人工晶体与阶梯渐进式衍射光学课件.pptVIP

Blending to a point where the step heights blend to a refractive lens * ReSTOR?阶梯渐进式衍射型人工晶体 光学面包含衍射和折射部分，并应用 “阶梯渐进式”衍射技术 根据活动情况和光照条件进行合适的光能分配 通过特定的光学设计减少视觉干扰 通过人工晶体平面上4 D的近附加度数区分物像 ReSTOR? “阶梯渐进式”衍射型光学面在理论上的550 nm总光能平衡 粗略放大的模式图 晶体中央更宽的阶梯在两个图像间平均划分光线 越向周边，阶梯越小，投向近距离焦点的光线越少 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 1 2 3 4 5 6 瞳孔直径 (mm) 相对能量 远焦点 近焦点 附加度数 人工晶体平面+4.0 D的附加度数等价于镜片平面+3.2 D的附加度数 在31 cm处近视力最佳 区分远、近物像，尽量增大图像对比度并减少视觉干扰 2. 早期 病例主观排除标准 非常挑剔者 对术后效果有不切实际的期望者 想佩戴眼镜者 职业夜间驾驶员 医学排除标准 角膜散光度数1.0 D者? 术前合并其他眼部疾患者? 既往曾接受屈光手术者? 已有一只眼接受单焦人工晶体植入者? 模拟的日光下视远状况 模拟的日光下视近状况 模拟的夜光下视远状况 变焦中的双眼平均视力，随访120-180天 视力的平均对数分值 20/16 20/20 20/25 20/32 20/40 20/50 20/60 20/80 20/100 20/125 20/160 20/200 远距离 近距离 中距离 有功能视觉范围4.5 D 景深6 D Binocular Defocus Curve -A Full Range of Vision ? ReSTOR?植入术后患者无需戴镜率术后6月双眼情况 N=339 N=156 N=336 N=156 N=336 N=156 ReSTOR? IOL treatment groups reported significantly (p0.0001) higher rates of freedom from spectacle wear. 病人百分比 p0.0001 ReSTOR? 病人术后无需眼镜率：视近 病人百分比 ReSTOR? 植入术后患者无需戴镜率: 视远 p0.0001 Visual Disturbances 120-180 Days Post-Operative Night Vision Problems Halos Glare AcrySof? ReSTOR? IOL N=457 Monofocal Control N=156 None/Mild Moderate Severe QA 谢 谢！ Thanks for the introduction … Introduction to the general scope of the presentation… Information about the presenter * We can look at the apodized diffractive lens in a couple of different ways, the physical surface structure, and the optical properties. The basic lens features can be seen here, where the central 3.6mm region contains the diffractive structure. The step height for the central zone is only 1.3 microns, which is extremely small. The step heights decrease as you move out on the lens away from the center. * In a Monofocal lens, light passes through the lens and is refracted into one focal point. In a Multifocal lens, two or more independent lenses are combined to make multiple focal points. * We are going to cover: (text is on slide) Both refractive and diffractive lenses will be co