Optical bench performance of 3 trifocal intraocular lenses.

PURPOSE: To compare the optical performance of 3 trifocal intraocular lenses (IOLs): the Acrysof IQ Panoptix (+2.17 diopter [D]/+3.25 D IOL), AT LISA Tri 839MP (+1.66 D/+3.33 D IOL), and Finevision Micro F (+1.75 D/+3.50 D IOL). SETTING: Alcon Research Ltd., Fort Worth, Texas, USA. DESIGN: Experimental study. METHODS: The 3 trifocal IOLs were compared using optical performance tests. To measure image quality, through-focus modulation transfer function (MTF) curves were generated for a model eye. To assess resolution, through-focus Badal images of an Early Treatment Diabetic Retinopathy Study chart simulating viewing distances of infinity to 40 cm were recorded. To measure photic phenomena, simulated headlight images with a 50 µm pinhole target and a 5.0 mm pupil were obtained. RESULTS: The MTF measurements showed similar near and distance peaks for the IOLs, but the optimum intermediate peak for the +2.17 D/+3.25 D IOL was 60 cm versus 80 cm for the other 2 trifocal IOLs. Similarly, in bench Badal image testing, the optimum intermediate image was at 60 cm for the +2.17 D/+3.25 D IOL and 80 cm for the other 2 IOLs. Overall, halos surrounding simulated headlight images were equivalent for the 3 IOLs. CONCLUSIONS: In bench studies, the new +2.17 D/+3.25 D trifocal IOL showed equivalent or better performance in image quality, resolution, and photic phenomena compared with the +1.66 D/+3.33 D and +1.75 D/+3.50 D trifocal IOLs. The new IOL is expected to provide better intermediate vision at 60 cm, which is preferred for real-life tasks such as computer work, over the 80 cm intermediate distance offered by the other 2 trifocal IOLs. FINANCIAL DISCLOSURE: All authors are employees of Alcon Research, Ltd.

Optical bench performance of a novel trifocal intraocular lens compared with a multifocal intraocular lens.

PURPOSE: The purpose of this study is to compare the optical characteristics of the novel PanOptix presbyopia-correcting trifocal intraocular lens (IOL) and the multifocal ReSTOR +3.0 D IOL, through in vitro bench investigations. METHODS: The optical characteristics of AcrySof(®) IQ PanOptix™ (PanOptix) and AcrySof(®) IQ ReSTOR +3.0 D (ReSTOR +3.0 D) IOLs were evaluated by through-focus Badal images, simulated headlight images, and modulation transfer function (MTF) measurements which determine resolution, photic phenomena, and image quality. Through-focus Badal images of an Early Treatment of Diabetic Retinopathy Study chart were recorded at both photopic and mesopic pupil sizes. Simulated headlight images were taken on an MTF bench with a 50-µm pinhole target and a 5.0 mm pupil at the distance focus of the IOL. MTF curves were measured with a 3.0 mm pupil, and spatial frequencies equivalent to 20/40 and 20/20 visual acuities were recorded to illustrate the through-focus MTF curves. Far-, intermediate-, and near-focus MTF values were obtained. RESULTS: Bench Badal image testing and MTF measurements showed that PanOptix has a near focus at a distance of 42 cm and an additional intermediate focus at a distance of about 60 cm. The near focus for ReSTOR +3.0 D is at 45 cm. PanOptix and ReSTOR +3.0 D have comparable photopic distances and near MTF values. Additionally, PanOptix provided a substantial continuous range of vision from distance to intermediate and to near compared with ReSTOR +3.0 D. The halo propensity for PanOptix was slightly higher than that for ReSTOR +3.0 D. CONCLUSION: Laboratory-based in vitro simulations showed that PanOptix trifocal IOL has comparable resolution and image quality performance in distance and near foci compared with ReSTOR +3.0 D IOL. PanOptix showed better resolution and image quality performance at the intermediate focus than ReSTOR +3.0 D IOL.