Purpose: To evaluate changes in angle κ after the implantation of a trifocal intraocular lens (IOL) and to assess the postoperative outcomes of patients with different angle κ values.
Setting: IOA Madrid Innova Ocular, Madrid, Spain.
Design: Prospective trial.
Methods: Sixty-three eyes from 63 patients who had bilateral implantation of a diffractive trifocal IOL (POD F, PhysIOL) were included. Pupil offset was used as the best estimate of angle κ and was measured using Pentacam (Oculus) preoperatively and at 3 months postoperatively. Postoperative refractive outcomes (sphere, cylinder, and manifest refraction spherical equivalent) and visual outcomes at far, intermediate, and near distance were assessed and compared between eyes with small pupil offset and eyes with large pupil offset. Quality of vision was assessed using a subjective questionnaire.
Results: There was a significant decrease in pupil offset values postoperatively (mean: 0.197 ± 0.12 mm) compared with those preoperatively (mean: 0.239 ± 0.12 mm), with a mean decrease of -0.042 mm (P = .0002). The same significant decrease was found for both right and left eyes, when analyzed separately. No statistically significant difference was found in any of the refractive and visual acuity outcomes between eyes with small pupil offset and eyes with large pupil offset. The majority of patients (14 of 16) complaining of significant halos had eyes with small pupil offset.
Conclusions: Large pupil offset did not negatively affect visual and refractive outcomes. The tolerance to larger pupil offset might be due to the IOL optical design, with the first diffractive ring being larger than other commonly used multifocal IOLs. More studies comparing various diffractive IOL models would be useful to confirm such hypothesis.
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http://dx.doi.org/10.1097/j.jcrs.0000000000000156 | DOI Listing |
Sensors (Basel)
December 2024
Department of Optometry and Vision Science, Faculty of Science and Technology, University of Latvia, Jelgavas Street 1, LV-1004 Riga, Latvia.
Eccentric photorefractometry is widely used to measure eye refraction, accommodation, gaze position, and pupil size. While the individual calibration of refraction and accommodation data has been extensively studied, gaze measurements have received less attention. PowerRef 3 does not incorporate individual calibration for gaze measurements, resulting in a divergent offset between the measured and expected gaze positions.
View Article and Find Full Text PDFSleep
December 2024
Centre for Biological Timing, Division of Neuroscience, School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester M13 9PT, UK.
Study Objectives: Melanopsin-expressing retinal ganglion cells, which provide light information to time sleep and entrain circadian clocks, also influence perceived brightness raising the possibility that psychophysical paradigms could be used to explore the origins and implications of variability in melanopic sensitivity. We aimed to develop accessible psychophysical tests of melanopic vision and relate outcomes with a pupillometric measure of melanopsin function (post-illumination pupil response; PIPR) and prior light exposure.
Methods: Individually calibrated pairs of isoluminant stimuli differing in melanopic radiance from a four primary source were presented sequentially with superimposed random colour offsets in a two alternative forced choice brightness preference paradigm to 41 naïve adult participants with personal light exposure data for the prior 7 days and PIPR measures defined by comparing maintained pupil constriction for luminance matched 'red' vs 'blue' pulses.
Transl Vis Sci Technol
December 2024
Center for Visual Science, University of Rochester, Rochester, NY, USA.
Purpose: We evaluated through-focus visual performance and accommodative response in young subjects through three segmented multifocal designs for myopia control, mapped on the spatial light modulator of a monocular adaptive optics visual simulator (AOVS), and compared with single vision (SV).
Methods: The segmented multifocal patterns included a 4 mm diameter center distance zone and offset peripheral defocus (MP1), astigmatism and coma (MP2), or a combination (MP3). High-contrast logMAR visual acuity (VA) was measured with monochromatic stimuli (555 nm).
Light field displays reconstruct 3D scenes through integral imaging. However, inefficient light ray acquisition degrades the visual experience, while the fixed position of the exit pupil limits viewer mobility. In this paper, we propose a novel light field acquisition method employing parallax mapping techniques, coupled with adaptive viewport optimization based on eye tracking data.
View Article and Find Full Text PDFFront Med (Lausanne)
November 2024
Department of Ophthalmology, The Third People's Hospital of Dalian, Dalian, China.
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