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Updated: Apr 23, 2026
05:46
Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity
Published on: September 20, 2024
892
Design of Progressive Addition Lens for Presbyopia: A Systematic Review
Jijing Li1, Yue Wu2, Mingguang He3,4,5
1Centre for Eye and Vision Research (CEVR), Shatin, Hong Kong, China.
Summary
Recent advancements in progressive addition lenses (PALs) for presbyopia focus on sophisticated freeform designs and objective performance evaluation. Future innovations aim for personalized, adaptive visual wearables.
Area of Science:
- Ophthalmology and Optometry
- Optical Engineering
Background:
- Presbyopia is a prevalent age-related vision impairment.
- Progressive addition lenses (PALs) are a standard corrective solution.
Purpose of the Study:
- To systematically review recent technical design advancements in PALs for presbyopia (2015-2025).
- To focus on design methodologies, performance evaluation, and novel lens concepts.
Main Methods:
- Systematic literature search across six major databases (PubMed, Embase, Web of Science, Cochrane, Scopus, SPIE).
- Adherence to PRISMA guidelines for study selection and quality assessment.
- Inclusion of studies on PAL design principles, algorithms, and optical performance.
Main Results:
- Identified four key advancement areas: freeform surface design, astigmatism control strategies, advanced performance quantification, and novel lens concepts.
- Highlighted progress in algorithmic optimization for astigmatism control.
- Noted a shift towards data-driven validation over subjective assessments.
Conclusions:
- PAL design is increasingly algorithm-driven and customized.
- Challenges persist in clinical fitting standardization, neural adaptation understanding, and personalized design for diverse patient groups.
- Future directions involve interdisciplinary integration and technological innovation for adaptive visual wearables.
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