Switchable Liquid Crystal Contact Lenses for the Correction of Presbyopia

Tunable Focusing Liquid Crystal Lenses: The Challenges and the Opportunities

The utilization of liquid crystals (LC) as materials has enabled the enlargement of lenses with the potential to alter their focus. Tunable LC lenses with adjustable focus are essential for optical imaging, sensing, and detection devices. This technology offers many benefits, such as the ability to adjust focus, operate with low power, and be easily made. Its compact structure and stability are also advantages. Adding polymer additives to pure LC systems enhances their capabilities and provides more flexibility and functionality. This review explores ways to enhance the performance of tunable LC lenses, including image quality, speed, optical power, and device fabrication. Especially, enhancements include a switchable focus range, wider viewing angles, and a flexible lens. The challenges in fabricating and controlling LC methods have significant implications for many potential applications. The discovery of new LC materials and lens designs will further highlight these implications.

Charge Modulation at the Liquid Crystal Droplet-Aqueous Interface Enables Ultrasensitive, Nonspecific Protein Detection

Thermotropic nematic liquid crystals (LC) have been utilized to sense/detect various analytes such as polymers, surfactants, lipids, etc. However, their use for protein detection depends on pre-adsorbed molecules, co-nematogens, or biomolecular agents for specificity. This approach impedes the platform's sensitivity with a detection limit for the folded proteins generally reported in the micromolar concentration range. Here, this work provides fundamental insights into the type of molecular interactions and their modulation that can drive ultrasensitive protein detection at an LC microdroplet/aqueous interface formed without adding an auxiliary co-nematogen. Using ultraviolet (UV) light treated 4-cyano-4'-pentylbiphenyl (5CB) LC and a flow-focused microfluidic device, we prepared different populations of monodisperse and highly negatively charged microdroplets in water. Adding an aqueous solution of various model proteins (α-synuclein, α-chymotrypsin, myoglobin, or bovine serum albumin, BSA) with different secondary structures and surface charges triggers a rapid radial- to bipolar-defect transition in these microdroplets. Isothermal titration calorimetry measurement and molecular dynamic simulation studies attribute this to the dominant electrostatic force-mediated adsorption of proteins at the LC/aqueous interface. Further, bioconjugation-based variation of protein surface charge allows tuning their detection limit. These findings can provide crucial physical cues for designing responsive LC systems and establishing a foundation for developing versatile, molecularly tailored, and highly specific biomolecular detection platforms.

BCLA CLEAR Presbyopia: Management with contact lenses and spectacles

This paper seeks to outline the history, market situation, clinical management and product performance related to the correction of presbyopia with both contact lenses and spectacles. The history of the development of various optical forms of presbyopic correction are reviewed, and an overview is presented of the current market status of contact lenses and spectacles. Clinical considerations in the fitting and aftercare of presbyopic contact lens and spectacle lens wearers are presented, with general recommendations for best practice. Current options for contact lens correction of presbyopia include soft simultaneous, rigid translating and rigid simultaneous designs, in addition to monovision. Spectacle options include single vision lenses, bifocal lenses and a range of progressive addition lenses. The comparative performance of both contact lens and spectacle lens options is presented. With a significant proportion of the global population now being presbyopic, this overview is particularly timely and is designed to act as a guide for researchers, industry and eyecare practitioners alike.

Smart Contact Lenses for Healthcare Monitoring and Therapy

The eye contains a wealth of physiological information and offers a suitable environment for noninvasive monitoring of diseases via smart contact lens sensors. Although extensive research efforts recently have been undertaken to develop smart contact lens sensors, they are still in an early stage of being utilized as an intelligent wearable sensing platform for monitoring various biophysical/chemical conditions. In this review, we provide a general introduction to smart contact lenses that have been developed for disease monitoring and therapy. First, different disease biomarkers available from the ocular environment are summarized, including both physical and chemical biomarkers, followed by the commonly used materials, manufacturing processes, and characteristics of contact lenses. Smart contact lenses for eye-drug delivery with advancing technologies to achieve more efficient treatments are then introduced as well as the latest developments for disease diagnosis. Finally, sensor communication technologies and smart contact lenses for antimicrobial and other emerging bioapplications are also discussed as well as the challenges and prospects of the future development of smart contact lenses.

Refractive Fresnel liquid crystal lenses driven by two voltages

We propose and demonstrate a high-performance refractive Fresnel liquid crystal (LC) lens with a simple electrode design. The interconnected circular electrodes enable the creation of a parabolic voltage distribution within each Fresnel zone using only two driving voltages. By controlling these voltages within the linear response region of LC material, the desired parabolic phase profile can be achieved. We provide a detailed discussion on the electrode structure design methodology and operating principles of the lens. In our experiments, we constructed a four-zone Fresnel LC lens with a total aperture of 8 mm. The results show that the optical power of the lens can be continuously adjusted from -1.30 D to +1.33 D. Throughout the process of electrically tuning the optical power, the phase distribution within each Fresnel zone maintains a parabolic profile. These results demonstrate the high-performance of the proposed Fresnel LC lens.

Advances in Therapeutic Contact Lenses for the Management of Different Ocular Conditions

In the advent of an increasingly aging population and due to the popularity of electronic devices, ocular conditions have become more prevalent. In the world of medicine, accomplishing eye medication administration has always been a difficult task. Despite the fact that there are many commercial eye drops, most of them have important limitations, due to quick clearance mechanisms and ocular barrers. One solution with tremendous potential is the contact lens used as a medication delivery vehicle to bypass this constraint. Therapeutic contact lenses for ocular medication delivery have attracted a lot of attention because they have the potential to improve ocular bioavailability and patient compliance, both with minimal side effects. However, it is essential not to compromise essential features such as water content, optical transparency, and modulus to attain positive in vitro and in vivo outcomes with respect to a sustained drug delivery profile from impregnated contact lenses. Aside from difficulties like drug stability and burst release, the changing of lens physico-chemical features caused by therapeutic or non-therapeutic components can limit the commercialization potential of pharmaceutical-loaded lenses. Research has progressed towards bioinspired techniques and smart materials, to improve the efficacy of drug-eluting contact lenses. The bioinspired method uses polymeric materials, and a specialized molecule-recognition technique called molecular imprinting or a stimuli-responsive system to improve biocompatibility and support the drug delivery efficacy of drug-eluting contact lenses. This review encompasses strategies of material design, lens manufacturing and drug impregnation under the current auspices of ophthalmic therapies and projects an outlook onto future opportunities in the field of eye condition management by means of an active principle-eluting contact lens.

Refractive-type varifocal liquid-crystal Fresnel lenses for smart contacts

We demonstrate the implementation of a low-power, low-profile, varifocal liquid-crystal Fresnel lens stack suitable for tunable imaging in smart contact lenses. The lens stack consists of a high-order refractive-type liquid crystal Fresnel chamber, a voltage-controlled twisted nematic cell, a linear polarizer and a fixed offset lens. The lens stack has an aperture of 4 mm and thickness is ∼980 µm. The varifocal lens requires ∼2.5 V_RMS for a maximum optical power change of ∼6.5 D consuming electrical power of ∼2.6 µW. The maximum RMS wavefront aberration error was 0.2 µm and the chromatic aberration was 0.008 D/nm. The average BRISQUE image quality score of the Fresnel lens was 35.23 compared to 57.23 for a curved LC lens of comparable power indicating a superior Fresnel imaging quality.

Adaptive lens for foveal vision, imaging, and projection over large clear apertures

We report an electrically tunable liquid crystal device that enables the generation of lenses the diameters of which may be dynamically changed from sub-millimeter to multiple millimeter sizes. These lenses can be created in different regions of interest over very large (above 50 mm) optical clear apertures. The approach is based on the activation of periodically spaced contacts on a single serpentine-shaped electrode with phase-shifted electrical signals. It enables a highly reconfigurable operation of locally created lenses with variable position, diameter, optical power (OP) and aberrations. The preliminary demonstration of the capabilities of the proposed device is presented here by creating a local lens, moving its center over an area of 25 mm x 25 mm, gradually changing its diameter from 1.3 mm to 4.55 mm as well as by tuning its OP value from zero up to, respectively, ≈ 40 and ≈3.5 diopters. Typical driving signals are at the order of 3.5 V. We think that such lenses can be used for ophthalmic or augmented reality applications as well as in microscopy, adaptive panoramic cameras with large distorted field of view, dynamic projection, etc.

Flexible and Semi-Transparent Silicon Solar Cells as a Power Supply to Smart Contact Lenses

Supplying electric power to wearable IoT devices, particularly smart contact lenses (SCLs), is one of the main obstacles to widespread adoption and commercialization. In the present study, we have successfully designed, fabricated, and characterized semi-transparent, self-supported, and flexible single crystalline silicon solar cells using a single-sided micromachining procedure. Optical, mechanical, and electrical simulations, together with the practical measurements, verify the application of our developed solar cells to be mounted on a limited-footprint and flexible SCL. The 15 μm-thick silicon solar cells conformally fit on a dome-shaped contact lens (ROC = 8 mm) without any mechanical and electrical degradation. This homojunction photovoltaic device containing an array of micro-holes exhibits a V _oc, J _sc, and maximum power density of 504 mV, 6.48 mA cm^-2, and 1.67 mW cm^-2, respectively, at 25% visible light transparency under an AM1.5 one sun condition. Furthermore, the measurements were conducted under low-intensity indoor light conditions and resulted in a maximum power output of 25 and 42 μW cm^-2 for the 50 and 25% transparent solar cells, respectively.

Liquid crystal lens array with positive and negative focal lengths

A positive-negative tunable liquid crystal lens array is proposed by electrode design. The electrode structure consists of two main units, one of them is used to generate parabolic voltage profile and the other one distributes the voltage homogeneously across the lens aperture. The proposal features the advantages of high-quality performance, simple fabrication process (a single lithographic step), compact design, low voltages and simple driving method. In addition, the lens array can be driven as a square lens array or a rotatable cylindrical lens array. The voltage difference between the electrodes on the inner face of two substrates is controlled within the range that the phase of liquid crystal layer responds linearly to voltage difference, then the phase of the lens array maintains parabolic profile in the whole focus range. In experiments, a lens array with 30 µm liquid crystal layer is fabricated using the designed electrode. The size of the array area is 11 × 11 mm, and the side length of an individual square lens is 1.0 mm. The results show that the phase profile matches with the parabolic profile during focus tuning, and good focusing effect of the positive lens is observed. As a result, a liquid crystal lens array with high-quality performance is experimentally demonstrated, and the experimental results are consistent with the theoretical analyses.

Lab-on-a-Contact Lens: Recent Advances and Future Opportunities in Diagnostics and Therapeutics

The eye is one of the most complex organs in the human body, containing rich and critical physiological information (e.g., intraocular pressure, corneal temperature, and pH) as well as a library of metabolite biomarkers (e.g., glucose, proteins, and specific ions). Smart contact lenses (SCLs) can serve as a wearable intelligent ocular prosthetic device capable of noninvasive and continuous monitoring of various essential physical/biochemical parameters and drug loading/delivery for the treatment of ocular diseases. Advances in SCL technologies and the growing public interest in personalized health are accelerating SCL research more than ever before. Here, the current status and potential of SCL development through a comprehensive review from fabrication to applications to commercialization are discussed. First, the material, fabrication, and platform designs of the SCLs for the diagnostic and therapeutic applications are discussed. Then, the latest advances in diagnostic and therapeutic SCLs for clinical translation are reviewed. Later, the established techniques for wearable power transfer and wireless data transmission applied to current SCL devices are summarized. An outlook, future opportunities, and challenges for developing next-generation SCL devices are also provided. With the rise in interest of SCL development, this comprehensive and essential review can serve as a new paradigm for the SCL devices.

Liquid crystal microlenses based on binary surface alignment controlled by focused ion beam treatment

We report the formation of high optical power microlenses in the near-surface region of the liquid crystal layer. Such microlenses, possessing a very small focal length f at a rather large aperture A (f/A∼2), are able to focus the light into spots of a characteristic size comparable with the wavelength. Using numerical modeling, a specific patterning profile of a liquid crystal (LC) alignment surface by an ion beam is proposed to provide the aligning properties necessary for the formation of an array of microlenses with a focal length comparable to the LC cell thickness. The proposed microlens arrays are produced, and their optical properties are discussed.

Applications of liquid crystals in biosensing

Liquid crystals (LCs), as a promising branch of highly-sensitive, quick-response, and low-cost materials, are widely applied to the detection of weak external stimuli and have attracted significant attention. Over the past decade, many research groups have been devoted to developing LC-based biosensors due to their self-assembly potential and functional diversity. In this paper, recent investigations on the design and application of LC-based biosensors are reviewed, based on the phenomenon that the orientation of LCs can be directly influenced by the interactions between biomolecules and LC molecules. The sensing principle of LC-based biosensors, as well as their signal detection by probing interfacial interactions, is described to convert, amplify, and quantify the information from targets into optical and electrical parameters. Furthermore, commonly-used LC biosensing targets are introduced, including glucose, proteins, enzymes, nucleic acids, cells, microorganisms, ions, and other micromolecules that are critical to human health. Due to their self-assembly potential, chemical diversity, and high sensitivity, it has been reported that tunable stimuli-responsive LC biosensors show bright perspectives and high superiorities in biological applications. Finally, challenges and future prospects are discussed for the fabrication and application of LC biosensors to both enhance their performance and to realize their promise in the biosensing industry.

CLEAR - Contact lens technologies of the future

Contact lenses in the future will likely have functions other than correction of refractive error. Lenses designed to control the development of myopia are already commercially available. Contact lenses as drug delivery devices and powered through advancements in nanotechnology will open up further opportunities for unique uses of contact lenses. This review examines the use, or potential use, of contact lenses aside from their role to correct refractive error. Contact lenses can be used to detect systemic and ocular surface diseases, treat and manage various ocular conditions and as devices that can correct presbyopia, control the development of myopia or be used for augmented vision. There is also discussion of new developments in contact lens packaging and storage cases. The use of contact lenses as devices to detect systemic disease has mostly focussed on detecting changes to glucose levels in tears for monitoring diabetic control. Glucose can be detected using changes in colour, fluorescence or generation of electric signals by embedded sensors such as boronic acid, concanavalin A or glucose oxidase. Contact lenses that have gained regulatory approval can measure changes in intraocular pressure to monitor glaucoma by measuring small changes in corneal shape. Challenges include integrating sensors into contact lenses and detecting the signals generated. Various techniques are used to optimise uptake and release of the drugs to the ocular surface to treat diseases such as dry eye, glaucoma, infection and allergy. Contact lenses that either mechanically or electronically change their shape are being investigated for the management of presbyopia. Contact lenses that slow the development of myopia are based upon incorporating concentric rings of plus power, peripheral optical zone(s) with add power or non-monotonic variations in power. Various forms of these lenses have shown a reduction in myopia in clinical trials and are available in various markets.

Liquid Crystal Devices for Beam Steering Applications

Liquid crystals are valuable materials for applications in beam steering devices. In this paper, an overview of the use of liquid crystals in the field of adaptive optics specifically for beam steering and lensing devices is presented. The paper introduces the properties of liquid crystals that have made them useful in this field followed by a more detailed discussion of specific liquid crystal devices that act as switchable optical components of refractive and diffractive types. The relative advantages and disadvantages of the different devices and techniques are summarised.

Low-Profile Induced-Voltage Distance Ranger for Smart Contact Lenses

OBJECTIVE

In this paper, we present a novel, low-profile, scleral-coil based, distance ranging system which is suitable for smart, accommodating contact lenses.

METHODS

We measure the induced emf between a set of four thin semi-circular coils patterned on flexible Kapton substrates that conform to the eyes' sclera. This induced emf is a function of eye gaze angles. The system then determines the distance from the eyes to the desired object via the triangulation of these eye gaze angles Results: Experiments on eyeball simulated tissue gels indicate an accurate prediction of object distance in the 0.1-15 D range with a 0.15 D RMS error and object direction in the -15 to 15-degree arc with 0.4-degree RMS error, respectively. The energy required was determined to be as low as 20 μJ per range reading.

CONCLUSION

Experimental data shows that our proposed new method of eye-tracking and distance ranging system can accurately predict eye-gaze angles and object-distance, whilst using only 20 μJ per range reading.

SIGNIFICANCE

The high-accuracy, low-profile and reduced energy requirements of the proposed eye-tracking technique, make it suitable for applications in the vast field of adaptive optics such as smart contact lenses and other low-power vision corrective applications.

Large area liquid crystal lenses for correction of presbyopia

Presbyopia is the failure of the eye lens to accommodate. The widely used presbyopia correction method involves wearing bi/trifocal or progressive glasses, which limits the field of view due to division of lens area into sections of different optical power. A large aperture focus tunable liquid crystal lens has the potential to correct human eye accommodation failure and provide a wide field of view. In this paper, we present characterization and demonstration of a segmented phase profile liquid crystal lens, which has the characteristics of a large area (diameter: 20 mm), being flat and thin (<2 mm), and having continuous focus tunability (1.5 D to 0 D), fast response time (<500 ms), low operating voltage (<5 V), and on-axis diffraction-limited performance (for a 5mm aperture). Considering all these properties, our lens provides performance details of an approach for presbyopia correction. We have tested the minimum resolution and visual acuity of 20 subjects using the designed lens and compared the results with a reference glass lens of the same optical power.

Historical Development, Applications and Advances in Materials Used in Spectacle Lenses and Contact Lenses

Lenses used in vision correction have evolved from the initial glass reading stone of the 10th century to the currently anticipated planar metalens made from "nanopillars" of titanium dioxide. With ideas from early scientific minds being translated into reality, and military commissioned concepts adapted for civilian use, spectacle lens and contact lens materials have progressed significantly over the last century, with the expectation of further lens material innovations ahead. The purpose of this article is a review of literature on the historical developments and advances in spectacle lens and contact lens materials.

Engineering Aspheric Liquid Crystal Lenses by Using the Transmission Electrode Technique

The transmission electrode technique has been recently proposed as a versatile method to obtain various types of liquid-crystal (LC) lenses. In this work, an equivalent electric circuit and new analytical expressions based on this technique are developed. In addition, novel electrode shapes are proposed in order to generate different phase profiles. The analytical expressions depend on manufacturing parameters that have been optimized by using the least squares method. Thanks to the proposed design equations and the associated optimization, the feasibility of engineering any kind of aspheric LC lenses is demonstrated, which is key to obtain aberration-free lenses. The results are compared to numerical simulations validating the proposed equations. This novel technique, in combination with the proposed design equations, opens a new path for the design and fabrication of LC lenses and even other types of adaptive-focus lenses based on voltage control.

Artificial iris performance for smart contact lens vision correction applications

This paper presents the simulated performance assessment of an artificial iris embedded on a scleral contact lens using real data from an aniridia patient. The artificial iris is based on guest–host liquid crystal cells (GH-LCD) in order to actively modify the transmittance of the lens and effective pupil size. Experimental validation of the GH-LCD spectrum and iris contrast (determined to be 1:2.1) enabled the development of optical models that include the effect of a small pupil on image quality and visual quality on an optical system with aniridia characteristics. Visual simulations at different light conditions (high/low photopic and mesopic) demonstrated the theoretical capacity of the customized artificial iris smart contact lens to expand the depth-of-focus and decrease the optical aberrations (in particular, the spherical aberration). The visual modelling suggests a maximum depth-of-focus value for a 2-mm pupil diameter for both eyes as follows: 3D (1,000 cd/m²), 2D (10 cd/m²) and 0.75D (1 cd/m²). This work demonstrates the beneficial optical effects of an active artificial iris, based on visual simulations in response to different light levels, and enables further experimental investigation on patients to validate the dynamic light attenuation and visual performance of smart contact lenses with GH-LCD.

Positive-negative tunable liquid crystal lenses based on a microstructured transmission line

In this work, a novel technique to create positive-negative tunable liquid crystal lenses is proposed and experimentally demonstrated. This structure is based on two main elements, a transmission line acting as a voltage divider and concentric electrodes that distribute the voltage homogeneously across the active area. This proposal avoids all disadvantages of previous techniques, involving much simpler fabrication process (a single lithographic step) and voltage control (one or two sources). In addition, low voltage signals are required. Lenses with switchable positive and negative focal lengths and a simple, low voltage control are demonstrated. Moreover, by using this technique other optical devices could be engineered, e.g. axicons, Powell lenses, cylindrical lenses, Fresnel lenses, beam steerers, optical vortex generators, etc. For this reason, the proposed technique could open new venues of research in optical phase modulation based on liquid crystal materials.

Seeing the Unseen: The Role of Liquid Crystals in Gas-Sensing Technologies

Fast, real-time detection of gases and volatile organic compounds (VOCs) is an emerging research field relevant to most aspects of modern society, from households to health facilities, industrial units, and military environments. Sensor features such as high sensitivity, selectivity, fast response, and low energy consumption are essential. Liquid crystal (LC)-based sensors fulfill these requirements due to their chemical diversity, inherent self-assembly potential, and reversible molecular order, resulting in tunable stimuliresponsive soft materials. Sensing platforms utilizing thermotropic uniaxial systems-nematic and smectic-that exploit not only interfacial phenomena, but also changes in the LC bulk, are demonstrated. Special focus is given to the different interaction mechanisms and tuned selectivity toward gas and VOC analytes. Furthermore, the different experimental methods used to transduce the presence of chemical analytes into macroscopic signals are discussed and detailed examples are provided. Future perspectives and trends in the field, in particular the opportunities for LC-based advanced materials in artificial olfaction, are also discussed.

Contact Lens Technology: From Fundamentals to Applications

Contact lenses are ocular prosthetic devices used by over 150 million people worldwide. Primary applications of contact lenses include vision correction, therapeutics, and cosmetics. Contact lens materials have significantly evolved over time to minimize adverse effects associated with contact lens wearing, to maintain a regular corneal metabolism, and to preserve tear film stability. This article encompasses contact lens technology, including materials, chemical and physical properties, manufacturing processes, microbial contamination, and ocular complications. The function and the composition of the tear fluid are discussed to assess its potential as a diagnostic media. The regulatory standards of contact lens devices with regard to biocompatibility and contact lens market are presented. Future prospects in contact lens technology are evaluated, with particular interest given to theranostic applications for in situ continuous monitoring the ocular physiology.

Autofocals: Evaluating gaze-contingent eyeglasses for presbyopes

As humans age, they gradually lose the ability to accommodate, or refocus, to near distances because of the stiffening of the crystalline lens. This condition, known as presbyopia, affects nearly 20% of people worldwide. We design and build a new presbyopia correction, autofocals, to externally mimic the natural accommodation response, combining eye tracker and depth sensor data to automatically drive focus-tunable lenses. We evaluated 19 users on visual acuity, contrast sensitivity, and a refocusing task. Autofocals exhibit better visual acuity when compared to monovision and progressive lenses while maintaining similar contrast sensitivity. On the refocusing task, autofocals are faster and, compared to progressives, also significantly more accurate. In a separate study, a majority of 23 of 37 users ranked autofocals as the best correction in terms of ease of refocusing. Our work demonstrates the superiority of autofocals over current forms of presbyopia correction and could affect the lives of millions.

Recent Advances in Adaptive Liquid Crystal Lenses

An adaptive-focus lens is a device that is capable of tuning its focal length by means of an external stimulus. Numerous techniques for the demonstration of such devices have been reported thus far. Moving beyond traditional solutions, several new approaches have been proposed in recent years based on the use of liquid crystals, which can have a great impact in emerging applications. This work focuses on the recent advances in liquid crystal lenses with diameters larger than 1 mm. Recent demonstrations and their performance characteristics are reviewed, discussing the advantages and disadvantages of the reported technologies and identifying the challenges and future prospects in the active research field of adaptive-focus liquid crystal (LC) lenses.

A High-Efficiency Low-Power Chip-Based CMOS Liquid Crystal Driver for Tunable Electro-Optic Eyewear

A high-efficiency low-power chip-based liquid crystal (LC) driver has been successfully designed and implemented for adaptive electro-optic eyewear including tunable vision correction devices (eyeglass, contact lens, intraocular lens, occluder, and prism), phoropter, iris, head-mounted display, and 3D imaging. The driver can generate a 1 kHz bipolar square wave with magnitude tunable from 0 V to 15 V to change the lens focus adaptively. The LC driver output magnitude is controlled by a reference DC voltage that is manually tunable between 0 and 3 V. A multi-mode 1×/2×/3×/4×/5× charge pump is developed for DC-DC conversion to expand the output range with a fast-sink function implemented to regulate the charge pump output. In addition, a new four-phase H-bridge driving scheme is employed to improve the DC/AC inverter efficiency. The LC driver has been successfully implemented and tested as an IC chip (8.6 mm × 8.6 mm) using AMS 0.18 μm High-Voltage CMOS technology.