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New Approach to the Presbyopia Treatment
Introduction
Tri-ED EDOF Concepts
Active Diffractive Optic
Semi-Apodized Optic
True TriFocality
All in One Platform
Technical Specifications
First Clinical Results
Competition – Product Segmentation
All-in-One Platform
True Trifocality with EDOF
Square Edge
Aspheric Optic
Chromatic Aberration Control Plate Haptic - MICS
Introduction
Active Diffractive Optic
Seamless Continuous Vision Balanced Near/Intermediate Addition
Pupil-Independent
Premium Material
Photo protection
Full Diffractive Trifocal Optic Enhanced by Depth of Focus Vision*
* Patent Pending New Design
New!
True Trifocal optic having superior MTF results at intermediate zones
Enhanced Depth of Focus Concept in Reviol Tri-ED Optic
1. Active Diffractive Optic
2. Semi-Apodization
3. True TriFocality
Active Diffractive Optic
Characteristic of Active Diffractive Optic Maximum Light Energy Transmission
The Reliable performance of Reviol Active-Diffractive IOL has been proven in over forty countries with thousand implantations
Enhanced Depth of Focus Concept
Active Diffractive Reviol Tri-ED
Maximum Light Transmission Effective light transmission reach up 89.1%,
It means light loss is 10.9% which is minimum value in the trifocal IOL market
.
Light Loss in Competitors
15.0% in Physiol
14.3% in Zeiss
Semi-Apodized Trifocal Optic
Benefits of Semi-Apodization Optimal Light Distribution
Enhanced Depth of Focus Concept
Semi-Apodization
Optimal Light Distribution Light is distributed through the focal area with excellent balance.
Reviol Tri-ED light splitting structure of transmitted light in 6 mm aperture:
44% for Far
28% for Intermediate
28% for Near
II. Optimum Light Distribution Comparative Test Results of transmitted light in 3mm Aperture
Models Far Intermediate Near
Reviol Tri-ED 46% 25% 29%
AT LISA tri 50% 20% 30%
Finevision 50% 17% 33%
True Trifocality
Enhanced Depth of Focus Concept
True trifocal? Appropriate Disparity between focus
True Trifocality
Appropriate Disparity Reviol Tri-ED is combined with 3.0D Near Addition and 1.5D Intermediate Addition.
Focal overlapping between light centralization in different points plays a negative role in image quality and photopic phenomena (glare/halo) problems*.
Opthalmic Optic General Information III
*Petermeier K., Messias A., Gekeler F., Szurman P. Effect of +3.00 diopter and +4.00 diopter additions in multifocal intraocular lenses on defocus profiles, patient satisfaction and contrast sensitivity. J. Cataract Refract Surg 2011; 37 (4): 720-6.
True Trifocality
and comfortable distance for the patients…
Trifocal IOL Near Addition Intermediate Addition
Reviol Tri-ED 3.00D - 42 cm 1.50D – 80 cm *
AT LISA tri 3.33D - 40 cm 1.66D –76 cm **
Finevision 3.50D - 36 cm 1.75D – 60 cm ***
Near/Intermediate Additions
* Data on file: First Clinical Findings. ** Comparison of a bifocal and a trifocal intraocular lens. E.Law R. Aggarwal H. Kasaby. Free Paper Session ESRCS 2014 London. *** Diffractive multifocal IOLs: a comparative study of Finevision versus ReSTOR 2.5 and 3.0D. K.Gundersen. Free Paper Session ESRCS 2014 London.
Active Diffractive Optic
True Trifocality
Semi Apodization
Enhanced Depth of Focus Concept
Enhanced Depth of Focus
See the MTF Results!
Enhanced Depth of Focus Concept
MTF is direct quantitative measurement of an optical system. Criteria has been determined by ISO Standard 11979.
Typical Monofocal and Bifocal IOL graphs
Enhanced Depth of Focus Concept
Reviol Tri-ED shows superior MTF values even between far-intermediate and intermediate-near area
ensures seamless continuous vision at all distance!
Enhanced Depth of Focus Concept
Comparative MTF Results at 50 lp/mm
Models Far Focus Intermediate Focus
Near Focus
Reviol Tri-ED 43 22 23
AT LISA tri 34 16 21
Finevision 36 17 20
The more resolution is The more patient is…
Unique Design of Reviol Tri-ED
Superior MTF Results
Optimum Light Distribution
Good Focal Disparity
Maximum Light Transfer
Seamless Continuous Vision
Seamless Continuous Vision
Reviol Tri-ED
All-in-One Platform!
Aspheric Optic
All Square Enhanced Edge
Efficient Photo Protection
Chromatic Aberration Control
Technical Features
First Clinical Findings
Clinical studies have been running on three different center. 26 patient had Tri-ED implantation so far
Happy patients… Happy surgeons!
Post-op Refraction Spherical Equivalent - 0.18 ± 0.38
First Clinical Findings
Visual Acuity UDVA (Uncorrected Far) -0.03 ± 0.07 UIVA (Uncorrected Intermediate) 0.16 ± 0.09 UVNA (Uncorrected Near) 0.06 ± 0.12 *LogMar Acuity
First Clinical Findings
Defocus Curve Distinctive intermediate acuity
First Clinical Findings
Good Contrast Sensitivity Results Contrast sensitivities are measured by CSV1000E, Vector Vision by glare and without glare. All eyes showed good results at 3, 6, 12 and 18 spatial frequency (cpd) Patient Satisfaction No moderate/severe glare halo problem reported. Over 95% of patients dont need glasses.
First Clinical Findings
Competition
AT LISA Tri
Trifocal & Bifocal Combination
1,66D intermediate - 3,66 near addition
Pupil-independent
Hydrophilic acrylic with hydrophobic surface
Plate haptic 6.0 mm, 11.0 mm
Competition
Competition
Finevision
Convolution steps
1,75D intermediate - 3,50 near addition
Pupil-independent
Hydrophilic acrylic (Micro F 25%, Pod F 26&)
Micro F 6,15mm – 10.75 mm
Pod F 6.0 mm – 11.40 mm
Competition
Competition
Specification Reviol Tri-ED AT LISA tri Finevision
Optic Semi-apodized Trifocal (EDOF) Pupil-Independent
Trifocal + Bifocal Combination Pupil-Independent
Trifocal Convolution Pupil-Independent
Material Hydrophilic acrylic (25%) with hydrophobic surface
Hydrophilic acrylic (25%) with hydrophobic surface
Hydrophilic acrylic (Micro F 25%, Pod F 26&)
Intermediate & Near Addition
1.5D – 3.0D 1,66D – 3,66D 1.75D – 3.50D
Diopter Range 0.0D – 32.0D with 0.5D increments
0.0D – 32.0D with 0.5D increments
10.0D – 35.0D with 0.5D increments
Competition
Spesification Reviol Tri-ED AT LISA tri Finevision
Square Edge Yes Yes
Yes
Angulation 0⁰ 0⁰ 5⁰
Haptic Plate Haptic 6.0mm – 11.0 mm (MICS)
Plate Haptic 6.0mm – 11.0 mm (MICS)
Micro F 6,15mm – 10.75 mm Pod F 6.0 mm – 11.40 mm
Light Filtration UV/Violet UV UV/Blue Light
Take-Home Message
• EDOF vision - Excellent MTF Results
• Highest value on light transmission
• Balanced intermediate1,5D / near addition3.0D: 42 cm – 80 cm
• Semi-Apodization – Light Distribution 44% F, 28% I and 28% N