Polychromatic through-focus image quality in a wavefront-shaping presbyopia correcting intraocular lens

ABSTRACT Objectives To compute the polychromatic through-focus image quality in eyes implanted with a new extended depth of focus (EDOF) intraocular lens (IOL). Methods Eight eyes of four patients who underwent implantation with the AcrySof IQ Vivity EDOF IOL were analyzed. Wavefront aberrations were measured. The optical metric for the polychromatic through-focus image quality used was the Visual Strehl ratio computed in the spatial domain (VSX). Eight eyes implanted with a monofocal IOL were also examined. Results The normalized VSX values change with vergence for both group of IOLs. However, the depth-of-focus (DoF) for the Vivity IOL was about 0.75, 1.00, and 1.25 D larger than the monofocal IOL, for 0.1, 0.2, and 0.3 logMAR visual acuities. The DoF computed from the polychromatic through-focus image quality for the Vivity IOL was about 2.50D, being this value 1.25D wider than the monofocal one. The DoF obtained from the defocus curve was about 2.25 D for eyes implanted with the Vivity IOL. Conclusions Polychromatic through-focus image quality analysis agrees with the clinical outcomes indicating that this methodology may be useful to estimate the DoF and the expected quality of vision in patients implanted with lenses from wavefront aberration measurement. This approach shows the increased DoF of the EDOF lens compared to a monofocal.