Optical bench evaluation of the effect of pupil size in new generation monofocal intraocular lenses.

BACKGROUND: A new generation of enhanced monofocal IOLs has been introduced to slightly increase the depth of focus as compared to standard monofocal IOLs. The purpose of this study is to evaluate the effect of pupil size on the through-focus optical performance of three new enhanced monofocal IOLs, designed to improve the range of vision as compared to standard monofocal IOLs. METHODS: Optical bench testing in white light was performed for different pupils, using an average cornea eye. Distance image quality was evaluated using Modulation Transfer Function (MTF) measurements. Through-focus Visual Acuity (VA) was simulated from these measurements (sVA). Three enhanced monofocal IOLs (ICB00, ISOPure, and RayOne-EMV) and three standard monofocal IOLs: two aspheric (ZCB00 and SN60WF) and one spherical (AAB00) were included. RESULTS: The enhanced monofocal IOLs provided an improvement in the intermediate sVA as compared to standard monofocal IOLs. For ICB00, the improvement was independent of the pupil size, while for the ISOPure and RayOne-EMV, the intermediate sVA improved with increased pupil size. Similar to the spherical monofocal IOL, the ISOPure and RayOne-EMV showed a strong correlation between improvement in intermediate sVA and reduction of distance sVA and MTF, and increasing pupil size. ICB00 provided the same distance sVA as the aspheric monofocal IOLs and the lowest variability in MTF with pupil size. CONCLUSION: Optical bench results showed that the ISOPure and RayOne-EMV provide similar performance to a spherical monofocal IOL, with a strong pupil dependency for distance and intermediate vision. The other enhanced monofocal IOL, ICB00, provided a sustained improvement in simulated intermediate VA and maintained distance image quality comparable to that of the standard aspheric monofocal IOLs, even for larger pupils.

Comparative estimation of anterior chamber depth by ultrasonography, Orbscan II, and IOLMaster.

PURPOSE: To assess the degree of agreement of anterior chamber depth (ACD) measurements by 2 optical devices (Orbscan II and IOLMaster) and compare them with contact ultrasound A-scan. SETTING: Department of Ophthalmology at Hull Royal Infirmary, England. methods: In this prospective study of 81 eyes of 41 consecutive patients, ACD estimation was done by 3 methods-scanning slit topography (Orbscan II), partial coherence interferometry (IOLMaster), and contact ultrasound A-scan in that order. The same observer performed all measurements. Repeated measures Analysis of Variance (ANOVA) was used to analyze difference between ACD measurements by the 3 methods. Difference in measurements between methods was assessed using the paired t test. RESULTS: The mean ACD (+/-SD) by the 3 methods was 3.32 mm (0.60), 3.33 mm (0.61), and 2.87 mm (0.55), respectively. There was a statistically significant difference between measurements recorded by the 3 methods (P<.01). Mean contact A-scan measurements were 0.40 mm and 0.43 mm lower than by Orbscan II and IOLMaster respectively (P<.01). CONCLUSION: Applanation ultrasound gives consistently lower measurements for ACD compared to Orbscan II and IOLMaster. Although a high degree of agreement between Orbscan II and IOLMaster was noted, further studies are needed to assess the interchangeability of measurements in clinical practice.