Evidence map›Paper›PMID 42593656›Full record

ArticleOphthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)2026

Extended Depth-of-Focus Intraocular Lens Based on Aberration-Neutral Technique.

Qing Liang, Fengzhou Fang

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Article in Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists), 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

2 authors.

Qing LiangState Key Laboratory of Precision Measurement Technology and Instruments, Laboratory of MicroNano Manufacturing Technology-MNMT, Tianjin University, Tianjin, China.
Fengzhou FangState Key Laboratory of Precision Measurement Technology and Instruments, Laboratory of MicroNano Manufacturing Technology-MNMT, Tianjin University, Tianjin, China. fzfang@tju.edu.cn.

Funding

National Natural Science Foundation of China 52035009
6 · The paper itself

Abstract

purposeTo design an extended depth-of-focus (EDoF) intraocular lens (IOL) with a full-aperture aberration-neutral profile and to evaluate its optical stability under decentration and tilt using an anatomically accurate schematic eye model.

methodsIn this study, 'additional vision' refers to the functional intermediate/near vision range provided by the EDoF IOL beyond the distance focus. A new EDoF IOL based on the aberration-neutral technique was designed and optimised within the Navarro-Escudero model eye. Optical performance, including modulation transfer function through-object (MTF-TO), spot diagrams and ray tracing, was simulated under alignment, 0.5 mm decentration and 5° tilt using a numerical simulation method. Results were compared with a commercial monofocal IOL (IOL A) and two commercial EDoF IOLs (IOL B and IOL C) using the Liou-Brennan model eye.

resultsUnder perfect alignment, the new IOL achieved an MTF of 0.36 at 50 cycles/mm for distance and a continuous MTF-TO response from distance to near, confirming its EDoF functionality. Compared with IOL B and IOL C, the new design provided a wider depth of focus (1.2 D versus 1.1 D and 0.5 D) and a higher additional vision MTF (0.30 versus 0.19 and 0.27) under aligned conditions. Under 0.5 mm decentration, the distance MTF of the new IOL decreased by less than 3% (from 0.36 to 0.35), whereas IOL B and IOL C dropped to 0.09 and 0.23, respectively. Under 5° tilt, the additional vision MTF of the new IOL was 0.29, exceeding those of IOL B (0.20) and IOL C (0.19) by 45 and 53%, respectively. The MTF-TO curve showed no appreciable shift under tilt.

conclusionThe proposed full-aperture, system-level aberration-neutral EDoF IOL maintains stable optical quality and preserves both distance and additional vision under decentration and tilt. Its systematic evaluation using an anatomically accurate schematic eye model provides a robust theoretical basis for clinical application in eyes at risk of postoperative IOL misalignments.

Indexed as

Depth PerceptionLenses, IntraocularLens Implantation, IntraocularOptics and PhotonicsRefraction, OcularVisual AcuityHumansProsthesis DesignAberration-freeAberration-neutralExtended depth of focusIntraocular lens

Identifiers

PMID42593656

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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.