Static and dynamic crystalline lens accommodation evaluated using quantitative 3-D OCT

Biomed Opt Express. 2013 Aug 8;4(9):1595-609. doi: 10.1364/BOE.4.001595. eCollection 2013.


Custom high-resolution high-speed anterior segment spectral domain Optical Coherence Tomography (OCT) provided with automatic quantification and distortion correction algorithms was used to characterize three-dimensionally (3-D) the human crystalline lens in vivo in four subjects, for accommodative demands between 0 to 6 D in 1 D steps. Anterior and posterior lens radii of curvature decreased with accommodative demand at rates of 0.73 and 0.20 mm/D, resulting in an increase of the estimated optical power of the eye of 0.62 D per diopter of accommodative demand. Dynamic fluctuations in crystalline lens radii of curvature, anterior chamber depth and lens thickness were also estimated from dynamic 2-D OCT images (14 Hz), acquired during 5-s of steady fixation, for different accommodative demands. Estimates of the eye power from dynamical geometrical measurements revealed an increase of the fluctuations of the accommodative response from 0.07 D to 0.47 D between 0 and 6 D (0.044 D per D of accommodative demand). A sensitivity analysis showed that the fluctuations of accommodation were driven by dynamic changes in the lens surfaces, particularly in the posterior lens surface.

Keywords: (110.4500) Optical coherence tomography; (110.6880) Three-dimensional image acquisition; (120.4640) Optical instruments; (120.6650) Surface measurements, figure; (330.7322) Visual optics, accommodation; (330.7327) Visual optics, ophthalmic instrumentation.