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Optical Evaluation of Premium Intraocular Lenses Using Optical Bench Testing System

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

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Optical Evaluation of Premium Intraocular Lenses Using Optical Bench Testing System

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  1. MyoungJoon Kim, MD1 Len Zheleznyak, MS2 Scott M. MacRae, MD2 Geunyoung Yoon, PhD2 Optical Evaluation of Premium Intraocular Lenses Using Optical Bench Testing System • University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea • Flaum Eye Institute, University of Rochester, Rochester, NY, USA M. 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.

  2. Premium Intraocular Lenses expanded range of vision spectacle freedom for What about optical quality and through focus performance? This study was performed to evaluate optical quality and through focus performance of premium intraocular lenses.

  3. Optical Bench Testing of IOLs in Wet Cell IOL Mount • Direct Retinal Image Quality Measurement Cropped for Analysis ~20/40 ~20/20  • 1951 US Air Force Resolution Target L1 AP L2 L3 TL L5 AFRT IS WC & IOL AT PC 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

  4. Optical Bench Testing of Intraocular Lenses USAF target Pupil Camera White Light Source Illumination USAF Target Imaging Camera IOL Mount (Wet Cell)

  5. Premium IOLs Tecnis Abbott AcrySofReSTOR Alcon SN6AD3 (+4.0 add) SN6AD1 (+3.0 add) ZM900 diffractive aspheric multifocal IOL apodized diffractive aspheric multifocal IOL Crystalens Bausch & Lomb ReZoom Abbott HD500 NXG1 accommodative multifocal IOL refractive multifocal IOL

  6. Controls AcrySof Natural Alcon SofPort AO B&L LI60AOV aberration-free monofocal IOL (reference lens) SN60AT spherical monofocal IOL 20D IOLs

  7. Defocus LI60AOV = SofPort AO, SN60AT = AcrySof spherical, SN6AD3 = ReSTOR +4D, SN6AD1 = ReSTOR +3D, NXG1 = ReZoom, ZM900 = Tecnis multifocal, HD500 = Crystalens HD

  8. Defocus LI60AOV = SofPort AO, SN60AT = AcrySof spherical, SN6AD3 = ReSTOR +4D, SN6AD1 = ReSTOR +3D, NXG1 = ReZoom, ZM900 = Tecnis multifocal, HD500 = Crystalens HD

  9. Defocus LI60AOV = SofPort AO, SN60AT = AcrySof spherical, SN6AD3 = ReSTOR +4D, SN6AD1 = ReSTOR +3D, NXG1 = ReZoom, ZM900 = Tecnis multifocal, HD500 = Crystalens HD

  10. 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

  11. Summary Image Quality for Distant Objects 4 mm Pupil SAO > ASS ≈ CLH > RS4 ≈ RS3 > TEC > REZ Image Quality for Intermediate Objects 4 mm Pupil, ~ 1 D CLH > TEC ≈ ASS > SAO ≈ REZ > RS4 ≈ RS3 Image Quality for Near Objects of Multifocal IOLs 3 mm Pupil RS3 > TEC ≈ REZ > RS4 Working Distance for Near Objects of Multifocal IOLs 3 mm Pupil RS4 ≈ TEC < REZ < RS3 SAO = SofPort AO, ASS = AcrySof spherical, RS4 = ReSTOR +4D, RS3 = ReSTOR +3D, REZ = ReZoom, TEC = Tecnis multifocal, CLH = Crystalens HD

  12. Conclusion Different premium IOLs have their own optical characteristics. Therefore, selection of premium IOLs should be based on the understanding of optical properties. Thank you!

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