0000000000087668
AUTHOR
Amparo Díez-ajenjo
Optical quality of intraocular lenses after several years in the human eye
The optical quality of explanted intraocular lenses (IOLs) was analysed to verify if their quality is maintained after having been in the human eye for several years. Twenty-five explanted IOLs were studied, 10 because of intraocular luxation and 15 from corneal donors. The dioptric power and modulation transfer function (MTF) were determined to discover the image quality of the IOLs. The spectral transmission was also established to ascertain whether the filter against ultraviolet (UV) radiation was still effective. The results show that the MTF of implanted IOLs is maintained and therefore so is the image quality they provide. Only decay in the MTF of some of the explanted IOLs was observ…
Correlation between optics quality of multifocal intraocular lenses and visual acuity
Purpose To study the relationship between the optics quality of multifocal intraocular lenses (IOLs) and distance-corrected near, intermediate, and distance visual acuity to determine the degree to which optics quality must change to produce a significant difference in visual acuity. Setting Fundacion Oftalmologica del Mediterraneo, Valencia, Spain. Methods Monocular distance-corrected visual acuity (decimal and logMAR) was measured at 4 m, 70 cm, and 30 cm under photopic and mesopic conditions in eyes with 1 of 3 multifocal IOL models. Visual acuity versus the “average modulation” of the IOL was assessed. Results The pupil diameter and patient age were similar between the 3 IOL groups (20 …
Influence of optic quality on contrast sensitivity and visual acuity in eyes with a rigid or flexible phakic intraocular lens
Purpose To determine whether the difference in optic quality between 2 types of phakic intraocular lenses (pIOLs) affects visual quality. Setting Fundacion Oftalmologica del Mediterraneo, Valencia, Spain. Methods Before implantation of a pIOL for myopia, all eyes had an examination including corrected (CDVA) and uncorrected (UDVA) distance visual acuity testing, corneal endothelial cell count (ECC), and intraocular pressure (IOP) measurement. The postoperative outcomes, determined at least 1 year after surgery, were CDVA; UDVA; contrast sensitivity function under photopic, mesopic, and mesopic with glare conditions; ECC; IOP; keratometry (Scheimpflug photography); and total ocular aberratio…
Residual astigmatism produced by toric intraocular lens rotation.
Purpose To analyze changes in the eye’s refractive properties when a toric intraocular lens (IOL) rotates. Setting Fundacion Oftalmologica del Mediterraneo, Valencia, Spain. Design Experimental study. Methods The matrix definition of astigmatism was used in this theoretical study and compared with another vector representation. Two methods were compared: (1) The cylinder, C, resulting from the addition of 2 cylinders C1 and C2 whose axes form an angle a, is obtained by the addition of 2 vectors of values C1 and C2 forming an angle 2a; (2) the power matrix, F, of a thin astigmatic dioptric system that decomposes naturally into 3 orthogonal components: the purely spherical part Fnes, the orth…
Modulation transfer function of a toric intraocular lens: evaluation of the changes produced by rotation and tilt.
PURPOSE: To evaluate the changes in optical quality when toric intraocular lenses (IOL) are rotated or tilted and to demonstrate that IOL rotation produces an increasing effect of aberrations. METHODS: Modulation transfer function (MTF) and average modulation were used to analyze the image quality of a toric IOL. The axis of the toric IOL was rotated 5°, 10°, 15°, 20°, 25°, and 30° in successive MTF measurements. The tilt values were 0° to 5°, in increments of 1°, plus a tilt of 15°. Pupil diameters of 3 and 5 mm were used. RESULTS: The MTF decay due to aberrations was more sensitive to rotation than tilt. The main decrement in the average modulation, of approximately 50% in both pupils, o…