Deformable Surface Accommodating Intraocular Lens: Second Generation Prototype Design Methodology and Testing.
OBJECTIVE
Present an analysis methodology for developing and evaluating accommodating intraocular lenses incorporating a deformable interface.


METHODS
The next generation design of extruded gel interface intraocular lens is presented. A prototype based upon similar previously in vivo proven design was tested with measurements of actuation force, lens power, interface contour, optical transfer function, and visual Strehl ratio. Prototype verified mathematical models were used to optimize optical and mechanical design parameters to maximize the image quality and minimize the required force to accommodate.


RESULTS
The prototype lens produced adequate image quality with the available physiologic accommodating force. The iterative mathematical modeling based upon the prototype yielded maximized optical and mechanical performance through maximum allowable gel thickness to extrusion diameter ratio, maximum feasible refractive index change at the interface, and minimum gel material properties in Poisson's ratio and Young's modulus.


CONCLUSIONS
The design prototype performed well. It operated within the physiologic constraints of the human eye including the force available for full accommodative amplitude using the eye's natural focusing feedback, while maintaining image quality in the space available. The parameters that optimized optical and mechanical performance were delineated as those, which minimize both asphericity and actuation pressure. The design parameters outlined herein can be used as a template to maximize the performance of a deformable interface intraocular lens.


CONCLUSIONS
The article combines a multidisciplinary basic science approach from biomechanics, optical science, and ophthalmology to optimize an intraocular lens design suitable for preliminary animal trials.
Intuor Technologies - CEO; Arizona Eye Consultants - Partner; University of Arizona Department of Ophthalmology Clinical Assistant Professor; University of Arizona College of Optical Science.
Sean J
SJ
McCafferty
Jim Schwiegerling affiliations: University of Arizona College of Optical Science - Professor; University of Arizona Department of Ophthalmology.
Jim T
JT
Schwiegerling
accommodation; cataract surgery; lens; optics; physiological optics