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Subha's Ophthalmic Page
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search information related to IOL, biometry, corneal topography, etc.



Why high light utilization may not lead to high image quality with diffractive intraocular IOLs
Diffractive intraocular lens are designed to distribute incident light into multiple focal points, enabling functional vision across distances. In this context, light utilization—the percentage of incident directed into useful diffraction orders—has emerged as a commonly cited performance metric. Manufacturers often report efficiencies approaching 85–90%, implicitly suggesting that higher values correspond to superior optical performance. However, clinical experience and opti
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Apr 243 min read


Why Multifocal IOL Patients Sometimes Have Poor Near Vision Despite Good Distance Vision
Patients with multifocal IOLs expect to be free from glasses for distance, intermediate, and near vision. However, refractive surprises can occur, leading some patients to still require glasses. In my earlier article, "The Mystery of the Near with Presbyopia Correction IOL" ( link ), I discussed how factors like corneal shape and axial length can affect near vision. In this article, I will explain how a refractive surprise or incorrect refraction can result in good distance v
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Nov 21, 20255 min read


A Beginner's Guide to the Optics of Intra Ocular Lens for Eye Care Professionals
Understanding the basics of optics is essential for eye care professionals because it enables them to accurately diagnose and manage various visual problems. A solid foundation in optics helps professionals explain how light interacts with the eye, understand refractive errors such as myopia, hyperopia, astigmatism, and presbyopia, and determine appropriate corrective measures like glasses, contact lenses, or surgical options. Additionally, knowledge of optics allows for the
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Jul 6, 202519 min read


Positive or negative spherical aberration- Which of the two provides better depth of focus by EDOF IOLs?
This article provides an understanding of circle of least confusion or best focus in presence of spherical aberration and what kind of spherical aberration may provide a better depth of focus
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Jun 4, 20258 min read


Relation between the mesopic pupil size and diffractive zone of multifocal IOL
finding the cut off value for mesopic pupil size may be important for clinicians to ensure that patients have a good distance vision even in low light
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May 17, 20256 min read


How does the PanOptix Pro reduce light scatter and improves light utilization?
How does the Panoptix Pro utilize more light and reduce light scatter.
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May 2, 20257 min read


Positive or Negative spherical aberration - What gives a better depth of focus
Reference: Holladay, Jack T. MD, MSEE; Kozhaya, Karim MD; Koch, Douglas D. MD; Wang, Li MD, PhD, Impact of spherical aberration on visual...
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Apr 9, 20251 min read


Understanding Tecnis PureSee IOL
Explains how does the Tecnis PureSee IOL provide depth of focus and intermediate vision to patients.
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Mar 26, 202510 min read


Diffractive orders with multifocal IOLs, echelette design and the concept of chromatic aberration correction
standard way of diffractive trifocal IOL manufacturing has been to use the 0 order for distance, & the +1 & +2 orders intermediate & near
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Mar 8, 20258 min read


Understanding spiral optics designed Rayner Galaxy Intra Ocular Lens
Since the launch of the RayOne Galaxy lens, there has been a significant amount of attention focused on spiral optics and how such design provides multiple focal points to provide depth of vision to patients. The adoption of spiral optics to provide such multifocality in IOLs or contact lenses is new, and not many literature is available that would help a layman like myself, to comprehend. So here I set out to reflect what I have understood whatever reading material is availa
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Mar 1, 20258 min read


Difference between labelled IOL power and actual power of the IOL
A common notion amongst clinicians is that the labelled power (diopter) on the IOL box is precisely the power of the IOL. That is, the...
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Jul 3, 20246 min read




Understanding Angle Alpha & Angle Kappa- the finer aspects
Optical axis of the eye is a theretical concept. Clinically, if a point source of light was projected to the eye, then all reflexes from the
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Feb 24, 202411 min read


Guide to Extended Depth of Focus (EDOF) IOL optics
At the end of the reading, you will get an understanding of the design of the Extended Depth of Focus (EDOF) IOLs in the market, and how the
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Nov 12, 202314 min read


Understanding the Point Spread Function and Strehl Ratio of a lens system
Point spread Function gives us an understanding of the resolution of an optical system.
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Oct 4, 202312 min read


Pin hole Test - Interpretation
Interpreting a pin hole test for vision testing.
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Sep 21, 20232 min read


Why we should stop asking about Abbe Number with Intra Ocular Lenses
This article describes what is Abbe number and chromatic aberration and answers if Abbe number is important for IOL industry
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Jul 18, 20235 min read


Understanding Defocus Curve of multifocal IOLs
defocus curve helps us to understand the peak near, intermediate vision that a multifocal IOl is capable of providing to patients
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Jan 25, 20239 min read


Angle Kappa and multifocal lens bull’s eye
A theoretical representation of what should be the ideal bull's eye (central optic) diameter of lens to be less susceptible to angle kappa.
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Sep 4, 20221 min read


Spheric, Aspheric and Freeform lenses
The concept of freeform lens or digital lens or even order aspheric design
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May 17, 20227 min read
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