OptiSpheric IOL. Integrated Optical Testing of Intraocular Lenses

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OptiSpheric IOL Integrated Optical Testing of Intraocular Lenses

OPTICAL TEST STATION OptiSpheric IOL ISO 11979 Intraocular Lens Testing OptiSpheric IOL PRO with in air tray on optional instrument table 2

SETUP The OptiSpheric IOL allows the measurement of all important parameters of intraocular lenses according to EN/ISO 11979. For any type of intraocular lenses (monofocal, multifocal, toric) with any type of structure (refractive, diffractive) or materials (PMMA, foldable, hydrophilic) it measures in air or in situ the following parameters: Effective Focal Length (EFL) Power, add power, cylinder Modulation Transfer Function (MTF) Point Spread Function (PSF) Cylinder axis Radius of curvature Back Focal Length (BFL) Through focus scans Relative transmission With the advanced software of OptiSpheric IOL and IOL PRO all parameters of your IOLs (intraocular lenses) are measured in automated sequences taking only 10 minutes measurement time for 50 IOLs. The automation and fast operation is obtained thanks to motorized and software controlled movements for an accurate autofocus, an automatic centration of the IOLs, an automated object and objective changer, a remote control of the model cornea and aperture changer. In addition the instrument can be customized to perform measurements at multi-wavelengths (up to 6). For the measurement of IOLs in water innovative model eye designs of model eye are used for single lens but also for series tray measurement. The IOL measurement equipment belongs to the OptiSpheric instrument line which is the industry's standard for lens testing. It is used worldwide to completely measure and qualify optical components and systems. The world's largest laboratories and the major optical manufacturers are trusting TRIOPTICS new generation of optical test equipment. There are many reasons for this confidence: Highest accuracy and reliability Accuracy directly traceable to international standards Comprehensive, reliable software Custom programming of test sequences Short measurement time for production quantities Ultra-accurate autofocus Multi-wavelength capabilities Perfect in function and design System components Setup OptiSpheric IOL setup follows the requirements of the ISO 11979 Standard for the different parameters to be measured. An illuminated target is at the focus of a collimator, so that parallel light is incident upon the IOL. All targets needed for full characterization of the IOL are mounted on a fully automated reticle changer. Double slits are used for power determination, single slit, cross or pinhole are used for MTF measurement. The collimator is an achromat that is virtually free of aberrations for the wavelength band transmitted by the filter (narrow band green filter centered at 546 nm). A microscope with a high numerical aperture allows for imaging on a high resolution CCDcamera connected to a frame grabber mounted in a PC. The complete measurement head, including the microscope and the sensor, is mounted on a motorized stage featuring micro step operation for fast and accurate autofocus. Low noise cameras for demanding IOLs can also be implemented in the instrument. 3

SETUP sample diameters and haptic shapes. The aperture, typically of 3 mm, can be adjusted to diameters from 1 to 6 mm or software controlled when the system is equipped with the automated aperture changer. The IOL holder itself is clamped by a self-centering mount equipped with accurate translation in X and Y directions. Mirror Microscope IOL in Model Eye Collimator Reticle Changer Setup for measurement in situ Light Source 546.1 nm Filter In situ measurement holder When measuring in situ, the intraocular lens must be inserted in a model eye simulating the effect of the real human eye. Two types of model eyes can be used, both compliant to the ISO 11979 Standard. They are composed of two parallel plates delimitating the area filled with saline solution. The IOL is placed in between these two plates on a sample holder including the aperture stop. An achromatic doublet simulates the eye cornea. The model cornea can be easily exchanged allowing the use of different cornea designs. Sample Holder In air single measurement holder When measuring in air, the IOL is placed in a suitable holder designed for different kinds of Standard model eye The standard model eye is a small, easy to use holder which is located on the positioning XY tray on top of the motorized model cornea. This model eye can be provided with a heater in order to measure at 35 C. 3mm Aperture 1 2 3 Saline Water n =1.336 4 5 T = 35 C 7 8 IOL under Test 9 Image Plane Model Cornea (Achromatic Doublet) Parallel Plates (BK7) Self-centering mount 3-35mm supporting the IOL holder for single measurement in air Description of the model eye according to the ISO 11979 Standard 4

SETUP Standard model eye in measurement conditions Advanced model eye for R&D applications Advanced model eye Tilt Adjustment The advanced model eye is used for simple lens measurement without tray and cornea automation. It additionally allows for the tilting of the lens holder up to 5 in order to simulate the behavior of a tilted IOL when inserted in the eye. It is also provided with a heater for measurements at 35 C. Furthermore it offers advanced adjustment features: Window Fluid Chamber (Heated to 35 C) Lens Insert Lens Carrier Lens Shift Translation in X and Y directions of the sample inside the model eye Translation in X and Y directions of the complete model eye with relation to the optical axis Aperture size modification Easily removable cornea lens since the MTF and optical power of IOLs must be measured in two different conditions: with and without cornea lens Interchangeable Model Cornea High volume production testing holder To respond to customer needs for testing of large quantities of lenses in production environment, TRIOPTICS developed an OptiSpheric IOL PRO station working with a motorized tray system and fully automated measuring procedure. 5

OPERATING PRINCIPLE Once a lens tray containing up to 100 IOLs is kinematically placed on a transport frame with two translation precision stages, the Opti- Spheric IOL PRO software positions each lens on the optical axis of the instrument, performs an accurate focusing, calculates and displays the measurement data and produces on request a Pass/Fail result. A classification map is displayed at the end of each tray measurement allowing for the lenses to be easily sorted. This is particularly well suited for the production testing of IOLs. This tray is suitable for in air as well as in situ measurements. The in situ tray also includes a temperature controller. OptiSpheric IOL PRO model eye production tray with heating elements OptiSpheric IOL PRO in air production tray Diopter power Operating Principle The diopter power of an IOL is defined as the reciprocal of the reduced paraxial focal length in aqueous humor. From the measured EFL of the IOL, the power can be determined directly when the measurement is made in situ. When measuring in air, the OptiSpheric IOL software converts the diopter power of the IOL for in situ conditions taking into account the design conversion factor of the lens. Measuring in air leads to easier handling of the lenses and fast throughput in production conditions for example when using a tray with several tens of IOLs. The concept of lens power is linked with the magnification of a lens. Measuring the magnification of the complete optical setup including the IOL under test is used to calculate the IOL dioptric power. This is one of the methods proposed by the ISO 11979 Standard as a basis of power measurement. Being the fastest and most accurate method it is used in the OptiSpheric IOL equipment. The setup for diopter power measurement includes a collimator which projects the image of a double slit to infinity. The parallel beam emerging from the collimator enters the IOL under test and forms an image of the target in the focal plane of the lens under test. This image is collected by the microscope and focused on the high resolution CCD-camera. The measuring head with the CCD-camera is accurately moved up and down using the autofocus stage until the image of the double slit is sharply detected on the monitor. In the best focus position the size of the target image is precisely determined with the CCDcamera with subpixel accuracy. 6

OPERATING PRINCIPLE The MTF is a parameter describing objectively the performance of optical imaging systems. Additionally MTF can be calculated from the lens design data which provides manufacturers with the possibility to compare the image quality of the manufactured lenses with the design expectations. IOL Mirror The EFL of the lens under test is simply calculated using the magnification ratio between the target size and the image size. From the measured EFL, the power of the lens is calculated with an accuracy of ± 0.1% to ± 0.3% for diopters from -100 to +100. Powers between -4 and +4 diopters are measured with an additional lens. OptiSpheric IOL is supplied with calibration files for a wide measurement and wavelength range. Only Trioptics instruments are calibrated using master samples certified by the International Standard Institutes (PTB-Germany, NPL-UK or NIST USA). The accuracy specified for OptiSpheric IOL is thus directly traceable to international standards. MTF-measurement Image on the CCD-Chip Microscope Collimator Reticle Changer Double Slit Reticle Setup for EFL and power measurement Light Source 546.1 nm Filter The resulting image produced by a lens or another optical system will always be somewhat degraded due to aberrations and diffraction phenomena. As a consequence, bright areas will not appear as bright as they do in the object, and dark or shadowed areas will not be as black as those observed in the original patterns. The MTF is describes the ability of an optical system to transfer the details of an object to the image in terms of contrast and has the value 1 for a perfect contrast reproduction and the value 0 for a system unable to produce any image contrast. The measuring process includes a collimator projecting a target with a suitable pattern typically a slit. The IOL under test collects the light from the target and transfers it into its own image plane. The high performance microscope lens picks up this image and focuses it onto the high resolution CCD-camera. The intensity profile of the target is scanned electronically in both the radial and tangential directions. The data is collected and, by using Fourier Transform Techniques, the MTF is calculated and displayed on the PC monitor in real-time. The software calculates and displays the MTF value at selected spatial frequencies, the theoretical diffraction limited MTF graph and the effective MTF graph. Instead of using a slit as reticle, evaluation of special target patterns with proprietary design developed by TRIOPTICS gives different advantages: Using a cross target, for example, has the advantage of giving simultaneous measurement of the MTF in tangential and sagittal directions. In this way OptiSpheric IOL provides consistent accuracy and astigmatism information at an unmatched speed of measurement. 7

OPERATING PRINCIPLE Group G Calculated from PSF and axis determination When using a pinhole target, the MTF is obtained by the analysis of the Point Spread Function (PSF) of the lens instead of the Line Spread Function (LSF). Using a pinhole to obtain the PSF has a significant advantage compared with the slit method since it shows the MTF of the lens in all azimuth directions. Toric IOL can be described much faster and in this way the astigmatism axis can be easily determined. Nevertheless this measurement method requires a very high resolution and low noise CCD-camera. MTF and PSF of IOL are recommended to be tested in situ. The standard or advanced model eye for single lens or in situ tray for production measurements are used to hold the IOL. Element E USAF test chart This subjective way of determining the resolution of the IOL can be replaced by an objective measurement procedure based on the MTF measurement by taking into account the human eye contrast sensitivity function (CSF). Back Focal Length (BFL) The BFL is the distance from the lens vertex to the rear (back) focal point of the lens. To measure the BFL, in a first step the measuring head equipped with microscope objectives Resolution efficiency The historical way of characterizing IOLs was to measure the resolution efficiency which is also available with the OptiSpheric IOL. The principle is based on examining the image of an USAF 1951 test chart in the focal plane of the IOL in air using an aperture stop of 3.0 ±0.1 mm. From this examination, the finest pattern (e.g., Group G, Element E) which can be resolved is determined. The resolution efficiency is then calculated by comparison of the spatial frequency of the resolution limit with the cut-off frequency of the diffraction limited system. BFL Mirror Image on the CCD Chip Microscope Collimator Cross Reticle Light Source Reticle Changer 546.1 nm Filter 8 Setup for BFL measurement

OPERATING PRINCIPLE or achromats is focused to the vertex of the lens (sample) surface. The illuminated reticle of the measuring head is projected on the lens vertex, reflected back and focused again on the CCD-camera. In a second step the accurate finding of the focal plane position of the lens (sample) is accomplished in the same way as in the power and MTF measurement. The distance between these two positions is accurately measured to determine the BFL. Radius of curvature The measurement of radius of curvature is similar to the BFL measurement. Focusing is now performed on the lens vertex and in the center of curvature of the surface under test. The distance is measured in the same way as the BFL. The best focus positions for lens vertex and center of curvature are again found using the autofocus feature of the OptiSpheric IOL. Measurement of Complex Intraocular Lenses The latest generation of IOL: aspheric, toric, diffractive, multifocal lenses are measured as well by OptiSpheric IOL. Through focus scan showing the different focusing planes of a multifocal IOL microscope and CCD-camera throughout the focusing range, several images are found by the system. The powerful automatic focusing routine allows consecutive focusing of the image analyzer to the multiple image planes of multifocal lenses. Toric IOLs Toric lenses have two different radii of curvature along sagittal and tangential directions. They form two images in two distinct planes which are easily found by moving the imaging microscope. The use of a cross target in such a case also allows both symmetry directions to be seen. Multifocal IOLs In the case of multifocal lenses, different image planes are measured. When moving the Toric lenses measurement with two focusing planes in two directions 9

SOFTWARE Apodization function When a lens provides images in different focal planes which are quite close one to each other, the quality of the image in one plane is affected by the residual background of a second image plane. This directly affects the MTF. One can also choose to measure the image quality in each focal plane individually by removing the background effect. OptiSpheric IOL software provides in this case a correction function based on an apodization principle which removes the background of neighboring focal planes at dedicated spatial frequencies without changing the image of the focus under test. Measurement of very long EFL (small diopter powers) The OptiSpheric IOL features a focus stage of 250 mm travel which allows power measurement from +4 to +200 and - 4 to - 200 diopters. Small diopters between -4 and +4 diopters (leading to long EFL) can still be measured by using a well known additional lens shortening the imaging distance. The power of the optical system formed by the known lens and the IOL is determined, and from this the power of the IOL itself is calculated. A focus stage with a larger travel of 450 mm can also be integrated. Software The advanced software is designed to work with Windows operating systems for easy, intuitive operation. It offers a high level of speed and accuracy and provides consistent, reliable results. All aspects of data acquisition starting with the powerful autofocus system, data calculation, calibration and the display of data are under software control and fully automated. The software package provides menu-driven operator guidance and advanced data management. OptiSpheric IOL software provides unique features in order to optimize the measurement process: Complete control on the movements of the different elements: selection of reticle, ob - jectives and aperture, translation of X, Y and focus stages, selection of the model cornea and measurement wavelength Easy control of lens positioning and centering thanks to a tray interface Real-time camera and graph display (MTF, through focus, LSF, PSF) Complete lens tray measurement by simple click on the measure button Pre-designed measurement sequences depending on the IOL type (monofocal, multifocal, toric) Easy customization of the measurement sequence for high level users: choose the parameters to be measured and the measurement conditions by means of simple clicks Measurement conditions saved in configuration files for easy access by high level users Different result displays available: production-based display and summarizing tables Different export formats: designed certificates with graph as well as text tables protected by a binary file saved in parallel Flexible user interface to be designed by a high level user High quality user level management through Windows login or specific Opti- Spheric password Designed to be compatible with a FDA validation (protection of measurement conditions and instrument calibration, improved saving of data, user warnings) 10

SOFTWARE Example of a high level user interface with scripting, graph and movements control Example of a production user interface with camera, tray view and results 11

ORDERING INFORMATION Ordering Information Description Optical test station for measurement of IOL parameters: EFL, Power, MTF OptiSpheric IOL 4-154-00 OptiSpheric IOL PRO 4-154-02 Focus linear stage travel 250 mm: Power range without model cornea:<-4 diopters and >+4 diopters Power range with model cornea: all diopters.. Measuring head with telescope and high resolution CCD-camera.. Collimator with motorized reticle changer with 8 positions.. High power illumination and interference filter 546.1 nm.. Set of objective lenses including achromats and microscope objectives.. Controller for all motorized elements.. Covered equipment for use in clean rooms.. Computer and frame-grabber board.. Software OptiSpheric IOL software for EFL, Power, MTF measurements and complete instrument automation.. Motorized and software controlled model cornea slide for automated. changeover between Power and MTF Automated tray system with precision X,Y-stages, travel 120 x 200 mm. Precision mechanical interface with kinematic mount for quick and repeatable loading/unloading of the tray Precision tray with kinematic mount for measurement in air of up to 100 IOLs.. Options and Upgrades Upgrade filter changer Motorized filter changer with 8 positions, one interference filter at 546 nm and two further filters in VIS range included Order Number.. 9-113-020 Additional interferential filter.. 3-200-673 Photopic eye filter.. 3-200-501 Calibration charge for each additional wavelength (except for photopic eye filter).. 4-650-110 Upgrade for measurement of demanding multifocal or toric High quality camera for high dynamic and low noise capabilities Pinhole target and software module for PSF measurement.. 4-650-365 USAF test chart included in reticle changer.. 4-650-370 Upgrade for radius and BFL measurement incl.: Upgrade from C-TEL 150-38 to C-ACM 150-38 Second light source Aperture generator Motorized and software controlled wheel with different aperture diameters Optics for imaging the aperture to the sample Precision, motorized and software controlled revolving turret for additional focussing lenses (6-fold) Extension of the Power measurement range for small powers (long EFL) Power range without model cornea:<-2 diopters and >+2 diopters Power range with model cornea: all diopters Focus linear stage travel 450 mm.. 4-650-109. 4-154-109. 4-300-146.. 4-154-005-450 12

ORDERING INFORMATION Holders and Model Eyes OptiSpheric IOL PRO 4-154-00 OptiSpheric IOL PRO 4-154-02 Order Number Self-centering holder diameter 3 35 mm with conical interface for quick mounting of in air holder.. 3-300-019 Advanced model eye with slide mechanism for easy exchange of the model cornea, heater for temperature adjustment and sample adjusting capabilities (1 direction tilt on request). One model cornea acc. to ISO 11979 supplied with the model eye. Temperature controller optional. Model Eye without model cornea for use in combination with OS IOL having with the motorized model cornea in the base, incl. tray or holder for holding the Model Eye. Model Eye without model cornea for use in combination with OS IOL PRO having with the motorized model cornea in the base, heater for temperature adjustment, incl. tray for holding the Model Eye. Temperature controller optional.. 4-650-108. 4-650-105. 4-650-104 Temperature controller for Model Eye 4-650-108 and 4-650-104... 4-650-107 OptiSpheric IOL standard tray with self centering holder for single seat measurements in air.. 9-108-027-S OptiSpheric IOL standard tray for in air production measurements.. 9-108-027 Tray model eye, top and bottom glass cover plate acc. to ISO 11979 for in situ production measurements.. 4-660-029 Technical Data EFL System Performance Measurement range Measurement accuracy 0.1%...0.3% Repeatability 0.03...0.2% without model cornea: < 250 mm and > -400 mm with model cornea: all EFL Measurement time EFL 5-7 sec Power Measurement range without model cornea: <-4 diopters and >+4 diopters with model cornea: all diopters (extension possible) Measurement accuracy 0.1%...0.3% Repeatability 0.03...0.2% Measurement time Dioptric Power 5-7 sec MTF Absolute measurement range Spatial frequency Accuracy Repeatability Measurement time for complete IOL characterization EFL, Power, MTF Accuracy BFL, FFL and Radius of Curvature 1-50 mm (EFL) 0-300 lp/mm ±0.02 MTF ±0.01 MTF Monofocal: < 15 sec. 25 μm Repeatability 0.02 to 0.2% Multifocal: < 45 sec. 13

14 NOTES

NOTES 15

TRIOPTICS GmbH. Optische Instrumente Hafenstrasse 35-39. 22880 Wedel / Germany Phone: +49-4103-18006-0 Fax: +49-4103- 18006-20 E-mail: info@trioptics.com. http://www.trioptics.com 2012 TRIOPTICS GmbH. All rights reserved