A new concept of presbyopia-correcting intraocular lens (IOL) technology was developed, which was named with the term “extended depth of focus” (EDOF) or “extended range of vision” (ERV). IOLs based on this technology provide a continuous range of functional vision without a clearly asymmetric distribution of light to foci, avoiding the presence of secondary out-of-focus images. The Mini Well Ready IOL is an aspheric EDOF IOL with an equivalent addition of +3.0 D. The optical zone diameter of this IOL is divided into three different annular zones: the inner and middle zones have different spherical aberrations with opposite signs, whereas the outer one is a monofocal zone. This has been confirmed in optical bench studies, showing similar levels of higher-order aberrations for increasing values of pupil aperture. This design provides a peculiar optical behavior compared to other multifocal and EDOF IOLs. There is available clinical evidence that we will discuss within the chapter. According to it, this EDOF IOL seems to provide good results at distance and intermediate vision, but more limited at near vision.

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Optical Behavior and Clinical Outcomes of the Extended Depth-of- Focus Intraocular Lens Mini Well Ready

  • David P. Piñero,
  • Jorge Alió del Barrio,
  • Vicent J. Camps

摘要

A new concept of presbyopia-correcting intraocular lens (IOL) technology was developed, which was named with the term “extended depth of focus” (EDOF) or “extended range of vision” (ERV). IOLs based on this technology provide a continuous range of functional vision without a clearly asymmetric distribution of light to foci, avoiding the presence of secondary out-of-focus images. The Mini Well Ready IOL is an aspheric EDOF IOL with an equivalent addition of +3.0 D. The optical zone diameter of this IOL is divided into three different annular zones: the inner and middle zones have different spherical aberrations with opposite signs, whereas the outer one is a monofocal zone. This has been confirmed in optical bench studies, showing similar levels of higher-order aberrations for increasing values of pupil aperture. This design provides a peculiar optical behavior compared to other multifocal and EDOF IOLs. There is available clinical evidence that we will discuss within the chapter. According to it, this EDOF IOL seems to provide good results at distance and intermediate vision, but more limited at near vision.