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The aim of an accurate intraocular lens power calculation is to provide an intraocular lens (IOL) that fits the specific needs and desires of the individual patient. The development of better instrumentation for measuring the eye's axial length (AL) and the use of more precise mathematical formulas to perform the appropriate calculations have significantly improved the accuracy with which the ...
Aphakic patients do not have a crystalline lens. The crystalline lens is often removed because of opacities called cataracts. The absence of this lens left the patient highly hyperopic (farsighted) in that eye. For some patients the removal was only performed on one eye, resulting in the anisometropia / aniseikonia.
Since most refractions (the measurement that determines the power of a corrective lens) are performed at a vertex distance of 12–14 mm, the power of the correction may need to be modified from the initial prescription so that light reaches the patient's eye with the same effective power that it did through the phoropter or trial frame. [1]
The smallest of the popular adult lens sizes available in retail outlets is about 50 mm (2.0 in) across. There are a few adult sizes of 40 mm (1.6 in), and although they are quite rare, can reduce lens weight to about half of the 50 mm versions. The curves on the front and back of a lens are ideally formed with the specific radius of a sphere.
Laser interferometers are now used routinely in patients with optical problems, such as cataracts, to assess the health of the retina before subjecting them to surgery. The visual cortex is the part of the cerebral cortex in the posterior part of the brain responsible for processing visual stimuli, called the occipital lobe.
In the visual system, images captured by the eye are translated into electric signals that are transmitted to the brain where they are interpreted. As such, in order to overcome presbyopia, two main components of the visual system can be addressed: image capturing by the optical system of the eye and image processing in the brain.
Illustration of the relationship between optical power in dioptres and focal length in metres. A dioptre (British spelling) or diopter (American spelling), symbol dpt or D, is a unit of measurement with dimension of reciprocal length, equivalent to one reciprocal metre, 1 dpt = 1 m −1.