RT Journal Article T1 Equivalence of two optical quality metrics to predict visual acuity of multifocal pseudophakic patients A1 Armengol Cebrian, Jesús A1 Garzón Jiménez, Nuria A1 Vega Lerin, Fidel A1 Altemir Gómez, Irene A1 Millán García Varela, María Sagrario AB This article studies the relationship between two metrics, the area under the modulation transfer function (MTFa) and the energy efficiency (EE), and their ability to predict the visual quality of patients implanted with multifocal intraocular lenses (IOLs). The optical quality of IOLs is assessed in vitro using two metrics, the MTFa and EE. We measured them for three different multifocal IOLs with parabolic phase profile using image formation, through-focus (TF) scanning, three R, G, B wavelengths, and two pupils. We analyzed the correlation between MTFa and EE. In parallel, clinical defocus curves of visual acuity (VA) were measured and averaged from sets of patients implanted with the same IOLs. An excellent linear correlation was found between the MTFa and EE for the considered IOLs, wavelengths and pupils (R2 > 0.9). We computed the polychromatic TF-MTFa, TF-EE, and derived mathematical relationships between each metrics and clinical average VA. MTFa and EE proved to be equivalent metrics to characterize the optical quality of the studied multifocal IOLs and also in terms of clinical VA predictability. PB OSA Publishing SN 2156-7085 YR 2020 FD 2020 LK https://hdl.handle.net/20.500.14352/6151 UL https://hdl.handle.net/20.500.14352/6151 LA eng NO Received 21 Jan 2020; revised 1 Apr 2020; accepted 3 Apr 2020 NO Ministerio de Economía y Competitividad de España (MINECO) DS Docta Complutense RD 1 may 2024