Reliability of power profiles measured on NIMO TR1504 (Lambda-X) and effects of lens decentration for single vision, bifocal and multifocal contact lenses.pdfVIP

Journal of Optometry (2016) 9, 126---136 ORIGINAL ARTICLE Reliability of power pro?les measured on NIMO TR1504 (Lambda-X) and effects of lens decentration for single vision, bifocal and multifocal contact lenses Eon Kim a,?, Ravi C. Bakaraju a, Klaus Ehrmann a,b,c a Brien Holden Vision Institute, Sydney, Australia b Vision CRC, Sydney, Australia c School of Optometry and Vision Science, University of New South Wales, Sydney, Australia Received 5 June 2015; accepted 27 September 2015 Available online 14 November 2015 KEYWORDS NIMO TR1504; Power pro?le; Repeatability; Contact lenses; Multifocals Abstract Purpose: To evaluate the repeatability of power pro?les measured on NIMO TR1504 (Lambda-X, Belgium) and investigate the effects of lens decentration on the power pro?les for single vision (SV), bifocal (BF) and multifocal (MF) contact lenses. Methods: Accuracy of the sphere power was evaluated using single vision BK-7 calibration glass lenses of six minus and six plus powers. Three SV and four BF/MF contact lenses --- three lenses each, were measured ?ve times to calculate the coef?cients of repeatability (COR) of the instrument. The COR was computed for each chord position, lens design, prescription power and operator. One lens from each type was measured with a deliberate decentration up to ±0.5 mm in 0.1 mm steps. Results: For all lenses, the COR varied across different regions of the half-chord position. In general, SV lenses showed lower COR compared to the BF/MF group lenses. There were no noticeable trends of COR between prescription powers for SV and BF/MF lenses. The shape of the power pro?les was not affected when lenses were deliberately decentered for all SV and PureVision MF lenses. However, for Acuvue BF lenses, the peak to trough amplitude of the power pro?les ?attened up to 1.00 D. Conclusion: The COR across the half-chord of the optic zone diameter was mostly within clinical relevance except for the central 0.5 mm half-chord position. COR were depende