Simulation of daily soft multifocal contact lenses using SimVis Gekko: from in-vitro and computational characterization to clinical validation

Abstract Multifocal contact lenses (MCLs) are one of the solutions to correct presbyopia, but their adoption is not widespread. To address this situation, visual simulators can be used to refine the adaptation process. This study aims to obtain accurate simulations for a visual simulator (SimVis Gek...

Full description

Bibliographic Details
Main Authors: Eduardo Esteban-Ibañez, Diego Montagud-Martínez, Lucie Sawides, Amal Zaytouny, Alberto de Castro, Irene Sisó-Fuertes, Xoana Barcala, David P. Piñero, Walter D. Furlan, Carlos Dorronsoro, Enrique Gambra
Format: Article
Language:English
Published: Nature Portfolio 2024-04-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-59178-1
_version_ 1827284289256947712
author Eduardo Esteban-Ibañez
Diego Montagud-Martínez
Lucie Sawides
Amal Zaytouny
Alberto de Castro
Irene Sisó-Fuertes
Xoana Barcala
David P. Piñero
Walter D. Furlan
Carlos Dorronsoro
Enrique Gambra
author_facet Eduardo Esteban-Ibañez
Diego Montagud-Martínez
Lucie Sawides
Amal Zaytouny
Alberto de Castro
Irene Sisó-Fuertes
Xoana Barcala
David P. Piñero
Walter D. Furlan
Carlos Dorronsoro
Enrique Gambra
author_sort Eduardo Esteban-Ibañez
collection DOAJ
description Abstract Multifocal contact lenses (MCLs) are one of the solutions to correct presbyopia, but their adoption is not widespread. To address this situation, visual simulators can be used to refine the adaptation process. This study aims to obtain accurate simulations for a visual simulator (SimVis Gekko; 2EyesVision) of daily soft MCL designs from four manufacturers. In-vitro characterization of these MCLs—several powers and additions- was obtained using NIMO TR-1504. From the averaged relative power profiles across powers, phase maps were reconstructed and the Through-Focus Visual Strehl metric was calculated for each MCL design. The SimVis Gekko simulation corresponding to each MCL design was obtained computationally and bench-validated. Finally, the MCL simulations were clinically validated involving presbyopic patients. The clinical validation results show a good agreement between the SimVis Gekko simulations and the real MCLs for through-focus visual acuity (TF-VA) curves and VA at three real distances. All MCL designs showed a partial correlation higher than 0.90 and a Root Mean Square Error below 0.07 logMAR between the TF-VA of simulations and Real MCLs across subjects. The validity of the simulation approach using SimVis Gekko and in-vitro measurements was confirmed in this study, opening the possibility to accelerate the adaptation of MCLs.
first_indexed 2024-04-24T09:53:15Z
format Article
id doaj.art-61090291191a4192a04e42f6cf039ed6
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-04-24T09:53:15Z
publishDate 2024-04-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-61090291191a4192a04e42f6cf039ed62024-04-14T11:15:46ZengNature PortfolioScientific Reports2045-23222024-04-0114111110.1038/s41598-024-59178-1Simulation of daily soft multifocal contact lenses using SimVis Gekko: from in-vitro and computational characterization to clinical validationEduardo Esteban-Ibañez0Diego Montagud-Martínez1Lucie Sawides2Amal Zaytouny3Alberto de Castro4Irene Sisó-Fuertes5Xoana Barcala6David P. Piñero7Walter D. Furlan8Carlos Dorronsoro9Enrique Gambra102EyesVision SLCentro de Tecnologías Físicas, Universitat Politècnica de València2EyesVision SLInstitute of Optics ‘Daza de Valdés’, Spanish National Research Council, IO-CSICInstitute of Optics ‘Daza de Valdés’, Spanish National Research Council, IO-CSIC2EyesVision SL2EyesVision SLDepartamento de Óptica, Farmacología y Anatomía, Universidad de AlicanteDepartamento de Óptica y Optometría y Ciencias de la Visión, Universitat de València2EyesVision SL2EyesVision SLAbstract Multifocal contact lenses (MCLs) are one of the solutions to correct presbyopia, but their adoption is not widespread. To address this situation, visual simulators can be used to refine the adaptation process. This study aims to obtain accurate simulations for a visual simulator (SimVis Gekko; 2EyesVision) of daily soft MCL designs from four manufacturers. In-vitro characterization of these MCLs—several powers and additions- was obtained using NIMO TR-1504. From the averaged relative power profiles across powers, phase maps were reconstructed and the Through-Focus Visual Strehl metric was calculated for each MCL design. The SimVis Gekko simulation corresponding to each MCL design was obtained computationally and bench-validated. Finally, the MCL simulations were clinically validated involving presbyopic patients. The clinical validation results show a good agreement between the SimVis Gekko simulations and the real MCLs for through-focus visual acuity (TF-VA) curves and VA at three real distances. All MCL designs showed a partial correlation higher than 0.90 and a Root Mean Square Error below 0.07 logMAR between the TF-VA of simulations and Real MCLs across subjects. The validity of the simulation approach using SimVis Gekko and in-vitro measurements was confirmed in this study, opening the possibility to accelerate the adaptation of MCLs.https://doi.org/10.1038/s41598-024-59178-1
spellingShingle Eduardo Esteban-Ibañez
Diego Montagud-Martínez
Lucie Sawides
Amal Zaytouny
Alberto de Castro
Irene Sisó-Fuertes
Xoana Barcala
David P. Piñero
Walter D. Furlan
Carlos Dorronsoro
Enrique Gambra
Simulation of daily soft multifocal contact lenses using SimVis Gekko: from in-vitro and computational characterization to clinical validation
Scientific Reports
title Simulation of daily soft multifocal contact lenses using SimVis Gekko: from in-vitro and computational characterization to clinical validation
title_full Simulation of daily soft multifocal contact lenses using SimVis Gekko: from in-vitro and computational characterization to clinical validation
title_fullStr Simulation of daily soft multifocal contact lenses using SimVis Gekko: from in-vitro and computational characterization to clinical validation
title_full_unstemmed Simulation of daily soft multifocal contact lenses using SimVis Gekko: from in-vitro and computational characterization to clinical validation
title_short Simulation of daily soft multifocal contact lenses using SimVis Gekko: from in-vitro and computational characterization to clinical validation
title_sort simulation of daily soft multifocal contact lenses using simvis gekko from in vitro and computational characterization to clinical validation
url https://doi.org/10.1038/s41598-024-59178-1
work_keys_str_mv AT eduardoestebanibanez simulationofdailysoftmultifocalcontactlensesusingsimvisgekkofrominvitroandcomputationalcharacterizationtoclinicalvalidation
AT diegomontagudmartinez simulationofdailysoftmultifocalcontactlensesusingsimvisgekkofrominvitroandcomputationalcharacterizationtoclinicalvalidation
AT luciesawides simulationofdailysoftmultifocalcontactlensesusingsimvisgekkofrominvitroandcomputationalcharacterizationtoclinicalvalidation
AT amalzaytouny simulationofdailysoftmultifocalcontactlensesusingsimvisgekkofrominvitroandcomputationalcharacterizationtoclinicalvalidation
AT albertodecastro simulationofdailysoftmultifocalcontactlensesusingsimvisgekkofrominvitroandcomputationalcharacterizationtoclinicalvalidation
AT irenesisofuertes simulationofdailysoftmultifocalcontactlensesusingsimvisgekkofrominvitroandcomputationalcharacterizationtoclinicalvalidation
AT xoanabarcala simulationofdailysoftmultifocalcontactlensesusingsimvisgekkofrominvitroandcomputationalcharacterizationtoclinicalvalidation
AT davidppinero simulationofdailysoftmultifocalcontactlensesusingsimvisgekkofrominvitroandcomputationalcharacterizationtoclinicalvalidation
AT walterdfurlan simulationofdailysoftmultifocalcontactlensesusingsimvisgekkofrominvitroandcomputationalcharacterizationtoclinicalvalidation
AT carlosdorronsoro simulationofdailysoftmultifocalcontactlensesusingsimvisgekkofrominvitroandcomputationalcharacterizationtoclinicalvalidation
AT enriquegambra simulationofdailysoftmultifocalcontactlensesusingsimvisgekkofrominvitroandcomputationalcharacterizationtoclinicalvalidation