2
|
Natarajan R, Maceo Heilman B, Ho A, Singh VM, Ruggeri M, Mohamed A, Reddy JC, Parel JMA, Vadavalli PK, Manns F. Peripheral defocus of monofocal intraocular lenses. J Cataract Refract Surg 2024; 50:637-643. [PMID: 38465836 PMCID: PMC11146172 DOI: 10.1097/j.jcrs.0000000000001441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Revised: 02/26/2024] [Accepted: 03/04/2024] [Indexed: 03/12/2024]
Abstract
PURPOSE To quantify the angular dependence of monofocal intraocular lens (IOL) power. SETTING Ophthalmic Biophysics Laboratory, Kallam Anji Reddy campus, L V Prasad Eye Institute, Hyderabad, India. DESIGN Laboratory study. METHODS Experiments were performed on IOLs from 2 different manufacturers (APPALENS 207, Appasamy Associates and SN60WF, Alcon Laboratories, Inc.). IOL powers ranged from 17 to 25 diopters (D). The IOLs were mounted in a fluid-filled chamber, and the on-axis and off-axis powers were measured using a laser ray tracing system over the central 3 mm zone with delivery angles ranging from -30 to +30 degrees in 5-degree increments. The position of the best focus was calculated for each IOL at each angle. The angular dependence of IOL power was compared with theoretical predictions. RESULTS Peripheral defocus increased significantly with increasing incidence angle and power. The peripheral defocus at ±30 degrees increased from 5.8 to 8.5 D when the power increased from 17.5 to 24.5 D for APPALENS 207 and from 4.9 to 7.4 D when the power increased from 17 to 25 D for SN60WF. The mean difference between the measured and theoretical tangential power at ±30 degrees was 0.50 ± 0.16 D for the APPALENS 207 and -0.40 ± 0.10 D for the SN60WF, independent of IOL power. CONCLUSIONS IOLs introduce a significant amount of peripheral defocus which varies significantly with IOL power and design. Given that peripheral defocus is related to lens power, replacement of the crystalline lens (approximately 24 D) with an IOL will produce a significant difference in peripheral defocus profile after surgery.
Collapse
Affiliation(s)
- Ramya Natarajan
- From the Ophthalmic Biophysics Laboratory, L V Prasad Eye Institute, Hyderabad, Telangana, India (Natarajan, Singh, Mohamed, Vadavalli); Ophthalmic Biophysics Center, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Florida (Heilman, Ruggeri, Parel, Manns); Department of Biomedical Engineering, University of Miami College of Engineering, Coral Gables, Florida (Heilman, Ruggeri, Parel, Manns); Brien Holden Vision Institute Limited, Sydney, New South Wales, Australia; School of Optometry and Vision Science, The University of New South Wales, Sydney, New South Wales, Australia (Ho); Cataract & Refractive surgery services, L V Prasad Eye Institute, Hyderabad, Telangana, India (Singh, Reddy, Vadavalli); The Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India (Vadavalli)
| | - Bianca Maceo Heilman
- From the Ophthalmic Biophysics Laboratory, L V Prasad Eye Institute, Hyderabad, Telangana, India (Natarajan, Singh, Mohamed, Vadavalli); Ophthalmic Biophysics Center, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Florida (Heilman, Ruggeri, Parel, Manns); Department of Biomedical Engineering, University of Miami College of Engineering, Coral Gables, Florida (Heilman, Ruggeri, Parel, Manns); Brien Holden Vision Institute Limited, Sydney, New South Wales, Australia; School of Optometry and Vision Science, The University of New South Wales, Sydney, New South Wales, Australia (Ho); Cataract & Refractive surgery services, L V Prasad Eye Institute, Hyderabad, Telangana, India (Singh, Reddy, Vadavalli); The Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India (Vadavalli)
| | - Arthur Ho
- From the Ophthalmic Biophysics Laboratory, L V Prasad Eye Institute, Hyderabad, Telangana, India (Natarajan, Singh, Mohamed, Vadavalli); Ophthalmic Biophysics Center, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Florida (Heilman, Ruggeri, Parel, Manns); Department of Biomedical Engineering, University of Miami College of Engineering, Coral Gables, Florida (Heilman, Ruggeri, Parel, Manns); Brien Holden Vision Institute Limited, Sydney, New South Wales, Australia; School of Optometry and Vision Science, The University of New South Wales, Sydney, New South Wales, Australia (Ho); Cataract & Refractive surgery services, L V Prasad Eye Institute, Hyderabad, Telangana, India (Singh, Reddy, Vadavalli); The Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India (Vadavalli)
| | - Vivek M. Singh
- From the Ophthalmic Biophysics Laboratory, L V Prasad Eye Institute, Hyderabad, Telangana, India (Natarajan, Singh, Mohamed, Vadavalli); Ophthalmic Biophysics Center, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Florida (Heilman, Ruggeri, Parel, Manns); Department of Biomedical Engineering, University of Miami College of Engineering, Coral Gables, Florida (Heilman, Ruggeri, Parel, Manns); Brien Holden Vision Institute Limited, Sydney, New South Wales, Australia; School of Optometry and Vision Science, The University of New South Wales, Sydney, New South Wales, Australia (Ho); Cataract & Refractive surgery services, L V Prasad Eye Institute, Hyderabad, Telangana, India (Singh, Reddy, Vadavalli); The Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India (Vadavalli)
| | - Marco Ruggeri
- From the Ophthalmic Biophysics Laboratory, L V Prasad Eye Institute, Hyderabad, Telangana, India (Natarajan, Singh, Mohamed, Vadavalli); Ophthalmic Biophysics Center, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Florida (Heilman, Ruggeri, Parel, Manns); Department of Biomedical Engineering, University of Miami College of Engineering, Coral Gables, Florida (Heilman, Ruggeri, Parel, Manns); Brien Holden Vision Institute Limited, Sydney, New South Wales, Australia; School of Optometry and Vision Science, The University of New South Wales, Sydney, New South Wales, Australia (Ho); Cataract & Refractive surgery services, L V Prasad Eye Institute, Hyderabad, Telangana, India (Singh, Reddy, Vadavalli); The Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India (Vadavalli)
| | - Ashik Mohamed
- From the Ophthalmic Biophysics Laboratory, L V Prasad Eye Institute, Hyderabad, Telangana, India (Natarajan, Singh, Mohamed, Vadavalli); Ophthalmic Biophysics Center, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Florida (Heilman, Ruggeri, Parel, Manns); Department of Biomedical Engineering, University of Miami College of Engineering, Coral Gables, Florida (Heilman, Ruggeri, Parel, Manns); Brien Holden Vision Institute Limited, Sydney, New South Wales, Australia; School of Optometry and Vision Science, The University of New South Wales, Sydney, New South Wales, Australia (Ho); Cataract & Refractive surgery services, L V Prasad Eye Institute, Hyderabad, Telangana, India (Singh, Reddy, Vadavalli); The Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India (Vadavalli)
| | - Jagadesh C. Reddy
- From the Ophthalmic Biophysics Laboratory, L V Prasad Eye Institute, Hyderabad, Telangana, India (Natarajan, Singh, Mohamed, Vadavalli); Ophthalmic Biophysics Center, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Florida (Heilman, Ruggeri, Parel, Manns); Department of Biomedical Engineering, University of Miami College of Engineering, Coral Gables, Florida (Heilman, Ruggeri, Parel, Manns); Brien Holden Vision Institute Limited, Sydney, New South Wales, Australia; School of Optometry and Vision Science, The University of New South Wales, Sydney, New South Wales, Australia (Ho); Cataract & Refractive surgery services, L V Prasad Eye Institute, Hyderabad, Telangana, India (Singh, Reddy, Vadavalli); The Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India (Vadavalli)
| | - Jean-Marie A. Parel
- From the Ophthalmic Biophysics Laboratory, L V Prasad Eye Institute, Hyderabad, Telangana, India (Natarajan, Singh, Mohamed, Vadavalli); Ophthalmic Biophysics Center, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Florida (Heilman, Ruggeri, Parel, Manns); Department of Biomedical Engineering, University of Miami College of Engineering, Coral Gables, Florida (Heilman, Ruggeri, Parel, Manns); Brien Holden Vision Institute Limited, Sydney, New South Wales, Australia; School of Optometry and Vision Science, The University of New South Wales, Sydney, New South Wales, Australia (Ho); Cataract & Refractive surgery services, L V Prasad Eye Institute, Hyderabad, Telangana, India (Singh, Reddy, Vadavalli); The Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India (Vadavalli)
| | - Pravin K. Vadavalli
- From the Ophthalmic Biophysics Laboratory, L V Prasad Eye Institute, Hyderabad, Telangana, India (Natarajan, Singh, Mohamed, Vadavalli); Ophthalmic Biophysics Center, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Florida (Heilman, Ruggeri, Parel, Manns); Department of Biomedical Engineering, University of Miami College of Engineering, Coral Gables, Florida (Heilman, Ruggeri, Parel, Manns); Brien Holden Vision Institute Limited, Sydney, New South Wales, Australia; School of Optometry and Vision Science, The University of New South Wales, Sydney, New South Wales, Australia (Ho); Cataract & Refractive surgery services, L V Prasad Eye Institute, Hyderabad, Telangana, India (Singh, Reddy, Vadavalli); The Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India (Vadavalli)
| | - Fabrice Manns
- From the Ophthalmic Biophysics Laboratory, L V Prasad Eye Institute, Hyderabad, Telangana, India (Natarajan, Singh, Mohamed, Vadavalli); Ophthalmic Biophysics Center, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Florida (Heilman, Ruggeri, Parel, Manns); Department of Biomedical Engineering, University of Miami College of Engineering, Coral Gables, Florida (Heilman, Ruggeri, Parel, Manns); Brien Holden Vision Institute Limited, Sydney, New South Wales, Australia; School of Optometry and Vision Science, The University of New South Wales, Sydney, New South Wales, Australia (Ho); Cataract & Refractive surgery services, L V Prasad Eye Institute, Hyderabad, Telangana, India (Singh, Reddy, Vadavalli); The Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India (Vadavalli)
| |
Collapse
|