Visual acuity through Fresnel, refractive, and hybrid diffractive/refractive prisms

Abstract

This article compares the effect on visual acuity of the Fresnel and wedge-shaped refractive prisms with newly developed hybrid diffractive/refractive prisms (ComPrisms), which combine a wedge-shaped refractive prism with a diffractive component. The diffractive component of hybrid elements can be designed to correct the chromatic aberration of the refractive component. The monocular visual acuity of 21 subjects and binocular acuity of 20 subjects were measured with computer-generated logMAR charts. Visual acuity was measured without prisms (NP) and through ComPrisms, 3M Press-on Fresnel, and acrylic refractive prisms of 20delta, 30delta, and 40delta powers. A repeated measures analysis of variance indicates a significant main effect of treatment (without prisms and through the three types of prisms) at each prism power, both monocularly and binocularly. Results of the Scheffé test for all possible comparisons between pairs of means of the treatments are provided. Although all the prisms reduced visual acuity, the ComPrisms provide significantly better visual acuity than acrylic refractive or 3M Press-on Fresnel prisms of equivalent power