Design concepts for advanced-technology intraocular lenses [Invited]

An intraocular lens (IOL) replaces the natural crystalline lens during cataract surgery, and although the vast majority of implants have simple optics, "advanced technology" IOLs have multifocal and extended depth of focus (EDOF) properties. Optical concepts are evaluated here, with image contrast, focal range, and unwanted visual phenomena being the primary concerns. Visual phenomena with earlier bifocal diffractive lenses led to alternative diffractive designs (trifocals, etc.) and also to exploring increasing the depth of focus for monofocal IOLs using refractive methods, where although the defocus range might be more modest, visual phenomena are much less obvious. The designs cover a range of possibilities that might provide the best overall vision for patients with differing motivations, needs, and sensitivity to visual side effects.