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Visual Psychophysics / Physiological Optics - ARVO

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<strong>ARVO</strong> 2013 Annual Meeting Abstracts by Scientific Section/Group – <strong>Visual</strong> <strong>Psychophysics</strong> / <strong>Physiological</strong> <strong>Optics</strong>Presentation Time: 8:30 AM - 10:15 AMPrediction of human crystalline lens power and sphericalaberration using an anatomically-based discrete shell modelFabrice Manns 1, 2 , Arthur Ho 3, 4 , Jean-Marie A. Parel 1, 5 .1 Ophthalmic Biophysics Center, Bascom Palmer Eye Inst, Univ ofMiami, Miami, FL; 2 Department of Biomedical Engineering,University of Miami College of Engineering, Coral Gables, FL;3 Brien Holden Vision Institute, Sydney, NSW, Australia; 4 School ofOptometry and Vision Science, University of New South Wales,Sydney, NSW, Australia; 5 Vision Cooperative Research Centre,Sydney, NSW, Australia.Purpose: To develop an anatomically-correct aspheric discretemodel of the human crystalline lens that predicts power and sphericalaberration and the contribution of the refractive index gradient.Methods: A continuous and a discrete model of a 30 year old relaxedhuman lens were developed. The shape was modeled using data fromDubbelman et al (Vis Res, 2001): Ant Radius=11.10mm; AntAsphericity=-3.05; Post Radius = -5.82mm; Post Asphericity=-0.795;Thickness=3.69mm. In the continuous model, the refractive indexgradient is represented as a set of aspheric iso-indicial surfaces withradius of curvature R(z) and asphericity Q(z) that vary linearly fromthe lens equator to the value at the surface. The axial refractive indexfollows a power-dependence in each half of the lens (Kasthuriranganet al, IOVS 2008): n(z)=1.41-0.032×(z/t) 4 , where t is the anterior orposterior half-thickness and z is the distance, both measured from theequator. The discrete shell model was created by sampling isoindicialsurfaces of the continuous model at regularly spacedintervals. The ith shell of a model with K shells has thicknesst K =t lens /K, is located at position z i = i*t K , radius R i =R(z i ), asphericityQ i =Q(z i ), and is surrounded by refractive indices n i-1 =n(z i-1 ) andn i =n(z i ). The number of shells ranged from K=6 to K=3000. Thecontribution of each surface to lens power and Seidel primaryspherical aberration was calculated from a paraxial ray trace. Thecontributions were plotted as a function of axial position and summedto provide the Seidel wavefront aberration coefficient W 040 , and totalpower contribution P sum . The power P sum was compared to theeffective power P eff .Results: The spherical aberration coefficient and lens powerconverge as the number of shell increases. The asymptotic valueswere W 040 =0.053mm -3 , P sum =22.2D, and P eff =22.3D. For lens power,the number of shells required to reach 90%, 95% and 99% of theasymptote are 20, 40, and 200. For spherical aberration the values are160, 320, and approx. 1000. The contributions of the anterior andposterior halves of the lens were -0.015mm -3 and 0.068mm -3 .Conclusions: The power and spherical aberration of the crystallinelens can be predicted using a discrete model with tightly packedshells.The discrete model allows calculation of contributions ofspecific regions of the lens to total spherical aberration from aparaxial ray trace.Commercial Relationships: Fabrice Manns, None; Arthur Ho,None; Jean-Marie A. Parel, CROMA (F), InnFocus (F), Abeamed(F), University of Miami (P)Support: NIH Grants R01EY14225, R01EY021834, and CenterGrant P30EY14801; Australian Government CRC Scheme (VisionCRC); Florida Lions Eye Bank; an unrestricted grant from Researchto Prevent Blindness; Henri and Flore Lesieur Foundation (JMP).Program Number: 4270 Poster Board Number: B0307Presentation Time: 8:30 AM - 10:15 AMAge-related Stiffening of Human Lens Measured by In VivoBrillouin MicroscopySebastien Besner 1, 2 , Giuliano Scarcelli 1, 2 , Roberto Pineda 3 , Seok H.Yun 1, 2 . 1 Department of Dermatology, Harvard Medical School,Boston, MA; 2 Wellman Center for Photomedicine, MassachusettsGeneral Hospital, Boston, MA; 3 Department of Ophthalmology,Massachusetts Eye and Ear Infirmary, Boston, MA.Purpose: The loss of accommodation power with age is thought tobe related to the increase of the stiffness of the crystalline lens. Morerecently, evidences have shown that the change in the stiffnessgradient may also play a dominant role in accommodation amplitude.In order to investigate the contribution of lens sclerosis to loss ofaccommodation with age, we present a novel optical, non-contact andnon-destructive method based on Brillouin scattering, whichmeasures the local elastic modulus of the crystalline lens in vivo withmicron size resolution.Methods: Brillouin confocal microscopy was performed on 5 dilatedeyes (2.5% phenylephrine and 0.5% tropicamide) of 5 patients withan age range of 23 to 47 years. The Brillouin spectral shift, which isproportional to the longitudinal modulus of elasticity, was acquiredalong the optical axis of the crystalline lens with an axial resolutionof about 60 microns and a lateral resolution of less than 10 microns.Ongoing study will include 10 eyes from 10 patients with age rangingbetween 20 and 60 years.Results: At all ages, the elastic modulus was found to increase fromthe lens cortex to the nucleus with a general steeper increase in theposterior part of the lens. The overall lens stiffness was found toincrease with age (p

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