Influence of the pupil size on visual quality and spherical aberration after implantation of the Tecnis 1-piece intraocular lens.
OBJECTIVE
To evaluate the influence of the pupil size on clinical results and objective parameters of optical quality of the Tecnis 1-piece (ZCB00) intraocular lens.


METHODS
Centre of Ophthalmology, Eberhard-Karls University Tübingen, Germany.


METHODS
In this study 51 eyes were implanted with a Tecnis 1-piece IOL. Best corrected visual acuity (BCVA) and uncorrected visual acuity (UCVA) were assessed postoperatively. Total spherical aberration and corneal spherical aberration for optical zones of 3, 4, 5 and 6 mm were measured. Contrast sensitivity and depth of focus were evaluated with a 3 mm and 5 mm pinhole (PH).


RESULTS
The mean follow-up time was 3.0 ± 0.4 months. Mean UCVA and BCVA were 20/25 ± 8 letters and 20/18 ± 4 letters, respectively. BCVA with both a 3 and a 5 mm PH was 20/18 ± 4 letters. The corneal spherical aberration was 0.02 ± 0.01, 0.06 ± 0.03, 0.14 ± 0.09 and 0.27 ± 0.22 for 3, 4, 5 and 6 mm optical zones. Mean total spherical aberration was -0.01 ± 0.02, 0.0 ± 0.03, 0.0 ± 0.06 and 0.0 ± 0.08 μm for 3, 4, 5 and 6 mm optical zones, respectively. Contrast sensitivity was not statistically significant different with a 5 mm or 3 mm PH. In addition, the defocus curves with a 3 mm and a 5 mm PH were not statistically significant different.


CONCLUSIONS
The aspheric profile of the Tecnis 1-piece IOL reduces total spherical aberration to virtually zero at all pupil sizes from 3-6 mm. Thus, visual acuity, contrast sensitivity, refraction and defocus curve show the same good results at large pupil sizes compared with small pupil sizes.
Petermeier
Katrin
K
University Eye Hospital, Centre of Ophthalmology, Eberhard-Karls University, Tuebingen, Germany. katrin.petermeier@med.uni-tuebingen.de
Frank
Charlotte
C
Gekeler
Florian
F
Spitzer
Martin S
MS
Messias
Andre
A
Szurman
Peter
P
D000368:Aged; D000369:Aged, 80 and over; D015350:Contrast Sensitivity / Q000502:physiology*; D019781:Corneal Topography; D003623:Dark Adaptation / Q000502:physiology; D005260:Female; D005858:Germany; D006801:Humans; D007498:Iris / Q000033:anatomy & histology*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011680:Pupil; D012025:Reflex, Pupillary / Q000502:physiology*; D014792:Visual Acuity / Q000502:physiology