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Optical bench performance of a novel trifocal intraocular lens compared with a
multifocal intraocular lens
#MMPMID27330273
Lee S
; Choi M
; Xu Z
; Zhao Z
; Alexander E
; Liu Y
Clin Ophthalmol
2016[]; 10
(?): 1031-8
PMID27330273
show ga
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-?m 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.