SofPort AO Brochure - Bausch + Lomb | See Better. Live Better.

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For information about the Bausch & Lomb SofPort® Advanced Optics Aspheric Lens System
or to contact customer service, please contact your local Baush & Lomb representative or distributor.
®/™ denote trademarks of Bausch & Lomb Incorporated ©2009 Bausch & Lomb Incorporated.
Designed by Noesis www.noesis-design.com +44 (0)20 7240 1499
Bausch & Lomb SofPort
The World's First Aberration-Free IOL
®
Unique Aberration-Free Optics:
better vision for more patients
The aberrations present in the eye differ from person to
person. That’s why Bausch & Lomb has created the world’s
first aspheric IOLs with aberration neutrality and uniform
power, offering unique benefits independent of the
patient’s profile.
Bausch & Lomb
"
SofPort®
The World's First
Aberration-Free IOL
Rocha prospective comparative study concludes1
The aspheric IOL SofPort® A0 showed significantly
less spherical aberration and HOA when compared
to the spherical IOL analyzed in this study without
compromising depth of focus.
The SofPort® A0 group also presented better contrast
sensitivity under mesopic and mesopic with glare
conditions.
"
Aberration-free
Advanced Optics IOLs have aspheric anterior and posterior surfaces.
Their unique shape results in no aberration being introduced into
the patient’s eye.
Uniform power from
centre to edge
Advanced Optics IOLs are designed with
no variation in power from the centre right
to the periphery.
Natural functionality
Advanced Optics IOLs leave the eye with its
natural positive aberration.
This allows for enhanced depth of field.2,3
Depth of focus in intermediate vision
21 dpt
21 dpt
= dp
21 dpt
Independent of the corneal shape, they
are suitable for all patients*, including
those who have previously received LASIK
treatment, who have keratoconus or any
other pre-existing corneal aberration.
Independent of the eye’s optical alignment,
they can provide predictable outcomes for
all patients, including those with undetected
zonular weaknesses or decentred pupils.
Corneal Peripheral rays
Corneal Medium rays
Corneal Central rays
1. Wavefront Analysis. Contrast Sensitivity and Depth of Focus with Aberration-Free IOLs and Spheric IOLs: Multicenter
Randomized Prospective Study. K.M. Rocha; P. Schor; M.R. Chalita; E.L. Mootha; K.M. Bottós; I. Nosé. ASCRS 2007.
2. Bausch & Lomb, Data on file.
3. NIO Y-K., Jansonius N.M., Geraghty E., et al Effect of intraocular lens implantation on visual acuity, contrast
sensitivity and depth of focus. J. Cataract Refract. Surg., 2003; 29 : 2073-2081
* Please consult product labelling for risks and contraindications.
Aberration-Free Lens:
vision for all patients
Standard Spherical IOL
Bausch & Lomb
Decreased Contrast
Sensitivity
Positive
spherical
aberration
Aspheric Aberration-Free IOL
Convolved E &
image simulating
positive spherical
aberration
Positive Spherical Aberration
Biconvex spherical surfaces create positive spherical aberration (SA):
peripheral rays come to a shorter focus than central rays.
Performance is unaffected by optical misalignment
or pupil decentration.
Aspheric Aberrated IOL
Negative
spherical
aberration
Negative
spherical
aberration
All corneas are different, so will not suit all patients3,4.
Ocular misalignment may cause HOA such as coma, resulting in
significant visual impairment5,6,7,8.
For Optimized
Visual Performance
They are neutral to the cornea so are suitable for
all patients regardless of corneal shape*.
aberration
Modified prolate anterior surface creates negative SA designed to
offset the positive SA of a typical cornea2.
Aberration-Free
Bausch & Lomb's Advanced Optics IOLs have
aspheric anterior and posterior surfaces that
create no spherical aberration.
Positive SA results in a loss of contrast sensitivity: pseudophakic patients
with standard IOLs have more spherical aberration andPositive
less contrast
sensitivity than phakic patients of the same age1.
spherical
Negative Spherical Aberration
SofPort®
The World's First
Aberration-Free IOL
Predictable, repeatable refractive outcomes means
better vision for more patients.
Variable Visual
Performance
Convolved E &
image simulating
coma higher
order aberration
Convolved E &
image simulating
coma higher order
aberration
1. Aggarwal A, Khurana A.K., Nada M. Contrast Sensitivity Function in pseudophakics and phakics. Acta Ophthalmol Scand, 1999, 77 : 441-44.
2. Holladay J.T., Piers P.A., Koranyi G., et al A new intraocular lens design to reduce spherical aberration of pseudophakic eyes. J. of Refractive Surg., 2002; 18 : 683-691.
3. Beiko GH, Haigis W, Steinmueller A. Distribution of corneal spherical aberration in a comprehensive ophthalmology practice and whether keratometry can predict aberration values. J Cataract Refract
Surg. 2007 Mal;33(5):848-58.
4. Wang. 1: Arch Ophthalmol. 2005 Sep;123(9): 1226-30. Effect of decentration of wave front-corrected intraocular lenses on the higher-order aberrations of the eye. Wang L, Koch DD. Department of
Gynecology Baylor College of Medicine, 6565 Fannin, Houston, TX. 77030, USA.
5. Spherical aberration and coma with an aspherical and a spherical intraocular lens in normal age-matched eyes. Robert Belluci, Simonetta Morselli, Vicenzo Pucci. J Cataract Refract Surg. 2007;
33/203-209.
6. Lopez-Gil N, Howland H.C., Howland B. at al Generation of third-order spherical and coma aberrations by use of radially symmetrical fourth-order lenses J. Opt. Soc. Am..A., 1998 ; 15 : 2563 - 2571.
7. Atchison D.A. Third-order aberrations of pseudophakic. Ophthal. Physiol. Opt., 1989 ; 9 : 205-211.
8. Barbero S., Marcos S., Jimenez-Alfaro I. Optical aberrations of intraocular lenses measured in vivo and in vitro. J. Opt. Soc. Am..A., 2003 ; 20 : 1841-1851.
* Please consult product labelling for risks and contraindications.
Uniform Power:
predictable for all patients
SofPort®
The World's First
Aberration-Free IOL
Bausch & Lomb
Enhanced vision in a wide range
of light conditions
Modulation Transfer Function (MTF) plots computed from the ray
trace simulations of the theoretical eye model demonstrate the
ability of lenses to produce a quality image with a high contrast2.
The Natural Phakic Eye
1.0
• The visual axis does not pass through the centre of the pupil or lens.
1.0
0.9
0.9
0.8
0.8
0.7
0.7
Modules of the MTF
• The pupil is not centred on the optical axis.
Modules of the MTF
The optics of the phakic eye are not perfectly aligned.
4 mm aperture, lens 0.5 mm off visual axis
3 mm aperture, lens 0.5 mm off visual axis
Not all corneas are the same shape and, therefore, introduce different amounts
of spherical aberration into the eye.
0.6
0.5
0.4
0.3
OPTICAL AXIS
(Cornea to Lens)
IRIS
0.5
0.4
0.3
0.2
0.2
0.1
0.1
0.0
VISUAL AXIS
(Object to Fovea)
0.6
0
10
20
30
40
50
60
0.0
0
Spatial Frequency (cpd)
10
20
30
40
Spatial Frequency (cpd)
B&L aberration-free aspheric IOL
Standard spherical IOL
........................................................................................................................
FOVEA
Aberrated aspheric IOL
The difference uniform power can make
RETINA
LENS
Photographic images simulate vision in mesopic conditions with a
4 mm pupil and a lens 0.5 mm off visual axis. The photo on the
right depicts the loss of vision quality that can occur with
spherical aberration.
CORNEA
All axes in the eye are not perfectly aligned and no two eyes are the
same shape so you need IOLs that work with imperfect conditions.
4-mm pupil,
Mesopic
Conditions*
Constant power from centre to edge
is important for good vision1
21 dpt
21 dpt
21 dpt
5-mm pupil,
Scotopic
Conditions*
5-mm pupil,
Actual Through
-lens Image Quality
SofPort® AO
Aspheric IOL
It does not worsen visual defects resulting from imperfect shape and
alignment of the eye
= dp
Particularly important when the IOL is not perfectly positioned
22D SofPort® AO aspheric IOL
Even a lens perfectly centred in the capsular bag is likely to be
misaligned with the visual axis
Without uniform power from centre to edge any misalignment may
result in visual impairment
Most important in low light situations
22D spherical IOL
Standard
Spherical IOL
Simulated visual results
*
1. Altmann G, Edwards K, The Aberration-Free IOL: Advanced Optical Performance Independent of Patient Profile, October 2004.
2. Bausch & Lomb, Data on file.
Simulated visual results
*
Actual images through a SofPort®
AO and a standard spherical IOL in
aqueous solution.
50
60
Natural Functionality
Bausch & Lomb
SofPort®
The World's First
Aberration-Free IOL
Enhanced visual comfort
Enhanced depth of field
The phakic eye has a natural degree of
positive spherical aberration (+SA)
The retina reflects light forward.
IOLs create glare by allowing light
reflections from the anterior surface
back towards the retina.3
Aberration-free Advanced Optics IOLs leave
the pseudophakic eye with its natural +SA
This allows for greater depth of field1,2
Theoretically, a pseudophakic eye with
0.27µm of +SA will have about 0.5d
of additional pseudo-accommodation
compared to a pseudophakic eye
with no +SA
In general, more +SA means greater depth
of field, however too much +SA reduces
overall quality of vision
Simulation of vision affected by glare
Corneal Peripheral rays
Thanks to improved Anti-Glare Technology
from Bausch & Lomb, reflected glare
is reduced in two ways:
Corneal Medium rays
The lens material has a moderate
refractive index3
Corneal Central rays
The anterior surface has a
steeper curvature similar to the
natural lens3,4
In intermediate vision more distant objects
are seen through central corneal rays
whereas closer objects are seen through
peripheral corneal rays.
Simulation of vision benefiting from Anti-Glare Technology
Simulation of vision with depth of field limited (no+SA)
Simulation of vision with enhanced depth of field (with+SA)
1. Bausch & Lomb, Data on file.
2. NIO Y-K., Jansonius N.M., Geraghty E., et al Effect of intraocular lens implantation on visual acuity, contrast sensitivity and depth of focus. J. Cataract Refract.
Surg., 2003; 29 : 2073-2081.
3. Erie JC, Bandhauer MH, McLaren JW. Analysis of postoperative glare and intraocular lens design. J Cataract Refract Surg 2001; 27: 614-621.
4. Erie JC, Bandhauer MH. Intraocular lens surfaces and their relationship to post-operative glare. JCRS 2003;29(2):336-41.
SofPort easy-load
lens delivery system:
hassle-free injection
®
The comfort of self-guided loading
SofPort® Easy-Load Lens Delivery System EZ-28
Designed for unenlarged
2,8mm phaco incision*
Bausch & Lomb
SofPort®
The World's First
Aberration-Free IOL
Self-guided flat loading
Reproducible folding
Single-handed injection
Transparent injector tips
*Incision sizes are estimates. Actual sizes may vary due
to incision construction, location and any stretching that
may have occurred.
The first Aspheric IOL with planar delivery implantation
The Bausch & Lomb SofPort® Advanced Optics Aspheric
Lens System provides the benefits of sterile, single-use
lens delivery with proprietary planar delivery.
Surgeons really appreciate the ease of handling our systems provide
during final placement of the IOL into the eye. Spring-loaded designs
provide control throughout the entire procedure allowing one-handed
delivery of the IOL directly into the capsular bag.
The SofPort® System is designed for direct
(planar) delivery of the IOL into the capsular
bag, minimizing tissue trauma and related
potential complications.
Stage 1
Load the lens case to the injector
Risk of cross contamination is eliminated
with the disposable inserter.
Self-guided loading
The Sofport® EZ-28 Injector System is loaded with little or
no manipulation of the IOL. Engineering design and highquality materials provide mechanical guiding for IOL right
through to the final injection position.
Model: LI61 AOR
Material
Optic: Silicone, class 1, UV absorber
Refractive Index: 1.43
Haptics: blue extruded PMMA
Optic
Biconvex aspheric anterior and
posterior, Optic body: 6mm
360o Anterior/posterior square edge
Haptics
Modified-C, 5o loop angle
Overall Diameter
13mm
Stage 2
Close the lens drawer
Dioptre Range
0.0 through 0.4 in 1.0 dpt
0.5 through 30.0 in 0.5 dpt
31.0 through 34.0 in 1.0 dpt
The complete Bausch & Lomb
SofPort® Advanced Optics
Aspheric Lens System is an
integrated insertion system
comprised of the SofPort® AO
lens, System inserter, Amvisc®
Plus buffered viscoelastic,
and the STORZ® Ophthalmics
LaserEdge® disposable blade.
Stage 3
Advance the plunger and deliver the lens
A-Constant**
118,0
ACD**
5,0mm
Surgeon Factor**
1,22
Order Code
LI61A0R
Seamless visibility
Correct behaviour of the implant inside the injector can
be checked throughout the loading procedure, avoiding
any surprises at the time of final insertion.
SofPort® EZ-28
** A-constant, ACD and surgeon
factor are estimates only. It is
recommended that each surgeon
develop his or her own values.