Fractal-structured multifocal intraocular lens

Comparison of the Polychromatic Image Quality of Two Refractive-Segmented and Two Diffractive Multifocal Intraocular Lenses

Evaluating chromatic aberration for a multifocal intraocular lens (MIOL) in vitro is essential for studying its performance because it helps determine the most appropriate lens for each patient, enhancing surgical outcomes. While refractive MIOLs with angular power variation have shown positive clinical outcomes, studies of these MIOLs on optical benches primarily employed monochromatic green light, neglecting the impact of longitudinal chromatic aberration (LCA) on MIOL performance. To address this gap, we evaluated the through-focus modulation transfer function (TF-MTF) and the point spread function (PSF) of two refractive segmented extended depth of focus intraocular lenses (IOLs) (Femtis Comfort and Precizon Presbyopic), comparing the results with those obtained with two widely known diffractive multifocal intraocular lenses (AcrySof IQ ReSTOR and FineVision Pod F). Measurements of the TF-MTF were conducted using both monochromatic and polychromatic light in a customized optical bench. The refractive designs exhibited distinct haloes in the PSFs. When comparing the refractive and diffractive designs, opposite signs of LCA were observed at near foci. These findings emphasize the influence of the optical design of IOLs on their performance under polychromatic light, providing valuable information for vision care professionals when selecting the most suitable lens for each patient.

Optical performance of a new design of a trifocal intraocular lens based on the Devil's diffractive lens

In this work, we propose a new diffractive trifocal intraocular lens design with focus extension, conceived to provide a high visual performance at intermediate distances. This design is based on a fractal structure known as the "Devil's staircase". To assess its optical performance, numerical simulations have been performed with a ray tracing program using the Liou-Brennan model eye under polychromatic illumination. The simulated through the focus visual acuity was the merit function employed to test its pupil-dependence and its behavior against decentering. A qualitative assessment of the multifocal intraocular lens (MIOL) was also performed experimentally with an adaptive optics visual simulator. The experimental results confirm our numerical predictions. We found that our MIOL design has a trifocal profile, which is very robust to decentration and has low degree of pupil dependence. It performs better at intermediate distances than at near distances and, for a pupil diameter of 3 mm, it works like an EDoF lens over almost the entire defocus range.

Optical multi-trapping by Kinoform m-Bonacci lenses

Optical manipulation is interfacing disciplines in the micro and nanoscale, from molecular biology to quantum computation. Versatile solutions for increasingly more sophisticated technological applications require multiple traps with which to maneuver dynamically several particles in three dimensions. The axial direction is usually overlooked due to difficulties in observing particles away from an objective-lens focal plane, a normal element in optical tweezers, and in managing interparticle distances along the trapping beam propagating direction, where strong radiation pressure and shadowing effects compromise the simultaneous and stable confinement of the particles. Here, aperiodic kinoform diffractive lens based on the m-Bonacci sequence are proposed as a new trapping strategy. This lens provides split first-order diffractive foci whose separation depends on the generalized m-golden ratio. We show the extended manipulation capabilities of a laser tweezers system generated by these lens, in which concomitant trapping of particles in different focal planes takes place. Positioning particles in the axial direction with computer-controlled distances allows dynamic three-dimensional all-optical lattices, useful in a variety of microscale and nanoscale applications.

Analysis and comparison of monofocal, extended depth of focus and trifocal intraocular lens profiles

To test the feasibility of using profilometers to extract information about IOL surfaces design. A standard monofocal IOL (Tecnis 1), a monofocal IOL that provided some depth of focus (Eyhance), an extended depth of focus IOL based on refractive optics (Mini Well) and a trifocal IOL based on diffractive optics were used in this study (Tecnis Synergy). The surface topography of the IOLs was measured by using a multimode optical profilometer. Posterior surface of Tecnis 1 IOL was spherical and the anterior surface aspherical. In the Eyhance IOL, posterior surface was spherical and anterior surface did not fit to any of our reference surfaces, indicating a higher order aspheric surface design. In the Mini Well Ready IOL, a best-fit sphere surface was obtained for the second surface and a high order aspherical surface design was deduced for the first surface. The anterior surface of the Synergy IOL was aspherical and the base curve of the diffractive structure fitted very well to a spherical surface. To consider an aspheric surface as possible best-fit surface provided more information than if only best-fit spherical surface was considered. The high order aspheric surface designs employed in the IOLs studied presented differences, regarding best-fit asphere surface, higher than 1 micron. These differences were correlated with the generation of spherical aberration complex profiles (with Zernike terms higher than 4th order) and with the production of distinct amounts of depth of focus. This method was also useful to deduce the base curve of diffractive surfaces.

In Vitro Chromatic Performance of Three Presbyopia-Correcting Intraocular Lenses with Different Optical Designs

Most of the new premium models of intraocular lenses for presbyopia correction use diffractive optics in their optical design. The presence of multiple foci and the difference of the diffractive efficiency for different wavelengths have a great impact in the lens optical performance. In this context, there is a limited information available for clinicians to understand the optical principles that differentiate each design and their potential influence on clinical outcomes. Optical bench studies with polychromatic light are necessary to solve this limitation. In this work, a custom made optical bench was employed to assess with polychromatic light the through the focus optical quality of three different IOL designs: trifocal, EDOF effect; and enhanced monofocal. By using different and complimentary approaches: images of the USAF test, axial PSFs and TF-MTFs, each design revealed its intrinsic features, which were not previously reported for these IOLs models in a comparative way. It was found that the chromatic aberration plays a very important role in the performance of each IOL. Our results could help clinicians to understand the optical principle of each lens and also provide useful information for choosing the lens that best suits the needs of the individual patient.

Analysis of Predistortion Techniques on Fresnel Zone Plates in Ultrasound Applications

In this work, we analyze the effect of predistortion techniques on the focusing profile of Fresnel Zone Plates (FZPs) in ultrasound applications. This novel predistortion method is based on either increasing or decreasing the width of some of the FZP Fresnel rings by a certain amount. We investigate how the magnitude of the predistortion, as well as the number and location of the predistorted rings, influences the lens focusing profile. This focusing profile can be affected in different ways depending on the area of the lens where the predistortion is applied. It is shown that when the inner area of the lens, closer to its center, is predistorted, this technique allows the control of the focal depth at the main focus. However, when the predistortion is applied to an area farther from the center of the lens, the acoustic intensity distribution among the main focus and the closest adjacent secondary foci can be tailored at a certain degree. This predistortion technique shows great potential and can be used to control, modify and shape the FZP focusing profile in both industrial and therapeutic applications.

Objective Measures of Retinal Image Degradation Due to Refractive Corrections

SIGNIFICANCE

There is a need for a measure, as simple and yet as informative as possible, to describe objectively the retinal image quality when a patient views targets at various distances through spectacle, contact, or intraocular corrections with optics more elaborate than single vision.

PURPOSE

The purposes of this study are to examine the current status of quantitative descriptions of retinal image blur and find optimal characterization of image degradation.

METHODS

A variety of indexes of image degradation are computed for a typical eye and polychromatic light, in and out of focus, and as exemplars of sophisticated wave shaping, when the pupil transmission has been modified to a truncated Bessel amplitude function and to a "fractal" phase function.

RESULTS

Figures are shown for the optical transfer, point- and edge-spread functions, and Koenig bar and optotype letter blur for the various imaging and defocus conditions, and the relative values of several blur indexes are compared graphically and in a correlation table.

CONCLUSIONS

No single index captures the many ways in which the image can deviate from the diffraction-limited ideal. Among the incomplete descriptors of image degradation, the light distribution at a sharp edge stands out as optimally informative and economical, and, when condensed to just two values, one representing central image sharpness and the other outlying light spread, allows for a quick survey of the imaging deficit.

Biomechanical Stability of Three Intraocular Lenses With Different Haptic Designs: In Silico and In Vivo Evaluation

PURPOSE

To assess the biomechanical stability of three different marketed intraocular lenses (IOLs) with different haptic designs (four-loop IOL [Micro F FineVision model] and double C-loop IOL [POD F and POD FT models], all manufactured by PhysIOL), in silico (computer simulation) and in vivo (in the context of lens surgery).

METHODS

An in silico simulation investigation was performed using finite element modeling (FEM) software to reproduce the compression test defined by the International Organization for Standardization and in vivo implantation in patients in the context of lens surgery was evaluated 1 day and 3 months postoperatively. IOL decentration and rotation were tested. In addition, the stress and strains were analyzed with the finite element method.

RESULTS

In the in silico evaluation, the compression force for the POD F IOL was slightly lower than for the POD FT IOL and Micro F IOL for all compression diameters. The axial displacement was maximum for the POD FT IOL and the tilt, rotation, and lateral decentration were substantially lower than the acceptable tolerance limits established in ISO 11979-2. In the in vivo evaluation, a total of 45 eyes from 45 patients were selected, 15 eyes for each IOL model under assessment. Statistically significant differences were found between the Micro F and POD F IOLs for lateral decentration in x-direction (in absolute value) at 3 months postoperatively (P = .03).

CONCLUSIONS

Although statistically significant differences have been found when comparing the displacement, tilt, and rotation between the different lenses, these differences cannot be considered clinically relevant, which would suggest that all three IOL models yield excellent stability in those terms. FEM appears to be a powerful tool for numerical studies of the biomechanical properties of IOLs. [J Refract Surg. 2020;36(9):617-624.].

Evaluation of the optical performance for aspheric intraocular lenses in relation with tilt and decenter errors

PURPOSE

To evaluate and compare the effect of misalignment and tilt on the optical performance of different aspheric intraocular lens (IOL) designs.

METHODS

Three aspheric IOLs with a different quantity of spherical aberration (SA) have been designed and the effect of IOL misalignment and tilt on the imaging quality of an eye model has been numerically assessed using a commercial optical design software. The prototypes have been manufactured by lathe turning and tested in vitro using the same optical bench (PMTF, Lambda-X) that complies with International Organization for Standardization standard 11979-2 requirements. Image quality was evaluated from the modulation transfer functions (MTFs), through-focus modulation transfer functions (TF-MTFs), root mean square (RMS) values of defocus, astigmatism and coma, and images of the United States Air Force (USAF) target were taken. A comparison with the optical performance of spherical IOLs has also been performed.

RESULTS

Intraocular lens misalignment and tilt increased wavefront aberrations; the effect of misalignment on root mean square (RMS) astigmatism and coma was positively correlated with the spherical aberration of the IOL. Aberration-free IOLs showed the highest MTF for all misalignment values and for IOLs with negative SA correction the MTF decays below 0.43 when they are decentered 0.50 mm.

CONCLUSIONS

Aspherical IOLs are more sensitive than spherical IOLs to misalignment or tilt, depending on their SA correction. The optical degradation caused by IOL misalignment had a greater effect on IOL designs with a higher amount of negative spherical aberration. In contrast, the effect of tilt on the optical performance was less sensitive to the IOL design.