Purpose: To quantify the relative perceived brightness when viewing through a small apertura as that used by presbyopic patients with small-aperture corneal inlays or intraocular lenses with an embedded aperture.
Setting: Laboratorio de _Optica, Universidad de Murcia, Murcia, Spain.
Design: Prospective case series.
Methods: The relative perceived brightness when 2 apertures (3.0 mm and 1.6 mm diameters) were presented monocularly to the participant was determined. With equal transmittances in both apertures, a flickering effect caused by the different retinal illuminance for each condition is perceived. The participant’s task was to modify the transmittance of the 3.0 mm pupil until the flickering was minimized. This transmittance value indicates the relative perceived brightness reduction. The measurements were performed under 3 average luminance levels.
Results: The perceived relative luminance measured ranged between 38.5% and 46.9%. This represents an increase in brightnes perception with a small aperture of 1.24 and 1.51, respectively, compared with what would be expected. This trend was consistent for all the participants in the study.
Conclusions: The perceived brightness with a small apertura was less pronounced than what would be predicted by the reduction in retinal illuminance. Under real visual conditions, this effect could be even more significant because binocular effects and temporal adaptation might further increase the perceived brightness with the small aperture.
J Cataract Refract Surg 2018 -–- 2018 ASCRS and ESCRS