Search Results (13)

Objectives: To determine how optometrists in Canada manage their pediatric myopia patients and to assess whether this has changed over time. Methods: In a retrospective chart review, records for children aged 6–10 years who had an eye exam between 2017 to 2021 were reviewed. Children were grouped by presenting refraction (myopes ≤ −0.50 D or pre-myopes ≤ +0.75 D). Up to five unique patients were selected for each age (6, 7, 8, 9, and 10) and initial visit year (2017 to 2021) for each group (myopes and pre-myopes), for a maximum of 250 files per practice. Demographic information, refraction, and recommended interventions were recorded. Logistic regression was used to model the likelihood of being prescribed a myopia control intervention based on patient and optometrist characteristics. Results: A total of 2905 patients (n = 1467 (50%) female) from 15 practices across Ontario, Canada, were included, accounting for 8546 visits. Optometrists predominantly prescribed single-vision spectacle correction as a first-line intervention for myopic children, although this declined from 98.2% in 2017 to 56.7% in 2023. The use of myopia control modalities increased from 1.8% to 43.3% over this same period. Optometrists began recommending myopia control at lower myopic refractive errors over time (−2.63 DS in 2017 vs and −1.49 DS in 2020). Myopia control spectacles were the most commonly prescribed intervention, despite the observation that optometrists are not hesitant to fit contact lenses in younger children. Optometrists who had been in practice longer were more likely to prescribe older forms of myopia control (e.g., bifocals/progressives) than more recent graduates. Conclusions: While single-vision spectacle correction remains a primary approach for initial myopia management in Ontario, Canada, optometrists increasingly recommend myopia control and are initiating interventions earlier. Full article

In the mix-and-match approach and in binocular intraocular lens (IOL) systems, two different IOL models are implanted in each eye to achieve the desired binocular outcome. In the mix-and-match approach, the surgeon selects the IOL models to be combined according to the clinical situation, the patient’s needs, and personal preference. Combinations described in the literature include, among others, two bifocal IOLs, an extended-depth-of-focus (EDoF) IOL with a bifocal lens, a trifocal lens with an EDoF IOL or an enhanced monofocal IOL, and two EDoF models utilizing different optical principles. The outcomes depend on the selected combination of IOL models. Binocular IOL systems consist of a fixed combination of two lenses, developed to be complementary in binocular vision. Initial data indicate that they can achieve a depth of focus similar to that with a bilateral implantation of a trifocal IOL. However, comparative studies are needed to evaluate if the postoperative binocular outcome differs from that achieved with the conventional approach. The mix-and-match implantation and binocular IOL systems expand the options available to tailor the IOL selection to the patient’s needs. Full article

Myopia, an increasingly grave public health concern, necessitates the implementation of various techniques for its management. These techniques predominantly comprise the employment of spectacles correction, orthokeratology (ortho-k), and soft bifocal and multifocal lenses. In the present study, a pioneering polish-free ortho-k lens was devised, featuring two reverse lines and three alignment lines, which, respectively, expedite the shaping process and enhance centration. The structural blueprint of the ortho-k lens, along with the simulation of fluorescence staining, was executed employing the FocalPoints software V7.0 (Advance Medical, Milan, Italy). Subsequently, lens aberration elimination was accomplished through ray tracing utilizing ZEMAX software V13.0 (Focus Software, Wixom, MI, USA). The fabrication of the lens was carried out via high-precision lathe turning using the UPC 100 Vision instrument (SCHNEIDER, Ratingen, Germany). The power profile of the ortho-k lens was measured using the CONTEST 2 apparatus (ROTLEX, Omer, Israel). The surface quality was observed under a 200× microscope (ZEISS, Oberkochen, Germany). The fitting of the lens was assessed through the utilization of both Slit-lamp microscopy (MediWorks, Shanghai, China) and Corneal topographer (Medmont E300, Melbourne, VIC, Australia) Full article

Purpose: The number of presbyopia-correcting (premium) intraocular lenses (IOLs) is growing steadily as the desire for spectacle independence after cataract surgery increases. The aim of this laboratory study was to evaluate a newly launched hydrophobic, acrylic, polyfocal, refractive intraocular lens with a new optical design and geometry. This polyfocal IOL has three different zones (within the optic) with radially asymmetric design. Methods: We performed optical bench tests to calculate the optical characteristics of the sample. The optical performance and quality of IOLs based on ISO 11979-2 and 11979-9 requirements were analyzed with the NIMO TR0815 (Lambda-X). In addition, optical quality metrics were evaluated with the IOLA MFD device (Rotlex). Sphere, Add, modulation transfer function (MTF), the energy distribution between the modes and the MTF along the whole range from far to near were analyzed. Results: The power histogram showed that the tested IOL has the characteristics of a polyfocal IOL with a wide range of optical power between 20.5 and 24.5 diopters. Two distinct peaks were observed, indicating bifocal functionality. In the radial and axial power surface map, all three zones, stated by the company, could be detected. Larger apertures lead to a significant increase in MTF at the far peak, indicating better visual acuity for distant objects under low-light conditions. It was observed that in small aperture sizes, intermediate vision seems to be dominant. The energy distribution remained almost constant with increasing aperture size. Conclusions: This laboratory study was able to confirm the properties of the polyfocal lens stated by the company. Three optical zones could be identified. However, further optical bench tests should be performed to evaluate the new lens under tilted and decentered conditions. Clinical studies have to confirm that the presbyopia-correcting, polyfocal lens can achieve good clinical results with high patient satisfaction without disturbing side effects. Full article

To demonstrate the results of ray tracing higher- and lower-order aberrations in pseudophakic eyes with rotationally asymmetrical segment multifocal lenses, total high- and low-order aberrations, measured by root mean square value (RMS), refraction, uncorrected distance and uncorrected near visual acuity (UCDVA and UCNVA), and tear break-up time, were measured at scotopic size in 42 eyes of patients implanted with bifocal refractive Mplus15/Mplus30 IOL with +1.5 dpt near addition (42 eyes of patients implanted with Mplus15)/+3.0 dpt near addition (91 eyes of patients implanted with Mplus30), and 107 eyes of control group. No significant differences were noticed between the examined groups concerning UCDVA, UCNVA, and tear break-up time (p < 0.001). Coma and total high-order aberrations were significantly higher for the Mplus30 lens in comparison to the Mplus15 lens and the control group (Coma, Trefoil p < 0.001, Secondary Astigmatism p = 0.002). The spherical aberrations were significantly higher in the lower-addition lens (p = 0.016) in comparison to the control group and to the higher-addition lens group (p < 0.001). Both intraocular lens models were successful at reaching refractive aim, good distance, and near function with the lower higher-order aberrations for the low-addition lens. Full article

Photoanisotropic materials, in particular azodyes and azopolymers, have attracted significant research interest in the last decades. This is due to their applications in polarization holography and 4G optics, enabling polarization-selective diffractive optical elements with unique properties, including circular polarization beam-splitters, polarization-selective bifocal lenses, and many others. Numerous methods have been applied to increase the photoinduced birefringence of these materials, and as a result, to obtain polarization holographic elements with a high diffraction efficiency. Recently, a new approach has emerged that has been extensively studied by many research groups, namely doping azobenzene-containing materials with nanoparticles with various compositions, sizes, and morphologies. The resulting nanocomposites have shown significant enhancement in their photoanisotropic response, including increased photoinduced birefringence, leading to a higher diffraction efficiency and a larger surface relief modulation in the case of polarization holographic recordings. This review aims to cover the most important achievements in this new but fast-growing field of research and to present an extensive comparative analysis of the result, reported by many research groups during the last two decades. Different hypotheses to explain the mechanism of photoanisotropy enhancement in these nanocomposites are also discussed. Finally, we present our vision for the future development of this scientific field and outline its potential applications in advanced photonics technologies. Full article

Background: Corneal refractive surgery induces high-order aberrations, specifically spherical aberration (SA). These aberrations can have implications when patients later develop cataracts and require the implantation of multifocal intraocular lenses (MIOLs). MIOLs with asymmetric designs pose challenges in predicting outcomes, particularly in these cases. The aim of this study was to evaluate how different values of SA, resulting from various types of refractive surgeries, affect the optical performance of the FEMTIS Comfort intraocular lens. Methods: The through-focus modulation transfer function (TF-MTF) curve and high-contrast images of tumbling E were used as parameters to assess the optical performance of the MIOL. These parameters were measured using an adaptive optics visual simulator. Results: Increasingly negative values of SA make the MIOL more bifocal, moderating its extended-depth-of-focus characteristic. Conversely, higher positive SA values cause the TF-MTF curve to shift towards positive vergences, leading to worsened distance vision in the +1.00 to +2.00 D range, but improved vision in the +0.50 D to +1.00 D range. Conclusions: Assessing SA in patients prior to implanting MIOLs with asymmetric designs is necessary for predicting outcomes and making informed decisions based on the visual requirements of patients. Full article

Indirect-imaging methods involve at least two steps, namely optical recording and computational reconstruction. The optical-recording process uses an optical modulator that transforms the light from the object into a typical intensity distribution. This distribution is numerically processed to reconstruct the object’s image corresponding to different spatial and spectral dimensions. There have been numerous optical-modulation functions and reconstruction methods developed in the past few years for different applications. In most cases, a compatible pair of the optical-modulation function and reconstruction method gives optimal performance. A new reconstruction method, termed nonlinear reconstruction (NLR), was developed in 2017 to reconstruct the object image in the case of optical-scattering modulators. Over the years, it has been revealed that the NLR can reconstruct an object’s image modulated by an axicons, bifocal lenses and even exotic spiral diffractive elements, which generate deterministic optical fields. Apparently, NLR seems to be a universal reconstruction method for indirect imaging. In this review, the performance of NLR isinvestigated for many deterministic and stochastic optical fields. Simulation and experimental results for different cases are presented and discussed. Full article

This study aimed to evaluate in vitro performance refractive segmented EDOF intraocular lenses under polychromatic light using an optical bench that complies with the ISO 11979-2 Norm. The through focus modulation transfer function (TF-MTF) of the Femtis Comfort LS-313 MF15 (Oculentis GmbH, Berlin, Germany) IOL was evaluated for IOLs with three different base powers. The effect of the asymmetry of the segmented designs was evaluated with 3 different wavelengths and with polychromatic light at a 3.0 mm and 5.0 mm pupil diameter. It was demonstrated that the TF-MTF curves exhibit a bifocal profile that, in practice, results in an EDOF design. As a consequence of the LCA, the TF-MTF values in white light were lower than in monochromatic light. Images of the USAF test chart were obtained to confirm the prediction of the TF-MTFs. We found that Femtis Comfort is a bifocal low-addition IOL and this fact can result in an EDOF effect which was obtained previously in clinical trials. Moreover, we showed that the base power influences the IOL optical quality, which results as more effective for high powers (hyperopic eyes) than for low powers (myopic eyes). The LCA of the segmented refractive design was very low and presumably not clinically relevant. Full article

In this work, we develop a new design method based on fast Fourier transform (FFT) for implementing zone plates (ZPs) with bifocal focusing profiles. We show that the FFT of the governing binary sequence provides a discrete sequence of the same length, which indicates the location of the main foci at the ZP focusing profile. Then, using reverse engineering and establishing a target focusing profile, we are capable of generating a binary sequence that provides a ZP with the desired focusing profile. We show that this design method, based on the inverse fast Fourier transform (IFFT), is very flexible and powerful and allows to tailor the design of bifocal ZPs to achieve focusing profiles with the desired foci locations and resolutions. The key advantage of our design algorithm, compared to other alternatives presented in previous works, is that our method provides bifocal focusing profiles with an absolute control of the foci locations. Moreover, although we analyze the performance of this novel design algorithm for underwater ultrasonics, it can also be successfully extended to different fields of physics, such as optics or microwaves, where ZPs are widely employed. Full article

In this work, we present a bifocal Fresnel zone plate (BiFZP) capable of generating focusing profiles with two different foci. The performance of the BiFZP is demonstrated in the ultrasound domain, with a very good agreement between the experimental measurements and the finite element method (FEM) simulations. This lens becomes an appealing alternative to other dual-focusing lenses, in which the foci location can only be set at a limited range of positions, such as M-bonacci zone plates. Moreover, the variation of the operating frequency has also been analyzed, providing an additional dynamic control parameter in this type of lenses. Full article

In this work, we present a thorough analysis on M-bonacci zone plates for ultrasound focusing applications. These planar lenses are capable of providing bifocal focusing profiles with equal intensity in both foci and become very appealing for a wide range of scenarios including medical and industrial applications. We show that in high-wavelength domains, such as acoustics or microwaves, the separation between both foci can be finely adjusted at the expense of slightly increasing the distortion of the focusing profile, and we introduce a design parameter to deal with this issue and simplify the design process of these lenses. Experimental measurements are in good agreement with numerical simulations and demonstrate the potential of M-bonacci lenses in ultrasound focusing applications. Full article

Presbyopia is an age-related disorder where the lens of the eye hardens so that focusing on near objects becomes increasingly difficult. This complaint affects everyone over the age of 50. It is becoming progressively more relevant, as the average age of the global population continues to rise. Bifocal or varifocal spectacles are currently the best solution for those that require near and far vision correction. However, many people prefer not to wear spectacles and while multifocal contact lenses are available, they are not widely prescribed and can require significant adaptation by wearers. One possible solution is to use liquid crystal contact lenses that can change focal power by applying a small electric field across the device. However, the design of these contact lenses must be carefully considered as they must be comfortable for the user to wear and able to provide the required change in focal power (usually about +2D). Progress towards different lens designs, which includes lens geometry, liquid crystal choices and suitable alignment modes, are reviewed. Furthermore, we also discuss suitable electrode materials, possible power sources and suggest some methods for switching the lenses between near and far vision correction. Full article