Pitfalls of using NIR-based clinical instruments to test eyes implanted with diffractive intraocular lenses

The strong wavelength dependency of diffractive elements casts reasonable doubts on the reliability of near-infrared- (NIR)-based clinical instruments, such as aberrometers and double-pass systems, for assessing, post-surgery, the visual quality of eyes implanted with diffractive multifocal intraocu...

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Autores: Vega Lerín, Fidel|||0000-0002-8594-0872, Faria-Ribeiro, Miguel, Armengol Cebrian, Jesús|||0000-0003-2880-752X, Millán Garcia-Varela, M. Sagrario|||0000-0001-6950-2373
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Politècnica de Catalunya (UPC)
Repositorio:UPCommons. Portal del coneixement obert de la UPC
Idioma:inglés
OAI Identifier:oai:upcommons.upc.edu:2117/386775
Acceso en línea:https://hdl.handle.net/2117/386775
https://dx.doi.org/10.3390/diagnostics13071259
Access Level:acceso abierto
Palabra clave:Intraocular lenses
Cataract -- Surgery
Waves -- Diffraction
Retina
Intraocular lens
Diffractive lens
Retinal image quality
Ocular aberrations
Near infrared
Through focus analysis
Presbyopia
Cataract surgery
Lents intraoculars
Cataractes -- Cirurgia
Ones -- Difracció
Àrees temàtiques de la UPC::Ciències de la visió
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network_acronym_str ES
network_name_str España
repository_id_str
spelling Pitfalls of using NIR-based clinical instruments to test eyes implanted with diffractive intraocular lensesVega Lerín, Fidel|||0000-0002-8594-0872Faria-Ribeiro, MiguelArmengol Cebrian, Jesús|||0000-0003-2880-752XMillán Garcia-Varela, M. Sagrario|||0000-0001-6950-2373Intraocular lensesCataract -- SurgeryWaves -- DiffractionRetinaIntraocular lensDiffractive lensRetinal image qualityOcular aberrationsNear infraredThrough focus analysisPresbyopiaCataract surgeryLents intraocularsCataractes -- CirurgiaOnes -- DifraccióRetinaÀrees temàtiques de la UPC::Ciències de la visióThe strong wavelength dependency of diffractive elements casts reasonable doubts on the reliability of near-infrared- (NIR)-based clinical instruments, such as aberrometers and double-pass systems, for assessing, post-surgery, the visual quality of eyes implanted with diffractive multifocal intraocular lenses (DMIOLs). The results obtained for such patients when using NIR light can be misleading. Ordinary compensation for the refractive error bound to chromatic aberration is not enough because it only considers the best focus shift but does not take into account the distribution of light energy among the foci which strongly depends on the wavelength-dependent energy efficiency of the diffractive orders used in the DMIOL design. In this paper, we consider three commercial DMIOL designs with the far focus falling within the range of (-1, 0, +1)-diffractive orders. We prove theoretically the differences existing in the physical performance of the studied lenses when using either the design wavelength in the visible spectrum or a NIR wavelength (780 to 850 nm). Based on numerical simulation and on-bench experimental results, we show that such differences cannot be neglected and may affect all the foci of a DMIOL, including the far focus.This research was funded by the Ministerio de Ciencia e Innovación, Agencia Estatal de Investigación (AEI) of the Spanish Government. Ref. project (PID2020-114582RB-I00/AEI/10.13039/501100011033).Peer Reviewed20232023-04-0120232023-04-27journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/2117/386775https://dx.doi.org/10.3390/diagnostics13071259reponame:UPCommons. Portal del coneixement obert de la UPCinstname:Universitat Politècnica de Catalunya (UPC)InglésengAgencia Estatal de Investigación http://doi.org/10.13039/501100011033 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 PID2020-114582RB-I00 IMPLANTES OPTICOS INTRAOCULARES CORRECTORES DE LA PRESBICIA PARA UNA COMPENSACION VISUAL PERSONALIZADAopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:upcommons.upc.edu:2117/3867752026-05-27T15:37:01Z
dc.title.none.fl_str_mv Pitfalls of using NIR-based clinical instruments to test eyes implanted with diffractive intraocular lenses
title Pitfalls of using NIR-based clinical instruments to test eyes implanted with diffractive intraocular lenses
spellingShingle Pitfalls of using NIR-based clinical instruments to test eyes implanted with diffractive intraocular lenses
Vega Lerín, Fidel|||0000-0002-8594-0872
Intraocular lenses
Cataract -- Surgery
Waves -- Diffraction
Retina
Intraocular lens
Diffractive lens
Retinal image quality
Ocular aberrations
Near infrared
Through focus analysis
Presbyopia
Cataract surgery
Lents intraoculars
Cataractes -- Cirurgia
Ones -- Difracció
Retina
Àrees temàtiques de la UPC::Ciències de la visió
title_short Pitfalls of using NIR-based clinical instruments to test eyes implanted with diffractive intraocular lenses
title_full Pitfalls of using NIR-based clinical instruments to test eyes implanted with diffractive intraocular lenses
title_fullStr Pitfalls of using NIR-based clinical instruments to test eyes implanted with diffractive intraocular lenses
title_full_unstemmed Pitfalls of using NIR-based clinical instruments to test eyes implanted with diffractive intraocular lenses
title_sort Pitfalls of using NIR-based clinical instruments to test eyes implanted with diffractive intraocular lenses
dc.creator.none.fl_str_mv Vega Lerín, Fidel|||0000-0002-8594-0872
Faria-Ribeiro, Miguel
Armengol Cebrian, Jesús|||0000-0003-2880-752X
Millán Garcia-Varela, M. Sagrario|||0000-0001-6950-2373
author Vega Lerín, Fidel|||0000-0002-8594-0872
author_facet Vega Lerín, Fidel|||0000-0002-8594-0872
Faria-Ribeiro, Miguel
Armengol Cebrian, Jesús|||0000-0003-2880-752X
Millán Garcia-Varela, M. Sagrario|||0000-0001-6950-2373
author_role author
author2 Faria-Ribeiro, Miguel
Armengol Cebrian, Jesús|||0000-0003-2880-752X
Millán Garcia-Varela, M. Sagrario|||0000-0001-6950-2373
author2_role author
author
author
dc.subject.none.fl_str_mv Intraocular lenses
Cataract -- Surgery
Waves -- Diffraction
Retina
Intraocular lens
Diffractive lens
Retinal image quality
Ocular aberrations
Near infrared
Through focus analysis
Presbyopia
Cataract surgery
Lents intraoculars
Cataractes -- Cirurgia
Ones -- Difracció
Retina
Àrees temàtiques de la UPC::Ciències de la visió
topic Intraocular lenses
Cataract -- Surgery
Waves -- Diffraction
Retina
Intraocular lens
Diffractive lens
Retinal image quality
Ocular aberrations
Near infrared
Through focus analysis
Presbyopia
Cataract surgery
Lents intraoculars
Cataractes -- Cirurgia
Ones -- Difracció
Retina
Àrees temàtiques de la UPC::Ciències de la visió
description The strong wavelength dependency of diffractive elements casts reasonable doubts on the reliability of near-infrared- (NIR)-based clinical instruments, such as aberrometers and double-pass systems, for assessing, post-surgery, the visual quality of eyes implanted with diffractive multifocal intraocular lenses (DMIOLs). The results obtained for such patients when using NIR light can be misleading. Ordinary compensation for the refractive error bound to chromatic aberration is not enough because it only considers the best focus shift but does not take into account the distribution of light energy among the foci which strongly depends on the wavelength-dependent energy efficiency of the diffractive orders used in the DMIOL design. In this paper, we consider three commercial DMIOL designs with the far focus falling within the range of (-1, 0, +1)-diffractive orders. We prove theoretically the differences existing in the physical performance of the studied lenses when using either the design wavelength in the visible spectrum or a NIR wavelength (780 to 850 nm). Based on numerical simulation and on-bench experimental results, we show that such differences cannot be neglected and may affect all the foci of a DMIOL, including the far focus.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023-04-01
2023
2023-04-27
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/2117/386775
https://dx.doi.org/10.3390/diagnostics13071259
url https://hdl.handle.net/2117/386775
https://dx.doi.org/10.3390/diagnostics13071259
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Agencia Estatal de Investigación http://doi.org/10.13039/501100011033 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 PID2020-114582RB-I00 IMPLANTES OPTICOS INTRAOCULARES CORRECTORES DE LA PRESBICIA PARA UNA COMPENSACION VISUAL PERSONALIZADA
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:UPCommons. Portal del coneixement obert de la UPC
instname:Universitat Politècnica de Catalunya (UPC)
instname_str Universitat Politècnica de Catalunya (UPC)
reponame_str UPCommons. Portal del coneixement obert de la UPC
collection UPCommons. Portal del coneixement obert de la UPC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.300724

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