scholarly journals Visual acuity and image quality in 5 diffractive intraocular lenses

2017 ◽  
Vol 28 (1) ◽  
pp. 36-41 ◽  
Author(s):  
Genís Cardona ◽  
Fidel Vega ◽  
Miguel A. Gil ◽  
Consuelo Varón ◽  
José A. Buil ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Image Quality ◽  
Optical Quality ◽  
Intraocular Lenses ◽  
Modulation Transfer ◽  
Multifocal Intraocular Lenses ◽  
Corrected Distance Visual Acuity ◽  
Good For

Purpose: To compare objective image quality at distant, intermediate, and near foci with the corresponding visual acuity (VA) in patients symmetrically implanted with 5 different diffractive multifocal intraocular lenses (IOLs) (ReSTOR SV25T0, Tecnis ZKB00, Tecnis ZLB00, AT LISA 809, and AT LISA Tri 839MP) and a monofocal lens (Tecnis ZA9003) 3 months after cataract intervention. Methods: Objective image quality, measured as the area under the modulation transfer function curve (AMTF), was tested in vitro in an eye model. In addition, corrected distance visual acuity and distance-corrected intermediate and near visual acuities (DCIVA and DCNVA) were assessed in a group of 79 patients, randomly implanted with one of the lenses. Results: Image quality and VA at the distant focus was good for all lens designs, but was similarly compromised at the intermediate focus, where the best DCIVA corresponded to the low add ZKB00. At the near focus, the monofocal lens and the distance dominant SV25T0 had the worst AMTF values, with the ZLB00 presenting the best DCNVA. The relationship between AMTF and VA was found not to be linear, with VA being similarly good for AMTF values over a certain threshold. Conclusions: Visual acuity of pseudophakic patients reflected the optical quality of the specific IOL design within a certain range of measurements, beyond which maximum VA is limited by other ocular, optical, and neuropsychophysical factors.

scholarly journals Correlation between polychromatic image quality metrics to predict visual acuity in pseudophakic patients

2020 ◽  
Vol 238 ◽  
pp. 12005
Author(s):  
Jesús Armengol ◽  
Nuria Garzón ◽  
Fidel Vega ◽  
Irene Altemir ◽  
María S. Millán
Keyword(s):  
Visual Acuity ◽  
Modulation Transfer Function ◽  
Optical Quality ◽  
Intraocular Lenses ◽  
Modulation Transfer ◽  
Multifocal Intraocular Lenses ◽  
Mathematical Expressions ◽  
High Linear Correlation

The optical quality of three multifocal intraocular lenses (MIOLs) was measured in vitro using the area under the modulation transfer function (MTFa) and energy efficiency (EE). We evaluated those metrics through-focus (TF) by axially scanning the image space with three wavelengths (R, G, B). High linear correlation between MTFa and EE was found for all cases. Correlations between optical in vitro results (polychromatic TF-MTFa and TF-EE) and clinical visual acuity (VA) defocus curves for the three MIOLs allowed us to derive mathematical expressions. Both metrics proved to be equivalent to predict postoperative VA.

scholarly journals Comparison of visual and optical quality of monofocal versus multifocal intraocular lenses

2019 ◽  
Vol 30 (2) ◽  
pp. 299-306 ◽  
Author(s):  
Irene Altemir-Gomez ◽  
Maria S Millan ◽  
Fidel Vega ◽  
Francisco Bartol-Puyal ◽  
Galadriel Gimenez-Calvo ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Transfer Function ◽  
Contrast Sensitivity ◽  
Intraocular Lens ◽  
Modulation Transfer Function ◽  
Area Under The Curve ◽  
Optical Quality ◽  
Intraocular Lenses ◽  
Modulation Transfer ◽  
Multifocal Intraocular Lenses

Objective: To compare visual quality in patients implanted with Tecnis® monofocal (ZCB00) and multifocal (ZMB00) intraocular lenses taking into account their optical quality measured in vitro with an eye model. Methods: In total, 122 patients participated in this study: 44 implanted with monofocal and 78 with multifocal intraocular lenses. Measurements of visual acuity and contrast sensitivity were performed. The optical quality of the intraocular lenses was evaluated in three image planes (distance, intermediate and near) using an eye model on a test bench. The metric considered was the area under the curve of the modulation transfer function. Results: Optical quality at the far focus of the monofocal intraocular lens (area under the curve of the modulation transfer function = 66.97) was considerably better than that with the multifocal lens (area under the curve of the modulation transfer function = 32.54). However, no significant differences were observed between groups at the distance-corrected visual acuity. Distance-corrected near vision was better in the multifocal (0.15 ± 0.20 logMAR) than that in the monofocal group (0.43 ± 0.21 logMAR, p < 0.001), which correlated with the better optical quality at near reached by the multifocal intraocular lens (area under the curve of the modulation transfer function = 29.11) in comparison with the monofocal intraocular lens (area under the curve of the modulation transfer function = 5.0). In intermediate vision, visual acuity was 0.28 ± 0.16 logMAR (multifocal) and 0.36 ± 0.14 logMAR (monofocal) with p = 0.014, also in good agreement with the values measured in the optical quality (area under the curve of the modulation transfer function = 10.69 (multifocal) and 8.86 (monofocal)). The contrast sensitivity was similar in almost all frequencies. Pelli–Robson was slightly better in the monofocal (1.73) than in the multifocal group (1.64; p = 0.023). Conclusion: Patients implanted with multifocal ZMB00 achieved a distance visual acuity similar to those implanted with monofocal ZCB00, but showed significantly better intermediate and near visual acuity. A correlation was found between intraocular lenses’ optical quality and patients’ visual acuity. Contrast sensitivity was very similar between the multifocal and monofocal groups.

In vitro optical quality of monofocal aspheric toric intraocular lenses: effect of cylindrical power

2017 ◽  
Vol 38 (3) ◽  
pp. 933-941
Author(s):  
Teresa Ferrer-Blasco ◽  
Alberto Domínguez-Vicent ◽  
Santiago García-Lázaro ◽  
María Amparo Diez ◽  
José F. Alfonso ◽  
...  
Keyword(s):  
Optical Quality ◽  
Intraocular Lenses

Influence of Progressive Lenses in the Retinal Image Quality

Perception ◽  
1997 ◽  
Vol 26 (1_suppl) ◽  
pp. 156-156
Author(s):  
J Gispets ◽  
M Arjona ◽  
J Pujol
Keyword(s):  
Image Quality ◽  
Retinal Image ◽  
Human Subjects ◽  
Optical Quality ◽  
Optical Systems ◽  
Modulation Transfer ◽  
Double Pass ◽  
Progressive Lenses

Progressive lenses (PL) are widely used to correct presbyopia, a visual dysfunction that affects most of the population aged over 40 years. The methods used to evaluate the optical quality of these lenses are mainly based on ray-tracing and optical bench testing. Psychophysical studies based on measurements of the contrast sensitivity function of human subjects also exist. However, all these methods exhibit important limitations because, in general, they do not take into account the optics of the eye. One of the objective techniques that permits evaluation of the retinal image in-vivo is the double pass method (Santamaria et al, 1987 Journal of the Optical Society of America A4 1109 – 1114). It has been possible to study the retinal image quality for different correcting optical systems, such as contact lenses, with this technique (Torrents et al, 1996 Perception25 Supplement, 112 – 113). We studied the retinal image quality of the optical system formed by the eye and a progressive lens. The retinal image quality, characterised by the modulation transfer function (MTF), was measured for different observers as a variety of lines of sight that covered a lens diameter of 50 mm. We show the MTF variation as a function of the lens region and the capacity of this technique to characterise these optical systems.

Correlation between optics quality of multifocal intraocular lenses and visual acuity

2010 ◽  
Vol 36 (4) ◽  
pp. 557-562 ◽  
Author(s):  
Adelina Felipe ◽  
Francisco Pastor ◽  
José M. Artigas ◽  
Amparo Diez-Ajenjo ◽  
Andrés Gené ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Intraocular Lenses ◽  
Multifocal Intraocular Lenses

scholarly journals Visual quality after implantation of trifocal intraocular lenses in highly myopic eyes with different axial lengths

2021 ◽  
Vol 14 (3) ◽  
pp. 371-377
Author(s):  
Hui Liu ◽  
◽  
Hai-Jun Xia ◽  
Jin Zhou ◽  
◽  
...  
Keyword(s):  
Visual Acuity ◽  
Clinical Results ◽  
Quality Parameters ◽  
Optical Quality ◽  
Intraocular Lenses ◽  
Quality Analysis ◽  
Modulation Transfer ◽  
Distance Visual Acuity ◽  
Refractive Outcomes ◽  
Near Visual Acuity

AIM: To analyze postoperative clinical results after implantation of trifocal intraocular lenses (IOLs) in highly myopic eyes with different axial lengths (ALs). METHODS: This retrospective study describes 61 eyes of 44 patients that were implanted with trifocal diffractive IOLs (AT LISA tri 839MP). Twenty-one eyes (15 patients) were included in the AL<26 mm group, 19 eyes (13 patients) in the AL≥26 mm and <28 mm group, and 21 eyes (16 patients) in the AL≥28 mm group. Postoperative outcomes, including corrected and uncorrected distance visual acuity (UDVA), intermediate and near visual acuity at 167 cd/m2 luminance, depth of focus at 85 cd/m2 luminance, and objective optical quality parameters assessed using the Optical Quality Analysis System (OQAS), were compared among the groups at 3mo. RESULTS: There were no significant differences in the mean UDVA, uncorrected intermediate visual acuity, uncorrected near visual acuity, corrected distance visual acuity, distance-corrected intermediate visual acuity, and distance-corrected near visual acuity (DCNVA) among the three groups (P>0.05). Better near and intermediate visual acuity (from -1.5 D to -3.0 D) were noted on the defocus curve of the AL<26 mm group (P<0.01 vs AL≥28 mm group). Significantly higher objective scatter index (OSI) values and lower modulation transfer function (MTF) cut-off values, Strehl ratio (SR), and OQAS values (OVs) were observed in the AL≥28 mm group (P<0.01 vs AL<26 mm group). All OQAS parameters had statistically significant correlations with DCNVA and visual acuity at the vergence of -2.5 D (P<0.05 to P<0.01). CONCLUSION: Implantation of trifocal IOLs provides good short-term visual and refractive outcomes in highly myopic eyes with different ALs. However, the near vision decreases in the extremely myopic eyes at lower luminance, which is associated with the lower objective optical quality in these eyes.

scholarly journals Misalignment and tilt effect on aspheric intraocular lens designs after a corneal refractive surgery

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243740
Author(s):  
Jesús Pérez-Gracia ◽  
Francisco J. Ávila ◽  
Jorge Ares ◽  
Juan A. Vallés ◽  
Laura Remón
Keyword(s):  
Image Quality ◽  
Refractive Surgery ◽  
Spherical Aberration ◽  
Optical Quality ◽  
Intraocular Lenses ◽  
Modulation Transfer ◽  
Wavefront Aberrations ◽  
Corneal Asphericity ◽  
Corneal Refractive Surgery ◽  
Image Position

Purpose To numerically evaluate and compare the tolerance to misalignment and tilt of aspheric intraocular lenses (IOLs) designed for three eyes: with standard cornea and with simulated corneas after myopic and hyperopic laser ablation surgery. Methods Three aspheric IOLs of +20.00 diopter (D) with different spherical aberration (SA) (Z40) values have been designed using a theoretical model eye. Drastic changes on the theoretical eye anterior corneal asphericity have been performed to simulate myopic and hyperopic refractive surgeries. The effect of IOL misalignment and tilt on the image quality has been evaluated using a commercial optical software design for the three eye models. Image quality was assessed from the modulation transfer function (MTF), root mean square (RMS) values of defocus, astigmatism, coma and spherical aberration (Z40), and retinal images obtained from a visual simulator using an aleatory optotype of 0.00 LogMar visual acuity (VA). Results IOL misalignment and tilt reduced MTF values in general, and increased wavefront aberrations errors. Aberration-free IOLs maintained best the MTF values when misalignments were applied, together with good on-axis optical quality. IOLs with negative SA (Z40) correction decreased the MTF value under 0.43 for misalignments values higher than 0.50 mm with the three corneas. The effect of misalignment on RMS astigmatism and coma was correlated with the IOL SA (Z40) and with the three corneas. Conclusions This theoretical study shows that the largest degradation in image quality arises for the IOL with the highest amount of spherical aberration (Z40). Moreover, it has been found that the aspherical design has a more influential role in misalignment tolerance than in tilt tolerance.

scholarly journals A comparison of clinical outcomes and optical performance between monofocal and new monofocal with enhanced intermediate function intraocular lenses: a case-control study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jungah Huh ◽  
Youngsub Eom ◽  
Seul Ki Yang ◽  
Young Choi ◽  
Hyo Myung Kim ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Patient Satisfaction ◽  
Clinical Outcomes ◽  
Intraocular Lenses ◽  
Optical Performance ◽  
Modulation Transfer ◽  
Surgery Patient ◽  
Intermediate Vision ◽  
Corrected Distance Visual Acuity ◽  
Distance Vision

Abstract Background To compare clinical outcomes and optical performance of a new monofocal with enhanced intermediate function intraocular lenses (IOLs) with that of conventional monofocal IOLs. Methods Sixty eyes of 30 patients who underwent phacoemulsification with bilateral implantation of the ICB00 (15 patients) or ZCB00 (15 patients) IOLs were enrolled. Binocular corrected distance visual acuity (CDVA), distance corrected near visual acuity (DCNVA), and distance corrected intermediate visual acuity (DCIVA) were measured at 4 weeks after surgery. Patient satisfaction for overall, near, intermediate, and distance vision were assessed. The binocular defocus curves were measured. The root mean square of modulation transfer function (MTFRMS) was measured in the optical bench study. Results The mean binocular DCIVA was significantly better in the ICB00 group (0.01 logMAR) compared to the ZCB00 group (0.13 logMAR), but CDVA and DCNVA were not. The patient satisfaction for near and intermediate vision was significantly higher in the ICB00 group compared to the ZCB00. However, there was no difference in patient satisfaction for overall and distance vision between two groups. The defocus curves showed that mean visual acuity of the ICB00 group was significantly better than that of the ZCB00 group at between − 1.00 D to − 3.00 D of defocus. The ICB00 IOL had higher MTFRMS values at between − 0.50 D to − 2.00 D of defocus compared to the ZCB00 IOL. Conclusions The ICB00 IOL provides better binocular intermediate vision and higher satisfaction for near and intermediate vision than the ZCB00 IOL while maintaining excellent distance vision.

scholarly journals Comparison of Visual Performance between Refractive and Diffractive Multifocal Intraocular Lenses

2019 ◽  
Author(s):  
Lingying Ye ◽  
Tianyu Chen ◽  
Zhixiang Hu ◽  
Qiudong Su ◽  
Jin Li
Keyword(s):  
Visual Acuity ◽  
Life Quality ◽  
Optical Quality ◽  
Intraocular Lenses ◽  
Visual Performance ◽  
Distance Visual Acuity ◽  
Multifocal Intraocular Lenses ◽  
Good Visual Acuity ◽  
Significant Difference ◽  
Near Visual Acuity

Abstract AIM To compare the visual performance of asymmetric refractive multifocal intraocular lenses (MIOLs) with all optic zone diffractive MIOLs.METHODS A prospective study. Patients underwent phacoemulsification were divided into two groups according to the type of MIOLs: 25 patients were implanted with asymmetric refractive MIOLs and 25 patients with all optic zone diffractive MIOLs. Visual acuity, refraction, defocus curves, objective optical quality and the questionnaire of life quality were measured 3 months after surgery.RESULTS There was no significant difference between two groups in uncorrected distance visual acuity、uncorrected near visual acuity、best corrected distance visual acuity or distance corrected near visual acuity. However, the uncorrected intermediate visual acuity was 0.24±0.10 in refractive group and 0.31±0.13 in diffractive group (P<0.05); the distance corrected intermediate visual acuity was 0.22±0.09 in refractive group and 0.31±0.14 in diffractive group (P<0.05). Defocus curves showed two crests in both groups. However, the curve between two crests of refractive group was smoother than diffractive group. The Modulated transfer function cut-off frequency was (22.74±12.29)c/d in refractive group and(30.50±10.04)c/d in diffractive group (P<0.05); the OQAS values 100% (OV100%) were 0.75±0.41 in refractive group and 1.02±0.34 in diffractive group(P<0.05),OV20% were 0.52±0.34 in refractive group and 0.71±0.25 in diffractive group (P<0.05).There was no significant difference between two groups at overall satisfaction, independence spectacles ratio or visual interference phenomenon.CONCLUSIONS Both MIOLs achieve good visual acuity at distance and near. The asymmetric refractive MIOLs show better intermediate visual acuity, and the all optic zone diffractive MIOLs appear to have better objective visual quality.

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