0000000000653620
AUTHOR
Carmen García-domene
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…