Utilizing Optical Coherence Tomography to Estimate Ablation Depth on Intraocular Lenses (IOLs) Under Femtosecond Laser Ablation

Intraocular lens (IOL) implantation is currently the most effective method for restoring vision following cataract surgery and is also used in cases of high myopia or hyperopia. However, IOL implantation eliminates accommodation, forcing patients to choose between corrected distance vision, requiring reading glasses for near tasks, or near vision supplemented by distance correction with spectacles. This limitation underscores the need for fully customized, patient-specific IOLs. To address this challenge, we performed femtosecond laser ablation experiments on polymethyl methacrylate (PMMA) IOLs using 200 fs pulses at 513 nm to investigate controlled surface modification. Laser-induced surface structuring offers a pathway to inscribe micron-scale patterns, including apodized features, in transparent polymers. To our knowledge, this is the first demonstration of femtosecond laser irradiation at 513 nm applied to IOL surfaces. Furthermore, this study is the first to combine scanning electron microscopy (SEM) and optical coherence tomography (OCT) as detection technologies to analyze and quantify ablation morphology and depth. The formation of smooth craters with minimal surrounding thermal damage highlights the potential of femtosecond laser processing as a promising tool for the development of customized, patient-tailored intraocular lenses.