Evidence map›Paper›PMID 40804759›Full record

ArticleJournal of cataract and refractive surgery2026

Simulated ocular biometry effects on add-power demand in multifocal intraocular lenses.

Hyeck-Soo Son, Gerd U Auffarth, Isabella Baur, Ramin Khoramnia, Grzegorz Labuz

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Article in Journal of cataract and refractive surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Hyeck-Soo SonFrom the The David J. Apple Center for Vision Research, Department of Ophthalmology, University of Heidelberg, Heidelberg, Germany (Son, Auffarth, Baur, Khoramnia, Labuz); Augsburg University Hospital, Department of Ophthalmology, Augsburg, Germany (Baur); Department of Ophthalmology, Carl Gustav Carus University Hospital Dresden, Dresden, Saxony, Germany (Khoramnia).ORCID 0000-0003-1065-4035
Isabella Baur
Grzegorz Labuz

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo use ray-tracing simulations to assess the dependency of add-power demand on ocular biometry.

settingDavid J. Apple Laboratory for Ocular Pathology, Department of Ophthalmology, University of Heidelberg, Heidelberg, Germany.

designExperimental study.

methodsOptical biometry of 34 patients scheduled for routine cataract surgery was collected and the following parameters used to build a personalized eye model: keratometry (K), anterior chamber depth (ACD), and axial length (AL). Ray-tracing software was applied for pseudophakic-eye simulations. Each model featured a biconvex lens with radii of curvature adjusted for best distance vision. Trial spectacles with -4 diopters (D), -3 D, -2 D, and -1.5 D were placed in front of a virtual eye. The intraocular lens (IOL)-power change required to induce a desirable near/intermediate effect at the spectacle plane was calculated for the far-point condition.

resultsMean values for K, ACD, and AL were 7.79 ± 0.24 mm, 3.22 ± 0.60 mm, and 23.77 ± 1.34 mm, respectively. The lowest and highest add power (IOL plane) varied by 0.39 D, 0.52 D, 0.76 D, and 0.98 D for -1.5 D, -2 D, -3 D, and -4 D trial spectacles, respectively. High correlation was found between the observed add-power change and the ACD, indicating a linear increase of the add-power demand for larger ACD values. The AL and the K demonstrated poor or no correlation with the required IOL-power adjustment.

conclusionsThe ACD, which determines the effective lens position in our model, has greater impact on add-power demand than AL or K. The reported change may contribute to interparticipant variability in defocus curves of multifocal patients.

Indexed as

BiometryLenses, IntraocularMultifocal Intraocular LensesOptics and PhotonicsPseudophakiaAgedAnterior ChamberAxial Length, EyeComputer SimulationEyeglassesFemaleHumansLens Implantation, IntraocularMaleMiddle AgedPhacoemulsification

Identifiers

PMID40804759
PMCPMC12777609

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.