Bausch & Lomb SofPort

The World's First Aberration-Free IOL

®

®/™ denote trademarks of Bausch & Lomb Incorporated ©2009 Bausch & Lomb Incorporated.

For information about the Bausch & Lomb SofPort® Advanced Optics Aspheric Lens System or to contact customer service, please contact your local Baush & Lomb representative or distributor.

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1. Wavefront Analysis. Contrast Sensitivity and Depth of Focus with Aberration-Free IOLs and Spheric IOLs: Multicenter Randomized Prospective Study. K.M. Rocha; P. Schor; M.R. Chalita; E.L. Mootha; K.M. Bottós; I. Nosé. ASCRS 2007.2. Bausch & Lomb, Data on file. 3. NIO Y-K., Jansonius N.M., Geraghty E., et al Effect of intraocular lens implantation on visual acuity, contrast sensitivity and depth of focus. J. Cataract Refract. Surg., 2003; 29 : 2073-2081 * Please consult product labelling for risks and contraindications.

The aberrations present in the eye differ from person to person. That’s why Bausch & Lomb has created the world’s first aspheric IOLs with aberration neutrality and uniform power, offering unique benefits independent of the patient’s profile.

Unique Aberration-Free Optics: better vision for more patients

Bausch & Lomb SofPort®

The World's First Aberration-Free IOL

Aberration-freeAdvanced Optics IOLs have aspheric anterior and posterior surfaces. Their unique shape results in no aberration being introduced into the patient’s eye.

Independent of the corneal shape, they are suitable for all patients*, including those who have previously received LASIK treatment, who have keratoconus or any other pre-existing corneal aberration.

Natural functionalityAdvanced Optics IOLs leave the eye with its natural positive aberration.

This allows for enhanced depth of field.2,3

= dp

21 dpt

21 dpt

21 dpt

Uniform power from centre to edgeAdvanced Optics IOLs are designed with no variation in power from the centre right to the periphery.

Independent of the eye’s optical alignment, they can provide predictable outcomes for all patients, including those with undetected zonular weaknesses or decentred pupils.

Corneal Peripheral rays

Corneal Medium rays

Corneal Central rays

Depth of focus in intermediate vision

Rocha prospective comparative study concludes1

The aspheric IOL SofPort® A0 showed significantly less spherical aberration and HOA when compared to the spherical IOL analyzed in this study without compromising depth of focus.

The SofPort® A0 group also presented better contrast sensitivity under mesopic and mesopic with glare conditions.

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Aberration-Free Lens: vision for all patients

1. Aggarwal A, Khurana A.K., Nada M. Contrast Sensitivity Function in pseudophakics and phakics. Acta Ophthalmol Scand, 1999, 77 : 441-44. 2. Holladay J.T., Piers P.A., Koranyi G., et al A new intraocular lens design to reduce spherical aberration of pseudophakic eyes. J. of Refractive Surg., 2002; 18 : 683-691. 3. Beiko GH, Haigis W, Steinmueller A. Distribution of corneal spherical aberration in a comprehensive ophthalmology practice and whether keratometry can predict aberration values. J Cataract Refract Surg. 2007 Mal;33(5):848-58. 4. Wang. 1: Arch Ophthalmol. 2005 Sep;123(9): 1226-30. Effect of decentration of wave front-corrected intraocular lenses on the higher-order aberrations of the eye. Wang L, Koch DD. Department of Gynecology Baylor College of Medicine, 6565 Fannin, Houston, TX. 77030, USA. 5. Spherical aberration and coma with an aspherical and a spherical intraocular lens in normal age-matched eyes. Robert Belluci, Simonetta Morselli, Vicenzo Pucci. J Cataract Refract Surg. 2007; 33/203-209. 6. Lopez-Gil N, Howland H.C., Howland B. at al Generation of third-order spherical and coma aberrations by use of radially symmetrical fourth-order lenses J. Opt. Soc. Am..A., 1998 ; 15 : 2563 - 2571. 7. Atchison D.A. Third-order aberrations of pseudophakic. Ophthal. Physiol. Opt., 1989 ; 9 : 205-211. 8. Barbero S., Marcos S., Jimenez-Alfaro I. Optical aberrations of intraocular lenses measured in vivo and in vitro. J. Opt. Soc. Am..A., 2003 ; 20 : 1841-1851. * Please consult product labelling for risks and contraindications.

Standard Spherical IOL Aspheric Aberration-Free IOL

Aberration-FreeBausch & Lomb's Advanced Optics IOLs have aspheric anterior and posterior surfaces that create no spherical aberration.

They are neutral to the cornea so are suitable for all patients regardless of corneal shape*.

Performance is unaffected by optical misalignment or pupil decentration.

Predictable, repeatable refractive outcomes means better vision for more patients.

Positivesphericalaberration

Negativesphericalaberration

Positive Spherical AberrationBiconvex spherical surfaces create positive spherical aberration (SA): peripheral rays come to a shorter focus than central rays.

Positive SA results in a loss of contrast sensitivity: pseudophakic patients with standard IOLs have more spherical aberration and less contrast sensitivity than phakic patients of the same age1.

Decreased Contrast Sensitivity

Convolved E & image simulating positive spherical aberration

Convolved E & image simulating coma higher order aberration

Negative Spherical AberrationModified prolate anterior surface creates negative SA designed to offset the positive SA of a typical cornea2.

All corneas are different, so will not suit all patients3,4.

Ocular misalignment may cause HOA such as coma, resulting in significant visual impairment5,6,7,8.

Positivesphericalaberration

Negativesphericalaberration

Variable Visual Performance

For Optimized Visual Performance

Convolved E & image simulating coma higher order aberration

Aspheric Aberrated IOL

Bausch & Lomb SofPort®

The World's First Aberration-Free IOL

Uniform Power: predictable for all patients

SofPort® AO Aspheric IOL

Standard Spherical IOL

4-mm pupil, Mesopic Conditions*

5-mm pupil, Scotopic Conditions*

5-mm pupil, Actual Through -lens Image Quality

22D SofPort® AO aspheric IOL

22D spherical IOL

*Simulated visual results *Simulated visual results Actual images through a SofPort® AO and a standard spherical IOL in aqueous solution.

Constant power from centre to edge is important for good vision1

It does not worsen visual defects resulting from imperfect shape and alignment of the eye

Particularly important when the IOL is not perfectly positioned

Even a lens perfectly centred in the capsular bag is likely to be misaligned with the visual axis

Without uniform power from centre to edge any misalignment may result in visual impairment

Most important in low light situations

The difference uniform power can makePhotographic images simulate vision in mesopic conditions with a 4 mm pupil and a lens 0.5 mm off visual axis. The photo on the right depicts the loss of vision quality that can occur with spherical aberration.

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OPTICAL AXIS(Cornea to Lens) IRIS VISUAL AXIS

(Object to Fovea)

CORNEALENS

RETINA

FOVEA

The Natural Phakic EyeNot all corneas are the same shape and, therefore, introduce different amounts of spherical aberration into the eye.

The optics of the phakic eye are not perfectly aligned.

•Thepupilisnotcentredontheopticalaxis.

•Thevisualaxisdoesnotpassthroughthecentreofthepupilorlens.

All axes in the eye are not perfectly aligned and no two eyes are the same shape so you need IOLs that work with imperfect conditions.

= dp

21 dpt

21 dpt

21 dpt

1. Altmann G, Edwards K, The Aberration-Free IOL: Advanced Optical Performance Independent of Patient Profile, October 2004. 2. Bausch & Lomb, Data on file.

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Spatial Frequency (cpd)

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TF

4 mm aperture, lens 0.5 mm off visual axis1.0

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Spatial Frequency (cpd)

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3 mm aperture, lens 0.5 mm off visual axis

Enhanced vision in a wide range of light conditionsModulation Transfer Function (MTF) plots computed from the ray trace simulations of the theoretical eye model demonstrate the ability of lenses to produce a quality image with a high contrast2.

B&L aberration-free aspheric IOL

Standard spherical IOL

Aberrated aspheric IOL

Bausch & Lomb SofPort®

The World's First Aberration-Free IOL

Natural Functionality

Enhanced depth of fieldThe phakic eye has a natural degree of positive spherical aberration (+SA)

Aberration-free Advanced Optics IOLs leave the pseudophakic eye with its natural +SA

This allows for greater depth of field1,2

Theoretically, a pseudophakic eye with 0.27µm of +SA will have about 0.5d of additional pseudo-accommodation compared to a pseudophakic eye with no +SA

In general, more +SA means greater depth of field, however too much +SA reduces overall quality of vision

Enhanced visual comfort

Thanks to improved Anti-Glare Technology from Bausch & Lomb, reflected glare is reduced in two ways:

The lens material has a moderate refractive index3

The anterior surface has a steeper curvature similar to the natural lens3,4

The retina reflects light forward. IOLs create glare by allowing light reflections from the anterior surface back towards the retina.3

Corneal Peripheral rays

Corneal Medium rays

Corneal Central rays

In intermediate vision more distant objects are seen through central corneal rays whereas closer objects are seen through peripheral corneal rays.

1. Bausch & Lomb, Data on file. 2. NIO Y-K., Jansonius N.M., Geraghty E., et al Effect of intraocular lens implantation on visual acuity, contrast sensitivity and depth of focus. J. Cataract Refract. Surg., 2003; 29 : 2073-2081. 3. Erie JC, Bandhauer MH, McLaren JW. Analysis of postoperative glare and intraocular lens design. J Cataract Refract Surg 2001; 27: 614-621. 4. Erie JC, Bandhauer MH. Intraocular lens surfaces and their relationship to post-operative glare. JCRS 2003;29(2):336-41.

Simulation of vision with depth of field limited (no+SA) Simulation of vision with enhanced depth of field (with+SA)

Simulation of vision affected by glare

Simulation of vision benefiting from Anti-Glare Technology

Bausch & Lomb SofPort®

The World's First Aberration-Free IOL

Surgeons really appreciate the ease of handling our systems provide during final placement of the IOL into the eye. Spring-loaded designs provide control throughout the entire procedure allowing one-handed delivery of the IOL directly into the capsular bag.

The complete Bausch & Lomb SofPort® Advanced Optics Aspheric Lens System is an integrated insertion system comprised of the SofPort® AO lens, System inserter, Amvisc® Plus buffered viscoelastic, and the STORZ® Ophthalmics LaserEdge® disposable blade.

SofPort® easy-load lens delivery system: hassle-free injection

Designed for unenlarged 2,8mm phaco incision*

Self-guided flat loading

Reproducible folding

Single-handed injection

Transparent injector tips*Incision sizes are estimates. Actual sizes may vary due to incision construction, location and any stretching that may have occurred.The comfort of self-guided loading

SofPort® Easy-Load Lens Delivery System EZ-28

SofPort® EZ-28

The SofPort® System is designed for direct (planar) delivery of the IOL into the capsular bag, minimizing tissue trauma and related potential complications.

Risk of cross contamination is eliminatedwith the disposable inserter.

The Bausch & Lomb SofPort® Advanced Optics Aspheric Lens System provides the benefits of sterile, single-use lens delivery with proprietary planar delivery.

The first Aspheric IOL with planar delivery implantation

Model: LI61 AOR

Material Optic: Silicone, class 1, UV absorber Refractive Index: 1.43 Haptics: blue extruded PMMA

Optic Biconvex aspheric anterior and posterior, Optic body: 6mm

360o Anterior/posterior square edge

Haptics Modified-C, 5o loop angle

Overall Diameter 13mm

Dioptre Range 0.0 through 0.4 in 1.0 dpt 0.5 through 30.0 in 0.5 dpt 31.0 through 34.0 in 1.0 dpt

A-Constant** 118,0

ACD** 5,0mm

Surgeon Factor** 1,22

Order Code LI61A0R

Self-guided loading

The Sofport® EZ-28 Injector System is loaded with little or no manipulation of the IOL. Engineering design and high-quality materials provide mechanical guiding for IOL right through to the final injection position.

Stage 2 Close the lens drawer

Stage 3 Advance the plunger and deliver the lens

Seamless visibility

Correct behaviour of the implant inside the injector can be checked throughout the loading procedure, avoiding any surprises at the time of final insertion.

** A-constant, ACD and surgeon factor are estimates only. It is recommended that each surgeon develop his or her own values.

Bausch & Lomb SofPort®

The World's First Aberration-Free IOL

Stage 1 Load the lens case to the injector