Abstract
Conventional spherical intraocular lenses (IOLs) induce spherical aberration (SA) whereby the periphery of an IOL refracts light greater than the centre, and spherically neutral and aspheric intraocular lenses aim to reduce this. A systematic review and meta-analysis of aspheric IOLs has shown they improve contrast sensitivity in mesopic conditions by reducing spherical aberration, although they do not improve best-corrected visual acuity (BCVA). Modern aspheric extended depth-of-focus (EDOF) IOLs make use of various technologies to induce targeted spherical aberration that may prove useful in increasing depth-of-focus to provide good unaided distance and intermediate vision without the glare and haloes of diffractive IOLs.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Glasser A, Campbell MC. Presbyopia and the optical changes in the human crystalline lens with age. Vision Res. 1998;38(2):209–29.
Schuster AK, Tesarz J, Vossmerbaeumer U. The impact on vision of aspheric to spherical monofocal intraocular lenses in cataract surgery: a systematic review with meta-analysis. Ophthalmology. 2013;120(11):2166–75.
Schuster AK, Tesarz J, Vossmerbaeumer U. Ocular wavefront analysis of aspheric compared with spherical monofocal intraocular lenses in cataract surgery: systematic review with metaanalysis. J Cataract Refract Surg. 2015;41(5):1088–97.
Luo M, Ji J, Zhao C, Fan X. Clinical study of Acrysof IQ aspheric intraocular lenses. Clin Exp Ophthalmol. 2010;38(4):358–62.
Denoyer A, Halfon J, Majzoub S, Pisella PJ. Visual function after cataract surgery in patients with an aspherical lens without spherical aberration. J Fr Ophtalmol. 2007;30(6):578–84.
Holladay JT, Piers PA, Koranyi G, van der Mooren M, Norrby NE. A new intraocular lens design to reduce spherical aberration of pseudophakic eyes. J Refract Surg. 2002;18(6):683–91.
Piers PA, Weeber HA, Artal P, Norrby S. Theoretical comparison of aberration-correcting customized and aspheric intraocular lenses. J Refract Surg. 2007;23(4):374–84.
Akkin C, Ozler SA, Mentes J. Tilt and decentration of bag-fixated intraocular lenses: a comparative study between capsulorhexis and envelope techniques. Doc Ophthalmol. 1994;87(3):199–209.
Hayashi K, Harada M, Hayashi H, Nakao F, Hayashi F. Decentration and tilt of polymethyl methacrylate, silicone, and acrylic soft intraocular lenses. Ophthalmology. 1997;104(5):793–8.
Mutlu FM, Bilge AH, Altinsoy HI, Yumusak E. The role of capsulotomy and intraocular lens type on tilt and decentration of polymethylmethacrylate and foldable acrylic lenses. Ophthalmologica. 1998;212(6):359–63.
Grimson JM, Schallhorn SC, Kaupp SE. Contrast sensitivity: establishing normative data for use in screening prospective naval pilots. Aviat Space Environ Med. 2002;73(1):28–35.
Nanavaty MA, Spalton DJ, Boyce J, Saha S, Marshall J. Wavefront aberrations, depth of focus, and contrast sensitivity with aspheric and spherical intraocular lenses: fellow-eye study. J Cataract Refract Surg. 2009;35(4):663–71.
Nishi T, Nawa Y, Ueda T, Masuda K, Taketani F, Hara Y. Effect of total higher-order aberrations on accommodation in pseudophakic eyes. J Cataract Refract Surg. 2006;32(10):1643–9.
Koch DD, Wang L. Custom optimization of intraocular lens asphericity. Trans Am Ophthalmol Soc. 2007;105:36–41; discussion 2
Packer M, Fine IH, Hoffman RS. Aspheric intraocular lens selection based on corneal wavefront. J Refract Surg. 2009;25(1):12–20.
Packer M, Fine IH, Hoffman RS. Aspheric intraocular lens selection: the evolution of refractive cataract surgery. Curr Opin Ophthalmol. 2008;19(1):1–4.
Solomon JD. Outcomes of corneal spherical aberration-guided cataract surgery measured by the OPD-scan. J Refract Surg. 2010;26(11):863–9.
Yamaguchi T, Negishi K, Ono T, Torii H, Dogru M, Yamaguchi K, et al. Feasibility of spherical aberration correction with aspheric intraocular lenses in cataract surgery based on individual pupil diameter. J Cataract Refract Surg. 2009;35(10):1725–33.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Shalchi, Z., Nanavaty, M.A. (2023). Aspheric Intraocular Lenses. In: Shajari, M., Priglinger, S., Kohnen, T., Kreutzer, T.C., Mayer, W.J. (eds) Cataract and Lens Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-05394-8_73
Download citation
DOI: https://doi.org/10.1007/978-3-031-05394-8_73
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-05393-1
Online ISBN: 978-3-031-05394-8
eBook Packages: MedicineMedicine (R0)