New method to improve the quality of vision in cataractous keratoconus eyes.

Scientific Reports
Juan J MiretDavid P Piñero

Abstract

To analyze using optical simulations if the proper use of a segmented intraocular lens (IOL) can improve the visual outcomes compared to the implantation of a spherical monofocal IOL. The wavefront profile of the Mplus (Oculentis) and a monofocal IOLs with the phase transformation introduced by each IOL were calculated using a Hartmann-Shack wavefront sensor. In addition, the wavefront profile of schematic eye models of various keratoconus conditions was obtained and was propagated to the IOLs. The optical performance of such combination was obtained after combining ray tracing and Fourier optics. A pre-clinical validation was also evaluated incorporating clinical data from three different keratoconus eyes of three patients. The implantation of the Mplus IOL can compensate or reduce the overall coma of the eye with keratoconus improving the quality of vision compared with a spherical monofocal IOL due to lower displacements of the retinal image or tilting in keratoconus. All theoretical simulations were confirmed afterwards by mean of a preclinical validation. The use of a standard toric segmented IOL with a proper orientation and selection of the addition can improve the optical quality of the keratoconus eye compared to the u...Continue Reading

References

Jul 22, 2008·Investigative Ophthalmology & Visual Science·Minghan Chen, Geunyoung Yoon
Jan 19, 2011·Journal of Cataract and Refractive Surgery·Jorge L AlióMaria Joanna Rodriguez Chan
Jan 22, 2013·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Raúl MontalbánDavid P Piñero
May 15, 2013·Cornea·Raúl MontalbánDavid P Piñero
Jun 8, 2015·Journal of Cataract and Refractive Surgery·Deric W de WitJonathan E Moore
Jun 7, 2017·Investigative Ophthalmology & Visual Science·Asaki SuzakiTakashi Fujikado
Jan 30, 2020·Scientific Reports·Vinay Kumar NilagiriShrikant R Bharadwaj

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Software Mentioned

MATLAB
Mplus

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