Abstract
Purpose
A new class of enhanced range of vision intraocular lenses (IOLs) has been introduced recently to cope with compromises of diffractive optics in patients aiming for spectacle independence. Few information is available about their optical function. We aimed to analyze higher order aberrations of four of these new wavefront-shaped IOLs under standardized conditions.
Methods
Two recently developed enhanced monofocal and two recently developed enhanced depth of focus IOLs (power 22 D) were analyzed by a Shack–Hartmann sensor in an in-situ model eye according to ISO 11,979 in NaCl with 546 nm. We determined the Zernike polynomials up to the 10th order.
Results
Only spherical aberration (SA) of different orders was considerably modified. Whereas RaySof EMV showed a moderate increase in Z 4–0, Eyhance and Vivity produced a considerable increase of negative Z 4–0. A combination of Z 4–0 and Z 6–0 with an opposite sign was found in LuxSmart.
Conclusion
SAs of different orders are the only relevant Zernike polynomials in this new class of wavefront-shaped IOLs. RaySof EMV proved to be a monofocal IOL with increased positive SA. The central change in radial power and the resulting increase in negative SA in Eyhance IOL might produce some depth of field. The magnitude of SA modification of Vivity and LuxSmart is expected to extend the depth of focus considerably. Surgeons can select among these novel IOLs depending on corneal asphericity and the patient’s wish for spectacle independence.
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Availability of data and materials
(Data transparency) yes, from the author upon request.
Code availability
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Schmid and Borkenstein: concept, evaluation, and writing. Luedtke: data analysis.
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Schmid, R., Borkenstein, A.F. Analysis of higher order aberrations in recently developed wavefront-shaped IOLs. Graefes Arch Clin Exp Ophthalmol 260, 609–620 (2022). https://doi.org/10.1007/s00417-021-05362-2
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DOI: https://doi.org/10.1007/s00417-021-05362-2