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Myoung Joon Kim, MD 1 Len Zheleznyak , MS 2 Scott M. MacRae , MD 2 Geunyoung Yoon, PhD 2. Optical Evaluation of Premium Intraocular Lenses Using Optical Bench Testing System. University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea - PowerPoint PPT Presentation
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Myoung Joon Kim, MD1 Len Zheleznyak, MS2
Scott M. MacRae, MD2 Geunyoung Yoon, PhD2
1University of Ulsan College of Medicine, Asan Medical Center, Seoul,
Korea
2Flaum Eye Institute, University of Rochester, Rochester, NY, USAM. J. K. and L. Z. have no financial or proprietary interest in any material or method
mentioned.
S. M. M. and G. Y. are consultants of Bausch and Lomb.
S. M. M. is a consultant of Acufocus and Technolas.
This study was performed to evaluate optical quality and through focus performance
of premium intraocular lenses.
Premium Intraocular Lenses
expanded range of vision
spectacle freedom
Optical Bench Testing of IOLs in Wet Cell IOL Mount
Direct Retinal Image Quality Measurement
L1 AP L2 L3
PC
ATWC &IOL
L5
IS
AFRT
TL
AFRT; Air Force resolution target, L1; Lens 1, L2; Lens 2, L#; Lens #, AP; artificial pupil, PC; pupil camera, AT; alignment target, TL; trial lens,
WC; wet cell, IOL; intraocular lens, IS; image sensor
Cropped for Analysis1951 US Air Force Resolution
Target
Premium IOLs
AcrySof ReSTORAcrySof ReSTORAlconAlcon
ReZoomReZoomAbbottAbbott
apodized diffractive aspheric multifocal IOL
refractive multifocal IOL
TecnisTecnisAbbottAbbott
diffractive aspheric multifocal IOL
CrystalensCrystalensBausch & LombBausch & Lomb
HD500
SN6AD3 (+4.0 add) SN6AD1 (+3.0 add) ZM900
accommodative multifocal IOL
NXG1
SofPort AOSofPort AOB&LB&L
LI60AOVaberration-free monofocal IOL
(reference lens)
AcrySof AcrySof NaturalNaturalAlconAlcon
SN60ATspherical monofocal IOL
Controls
20D IOLs
LI60AOV = SofPort AO, SN60AT = AcrySof spherical, SN6AD3 = ReSTOR +4D, SN6AD1 = ReSTOR +3D, NXG1 = ReZoom, ZM900 = Tecnis multifocal, HD500 = Crystalens HD
Defocus
LI60AOV = SofPort AO, SN60AT = AcrySof spherical, SN6AD3 = ReSTOR +4D, SN6AD1 = ReSTOR +3D, NXG1 = ReZoom, ZM900 = Tecnis multifocal, HD500 = Crystalens HD
Defocus
LI60AOV = SofPort AO, SN60AT = AcrySof spherical, SN6AD3 = ReSTOR +4D, SN6AD1 = ReSTOR +3D, NXG1 = ReZoom, ZM900 = Tecnis multifocal, HD500 = Crystalens HD
Defocus
SAO = SofPort AO, ASS = AcrySof spherical, RS4 = ReSTOR +4D, RS3 = ReSTOR +3D,REZ = ReZoom, TEC = Tecnis multifocal, CLH = Crystalens HD
Cross-correlation coefficients (CCC) between the perfect and actual images were computed as an image quality metric to quantify image quality and are ranged from 0 (worst) to 1 (best).
SAO = SofPort AO, ASS = AcrySof spherical, RS4 = ReSTOR +4D, RS3 = ReSTOR +3D,REZ = ReZoom, TEC = Tecnis multifocal, CLH = Crystalens HD
Summary
Image Quality for Distant Objects4 mm PupilSAO > ASS ≈ CLH > RS4 ≈ RS3 > TEC > REZ
Image Quality for Intermediate Objects4 mm Pupil, ~ 1 DCLH > TEC ≈ ASS > SAO ≈ REZ > RS4 ≈ RS3
Image Quality for Near Objects of Multifocal IOLs3 mm PupilRS3 > TEC ≈ REZ > RS4
Working Distance for Near Objects of Multifocal IOLs3 mm PupilRS4 ≈ TEC < REZ < RS3
Conclusion
Thank you!
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