PubMed Health⌕ Search

Biomedical subjects

J Cendelin

Publications and source records attributed to J Cendelin.

3 recordsLinked to original sources

Computer modeling of visual impairment caused by intraocular lens misalignment.

PURPOSE: To evaluate a computer program to modulate the visual impairment caused by intraocular lens (IOL) misalignment and visualize results obtained by numerical calculations. SETTING: Department of Ophthalmology, Medical Faculty of Charles University, Prague, Czech Republic. METHODS: The optic imagery of a Landolt circle was calculated using a ray-tracing computer program. Visual aberrations resulting from a decentered and/or tilted IOL were studied using this program and compared with theoretical calculations. RESULTS: The IOL decentration and/or tilt shifted the postoperative refractive errors toward myopia and astigmatism (oblique). The combination of IOL decentration and tilt produced a refractive error that depended on the relationship between the geometrical axes of the decentration and tilt. The refractive error can be enhanced or diminished depending on the relationship of these axes. CONCLUSIONS: These findings verify the results calculated by paraxial vergence equations. A ray-tracing program simulated the optic imagery for various kinds of IOL misalignment and IOL optic properties.

Astigmatism↗

Changes in refraction induced by change in intraocular lens position.

BACKGROUND: Intraocular lens (IOL) decentration and tilt may affect postoperative refractive errors through spherical aberration of the IOL. METHODS: Through a use of a ray-tracing program and by minimizing algorithm, we calculated theoretical refractive errors for various degrees of IOL decentration and tilt. We compared our results with those obtained by paraxial vergence calculations. RESULTS: IOL decentration and/or tilt shifted postoperative refractive errors toward myopia and astigmatism of oblique origin. For example, a 3-millimeter decentration of an IOL resulted in induction of approximately -2.00 diopters (D) sphere and +0.70 D cylinder. IOL tilt affected refractive errors to a lesser degree. The change in refractive error caused by a combination of IOL decentration and tilt depended on the relationship between the geometrical axes of decentration and tilt. In the case of the least favorable combination of 12 degrees of tilt and 3 mm of decentration, it can reach -7.00 D sphere and +4.00 D cylinder. CONCLUSIONS: IOL decentration and/or tilt increase myopia and astigmatism. They are negligible for small decentrations, but could be sources of substantial postoperative refractive errors if the decentration or tile is large.

Astigmatism↗