Correlation between polychromatic image quality metrics to predict visual acuity in pseudophakic patients

The optical quality of three multifocal intraocular lenses (MIOLs) was measured in vitro using the area under the modulation transfer function (MTFa) and energy efficiency (EE). We evaluated those metrics through-focus (TF) by axially scanning the image space with three wavelengths (R, G, B). High linear correlation between MTFa and EE was found for all cases. Correlations between optical in vitro results (polychromatic TF-MTFa and TF-EE) and clinical visual acuity (VA) defocus curves for the three MIOLs allowed us to derive mathematical expressions. Both metrics proved to be equivalent to predict postoperative VA. Spanish Ministerio de Economía y Competitividad y fondos FEDER (DPI2016-76019-R)