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Effect of chromatic and higher order aberrations on the defocus curve of a trifocal diffractive intraocular lens

Session Details

Session Title: Multifocal Technology and Comparative studies

Session Date/Time: Tuesday 08/10/2013 | 08:00-10:30

Paper Time: 08:18

Venue: Auditorium (First Floor)

First Author: : D.Gatinel FRANCE

Co Author(s): :    L. Gobin   C. Pagnoulle           

Abstract Details

Purpose:

To determine in vitro image qualities of artificial eyes achieved with spherical, aberration-free, average spherical aberration-correcting, and customized spherical aberration-correcting IOLs in centered, decentered, and tilted positions.

Setting:

Rothschild Foundation, CEROC

Methods:

The in vitro performance of these IOL models was determined by optical bench measurements. The experimental setup included a laser light source controlled by aperture stops that corresponded to 3- and 5-mm pupil apertures, an artificial eye with three alternative corneal models exhibiting low, intermediate, and high spherical aberration (SA), IOLs mounted to an immersed IOL holder that could be moved laterally and tilted, and a charge-coupled device camera and software to determine three-dimensional point spread function (PSF), modulation transfer function, and Strehl ratio.

Results:

Differences among the various lens models turned out to be low for a 3-mm pupil. For a pupil aperture of 5 mm, customized IOLs showed the best results for perfect lens positioning. With ongoing decentration and tilt, customized IOLs rapidly lost their advantages, particularly in corneas with high SA and IOLs of high diopters. Spherical IOLs were always inferior to aberration-free IOLs.

Conclusions:

Reasonably well-centered aberration-correcting IOLs may provide considerably better image quality than conventional spherical IOLs. In the presence of significant postoperative decentration and tilt of the IOL, aberration-free IOLs are the safest option among the various intraocular lens designs.

Financial Interest:

... is employed by a for-monetary company with an interest in the subject of the presentation, ... travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, ... research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, ... receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented