of 38-70%. The shape design of the inner surface of the lens can match the front surface of the cornea to the greatest extent, so the lens has no shaping effect on the cornea. In the state of wearing glasses, the lens can correct myopia. After taking off the lens, the shape of the cornea remains unchanged, and the wearing eye immediately returns to the original state of myopia. The wearing mode of the soft contact lens can be daily wearing, that is, wearing at non-sleeping time, without night wearing.

近视表现为眼的正焦力异常增高。配戴角膜塑形镜以后,将角膜中心部压平塑形,从而消减角膜的正焦力,达到矫正近视的目的。图5示出了角膜塑形后角膜前表面的形态变化。从图中可以看到,距离角膜几何中心以外的角膜前表面受镜片反转弧的负压牵引形成大约2mm宽的增焦区,据信增焦区的形态和焦度量值为近视防控的有效元素。 Myopia is manifested as an abnormal increase in positive focus of the eye. After wearing orthokeratology lenses, the central part of the cornea is flattened and shaped, thereby reducing the positive focus of the cornea and achieving the purpose of correcting myopia. Figure 5 shows the morphological changes of the anterior surface of the cornea after orthokeratology. It can be seen from the figure that the front surface of the cornea other than the geometric center of the cornea is pulled by the negative pressure of the lens reversal arc to form a focal increase zone with a width of about 2mm. valid element.

如果将角膜后表面向前平行推移,可以看到角膜前表面与后表面之间的角膜组织形成了极薄的形态特殊的生理性透镜,如图6中所示。 If the posterior surface of the cornea is moved forward in parallel, it can be seen that the corneal tissue between the anterior and posterior surfaces of the cornea has formed a very thin physiological lens with a special shape, as shown in Figure 6.

本发明采用软性角膜接触镜材料模拟角膜塑形所形成的生理性透镜,并整体前移到角膜前方,从而形成本发明的近视防控软性角膜接触镜,如图7中所示。配戴该角膜接触镜,角膜的形态不变,同样可达到角膜塑形后近视发展趋缓的目的。 The present invention adopts the soft contact lens material to simulate the physiological lens formed by orthokeratology, and moves forward as a whole to the front of the cornea, thereby forming the myopia prevention and control soft contact lens of the present invention, as shown in FIG. 7 . Wearing the corneal contact lens can keep the shape of the cornea unchanged, and can also achieve the purpose of slowing down the development of myopia after orthokeratology.

现参照8-10描述本发明的实施例,其中,图8示意性地示出了根据本发明的实施例的软性角膜接触镜的前表面全景图;图9示意性地示出了根据本发明的实施例的软性角膜接触镜的前表面主要弧区细分图;图10示意性地示出了根据本发明的实施例的软性角膜接触镜的主要弧区矢状各弧半径图。 Embodiments of the present invention are now described with reference to 8-10, wherein, Fig. 8 schematically shows a panoramic view of the front surface of a soft contact lens according to an embodiment of the present invention; The subdivision diagram of the main arc area of the front surface of the soft contact lens according to the embodiment of the invention; Fig. 10 schematically shows the sagittal arc radius diagram of the main arc area of the soft contact lens according to the embodiment of the invention .

如图8-10中所示,根据本发明的实施例,提供了一种软性角膜接触镜,其包括用于覆盖于配戴眼角膜表面的泪液层上的后表面以及与后表面相对的前表面,其中,前表面包括圆形(即从正面视图中观察为圆形)的中心弧区与围绕中心弧区的环形(即从正面视图中观察为环形)防控弧区,中心弧区与后表面之间形成与配戴眼的近视焦度大约等量的负焦度或零焦度,防控弧区由内向外正焦度逐量平滑递增,防控弧区的正焦度总增量值取决于配戴眼的近视焦度。中心弧区和防控弧区可以统称为有效弧区。 As shown in FIGS. 8-10 , according to an embodiment of the present invention, a soft contact lens is provided that includes a posterior surface for overlying the tear layer of the corneal surface of the wearing eye and a rear surface opposite the posterior surface. The front surface, wherein the front surface includes a circular (that is, viewed as a circle from the front view) central arc area and a ring around the central arc area (that is, viewed as a ring from the front view) anti-arc area, the central arc area Negative focal power or zero focal power about the same amount as the myopic focal power of the wearing eye is formed between the back surface and the back surface, and the positive focal power of the prevention and control arc area increases smoothly gradually from the inside to the outside, and the total positive power of the prevention and control arc area The increment value depends on the myopic power of the wearing eye. The central arc area and the prevention and control arc area can be collectively referred to as the effective arc area.

由所述中心弧区与后表面之间的焦度所决定的该软性角膜接触镜的目标矫正焦度规格例如可以设置为-1.00~-9.00D,且步距递量例如可以为0.25D。 The target corrected focal power specification of the soft contact lens determined by the focal power between the central arc region and the rear surface can be set as -1.00~-9.00D, and the step increment can be 0.25D, for example .

根据本发明的实施例,所述防控弧区的正焦度总增量值可以为配戴眼的近视焦度的80%-110%。例如,所述防控弧区的正焦度总增量值可以与配戴眼的近视焦度大约等量。对于还没有近视的配戴眼,可以使防控弧区的正焦度总增量值约为0.75D,这样仍可以防治近视的发生。 According to an embodiment of the present invention, the total incremental value of the positive power of the anti-arc zone may be 80%-110% of the myopic power of the wearing eye. For example, the total incremental value of the positive power of the arc prevention and control zone may be approximately equal to the myopic power of the wearing eye. For wearing eyes without myopia, the total increment value of the positive focal power in the prevention and control arc area can be about 0.75D, so that the occurrence of myopia can still be prevented.

根据本发明的实施例,所述中心弧区可以为球面弧,且其直径可以约为2.0-4.0mm,所述防控弧区的宽度可以约为2.0-2.4mm。例如,所述中心弧区的直径可以约为3mm,所述防控弧区的直径可以约为2.1mm。 According to an embodiment of the present invention, the central arc area may be a spherical arc, and its diameter may be about 2.0-4.0 mm, and the width of the anti-arc area may be about 2.0-2.4 mm. For example, the diameter of the central arc area may be about 3 mm, and the diameter of the anti-arc area may be about 2.1 mm.

根据本发明的实施例,所述防控弧区进一步可以包括围绕中心弧区的近环区和围绕近环区的远环区,所述近环区的宽度可以为0.8-1.2mm,所 述远环区的宽度为约1.2mm,且近环区外缘的增焦量为所述正焦度总增量值的55%~75%,远环区外缘的增焦量为所述正焦度总增量值的25%~45%。例如,所述近环区的宽度可以为1mm,且近环区外缘的增焦量可以为所述正焦度总增量值的65%,远环区外缘的增焦量可以为所述正焦度总增量值的35%。 According to an embodiment of the present invention, the arc prevention and control zone may further include a near-ring zone surrounding the central arc zone and a far-ring zone surrounding the near-ring zone, the width of the near-ring zone may be 0.8-1.2 mm, and the The width of the far ring area is about 1.2 mm, and the focal increase amount of the outer edge of the near ring area is 55% to 75% of the total incremental value of the positive focal power, and the focus increase amount of the outer edge of the far ring area is the positive power. 25% to 45% of the total incremental value of focal power. For example, the width of the near-ring area can be 1mm, and the focal increase amount of the outer edge of the near-ring area can be 65% of the total increase value of the positive focal power, and the focus increase amount of the outer edge of the far ring area can be the 35% of the total incremental value of the positive power mentioned above.

根据本发明的实施例,前表面还可以包括围绕所述防控弧区的宽度约为0.8-1.2mm的环形释放弧区,释放弧区由内向外正焦度平滑递减,用于消解防控弧的增焦量,从而消减镜片边缘的厚度。例如,释放弧区的宽度可以为0.8mm。 According to an embodiment of the present invention, the front surface may also include an annular release arc area with a width of about 0.8-1.2mm surrounding the prevention and control arc area, and the release arc area smoothly decreases from the inside to the outside in positive focus, which is used for digestion prevention and control The focal increase of the arc reduces the thickness of the edge of the lens. For example, the width of the release arc may be 0.8 mm.

释放弧区可以无光学功效,仅用于释放防控弧增焦量,达到消减镜片边缘厚度的目的。释放弧区可递减约75~85%防控弧增焦量,例如可递减80%的防控弧增焦量。释放弧区以外可以仍适当递减余下防控弧区增焦量,完成衔接释放弧区与如上所述的前周边弧区之间的曲率梯度差。 The release arc area can have no optical effect, and is only used to release the focus increase of the arc prevention and control to achieve the purpose of reducing the edge thickness of the lens. The release arc area can decrease the focal increase amount of the prevention and control arc by about 75-85%, for example, it can decrease the focal increase amount of the prevention and control arc by 80%. Outside the release arc area, the focus increase amount of the remaining prevention and control arc areas can still be appropriately reduced to complete the curvature gradient difference between the release arc area and the above-mentioned front peripheral arc area.

根据本发明的实施例,后表面可以包括位于中心的圆形(即在正面视图中为圆形)的基弧区以及围绕基弧的环形(即在正面视图中为环形)的后周边弧区,基弧区可以为球形弧面,其曲率可以为根据配戴眼角膜的曲率选自约8.1-8.9mm范围内的若干不同曲率之一,后周边弧区的弧面焦度可以较基弧区平坦0.75-1.25D,并且前表面还可以包括围绕所述释放弧区的前周边弧区,前周边弧区的弧面焦度可以与后周边弧区相同。例如,基弧区可以根据配戴眼角膜的曲率设计为两种不同的曲率半径量值,分别为8.6mm和8.3mm。基弧区的曲率半径的选择可以与配戴眼角膜前表面相吻合。 According to an embodiment of the invention, the rear surface may comprise a centrally located circular (i.e. circular in front view) base arc and an annular (i.e. annular in front view) rear peripheral arc surrounding the base arc. , the base arc area can be a spherical arc surface, and its curvature can be one of several different curvatures selected from the range of about 8.1-8.9 mm according to the curvature of the wearing cornea. The area is flat 0.75-1.25D, and the front surface may also include a front peripheral arc surrounding the release arc, the arc power of the front peripheral arc may be the same as the rear peripheral arc. For example, the base arc area can be designed as two different values of curvature radius according to the curvature of the wearing cornea, which are 8.6mm and 8.3mm respectively. The selection of the radius of curvature of the base arc area can coincide with the front surface of the cornea for wearing.

根据本发明的实施例,所述基弧区的直径可以为7.0-8.0mm,所述后周边弧区的宽度可以为3.1-3.3mm,所述前周边弧区的宽度可以为1.7-2.8mm。例如,所述基弧区的直径可以为7.5mm,所述后周边弧区的宽度可以为3.0mm,所述前周边弧区的宽度可以为2.35mm。 According to an embodiment of the present invention, the diameter of the base arc may be 7.0-8.0 mm, the width of the rear peripheral arc may be 3.1-3.3 mm, and the width of the front peripheral arc may be 1.7-2.8 mm . For example, the diameter of the base arc may be 7.5 mm, the width of the rear peripheral arc may be 3.0 mm, and the width of the front peripheral arc may be 2.35 mm.

由此,可获得该软性触角接触镜镜片的弦线总直径为13.2-14.6mm。 Thus, the total diameter of the chords of the soft contact lens can be obtained to be 13.2-14.6mm.

根据本发明的实施例,镜片材料主基质成分可以为水凝胶,例如可以 为聚甲基丙稀酸羟乙酯。镜片材料还可以包括作为辅助成分的玻璃酸钠和氟化硅氧烷,其功效为增加配戴眼的湿润度和角膜氧代谢水平。 According to an embodiment of the present invention, the main matrix component of the lens material may be a hydrogel, such as polyhydroxyethyl methacrylate. The lens material may also include sodium hyaluronate and fluorinated silicone as auxiliary components, which function to increase the degree of moisture in the wearing eye and the level of corneal oxygen metabolism.

根据已知的镜片材料的折射率、目标矫正焦度和镜片后表面基弧区的曲率半径,可以计算镜片前表面中心弧区的曲率半径参数。计算公式如下。 According to the known refractive index of the lens material, the target corrected focal power and the radius of curvature of the base arc of the rear surface of the lens, the parameters of the radius of curvature of the central arc of the front surface of the lens can be calculated. Calculated as follows.

(公式1) (Formula 1)

式中r1为前表面中心弧区的曲率半径参数,D为目标矫正焦度,r2为基弧区的曲率半径参数,n为材料的折射率。 In the formula, r 1 is the radius of curvature parameter of the central arc area of the front surface, D is the target correction power, r 2 is the radius of curvature parameter of the base arc area, and n is the refractive index of the material.

此外,假设防控弧近环区完成X%的防控弧区增焦总量(即防控弧近环区外缘增焦量占防控弧区的正焦度总增量值的百分比为X%),根据已知的镜片材料的折射率、目标矫正焦度和前表面中心弧区的曲率半径参数可以计算防控弧近环区外缘的曲率半径值。计算公式如下。 In addition, assuming that the prevention and control arc near the ring area completes X% of the total increase in focus of the prevention and control arc area (that is, the percentage of the outer edge of the prevention and control arc near the ring area to the total positive focus increment value of the prevention and control arc area is X%), according to the known refractive index of the lens material, the target corrected focal power and the radius of curvature parameter of the central arc area of the front surface, the value of the radius of curvature of the outer edge of the near ring area of the prevention and control arc can be calculated. Calculated as follows.

(公式2) (Formula 2)

式中r3为防控弧近环区外缘的曲率半径。 In the formula, r3 is the radius of curvature of the outer edge of the control arc near the ring area.

假设防控弧远环区完成Y%的防控弧区增焦总量,根据已知的镜片材料的折射率、目标矫正焦度和近环区外缘的曲率半径参数可以计算远环区外缘的曲率半径值。计算公式如下。 Assuming that the prevention and control arc far ring area completes Y% of the total focus increase of the prevention and control arc area, according to the known refractive index of the lens material, the target correction power and the radius of curvature parameter of the outer edge of the near ring area, the distance outside the far ring area can be calculated. The radius of curvature of the edge. Calculated as follows.

(公式3) (Formula 3)

式中r4为防控弧远环区外缘的曲率半径。 In the formula, r4 is the radius of curvature of the outer edge of the control arc far ring area.

假设释放弧区递减约Z%的防控弧区增焦总量,根据已知的镜片材料的折射率、目标矫正焦度和远环区边缘的曲率半径值计算释放弧区外缘的曲率半径值。计算公式如下。 Assuming that the total amount of focal increase in the prevention and control arc area is reduced by about Z% in the release arc area, the radius of curvature of the outer edge of the release arc area is calculated based on the known refractive index of the lens material, the target correction focal power, and the radius of curvature value of the edge of the far ring area value. Calculated as follows.

(公式4) (Formula 4)

式中r5为释放弧区外缘的曲率半径值。 In the formula , r5 is the radius of curvature of the outer edge of the release arc.

图8示出了根据以上设计的根据本发明的实施例的示例性的软性角膜镜镜片前表面有效弧区的曲率递变曲线,其中横坐标表示镜片前表面的有 效弧区中的各位置距角膜几何中心的距离,纵坐标表示该位置处相对于基弧的曲率的变化率,其中以基弧的曲率为基准0位,以有效弧区的中心相对于基弧的曲率的变化率为100%。由图中可见,随着与角膜几何中心的距离增大,相对于的基弧曲率的变化率逐渐减小,并在距角膜几何中心约3.5mm处相对于基弧曲率的变化率为0,即与基弧曲率相等。当然,如本领域的技术人员可理解的,该曲线仅表示本发明的软性角膜接触镜镜片的几何参数的示例性和说明性实施方式,而不是对本发明的限制。 Fig. 8 shows the curvature gradient curve of an exemplary soft corneal lens lens front surface effective arc zone according to the above design according to an embodiment of the present invention, wherein the abscissa represents each position in the effective arc zone of the lens front surface The distance from the geometric center of the cornea, the ordinate indicates the rate of change of the curvature of the position relative to the base arc, where the curvature of the base arc is taken as the reference point 0, and the rate of change of the center of the effective arc area relative to the curvature of the base arc is 100%. It can be seen from the figure that as the distance from the geometric center of the cornea increases, the rate of change relative to the base arc curvature gradually decreases, and the rate of change relative to the base arc curvature is 0 at a distance of about 3.5 mm from the corneal geometric center. That is, it is equal to the curvature of the base arc. Of course, as those skilled in the art can understand, this curve only represents an exemplary and illustrative implementation of the geometric parameters of the soft contact lens lens of the present invention, rather than limiting the present invention.

根据本发明的实施例的软性角膜接触镜至少有以下优点。 The soft contact lens according to the embodiments of the present invention has at least the following advantages.

(1)根据本发明的实施例的软性角膜接触镜与角膜塑形镜比较,戴镜后不发生角膜形态的修改,避免了由于角膜塑形镜带来的角膜上皮细胞层的病理性改变和角膜各层次间隙的改变,避免了角膜上皮屏障功能破坏和泪液层的紊乱带来的上皮损伤。本发明可为日间戴镜,不发生角膜塑形镜夜间戴镜诱发的角膜氧代谢障碍的积累效应,导致角膜水肿和基质层厚度薄化。本发明成功地回避了角膜塑形镜配戴者家长最为忌讳的眼并发症和因戴镜可能产生的远期后遗症。 (1) Compared with the orthokeratology lens, the soft contact lens according to the embodiment of the present invention does not modify the corneal shape after wearing the lens, and avoids the pathological change of the corneal epithelial cell layer caused by the orthokeratology lens The changes in the gaps between the layers of the cornea and the cornea avoid the epithelial damage caused by the destruction of the corneal epithelial barrier function and the disorder of the tear layer. The present invention can be worn during the day, and does not cause the accumulation effect of corneal oxygen metabolism disorder induced by wearing orthokeratology lenses at night, resulting in corneal edema and thinning of the stroma layer. The invention successfully avoids eye complications which parents of orthokeratology lens wearers are most taboo about and possible long-term sequelae caused by wearing the lenses.

(2)根据本发明的实施例的软性角膜接触镜的镜片后表面与角膜全面附着,因此无须试戴,无需复查,验配简单省时,镜片在眼表始终稳定居定位中,矫正焦量精确,上午与下午比较视力清晰度持续不变,矫正范围可达近视9.00D或更大,矫正失败的可能性极小。 (2) According to the embodiment of the present invention, the rear surface of the lens of the soft contact lens is fully attached to the cornea, so there is no need to try it on, no need to re-examine, and the fitting is simple and time-saving. The amount is accurate, the clarity of vision remains unchanged in the morning and afternoon, the range of correction can reach 9.00D or more of myopia, and the possibility of correction failure is extremely small.

(3)根据本发明的实施例的软性角膜接触镜由于镜片材质柔软,可塑性强,配戴眼舒适无刺激感,戴镜后配戴眼角膜的感觉阈值无显著变化,从而成功地回避了角膜塑形镜儿童受众人群的接受瓶颈和恐惧心理。 (3) The soft contact lens according to the embodiment of the present invention has soft lens material, strong plasticity, comfortable wearing without irritation, and no significant change in the sensory threshold of the cornea after wearing the lens, thus successfully avoiding the contact lens. Acceptance bottlenecks and fears of orthokeratology among children.

(4)本发明采用软性角膜接触镜模拟了角膜塑形镜成功案例的角膜形态,成功地保留了角膜塑形镜成功案例的角膜光学界面中近视防控的有效元素,从而具有了近视防控的功能。且因矫正量更精确,清晰视力更持续稳定,更少因戴镜并发症引起的停戴,使配戴眼更少感受模糊影像,近视防控的效果更为确实可靠。 (4) The present invention uses soft contact lenses to simulate the corneal shape of the successful cases of orthokeratology lenses, and successfully retains the effective elements of myopia prevention and control in the corneal optical interface of the successful cases of orthokeratology lenses, thereby having the function of preventing and controlling myopia. control function. And because the correction amount is more accurate, the clear vision is more sustainable and stable, and there are fewer stoppages caused by complications of wearing glasses, so that the wearing eyes will feel less blurred images, and the effect of myopia prevention and control is more reliable.

以上参照附图描述了本发明的实施例,应指出的是,以上描述仅为示 例性和说明性的,而不是对本发明的限制。例如,附图及描述中示出的形状、尺寸、曲线等仅是示例性和说明性的,可以有各种变化和修改。再例如,说明书和权利要求书中的术语,例如中心弧区、防控弧区、近环区、远环区、释放弧区、前周边弧区、基弧区、后周边弧区等等,仅仅是为了叙述方便而指定的,并不构成对本发明的限制。这些术语所表达的概念完全可以使用其他术语来表达。本发明的保护范围仅由所附权利要求书的文字表述及其等价物来限定。 The embodiments of the present invention have been described above with reference to the accompanying drawings. It should be noted that the above descriptions are exemplary and illustrative only, rather than limiting the present invention. For example, the shapes, dimensions, curves, etc. shown in the drawings and descriptions are merely exemplary and explanatory, and various changes and modifications are possible. For another example, terms in the specification and claims, such as the central arc area, the prevention and control arc area, the near ring area, the far ring area, the release arc area, the front peripheral arc area, the base arc area, the rear peripheral arc area, etc., It is only specified for the convenience of description, and does not constitute a limitation to the present invention. The concepts expressed by these terms could well be expressed using other terms. The protection scope of the present invention is limited only by the literal expressions of the appended claims and their equivalents.

Claims (13)

1.一种软性角膜接触镜,包括用于覆盖于配戴眼角膜表面的泪液层上的后表面以及与后表面相对的前表面,其中,前表面包括圆形的中心弧区与围绕中心弧区的环形防控弧区,中心弧区与后表面之间形成与配戴眼的近视焦度大约等量的负焦度或零焦度,防控弧区由内向外正焦度逐量平滑递增,防控弧区的正焦度总增量值取决于配戴眼的近视焦度。1. A soft contact lens, comprising a back surface for covering on the tear layer of the wearing corneal surface and an anterior surface opposite to the posterior surface, wherein the anterior surface comprises a circular central arc region and a surrounding center The ring-shaped prevention and control arc area of the arc area, the negative focal power or zero focal power approximately equal to the myopia focal power of the wearing eye is formed between the central arc area and the rear surface, and the positive focal power of the prevention and control arc area is gradually increased from the inside to the outside Smoothly increasing, the total incremental value of the positive focal power of the prevention and control arc area depends on the myopic focal power of the wearing eye. 2.根据权利要求1的软性角膜接触镜,其中,所述防控弧区的正焦度总增量值为配戴眼的近视焦度的80%-110%。2. The soft contact lens according to claim 1, wherein the total incremental value of the positive focal power of the prevention and control arc zone is 80%-110% of the myopic focal power of the wearing eye. 3.根据权利要求2的软性角膜接触镜,其中,所述防控弧区的正焦度总增量值与配戴眼的近视焦度大约等量。3. The soft contact lens according to claim 2, wherein the total increment value of the positive power of the anti-arc zone is approximately equal to the myopic power of the wearing eye. 4.根据权利要求1的软性角膜接触镜,其中,当配戴眼的近视焦度为0焦度时,所述防控弧区的正焦度总增量值为约0.75D。4. The soft contact lens according to claim 1, wherein when the myopic power of the wearer's eye is 0 power, the total positive power increment of the anti-arc zone is about 0.75D. 5.根据权利要求1的软性角膜接触镜,其中,所述中心弧区的直径约为2.0-4.0mm,所述防控弧区的宽度约为2.0-2.4mm。5. The soft contact lens according to claim 1, wherein the diameter of the central arc is about 2.0-4.0mm, and the width of the anti-arc is about 2.0-2.4mm. 6.根据权利要求5的软性角膜接触镜,其中,所述中心弧区的直径约为3mm。6. The soft contact lens of claim 5, wherein the diameter of the central arc is about 3 mm. 7.根据权利要求5的软性角膜接触镜,其中,所述防控弧区的宽度约为2.1mm。7. The soft contact lens according to claim 5, wherein the width of the anti-arc zone is about 2.1mm. 8.根据权利要求1的软性角膜接触镜,其中,所述防控弧区包括围绕中心弧区的近环区和围绕近环区的远环区,所述近环区的宽度为0.8-1.2mm,所述远环区的宽度为约1.2mm,且近环区外缘的增焦量为所述正焦度总增量值的55%~75%,远环区外缘的增焦量为所述正焦度总增量值的25%~45%。8. The soft contact lens according to claim 1, wherein the prevention and control arc zone comprises a near-ring zone around the central arc zone and a far-ring zone around the near-ring zone, and the width of the near-ring zone is 0.8- 1.2mm, the width of the far ring area is about 1.2mm, and the focus increase amount of the outer edge of the near ring area is 55% to 75% of the total increase value of the positive focal power, and the focus increase amount of the outer edge of the far ring area The amount is 25% to 45% of the total incremental value of the positive focal power. 9.根据权利要求8的软性角膜接触镜,其中,所述近环区的宽度为1mm,且近环区外缘的增焦量为所述正焦度总增量值的65%,远环区外缘的增焦量为所述正焦度总增量值的35%。9. The soft contact lens according to claim 8, wherein the width of the near-ring area is 1mm, and the focal increase amount of the outer edge of the near-ring area is 65% of the total incremental value of the positive focal power, far The focus increase amount at the outer edge of the ring area is 35% of the total increase value of the positive power. 10.根据权利要求1的软性角膜接触镜,其中,前表面还包括围绕所述防控弧区的宽度约为0.8-1.2mm的环形释放弧区,释放弧区由内向外正焦度平滑递减,用于消解防控弧的增焦量,从而消减镜片边缘的厚度。10. The soft contact lens according to claim 1, wherein the front surface further includes an annular release arc area with a width of about 0.8-1.2 mm around the anti-arc area, and the release arc area is smooth from the inside to the outside. Decrease, which is used to eliminate the focal increase of arc prevention and control, thereby reducing the thickness of the edge of the lens. 11.根据权利要求5的软性角膜接触镜,其中,后表面包括位于中心的圆形的基弧区以及围绕基弧的环形的后周边弧区,基弧区为球形弧面,其曲率为根据配戴眼角膜的曲率选自约8.1-8.9mm范围内的若干不同曲率之一,后周边弧区的弧面焦度较基弧区平坦0.75-1.25D,并且前表面还包括围绕所述释放弧区的前周边弧区,前周边弧区的弧面焦度与后周边弧区相同。11. The soft contact lens according to claim 5, wherein the posterior surface comprises a centrally located circular base arc and an annular rear peripheral arc surrounding the base arc, the base arc being a spherical arc with a curvature of According to the curvature of the wearing cornea is selected from one of several different curvatures in the range of about 8.1-8.9mm, the arc power of the posterior peripheral arc is flatter than that of the base arc by 0.75-1.25D, and the front surface also includes the arc around the The front peripheral arc of the release arc has the same arc focal power as the rear peripheral arc. 12.根据权利要求11的软性角膜接触镜,其中,所述基弧区的直径为7.0-8.0mm,所述后周边弧区的宽度为3.1-3.3mm,所述前周边弧区的宽度为1.7-2.8mm。12. The soft contact lens according to claim 11, wherein the diameter of the base arc is 7.0-8.0 mm, the width of the rear peripheral arc is 3.1-3.3 mm, and the width of the front peripheral arc is 1.7-2.8mm. 13.根据权利要求1的软性角膜接触镜,其中,镜片材料主基质成分为水凝胶,辅助成分为玻璃酸钠和氟化硅氧烷。13. The soft contact lens according to claim 1, wherein the main matrix component of the lens material is hydrogel, and the auxiliary components are sodium hyaluronate and fluorinated silicone.
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CN115843339A (en) * 2021-07-21 2023-03-24 沈阳康恩德医疗科技有限公司 Scleral contact lenses
US11977278B2 (en) 2021-07-21 2024-05-07 Shenyang Kangende Medical Science And Technology Co., Ltd. Scleral contact lens

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