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Influence of the pupil size on visual quality and spherical aberration after implantation of the Tecnis 1-piece intraocular lens
  1. Katrin Petermeier,
  2. Charlotte Frank,
  3. Florian Gekeler,
  4. Martin S Spitzer,
  5. Andre Messias,
  6. Peter Szurman
  1. University Eye Hospital, Centre of Ophthalmology, Eberhard-Karls University, Tuebingen, Germany
  1. Correspondence to Dr Katrin Petermeier, Department of Ophthalmology, Eberhard-Karls University of Tuebingen, Schleichstr. 12, 72076 Tuebingen, Germany; katrin.petermeier{at}


Purpose To evaluate the influence of the pupil size on clinical results and objective parameters of optical quality of the Tecnis 1-piece (ZCB00) intraocular lens.

Setting Centre of Ophthalmology, Eberhard-Karls University Tübingen, Germany.

Methods In this study 51 eyes were implanted with a Tecnis 1-piece IOL. Best corrected visual acuity (BCVA) and uncorrected visual acuity (UCVA) were assessed postoperatively. Total spherical aberration and corneal spherical aberration for optical zones of 3, 4, 5 and 6 mm were measured. Contrast sensitivity and depth of focus were evaluated with a 3 mm and 5 mm pinhole (PH).

Results The mean follow-up time was 3.0±0.4 months. Mean UCVA and BCVA were 20/25±8 letters and 20/18±4 letters, respectively. BCVA with both a 3 and a 5 mm PH was 20/18±4 letters. The corneal spherical aberration was 0.02±0.01, 0.06±0.03, 0.14±0.09 and 0.27±0.22 for 3, 4, 5 and 6 mm optical zones. Mean total spherical aberration was –0.01±0.02, 0.0±0.03, 0.0±0.06 and 0.0±0.08 μm for 3, 4, 5 and 6 mm optical zones, respectively. Contrast sensitivity was not statistically significant different with a 5 mm or 3 mm PH. In addition, the defocus curves with a 3 mm and a 5 mm PH were not statistically significant different.

Conclusion The aspheric profile of the Tecnis 1-piece IOL reduces total spherical aberration to virtually zero at all pupil sizes from 3–6 mm. Thus, visual acuity, contrast sensitivity, refraction and defocus curve show the same good results at large pupil sizes compared with small pupil sizes.

  • Aspheric IOL
  • contrast sensitivity
  • depth of focus
  • spherical aberration
  • pupil size
  • pupil
  • lens and zonules
  • optics and refraction
  • treatment surgery
  • clinical trial

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  • Presented at the 23rd annual meeting of the Deutschsprachige Gesellschaft für Intraokularlinsen-Implantation und refraktive Chirurgie (DGII), 27–28 February 2009, München, Germany, and the XXVI Congress of the European Society of Cataract and Refractive Surgeons (ESCRS), 13–17 September 2008, Berlin, Germany.

  • Competing interests This study was funded by AMO Germany, Ettlingen, Germany.

  • Ethics approval This study was conducted with the approval of the Ethics Committee of the Univerisity of Tuebingen.

  • Provenance and peer review Not commissioned; externally peer reviewed.