Visual simulation of intraocular lenses: from on-bench performance to computational and experimental validations

This study presents a systematic method to simulate various intraocular lenses (IOLs) available in the market. Five IOLs (two trifocals, one bifocal, one enhanced monofocal, and one extended depth of focus (EDOF)) were evaluated in terms of through focus visual Strehl (TFVS) utilizing the OptiSpheric IOL PRO2 device (Trioptics GmbH). Then, the estimated TFVS (ETFVS) and the temporal coefficients necessary for temporal multiplexing were computed, and through an iterative process, the SimVis TFVS was obtained. Finally, a high-speed focimeter was used to measure the opto-tunable lens responses to the temporal profile, and the experimental SimVis TFVS was acquired. Therefore, results are analyzed in terms of ETFVS (computed from the VSR-OTF), SimVis TFVS (computed from the TCs through temporal multiplexing), and experimental SimVis TFVS (acquired from the high-speed focimeter setup). The ETFVS and the SimVis TFVS curves demonstrated excellent alignment across all IOLs with cross-correlation coefficients > 0.94. Similarly, the experimental SimVis TFVS and the SimVis TFVS curves showed high correlation with cross-correlation coefficients > 0.97 and root mean square error (RMSE) < 0.05 for each lens. We demonstrated that different IOL designs can be visually simulated using its TFVS to obtain the corresponding temporal coefficients for simulations through temporal multiplexing using the SimVis technology.