1. Field of the Invention
The present invention relates to a system and method for treating cells at a site in the body, such as at a lens capsule of an eye, thermally and, if desired, chemically. More particularly, the present invention relates to a system and method for treating cells at a site in the body, such as at a lens capsule of an eye, by applying energy to the cells to heat the cells to a temperature which will kill the cells or impede cell multiplication without causing protein denaturation to occur in the cells, and, if desired, by further exposing the cells to a material which alters a physical characteristic of the cells to kill the cells or further impede cell multiplication.
2. Description of the Related Art
Several techniques currently exist for treating cells at a selected site in the body with heat or chemicals to kill or impede multiplication of those cells to prevent undesired cell proliferation. For example, numerous types of chemotherapy drugs exists which, when injected into a tumor or delivered systemically to a patient, attack and kill cancerous cells to prevent them from further multiplying.
Radiation techniques can also be used to kill cancerous or other undesired cells. That is, when cells are heated to a temperature of about 5xc2x0 C. or more above the normal body temperature of 37xc2x0 C., cell death begins to occur. Applying radiation to a localized site in the body, such as a tumor or other area containing undesired cells, can heat the cells at the site to temperatures in excess of 60xc2x0 C. Such high temperatures causes a phenomenon known as protein denaturation to occur in the cells, which results in immediate cell death. Accordingly, radiation therapy has been suitable in successfully treating certain types of cancers and other diseases involving uncontrolled cell growth.
Other types of heating techniques, such as the use of probes or catheters to provide localized heat to a site of interest also exist. Like radiation therapy, these techniques also heat the cells to a high enough temperature to cause protein denaturation in the cells to thus kill the cells quickly.
In addition, it is also known to use photosensitive chemicals to kill cells at certain sites of interest in the body. For example, a photosensitive chemical can be injected directly into a site of interest to expose cells at that site to the chemical. A light emitting source which emits light at a wavelength that will activate the photosensitive chemical is then focused on the site of interest. Accordingly, the light activates the photosensitive chemical that has been absorbed by or is otherwise present in the cells of interest. The activated chemical kills the cells, which thus prevents undesired cell proliferation.
Although the techniques mentioned above can be suitable for preventing certain types of cell proliferation and certain sites in the body, several drawbacks with these techniques exist. For example, often the use of chemotherapy drugs alone to treat a tumor or cancerous site is insufficient to kill the undesired cells. Moreover, the chemotherapy drugs also kill many normal healthy cells along with the cancerous cells, which can adversely affect the patient""s health.
The use of radiation in conjunction with chemotherapy can have a more detrimental effect on the cancerous cells. However, as with chemotherapy, radiation often kills normal healthy cells, such as those in front of or behind the site of interest, along with the cancerous cells. Moreover, the intense heating of the cells can cause the cells to coagulate and thus block the capillaries at the site of interest. The blocked capillaries therefore prevent chemotherapy drugs from reaching the site of interest.
In addition, is it not known to use the above techniques to prevent unwanted cell proliferation at certain locations in the eye, such as at the retina or at the lens capsule. For example, because the retina is very sensitive, known radiation techniques can be too severe to treat cancerous cells on, in or under the retina.
Also, after cataract surgery, a phenomenon known as capsular opacification and, in particular, posterior capsular opacification can occur in which the epithelial cells on the lens capsule of the eye experience proliferated growth. This growth can result in the cells covering all or a substantial portion of the front and rear surfaces of the lens capsule, which can cause the lens capsule to become cloudy and thus adversely affect the patient""s vision. These cells can be removed by known techniques, such as by scraping away the epithelial cells. However, it is often difficult to remove all of the unwanted cells. Hence, after time, the unwanted cells typically will grow back, thus requiring further surgery.
Accordingly, a need exists for a system and method for preventing unwanted cell proliferation at sites in the body, especially at sites in the eye such as the retina and lens capsule, which does not suffer from the drawbacks associated with the known techniques discussed above.
An object of the present invention is to provide a system and method for preventing the proliferation of unwanted cells at various sites in the body, especially at sites in the eye such as the retina and lens capsule.
Another object of the invention is to provide a system and method for thermally and chemically treating cells at sites in the body to kill the cells or impede cell multiplication without causing protein denaturation to occur in the cells.
A further object of the present invention is to provide a system and method which uses an energy emitting device to heat cells at a site of interest in the body to a temperature which kills the cells without causing protein denaturation in the cells, and which also chemically treats the cells, if desired, to change a physical characteristic of the cells to thus cause cell death or impede cell multiplication.
These and other objects of the invention are substantially achieved by providing a system and method for treating cells of a site in the body, such as at a lens capsule of an eye. The system and method employs an energy emitting device, and a positioning device, adapted to position the energy emitting device at a position in relation to the cells at the site in the body, such as the cells of the lens capsule, such that energy emitted from the energy emitting device heats the cells to a temperature which is above body temperature and below a temperature at which protein denaturation occurs in the cells, to kill the cells or impede multiplication of the cells. The energy emitting device can include a container containing a heated fluid which heats the cells to the desired temperature. Alternatively, the energy emitting device can include a heated probe, or a probe that emits radiation, such as infrared or ultraviolet radiation, laser light, microwave energy or ultrasonic energy.
The system and method can further employ a material delivery device that can be unitary with or separate from the energy emitting device, an can provide a material, such as a photosensitive material, to the cells at the site of interest. A light emitting device can be controlled to direct light onto the site of interest to activate the material present at the cells to alter a physical characteristic of the cells.