Subjective evaluation of intraocular lenses by visual acuity measurement using adaptive optics

We present a new method for subjectively evaluating intraocular lenses (IOLs) without implantation surgery. To illustrate the method, three types of single-piece IOL (equispherical monofocal, rotational symmetric aspheric monofocal, and diffractive bifocal) were assembled into a model eye and evaluated using an ocular adaptive optics system by a single subject. To separate the spherical aberration of the crystalline lens, the subject's corneal topography and wavefront aberrations were measured and modeled. Three levels of Zernike spherical aberration were generated and superposed on the IOLs and the subject's eye. The corrected distance visual acuity was measured by psychophysical visual procedure.