0000000001297816
AUTHOR
Norberto López-gil
showing 30 related works from this author
The effect of longitudinal chromatic aberration on the lag of accommodation and depth of field.
2016
Purpose Longitudinal chromatic aberration is present in all states of accommodation and may play a role in the accommodation response and the emmetropisation process. We study the change of the depth of field (DOFi) with the state of accommodation, taking into account the longitudinal chromatic aberration. Methods Subjective DOFi was defined as the range of defocus beyond which the blur of the target (one line of optotypes of 0.1 logMAR shown on a black-and-white microdisplay, seen through different colour filters) was perceived as objectionable. The subject's eye was paralysed and different, previously-measured accommodative states (corresponding to the accommodative demands of 0D, 2D and …
Modulation transfer function: Rigid versus foldable phakic intraocular lenses
2008
Purpose To study in a standard eye model the changes in modulation transfer function (MTF) of a monofocal intraocular lens (IOL) when a phakic IOL (pIOL) is placed in the anterior chamber, compare the MTFs of the rigid Artisan pIOL and foldable Artiflex pIOL, and evaluate the temporal evolution of the MTF of the foldable pIOL after the mechanical stress the pIOL undergoes when injected. Setting Fundacion Oftalmologica del Mediterraneo, Valencia, Spain. Methods The MTF values of the IOLs were calculated from the cross-line spread function recorded with the Opal Vector System. The measurements were taken using an eye model following the British and EN-ISO standards with 2.0 mm, 3.0 mm, 4.0 mm…
Effect of Phenylephrine on the Accommodative System
2016
Accommodation is controlled by the action of the ciliary muscle and mediated primarily by parasympathetic input through postganglionic fibers that originate from neurons in the ciliary and pterygopalatine ganglia. During accommodation the pupil constricts to increase the depth of focus of the eye and improve retinal image quality. Researchers have traditionally faced the challenge of measuring the accommodative properties of the eye through a small pupil and thus have relied on pharmacological agents to dilate the pupil. Achieving pupil dilation (mydriasis) without affecting the accommodative ability of the eye (cycloplegia) could be useful in many clinical and research contexts. Phenylephr…
Accommodation Responds to Optical Vergence and Not Defocus Blur Alone.
2017
Purpose To determine whether changes in wavefront spherical curvature (optical vergence) are a directional cue for accommodation. Methods Nine subjects participated in this experiment. The accommodation response to a monochromatic target was measured continuously with a custom-made adaptive optics system while astigmatism and higher-order aberrations were corrected in real time. There were two experimental open-loop conditions: vergence-driven condition, where the deformable mirror provided sinusoidal changes in defocus at the retina between -1 and +1 diopters (D) at 0.2 Hz; and blur-driven condition, in which the level of defocus at the retina was always 0 D, but a sinusoidal defocus blur …
New Objective Refraction Metric Based on Sphere Fitting to the Wavefront
2017
Purpose. To develop an objective refraction formula based on the ocular wavefront error (WFE) expressed in terms of Zernike coefficients and pupil radius, which would be an accurate predictor of subjective spherical equivalent (SE) for different pupil sizes.Methods. A sphere is fitted to the ocular wavefront at the center and at a variable distance,t. The optimal fitting distance,topt, is obtained empirically from a dataset of 308 eyes as a function of objective refraction pupil radius,r0, and used to define the formula of a new wavefront refraction metric (MTR). The metric is tested in another, independent dataset of 200 eyes.Results. For pupil radiir0≤2 mm, the new metric predicts the equ…
Validation of a spectral light scattering method to differentiate large from small particles in intraocular lenses
2017
A psychophysical approach has been designed to measure straylight from intraocular lenses (IOLs) in vitro. This approach uses a clinical straylight meter (C-Quant) and an observer's eye as optical detector. Based on this, we introduced a method for study of straylight-wavelength dependency for IOLs. This dependency can be used to distinguish between 2 types of scattering particles (small and large) as defined by Mie theory. Validation was performed using a turbidity standard and scattering filters. Several IOLs were analyzed to identify potential scattering sources. Large particles were found to predominate in scattering from the studied lenses. This was confirmed by straylight-angular depe…
There is more to accommodation of the eye than simply minimizing retinal blur
2017
Eyes of children and young adults change their optical power to focus nearby objects at the retina. But does accommodation function by trial and error to minimize blur and maximize contrast as is generally accepted? Three experiments in monocular and monochromatic vision were performed under two conditions while aberrations were being corrected. In the first condition, feedback was available to the eye from both optical vergence and optical blur. In the second, feedback was only available from target blur. Accommodation was less precise for the second condition, suggesting that it is more than a trial-and-error function. Optical vergence itself seems to be an important cue for accommodation.
Depth-of-Field of the Accommodating Eye
2014
Our eyes project information from a three-dimensional world to a basically two-dimensional surface, corresponding to the photoreceptor plane in the retina. In theory, only one plane or surface of world can be in focus at one time. However, the eye exhibits a certain tolerance to out-of-focus images, a feature that is known as depth-of-focus (DOF). The corresponding distance range in which the objects are seen “clearly” is known as depth-of-field (DOFi). Although DOF and DOFi refer to an interval of distances or a dioptric range in the image and object space, respectively, both parameters define a similar concept and are usually interchangeable. This article will mainly refer to DOFi because…
Optical Characterization Method for Tilted or Decentered Intraocular Lenses
2016
Purpose To test and validate a method for measuring the optical quality and optical power of monofocal intraocular lenses (IOLs) in the presence of a tilt or a decentration as well as its optical power. Methods The experimental system consists of an artificial eye (wet-cell) and a commercial aberrometer with a Shack-Hartmann sensor. Optical image quality parameters such as point spread function (PSF), modulation transfer function (MTF), and the simulations of the retinal image of an extended object are computed from the in vitro wavefront data of an IOL. Repeatability and reproducibility of the system are tested. Mathematical and ray-tracing simulations are used to ascertain the precision a…
New intraocular lens for achromatizing the human eye.
2007
To describe the design of a new intraocular lens (IOL) capable of correcting spherical and chromatic aberrations when implanted in the human eye.University of Murcia, Murcia, and University of Valencia, Valencia, Spain.A hybrid singlet achromatic IOL was designed. The IOL has a combination of a refractive and a diffractive surface, with 1 of the surfaces being aspherical. Optical simulations were used to model the polychromatic modulation transfer function (MTF) in pseudophakic eyes to explain the differences in optical quality afforded by the achromatic IOL. Parameters such as focus shift, optical path difference, through-focus, and robustness to tilt and decentering of achromatic IOLs wer…
Changes of the eye optics after iris constriction☆
2010
Purpose: To evaluate the possible change in the optics of the human eye after iris constriction. Methods: Ocular aberrations were measured under natural viewing conditions in 26 eyes. The measured eyes fixated on a dim target while the contralateral eye was either occluded (so the measured eye had a large pupil) or highly illuminated (so the measured eye had a small pupil). The measured eyes fixated to a dim target placed 0.5 D beyond the subject’s far point. Zernike values obtained in both situations were compared within the same pupil diameter corresponding to the one obtained under the high illumination condition. Results: Significant variation in some aberration coefficients were found …
Visual simulation through different intraocular lenses using adaptive optics: Effect of tilt and decentration
2011
Purpose To analyze visual quality differences between intraocular lenses (IOLs) and assess the impact of IOL decentration and tilt on visual quality. Setting University of Valencia, Valencia, Spain. Design Cohort study. Methods The crx1 adaptive optics visual simulator was used to simulate the wavefront aberration pattern of 2 commercially available aspheric aberration-correcting IOLs (Acrysof IQ SN60WF and Tecnis ZA9003) and 2 spherical IOLs (Akreos Adapt and Triplato) in 5 situations: centered, decentered 0.2 mm and 0.4 mm, and tilted 2 degrees and 4 degrees. Monocular distance visual acuity at 100%, 50%, and 10% contrast and the depth of focus were measured. Results Ten eyes of 10 patien…
Opto-mechanical artificial eye with accommodative ability.
2015
The purpose of this study was to describe the design and characterization of a new opto-mechanical artificial eye (OMAE) with accommodative ability. The OMAE design is based on a second-pass configuration where a small source of light is used at the artificial retina plane. A lens whose focal length can be changed electronically was used to add the accommodation capability. The changes in the OMAE's aberrations with the lens focal length, which effectively changes the accommodative state of the OMAE, were measured with a commercial aberrometer. Changes in power and aberrations with room temperature were also measured. The OMAE's higher-order aberrations (HOAs) were similar to the ones of th…
Impact of internal curvature gradient on the power and accommodation of the crystalline lens
2017
Human crystalline lens has a layered, shell-like structure with the refractive index increasing from cortex to nucleus (gradient index or GRIN structure). Moreover, every iso-indicial layer has a certain curvature which also varies from cortex to nucleus, with a gradient of curvature (G). In the present manuscript, the role of G on the lens power is investigated along with its implications regarding the lens paradox (change of lens power with age) and intra-capsular accommodation mechanism (larger than expected changes of lens power during accommodation compared to a homogenous lens). To this end, a simplified formulation of paraxial lens power based on thin lens approximation is developed …
Changes in the objective amplitude of accommodation with pupil size.
2014
PURPOSE We evaluate the effect of pupil size on objectively measured amplitude of accommodation (AA). METHODS Pupil diameter and wavefront aberrometry were obtained in 15 eyes when stimulus swept across the range of clear vision in steps of 0.5 diopters. Wavefront refraction techniques were used to compute objective AA as the maximum refractive change. Measurements were obtained monocularly under low and high ambient room lighting conditions with a fixed luminance of the fixation target. Amplitude of accommodation computations were performed taking into account just paraxial rays (paraxial AA) or including the effects of the change of spherical aberration during accommodation (minRMS AA). R…
Human eyes do not need monochromatic aberrations for dynamic accommodation
2017
Purpose To determine if human accommodation uses the eye's own monochromatic aberrations to track dynamic accommodative stimuli. Methods Wavefront aberrations were measured while subjects monocularly viewed a monochromatic Maltese cross moving sinusoidally around 2D of accommodative demand with 1D amplitude at 0.2 Hz. The amplitude and phase (delay) of the accommodation response were compared to the actual vergence of the stimulus to obtain gain and temporal phase, calculated from wavefront aberrations recorded over time during experimental trials. The tested conditions were as follows: Correction of all the subject's aberrations except defocus (C); Correction of all the subject's aberratio…
Accommodation-related changes in monochromatic aberrations of the human eye as a function of age.
2008
PURPOSE. To investigate the relationship between accommodation and the optical aberrations of the whole human eye, as a function of age. METHODS. Sixty healthy subjects with spherical ametropia in the range 3 D, astigmatism less than 1 D, corrected visual acuity of 20/18 or better, and normal findings in an ophthalmic examination were enrolled. Subjects were divided into four groups, with age ranges of 19 to 29, 30 to 39, 40 to 49, and 50 to 60 years. Monochromatic optical aberrations and pupil size were measured with a Hartmann-Shack wavefront sensor under monocular viewing conditions, without pharmacological dilation or cycloplegia. Stimulus vergences were in the range of 0 to 5 D, with a…
Dynamic accommodation without feedback does not respond to isolated blur cues
2016
Highlights • A new methodology is used to study a potential cue for dynamic accommodation. • We show that human accommodation is not driven correctly by defocus alone. • Accommodation is most efficient using changes in stimulus vergence with feedback.
Effect of phenylephrine on static and dynamic accommodation
2018
Purpose We tested the hypothesis that changes in accommodation after instillation of Phenylephrine Hydrochloride (PHCl) observed in some studies could be caused by changes in optics. Methods We performed two experiments to test the effects of PHCl on static and on dynamic accommodation in 8 and 6 subjects, respectively. Objective wavefront measurements were recorded of the static accommodation response to a stimulus at different distances or dynamic accommodation response to a sinusoidally moving stimulus (between 1 and 3 D of accommodative demand at 0.2 Hz). The responses were characterized using two methods: one that takes into account the mydriatic optical effects on the accommodation pr…
Temporal multiplexing with adaptive optics for simultaneous vision.
2016
We present and test a methodology for generating simultaneous vision with a deformable mirror that changed shape at 50 Hz between two vergences: 0 D (far vision) and −2.5 D (near vision). Different bifocal designs, including toric and combinations of spherical aberration, were simulated and assessed objectively. We found that typical corneal aberrations of a 60-year-old subject changes the shape of objective through-focus curves of a perfect bifocal lens. This methodology can be used to investigate subjective visual performance for different multifocal contact or intraocular lens designs.
In vitro optical performance of nonrotational symmetric and refractive-diffractive aspheric multifocal intraocular lenses: impact of tilt and decentr…
2012
Purpose To evaluate the optical quality of Acrysof Restor SN6AD1 refractive–diffractive +3.00 D and Lentis Mplus LS-312 nonrotational symmetric +3.00 D aspheric multifocal intraocular lenses (IOLs) and analyze the effect of tilt and decentration. Setting University of Valencia, Valencia, and University of Murcia, Murcia, Spain. Design Experimental study. Methods An artificial model eye was used to measure wavefront aberrations of both IOL models. The modulation transfer function (MTF) and point-spread function (PSF) were calculated for a 5.0 mm pupil and under 5 situations: centered, 0.2 mm and 0.4 mm decentered, and 2 degrees and 4 degrees tilted. Results The refractive–diffractive IOL had…
Effect of Simulated IOL Tilt and Decentration on Spherical Aberration After Hyperopic LASIK for Different Intraocular Lenses
2011
PURPOSE: To evaluate visual quality differences among intraocular lenses (IOLs) in patients with previous hyperopic laser ablations and to assess the impact of decentration and tilt of IOLs on visual quality. METHODS: An adaptive optics visual simulator was used to simulate the wavefront aberration pattern of one aberration-correcting IOL (AcrySof IQ SN60WF, Alcon Laboratories Inc) and two spherical IOLs with different amounts of positive spherical aberration (Akreos Adapt [Bausch & Lomb] and Triplato [AJL Ophthalmic]) in five situations—centered, 0.2 mm and 0.4 mm of decentration, and 2° and 4° of tilt—in two groups: simulated low hyperopic laser corneal ablation (low hyperopia group)…
Effect of 3rd-order aberrations on human vision
2007
To investigate the effect of 3rd-order aberrations on human vision.Grupo de Ciencias de la Visión, University of Murcia, Murcia, Spain.The 3rd-order aberrations coma and trefoil were induced with purpose-designed soft contact lenses, 3 inducing coma (low [0.05 microm], medium [0.13 microm], high [1.03 microm]) and 3 inducing trefoil (low [0.07 microm], medium [0.17 microm], high [0.96 microm]). Monocular high-contrast (HCVA) and low-contrast (LCVA) visual acuities and contrast sensitivity were measured in 11 subjects wearing contact lenses with a 5.0 mm artificial pupil.The reduction in HCVA and LCVA was statistically significant only for the highest coma and trefoil values (P.0001). For co…
Objective Amplitude of Accommodation Computed from Optical Quality Metrics Applied to Wavefront Outcomes
2009
Purpose: We studied the accuracy and precision of 32 objective wavefront methods for finding the amplitude of accommodation obtained in 180 eyes. Methods: Ocular accommodation was stimulated with 0.5 D steps in target vergence spanning the full range of accommodation for each subject. Subjective monocular amplitude of accommodation was measured using two clinical methods, using negative lenses and with a custom Badal optometer. Results: Both subjective methods gave similar results. Results obtained from the Badal optometer where used to test the accuracy of the objective methods. All objective methods showed lower amplitude of accommodation that the subjective ones by an amount that varied …
Optical factors influencing the amplitude of accommodation
2017
AbstractThe purpose of this work was to find plausible predictors among optical parameters that may explain the inter-individual differences in subjective amplitude of accommodation not explained by age. An exploratory multivariable regression analysis was carried out retrospectively on a dataset with 180 eyes from 97 subjects (ages ranged from 20 to 58years). Subjective amplitudes of accommodation were recorded with the use of a custom-made Badal system. A commercial aberrometer was used to obtain each eye’s wavefront during the full range of accommodation. The plausible predictors under study were pupil diameter in the unaccommodated eye, its reduction with accommodation; fourth- and six-…
The effect of spherical aberration on visual performance and refractive state for stimuli and tasks typical of night viewing
2018
Purpose: The aim of this work was to examine the impact of Seidel spherical aberration (SA) on optimum refractive state for detecting and discriminating small bright lights on a dark background. Methods: An adaptive-optics system was used to correct ocular aberrations of cyclopleged eyes and then systematically introduce five levels of Seidel SA for a 7-mm diameter pupil: 0, ± 0.18, and ± 0.36 diopters (D) mm−2. For each level of SA, subjects were required to detect one or resolve two points of light (0.54 arc min diameter) on a dark background. Refractive error was measured by adjusting stimulus vergence to minimize detection and resolution thresholds. Two other novel focusing tasks for si…
Crystalens HD Intraocular Lens Analysis Using an Adaptive Optics Visual Simulator
2013
PURPOSE To compare visual and optical quality of the Crystalens HD intraocular lens (IOL) with that of a monofocal IOL. METHODS The wavefront aberration patterns of the monocular Akreos Adapt AO IOL and the single-optic accommodating Crystalens HD IOL were measured in a model eye. The Crystalens IOL was measured in its nonaccommodative state and then, after flexing the haptic to produce 1.4 mm of movement, in its accommodative state. Using an adaptive optics system, subjects' aberrations were removed and replaced with those of pseudophakes viewing with either lens. Monocular distance visual acuity (DVA) at high (100%), medium (50%), and low (10%) contrast and contrast sensitivity (CS) were …
Comparison of partial coherence interferometry and ultrasound for anterior segment biometry.
2008
To assess the performance of a partial coherence interferometry (PCI)-based device for the determination of anterior segment biometry.Clinica Centrofama, Cartagena, Murcia, Spain.Central corneal thickness (CCT), anterior chamber depth (ACD), and lens thickness (LT) were measured with the ACMaster PCI anterior segment biometer and an Echoscan US-1800 ultrasound (US) biometer/pachymeter with and without cycloplegia. To determine the precision of the instruments, the same examiner took 30 consecutive CCT, ACD, and LT measurements in a single subject under the same conditions and with and without cycloplegia. The same measurements were performed in additional subjects.Twenty-one eyes (16 subjec…
Drifts in real-time partial wavefront correction and how to avoid them
2017
In visual experiments that require real-time partial correction of wavefront aberrations, small errors occur that accumulate over time and lead to drifts in Zernike coefficients of the uncorrected aberrations. A simple algorithm that does not require the inclusion of an additional optical path to obtain independent measurements of the eye's aberrations is described here, and its effectiveness in preventing these drifts is demonstrated.
Effect of Phenylephrine on the Accommodative System
2016
Accommodation is controlled by the action of the ciliary muscle and mediated primarily by parasympathetic input through postganglionic fibers that originate from neurons in the ciliary and pterygopalatine ganglia. During accommodation the pupil constricts to increase the depth of focus of the eye and improve retinal image quality. Researchers have traditionally faced the challenge of measuring the accommodative properties of the eye through a small pupil and thus have relied on pharmacological agents to dilate the pupil. Achieving pupil dilation (mydriasis) without affecting the accommodative ability of the eye (cycloplegia) could be useful in many clinical and research contexts. Phenylephr…