Experimental and analytical quantification of light scattering from vacuoles in intraocular lenses. Issue 5 (May 2020)

• Record Type: Journal Article
• Authors: Spiezio, Vincent; Walker, Bennett N.; Calogero, Don; Ilev, Ilko K.
• Is Part Of: Journal of cataract and refractive surgery. Volume 46:Issue 5(2020)
• Page Start: 762
• Page End: 773
• Publication Date: 2020-05
• Subjects: 617.7
• DOI: 10.1097/j.jcrs.0000000000000167
• Languages: English
• ISSNs: 0886-3350

Abstract

Abstract : Vacuoles in IOLs were evaluated through microscopy, bench light scattering tests, and computer modeling. The amount and angle of scattered light was found to be well correlated with measured vacuole characteristics. Abstract : Purpose: To develop an advanced test methodology for quantification of scattered light from intraocular lenses (IOLs) and to evaluate the correlation between IOL vacuole characteristics and measured scattered light. Setting: U.S. Food and Drug Administration, Optical Therapeutics and Medical Nanophotonics Laboratory, Silver Spring, Maryland, USA. Design: Experimental and analytical study. Methods: Twenty-four IOLs containing vacuoles were evaluated using a digital microscopy approach for identifying and characterizing the vacuoles present. A scanning light scattering profiler (SLSP) was used to evaluate and quantify the amount of scattered light from each IOL and from a 25th control IOL without any vacuoles. A variety of IOLs and vacuoles were also modeled in a Zemax simulation of the SLSP, and the simulated scattered light was modeled. Results: The scattered light as measured with SLSP was well correlated with vacuole characteristics, specifically density and size, as measured under the digital microscope for the 24 vacuole-containing IOLs. Additional correlations were found between vacuole sizes, orientations, and the angle at which light was scattered most severely. These correlations were also present in the Zemax model. Conclusions: Vacuole optical characteristics can be well correlated with measured scatter, demonstrating an ability to predict scattered light based solely on microscope evaluation. Furthermore, the quantitative amount of scatter predicted with Zemax simulations trended closely with the experimentally measured trends.