How Reliable Is Pyramidal Wavefront-Based Sensor Aberrometry in Measuring the In Vivo Optical Behaviour of Multifocal IOLs?

Cataract or refractive lens surgery, along with the implantation of multifocal intraocular lenses (MF-IOL), enables a complete range of functional far, near and intermediate vision. Refractive, diffractive and extended depth of focus (EDoF) or combination of these principles represent the technology...

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Main Authors: Francesco D’Oria, Giacomo Scotti, Alessandra Sborgia, Francesco Boscia, Giovanni Alessio
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/23/7/3534
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author Francesco D’Oria
Giacomo Scotti
Alessandra Sborgia
Francesco Boscia
Giovanni Alessio
author_facet Francesco D’Oria
Giacomo Scotti
Alessandra Sborgia
Francesco Boscia
Giovanni Alessio
author_sort Francesco D’Oria
collection DOAJ
description Cataract or refractive lens surgery, along with the implantation of multifocal intraocular lenses (MF-IOL), enables a complete range of functional far, near and intermediate vision. Refractive, diffractive and extended depth of focus (EDoF) or combination of these principles represent the technology used to obtain this multifocality. Aberrometry makes it possible to study the aberrations induced by MF-IOLs. Among the different optical principles available to measure ocular aberrations, pyramidal wavefront-based sensor (PWS) aberrometry shows the highest resolution with MF-IOLs. Retinal image quality measured by a PWS aberrometer differed significantly according to the technology of the implanted lens. Monofocal and diffractive lenses showed the highest values of far-distance retinal image quality, followed by refractive and EDoF lenses; however, retinal image quality analysed in diffractive lenses appears to be more dependent on residual refractive error. Considering this limitation, PWS-aberrometry could be used to compare diffractive lenses. Nevertheless, further studies are needed to provide additional information about the clinical retinal image quality of MF-IOLs and to help surgeons in the important preoperative selection of IOLs.
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spelling doaj.art-921222f155644b499f0fd696353859512023-11-17T17:33:58ZengMDPI AGSensors1424-82202023-03-01237353410.3390/s23073534How Reliable Is Pyramidal Wavefront-Based Sensor Aberrometry in Measuring the In Vivo Optical Behaviour of Multifocal IOLs?Francesco D’Oria0Giacomo Scotti1Alessandra Sborgia2Francesco Boscia3Giovanni Alessio4Section of Ophthalmology, Department of Basic Medical Science, Neuroscience and Sense Organs, University of Bari, 70121 Bari, ItalySection of Ophthalmology, Department of Basic Medical Science, Neuroscience and Sense Organs, University of Bari, 70121 Bari, ItalySection of Ophthalmology, Department of Basic Medical Science, Neuroscience and Sense Organs, University of Bari, 70121 Bari, ItalySection of Ophthalmology, Department of Basic Medical Science, Neuroscience and Sense Organs, University of Bari, 70121 Bari, ItalySection of Ophthalmology, Department of Basic Medical Science, Neuroscience and Sense Organs, University of Bari, 70121 Bari, ItalyCataract or refractive lens surgery, along with the implantation of multifocal intraocular lenses (MF-IOL), enables a complete range of functional far, near and intermediate vision. Refractive, diffractive and extended depth of focus (EDoF) or combination of these principles represent the technology used to obtain this multifocality. Aberrometry makes it possible to study the aberrations induced by MF-IOLs. Among the different optical principles available to measure ocular aberrations, pyramidal wavefront-based sensor (PWS) aberrometry shows the highest resolution with MF-IOLs. Retinal image quality measured by a PWS aberrometer differed significantly according to the technology of the implanted lens. Monofocal and diffractive lenses showed the highest values of far-distance retinal image quality, followed by refractive and EDoF lenses; however, retinal image quality analysed in diffractive lenses appears to be more dependent on residual refractive error. Considering this limitation, PWS-aberrometry could be used to compare diffractive lenses. Nevertheless, further studies are needed to provide additional information about the clinical retinal image quality of MF-IOLs and to help surgeons in the important preoperative selection of IOLs.https://www.mdpi.com/1424-8220/23/7/3534cataract surgerypyramidal aberrometrymultifocal IOLextended depth-of-focus IOL
spellingShingle Francesco D’Oria
Giacomo Scotti
Alessandra Sborgia
Francesco Boscia
Giovanni Alessio
How Reliable Is Pyramidal Wavefront-Based Sensor Aberrometry in Measuring the In Vivo Optical Behaviour of Multifocal IOLs?
Sensors
cataract surgery
pyramidal aberrometry
multifocal IOL
extended depth-of-focus IOL
title How Reliable Is Pyramidal Wavefront-Based Sensor Aberrometry in Measuring the In Vivo Optical Behaviour of Multifocal IOLs?
title_full How Reliable Is Pyramidal Wavefront-Based Sensor Aberrometry in Measuring the In Vivo Optical Behaviour of Multifocal IOLs?
title_fullStr How Reliable Is Pyramidal Wavefront-Based Sensor Aberrometry in Measuring the In Vivo Optical Behaviour of Multifocal IOLs?
title_full_unstemmed How Reliable Is Pyramidal Wavefront-Based Sensor Aberrometry in Measuring the In Vivo Optical Behaviour of Multifocal IOLs?
title_short How Reliable Is Pyramidal Wavefront-Based Sensor Aberrometry in Measuring the In Vivo Optical Behaviour of Multifocal IOLs?
title_sort how reliable is pyramidal wavefront based sensor aberrometry in measuring the in vivo optical behaviour of multifocal iols
topic cataract surgery
pyramidal aberrometry
multifocal IOL
extended depth-of-focus IOL
url https://www.mdpi.com/1424-8220/23/7/3534
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