Purpose: To evaluate the image quality of retinal structures as obtained by three high plus lenses manufactured by the Yolk company to determine if any of the lens types provided a better quality of digital image.
Methods: Digital images of two different patients' left and right optic nerve heads (ONH) and left and right maculae (MAC) were obtained with three high plus lenses in conjunction with a biomicroscope. One of each of the following three lenses were used during the study: 90 Diopter Classic (90D), Super Field (SF) and Digital Wide Field (DWF). A total of 10 optometric physicians, who were faculty of an accredited school of optometry at the time of the study, were then asked to view 30 pairs of simultaneously presented photographs and select the image of higher quality. The paired photographs consisted of images of either the same optic nerve head or same macula of the one specific patient, as taken with two different lenses. Three sets of identical images were randomly presented to screen for left- or righthandedness. The digital images were also evaluated by Adobe Photoshop for color and luminosity values within a defined area.
Results: Objective results showed that there was no statistically significant difference between mean color and luminosity of the ONH and MAC images as produced by the 90D, SF and DWF lenses: p = 0.542, p = 0.587, p = 0.232 and p = 0.186. Subjective results were statistically significant for selecting the 90D lens as producing the better ONH image quality 1 (p == 0.041). While not statistically significant (p == 0.165), the subjects followed a similar trend in choosing the 90D lens as having better quality of the MAC images.
Conclusions: The 90D lens appears to produce subjectively better quality in digital images of the posterior pole.
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