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不同瞳孔大小的人工晶状体眼单眼散焦曲线预测

Prediction of monocular defocus curves in pseudophakia with different pupil sizes.

作者信息

Del Águila-Carrasco Antonio J, Alarcon Aixa, Weeber Henk, Tsai Linda, Vilupuru Srividhya, Canovas Carmen, Piers Patricia

机构信息

Johnson & Johnson Medtech, Groningen 9728 NX, The Netherlands.

Johnson & Johnson Medtech, Irvine, CA 92618, USA.

出版信息

Biomed Opt Express. 2025 Jan 28;16(2):709-717. doi: 10.1364/BOE.540583. eCollection 2025 Feb 1.

DOI:10.1364/BOE.540583
PMID:39958840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11828456/
Abstract

Existing models for predicting clinical visual acuity (VA) following lens replacement surgery use controlled experimental conditions where pupil size is typically fixed. However, pupil size may influence visual performance depending on the design of the intraocular lens (IOL) implanted. This study compares optical bench testing metrics to clinical VA in pseudophakic patients with different pupil sizes and IOL models. The area under the modulation transfer function (MTFa) and the weighted optical transfer function (wOTF) were obtained at vergences ranging from -3 D to 0.5 D, and different pupil sizes: 2, 3, and 4.5 mm. The simulated VA values obtained for both metrics were well correlated with clinical data (R ≥ 0.85) and had low root mean square errors (RMSe) for the entire defocus range, suggesting their suitability for predicting VA defocus curves in pseudophakic eyes with varying pupil size.

摘要

现有的用于预测晶状体置换手术后临床视力(VA)的模型采用受控实验条件,其中瞳孔大小通常是固定的。然而,根据植入的人工晶状体(IOL)的设计,瞳孔大小可能会影响视觉性能。本研究比较了不同瞳孔大小和IOL模型的假晶状体患者的光学平台测试指标与临床VA。在从-3 D到0.5 D的不同 vergences 以及2、3和4.5 mm的不同瞳孔大小下,获得调制传递函数(MTFa)和加权光学传递函数(wOTF)的面积。两种指标获得的模拟VA值与临床数据具有良好的相关性(R≥0.85),并且在整个散焦范围内具有较低的均方根误差(RMSe),表明它们适用于预测不同瞳孔大小的假晶状体眼的VA散焦曲线。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f36/11828456/6d940f3debcf/boe-16-2-709-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f36/11828456/fb5d8ef36211/boe-16-2-709-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f36/11828456/c34b04b71571/boe-16-2-709-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f36/11828456/5f8047f30a7b/boe-16-2-709-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f36/11828456/6d940f3debcf/boe-16-2-709-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f36/11828456/fb5d8ef36211/boe-16-2-709-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f36/11828456/c34b04b71571/boe-16-2-709-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f36/11828456/5f8047f30a7b/boe-16-2-709-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f36/11828456/6d940f3debcf/boe-16-2-709-g004.jpg

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本文引用的文献

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Regulation of pupil size in natural vision across the human lifespan.人类一生中自然视觉下瞳孔大小的调节。
R Soc Open Sci. 2024 Jun 19;11(6):191613. doi: 10.1098/rsos.191613. eCollection 2024 Jun.
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Comparison of Five Presbyopia-Correcting Intraocular Lenses: Optical-Bench Assessment with Visual-Quality Simulation.五种矫正老花眼的人工晶状体的比较:视觉质量模拟的光学平台评估
J Clin Med. 2023 Mar 27;12(7):2523. doi: 10.3390/jcm12072523.
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Laboratory Investigation of Preclinical Visual-Quality Metrics and Halo-Size in Enhanced Monofocal Intraocular Lenses.
强化单焦点人工晶状体临床前视觉质量指标及光晕大小的实验室研究
Ophthalmol Ther. 2021 Dec;10(4):1093-1104. doi: 10.1007/s40123-021-00411-9. Epub 2021 Oct 24.
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Optical Performance of a Monofocal Intraocular Lens Designed to Extend Depth of Focus.单焦点人工晶状体的光学性能可扩展焦点深度。
J Refract Surg. 2020 Sep 1;36(9):625-632. doi: 10.3928/1081597X-20200710-01.
5
Enhancing the Intermediate Vision of Monofocal Intraocular Lenses Using a Higher Order Aspheric Optic.使用更高阶非球面光学元件增强单焦点人工晶状体的中间视觉
J Refract Surg. 2020 Aug 1;36(8):520-527. doi: 10.3928/1081597X-20200612-01.
6
Equivalence of two optical quality metrics to predict the visual acuity of multifocal pseudophakic patients.两种光学质量指标预测多焦点人工晶状体植入患者视力的等效性。
Biomed Opt Express. 2020 Apr 30;11(5):2818-2829. doi: 10.1364/BOE.388531. eCollection 2020 May 1.
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8
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9
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