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Visual performance of an aberration-free intraocular lens in patients with different corneal profiles measured with an adaptive optics visual simulator

Poster Details

First Author: A.Lorente-Velazquez SPAIN

Co Author(s):    J. Ruiz Alcocer   D. Madrid Costa   C. P   R. Mont     

Abstract Details


To evaluate the visual performance of an aberration-free intraocular lens (IOL) in patients with different corneal profiles using adaptive optics (AO) visual simulation.


University of Valencia


A CRX1 AO visual simulator (Imagine Eyes, France) was used to simulate the aberrationÂ’s pattern of an aberration-free IOL combined with five corneal profiles: virgin corneas and corneas with low and high myopic ablations and low and high hyperopic ablations. Monocular distance visual acuity (VA) at 100%, 50% and 10% of contrast were measured


Ten eyes of ten subjects were evaluated. At 100% of contrast, differences were not found in VA values among: virgin corneas, low and high myopic ablations and low hyperopic ablation groups (P=0.06). All these groups achieved better results than the high hyperopic ablation group (P< 0.001). At 50% and 10% the best values of VA were obtained for the virgin corneas and for the low myopic and hyperopic ablations groups (P>0.1, for both levels of contrast). Statistically significant differences were found between these three corneal profiles and the other two corneal profiles (P<0.002 for the high myopic and P<0.001 for the high hyperopic, for both levels of contrasts).


The results suggests that the aberration-free IOL design provides an excellent visual performance for a range of corneal SA that could correspond to patients with virgin corneas and to patients in which the corneal SA has been slightly modified by a hyperopic or myopic laser ablation. However, in patients with higher amounts of corneal SA other IOL design should be chosen. FINANCIAL DISCLOSURE?: No

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