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EXTENDED DEPTH OF FOCUS WITH INDUCED SPHERICAL ABERRATION IN LIGHT ADJUSTABLE IOLs. L ABORATORIO DE O PTICA, U NIVERSIDAD DE M URCIA , SPAIN * Hospital Virgen de la Arrixaca, Murcia, SPAIN. Pablo Artal , Eloy Villegas, Encarna Alcón, Inés Yago*, Elena Rubio*, José M. Marín*.
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EXTENDED DEPTH OF FOCUS WITH INDUCED SPHERICAL ABERRATION IN LIGHT ADJUSTABLE IOLs LABORATORIODEOPTICA, UNIVERSIDAD DEMURCIA, SPAIN * Hospital Virgen de la Arrixaca, Murcia, SPAIN Pablo Artal, Eloy Villegas, Encarna Alcón, Inés Yago*, Elena Rubio*, José M. Marín* Supported by: Reserch funding and consulting reimbuserment provided by Calhoun Vision, USA
Light-adjustable intraocular lenses (LALs)* allow nearly PERFECT refractive outcomes, but also… customized near vision by extended depth of focus with induced spherical aberration. *
LAL secondary treatmentsto induce spherical aberration (asphericity) increasing depth of focus (See example of LAL full treatment in next slide)
Secondary adjustment Inducing spherical aberration Primary adjustment correcting defocus & astigmatism lock-ins Two weeks Surgery eye’s wave-fronts (examples)
Patients were implanted bilaterally with LALs One eye was set to near emmetropia and in the fellow eye negative spherical aberration was induced
Visual acuity was measured using a computer-assisted procedure both monocularly (each eye separately) and binocularly Refraction and spherical aberration measured in each patient with a Hartmann-Shack wavefront sensor
and with letters on a micro-display placed at: 60 cm 30 cm 40 cm
Example of induction of negative spherical aberration in LALs Pre-adjusment Post-lockin 2 Myopic M1SA3_60 Aspheric F4.7_b0.5 Z12=+0.12mm Z12 =-0.20mm > |-0.3| mm
Visual acuity as a function of object distance Monocular (“far” eye) Monocular (“near” aspheric eye) Binocular vision 20/20 20/25 J1 J2 20/30 20/40 J3 Z12[-0.14,-0.24mm] (sample 4)
Visual acuity as a function of object distance Binocular vision 20/20 20/25 J1 J2 20/30 20/40 J3 Z12[-0.14,-0.24mm] (sample 4)
Conclusions • The use of the LALs as an advanced and fully customized approach to produce extended depth of focus modifying the eye’s asphericity has been demonstrated. • In a group of 4 patients, the average binocular visual acuity was 1.1 for far and J1 or better for intermediate and near distances. • The particular amounts of spherical aberration and defocus can be personalized to maximize quality of vision at all distances.