In terahertz communication systems, lens antennas used in transceivers are basically plano-convex dielectric lenses. As the aperture increases and the focal length decreases, the thickness and mass of the plano-convex lens increase rapidly. Through theory and simulation, we designed a Fresnel lens suitable for the terahertz band to meet the requirements of large aperture and short focal length, and simulated the performance, advantages and disadvantages of the terahertz Fresnel lens. A 300GHz terahertz wireless communication system was built to verify the gain effect of the Fresnel lens antenna. The experimental results show that the Fresnel lens can amplify the signal in the terahertz band. The theoretical gain of a 30 cm Fresnel lens is 48.83dB, while the actual measured gain is approximately 45dB.

The addition of 50% vitreous humor to the media bathing lens explants results in the induction of both fiber cell differentiation and a significant immune/inflammatory response. Although Fgfr loss blocks differentiation in lens epithelial explants, this loss is partially rescued by deleting Pten. To investigate the functions of the Fgfrs and Pten during lens fiber cell differentiation, we utilized a lens epithelial explant system and conducted RNA sequencing on vitreous humor-exposed explants lacking Fgfrs, or Pten or both Fgfrs and Pten. We found that Fgfr loss impairs both vitreous-induced differentiation and inflammation while the additional loss of Pten restores these responses. Furthermore, transcriptomic analysis suggested that PDGFR-signaling in FGFR-deficient explants is required to mediate the rescue of vitreous-induced fiber differentiation in explants lacking both Fgfrs and Pten. The blockage of β-crystallin induction in explants lacking both Fgfrs and Pten in the presence of a PDGFR-inhibitor supports this hypothesis. Our findings demonstrate that a wide array of genes associated with fiber cell differentiation are downstream of FGFR-signaling and that the vitreous-induced immune responses also depend on FGFR-signaling. Our data also demonstrates that many of the vitreous-induced gene expression changes Fgfr-deficient explants are rescued in explants lacking both Fgfrs and Pten.

Purpose: To derive and provide analytic formulas for accommodative gain of presbyopia eyes. via sclera ablation and/or thermal shrinkage such that lens is reshaped an/or its positon is shifted. New mechanisms are also proposed. Study Design: To increased accommodation of presbyopia. Place and Duration of Study: New Taipei City, Taiwan, between June, 2021 and July, 2021. Methodology: Accommodation gain is calculated by a 4-component theory, in which the rate functions are derived by an effective eye model for the change of anterior curvature of the lens and its anterior shift. The measured data of accommodative response of the lens versus the lens curvature change and anterior shift are analyzed. The measured net change of the posterior vitreal zonules (PVZ) length and the space between the ciliary body and lens (CLS) during the accommodation are also analyzed. Results: The accommodative gain (AG) is mainly due the change of lens anterior curvature and its anterior shift. The AG per diopter change of the reshaped lens is 0.62 to 0.68 by our formulas, comparing to the measured average value M'=0.69. The efficacy of LASA (or AG) is proportional to the amount of scleral tissue removed (or shrinkaged), such that more space is produced for the change of PVZ and CLS from a UCS to AS for accommodation. Conclusion: The AG is proportional to the amount of scleral tissue removed (or shrinkaged), such that more space is produced for the change of PVZ and CLS from a UCS to AS for accommodation.

The surface plasmon resonance of gold nanoparticles causes visible light absorption and scattering effects that may be used in optical coatings for eliminating blue light emission from display monitors, blocking UV light and for decorative applications. This study examines the achievement of functional properties provided by gold nanoparticles in a commercially established C60 fullerene-coated eyewear product. The gold nanoparticles used were sourced from recycling rapid lateral flow tests (LFIA), which use gold nanoparticles as test markers. After the gold`s recovery Ultrasonic Spray Pyrolysis (USP) with freeze-drying was used for the synthesis of new gold nanoparticles, to be used in optical coatings. The gold nanoparticles were examined with SEM, TEM, DLS, zeta potential, BET, and Vis-NIR for characterising their shapes and sizes, required for determination of the surface plasmon resonance effect. After applying the newly produced gold nanoparticles with fullerene C60 in a combined coating for eyewear lenses, the absorption and transmission of the lenses was determined for establishing changes in the coating functionality. The results show that enhancing the fullerene C60 coating with gold nanoparticles improves light absorption and reflectance for blue and UV light further, which may be evaluated as beneficial for the eyewear user, as the reduction of eye strain is improved due to the coating.

The prevalence of digital devices in modern society has raised concerns about the potential neg-ative effects of blue light emissions on eye health and biological rhythms. Research into blue light emissions from digital devices and their potential impact on eye health emphasizes the importance of understanding and quantifying the extent and scope of blue light emissions produced by commonly used screens (smartphones, tablets and computers). This comparative study specifically evaluates three popular Apple devices: iPhone 12 mini®, iPad Pro 12.9® and MacBook Pro®. The devices' spectral power was measured using a spectroradiometer while displaying text and a game at different brightness levels. The study also examines the effectiveness of blue-blocking lenses from well-known brands. The research highlights the importance of quantifying blue light emissions and understanding their potential impact on eye health. By doing so, appropriate measures can be developed to mitigate adverse effects on ocular structures. Above all, this research provides valuable information about the risks associated with exposure to blue light, showing that all tested devices have blue wavelength peaks between 445 nm and 455 nm. By recognizing and addressing the potential negative impacts of blue light, the risks of eye health problems can be reduced and ensure more responsible and conscious use of digital devices.

Purpose: To evaluate clinical outcomes after bilateral mix-and-match cataract surgery using extended depth of focus (EDOF) and diffractive multifocal (DMF) intraocular lenses (IOLs). Methods: Thirty-seven patients received Tecnis Symfony EDOF IOL (ZXR00) implantation in the dominant eye, and Tecnis +3.25 DMF IOL (ZLB00) in the non-dominant eye. Patients were followed for 3 months, and uncorrected and corrected distance visual acuity (UDVA, CDVA) , uncorrected intermediate and near visual acuity (UIVA, UNVA), contrast sensitivity, defocus curves, stereopsis, and patient satisfaction were assessed. Results: At 3 months, mean logMAR UDVA was 0.07 ± 0.09 in EDOF IOL eyes, 0.12 ± 0.11 in DMF IOL eyes, and 0.02 ± 0.05 in both eyes. UIVA was 0.11 ± 0.11 in EDOF IOL eyes, 0.16 ± 0.12 in DMF IOL eyes, and 0.04 ± 0.07 in both eyes. UNVA was 0.25 ± 0.15 in EDOF IOL eyes, 0.22 ± 0.16 in DMF IOL eyes, and 0.13 ± 0.13 in both eyes. Thirty patients(81.1%) were more than satisfied with near vision, and 8 patients(21.6%) complained of severe glare and halo. Spectacle independence for near vision was achieved in 34 patients(91.9%), and 31 patients(83.8%) had better than a 50 second arc of stereopsis. Conclusion: Mix-and-match cataract surgery with EDOF and DMF IOL implantation provided good visual outcomes through all distances. Also excellent patient satisfaction was achieved with high level of spectacle independence and minimal photic phenomena.

Simulations based on Supernova (SN) observations predict several galactic SN explosions (SNe) occur every century. Unlike SNes within the Interstellar Medium (ISM) where ambient gas generally absorbs blast waves within a million years, SNes occurring in a rarified environment outside of the (ISM) generate blast waves which remain in a high velocity free expansion phase for more extended periods. The SN blast wave forms an expanding spherical shell and when multiple blast waves intersect, the overlapping region naturally takes the form of a ring, an arc, or an Einstein Cross structure. The analysis shows the high velocity plasma establishes a medium with permeability which drives the index of refraction greater than 1. As a result, when a shock discontinuity forms in the overlapping region, light is reflected from the host galaxy which exposes the intersecting blast wave regions. The expanding shells are shown to induce an achromatic redshift to the reflected light consistent with those measured for gravitational lenses. Further, it is shown that a Hubble equation for a blast wave around the Milky Way Galaxy can be parameterized to align with measured redshifts of extragalactic light fields over a wide range of distances.

The image performance of acoustic and ultrasound sensors depends on several fundamental parameters such as depth of focus or spatial resolution. There are currently two different type of acoustic diffractive lenses: those which form a diffraction-limited spot with a shallow depth of focus (zone plates) and lenses which form an extended focus (quasi-Bessel beams). In this paper, we investigate a pupil-masked Soret zone plate which allows the tunability of a normalized angular spectrum. It is shown that the depth of focus and the spatial resolution can be modified, without changing the lens structure, by choosing the size of the amplitude pupil mask. This effect is based on the transformation of spherically converging waves into quasi-conical waves, due to the apodization of the central part of the zone plate. The theoretical analysis is verified with both numerical simulations and experimental measurements. A Soret zone plate immersed in water with D/2F=2.5 and F=4.5$\lambda$, changes its depth of focus from 2.84$\lambda$ to 5.9$\lambda$ and the spatial resolution increases from 0.81$\lambda$ to 0.64$\lambda$ at a frequency of 250 kHz, by modifying the pupil mask dimensions of the Soret zone plate.

The main weakness of non-silicone hydrogel contact lenses is their low oxygen permeability (Dk). Hence, we have tried to optimize their Dk using various concentrations and lengths of the ethylene glycol dimethacrylate (EGDMA) crosslinker in a mixture of N, N- Dimethylacrylamide and Cyclohexyl methacrylate monomers. After synthesizing the different contact lenses, we evaluated the impact of the different EGDMA conditions on their chemical, optical, and mechanical properties. The water content, the contact angle, the refractive index, the transmittance, and the young moduli of the synthesized lenses were slightly affected by crosslinker conditions. On the contrary, the elongation at break and, more importantly, the oxygen permeability, which reached values of up to 74.93 Fatt units, were considerably impacted by crosslinker conditions. This study demonstrates, for the first time to our knowledge, that, in addition to water, other usual hydrogel components, like crosslinkers, can modulate the Dk of non-silicone contact lenses. It also provides a simple and scalable method to fabricate more permeable non-silicone lenses.

Based on three-dimensional optical proximity correction (3D OPC), recent advancements in 3D lithography have enabled the high-fidelity customization of 3D micro-optical elements. However, micron-to-millimeter scale structures represented by Fresnel lens design bring more stringent requirements for 3D OPC, which poses significant challenges to the accuracy of models and the efficiency of algorithms. Thus, a lithographic model based on optical imaging and photo-chemical reaction curve is developed in this paper, and a sub-domain division method with a statistics principle is proposed to improve the efficiency and accuracy of 3D OPC. Both the simulation and the experimental results showed the superiority of the proposed 3D OPC method in the fabrication of the Fresnel lenses. The computation memory requirements of the 3D OPC are reduced to below 1 %, and the profile error of the fabricated Fresnel lens reduced 79.98%. Applying the Fresnel lenses to an imaging system, the average peak signal to noise ratio (PSNR) of the image increased by 18.92 %, and the average contrast of the image enhanced by 36 %. We believe the proposed 3D OPC method can be extended to the fabrication of vision-correcting ophthalmological lenses.

Metabolomics is a powerful set of methods that uses analytical techniques to identify and quantify metabolites in biological samples, providing a snapshot of the metabolic state of a biological system. In medicine, metabolomics can help diagnose diseases, reveal molecular basis of a disease, and monitor treatment responses, while in agriculture, it can improve crop yields and plant breeding. However, animal metabolomics faces several challenges due to the complexity and diversity of animal metabolomes, the lack of standardized protocols, and the difficulty in interpreting metabolomic data. The current dataset includes quantitative metabolomic profiles of eye lens tissues from 26 bird species (111 specimens) that can aid researchers in developing new experiments, mathematical models, and integrations with other omics data. The dataset includes raw 1H NMR spectra, protocols for sample preparation, and data preprocessing with the final table containing information on 89 reliably identified and quantified metabolites. The dataset is quantitative, making it relevant for supplementing with new specimens or comparison groups, followed by data mining and expected new interpretations. It was obtained from bird specimens collected in compliance with ethical standards and reveals potential differences in metabolic pathways due to phylogenetic difference or environmental exposure.

With the rapid consumer adoption of mobile devices such as tablets and smart phones, the tele-traffic has experienced a tremendous growth, low power technologies are highly desirable for future communication networks. In this paper, we consider an ambient backscatter (AB) based user cooperation (UC) scheme for mmWave wireless powered communication networks (WPCN) with lens antenna arrays. Firstly, we formulate an optimization problem to maximize the minimum rate of two users by jointly designing power and time allocation. Then we introduce auxiliary variables and transform the original problem into a convex form. Finally, we propose an efficient algorithm to solve the transformed problem. Simulation results demonstrate that the proposed AB based UC scheme outperforms the competing schemes, thus improve the fairness performance of throughput in WPCN.

Background: To evaluate the effectiveness of Defocus Incorporated Multiple Segments (DIMS) in slowing myopia progression in pediatric patients as a function of age. Methods: This was a non-randomized experimenter-masked retrospective controlled observational study of European individuals aged 6 -16 years with progressive myopia but no ocular pathology. We retrospectively reviewed the charts of the participants allocated to receive DIMS spectacles (Hoya® MiyoSmart®) or single vision spectacle lenses (control group). Cycloplegic spherical equivalent (SE) and axial length (AL), were measured at baseline and at 36 month follow up. The results were stratified by age into four groups: patients that wore DIMS spectacles oldest or youngest than 10 years of age (respectively, group A, 20 patients mean age 13.6±2.2 and group C, 20 patients mean age 9.0±1.2) and age-matched control groups (group B, 18 patients mean age 13.2±2.5 and group D, 22 patients mean age 8.5±0.9). Results: At 36 months, SE and AL increase resulted significantly reduced in groups A and C, respectively compared to groups B and D (p<0.05). Linear regression analysis showed a significant correlation (P<0.05) between patient age and myopia progression for SE in groups A and C, but only in group A also for AL. Groups B and D did not show any significant correlation (P>0.05). Conclusion: DIMS spectacles seem to slow myopia increase in pediatric patients, however their effectiveness results greatest in children oldest than 10 years of age. Morover our findings suggest that AL may be the more reliable parameter for evaluating myopia progression.

Acanthamoeba keratitis (AK) is a severe, rare protozoal infection of the cornea. Acanthamoeba can survive in diverse habitats and at extreme temperatures. AK is mostly seen in contact lens wearers, whose lenses have become contaminated, or a history of water exposure, and in those without contact lens wear, who have experienced recent eye trauma involving contaminated soil or water. Infection usually results in severe eye pain, photophobia, inflammation, and corneal epithelial defects. The pathophysiology of this infection is multifactorial, including the production of cytotoxic proteases by Acanthamoeba that degrades the corneal epithelial basement membrane and induce the death of ocular surface cells, resulting in degradation of the collagen-rich corneal stroma. AK can be prevented by avoiding the risk factors, which include avoiding water contact such as swimming or showering in contact lenses, and wearing protective goggles when working on the land. AK is mostly treated with an antimicrobial therapy of biguanides alone or in combination with diaminidines, although the commercial availability of these medicines is variable. Other than anti-amoeba therapies, targeting host immune pathways in Acanthamoeba disease may lead to the development of vaccines or antibody therapeutics which could transform the management of AK.

Grayscale Lithography (GSL) is an alternative approach to the standard Binary Lithography in MEMSfabrication, enabling the fabrication of complicated arbitrary 3D structures on the wafer, without the need for multiple masks and exposure steps. Despite its advantages, GSL’s effectiveness is highly dependent on controlled lab conditions, equipment consistency, and finely-tuned photoresist exposure and etching processes. This works presents a thorough investigation of the challenges of GSL for Silicon (Si) wafers and presents a detailed approach on how to minimize the fabrication inaccuracies, aiming to replicate the intended design as closely as possible. Utilizing a maskless laser writer, all aspects of the GSL as analyzed, from photoresist (PR) exposure parameters to Si etching conditions. A practical application of GSL is demonstrated in the fabricationof 4 μm deep Silicon Fresnel Lenses for Long Wave Infrared imaging (8-12 μm). The surface topography of a Fresnel lens is a good case to apply GSL as it has varying shapes and size features that need to be preserved.. The final fabricated lens profiles show good match with the initial design and demonstrate successful etching of coarse and fine features and demonstrating images taken with an LWIR camera.

The number of people affected by eye conditions is growing every year, due to the popularity of electronic devices and an aging population. In the world of medicine, accomplishing eye medication administration has always been a difficult task. Despite the fact that there are many eye drops on the market, most of them have important limitations due to quick clearance mechanisms and ocular barriers. One solution with tremendous potential is the contact lens used as medication delivery vehicle to bypass this constraint. Therapeutic contact lenses for ocular medication delivery have attracted a lot of attention because they have the potential to improve ocular bioavailability, patient compliance, and reduce side effects. However, it is essential not to compromise essential features such as water content, optical transparency, and modulus in order to target successful in vitro and in vivo sustained drug delivery profile from impregnated contact lenses. Aside from difficulties like drug stability and burst release, the changing of lens physical and chemical properties caused by therapeutic or non-therapeutic components can limit the commercialization potential of pharmaceutical-loaded lenses. Research has progressed towards bioinspired techniques and smart materials to improve the efficacy of drug-eluting contact lenses. The bioinspired method uses bioinspired polymeric materials to improve biocompatibility, a specialized molecule recognition technique called molecular imprinting, or a stimuli-responsive system to improve biocompatibility and support drug delivery efficacy of drug-eluting contact lenses. This review encompasses strategies of material design, lens manufacturing and drug impregnation under the current auspices in ophthalmic therapies and projects an outlook onto future opportunities in the field of eye conditions management by means of active principles-eluting contact lens.

As the most commonly used hydrogel material in contact lenses, the amount of water in a lens affects its optical properties and comfort for the wearer. Therefore, an important challenge is to determine the safety and efficacy of contact lenses by accurately and non-destructively measuring the water content in real time. In this study, we demonstrate the accurate detection of water content in hydrogel contact lenses using a high-precision ATR format in a portable terahertz time-domain spectroscopy system. The technique can resolve small variations in the dielectric constant in solution, which is difficult to achieve with traditional transmission and reflection measurement modes. Information is obtained from the interaction between the sample and the swift waves propagating along the prism surface. The swift waves can excite longitudinal modes that are not directly accessible by conventional techniques. It is worth noting that the reference wave can be measured by removing the sample without disturbing the optical path. We also enhance the plasma effect at the interface with the hydrogel by using PVDF dielectric films of different polarities. We observed that the water content and refractive index changes in the ATR mode show different response patterns for nonpoled PVDF and poled PVDF membranes. This suggests that reflection and relative phase can be accurately evaluated in the THz-ATR technique, resulting in an accurate method for determining complex dielectric constants in the reflection geometry. This will allow accurate measurement of both surface and in vivo water content in hydrogels in the future and is a potential technical route for application in bioaqueous tissue measurements.

The purpose of this article is to demonstrate the ability of bibliometric data from the Lens platform to identify relevant bibliometric/scientometric issues based on the construction of a network of key terms co-occurrence and their clustering. The advantages of using the Lens platform for bibliometric analysis are briefly demonstrated. Key terms were selected on the basis of n-grams and noun phrases. VOSviewer, Scimago Graphica, and Sifaka text mining application were used as analytical tools. Analysis of the Lens metadata on bibliometrics/scientometrics showed their predominant use in the political, social, and medical fields of research.

Background/Objectives: Postoperative intraocular lens (IOL) is a risk associated with IOL scleral fixation. However, the cause of IOL tilt during IOL suturing remains unclear. Therefore, this study aimed to evaluate the surgical outcomes of a modified IOL suturing technique and investigate the factors contributing to postoperative IOL tilt and decentration. Methods: We included 25 eyes of 22 patients who underwent IOL suturing between April 2018 and February 2020. A modified IOL suturing technique that decreased the need for intraocular suture manipulation was used. Factors contributing to IOL tilt and decentration were investigated using an intraoperative optical coherence tomography (iOCT) system. Results: The mean postoperative best-corrected visual acuity improved from 0.15 ± 0.45 to -0.02 ± 0.19 (p = 0.02). The mean IOL tilt angle at the last visit after surgery was 1.84 ± 1.28 degrees. The study revealed that the distance of the scleral puncture site from the corneal limbus had a stronger effect on IOL tilt; while, the suture position of the haptics had a greater effect on IOL decentration. Conclusions: The modified IOL suturing technique, which avoids intraocular suture handling, had favorable surgical outcomes with improved postoperative visual acuity and controlled IOL tilt and decentration. Accurate surgical techniques and careful measurement of distances during surgery are crucial for preventing postoperative IOL tilt and decentration.

In the manufacturing of optical lenses, the lack of digital monitoring and inspection for centring processing not only results in product consistency not being guaranteed but also leads to inefficiency in processing. A centring processing digital twin system is proposed to address the problems of low virtual visualization and insufficient monitoring capability of centring processing of high-precision optical components. The layered architecture of the system is determined based on the five-dimensional model of the digital twin, coupled with a dimension-driven geometric model and a physical model that integrates data and turning mechanisms to improve the fidelity and interactivity of the virtual model of the centring lathe. The fusion of heterogeneous data from multiple sources in the centring machining process at the semantic and physical levels is realized by using an information model and an OPC UA-based data interaction method. The VMD-GRU method based on feature fusion is used to monitor the key components of the centring lathe. Finally, the feasibility and effectiveness of the proposed method are verified by a case study of the development of a digital twin system for centring lathe, which provides a reference for the digitization and intelligence of the machining process of high-precision optical components.

Photoacoustic technology is a promising tool to provide morphological and functional information in biomedical research. To enhance the imaging efficiency, the reported photoacoustic probes have been designed coaxially involving complicated optical/acoustic prisms to bypass the opaque piezoelectric layer of ultrasound transducers, but leading to bulky probes and hindering the applications in limited space. Though the emergence of transparent piezoelectric materials helps to save the effort on the coaxial design, the reported transparent ultrasound transducers were still bulky. In this work, a miniature photoacoustic probe with an outer diameter of 4 mm was developed, in which an acoustic stack was made of the combination of transparent piezoelectric material and gradient-index lens as a backing layer. The transparent ultrasound transducer exhibited a high center frequency of ~47 MHz and a -6 dB bandwidth of 29.4%, which could be easily assembled with a pigtailed ferrule of a single-mode fiber. The multi-functional capability of the probe was successfully validated through the experiments of fluid flow sensing and photoacoustic imaging.

The growing interest in heat-conducting nanofluids requires highly sensitive methods for analyzing thermal properties. Thermal-lens spectrometry, despite its advantages over classical methods, does not have a general approach to measuring and interpreting results for dispersed systems. In this paper, by the example of nanofluids of silicon oxide in water in a wide range of concentrations and sizes, the selection of measurement parameters for transient and steady-state thermal lensing is justified, and the interpretation of the results of thermal diffusivity measurements is substantiated. The features of measurements of thermal diffusivity by thermal lens spectrometry under stationary state for dispersed systems are considered. Using this approach, it is possible to detect and distinguish thermal effects with high accuracy. For dispersions of silicon oxide, with increasing concentration, the thermal diffusivity passes through a minimum. Silicon oxide dispersions can be used both as a coolant or as a heat-removing liquid by selecting the particle size and concentration.

For a wide field of view (FoV) wavefront coding athermalized infrared imaging system with a single decoding kernel, the off-axis aberration tends to cause artefacts. In order to correct off-axis aberration, many pieces of lenses will reduce the transmission efficiency and increase the weight and cost. To meet requirements for wide FoV, wide operating temperature and low weight of infrared imaging systems, this paper reports a wide-FoV wavefront coding athermalized infrared imaging system with a two-piece lens. Its principle, design, manufacture, measurement and performance validation are successively discussed. This paper constructs an optimization problem which maximizes the weighted mean of PSF consistency for both the FoV and operating temperature range. The two-piece lens contains four surfaces, where three aspheric surfaces are introduced to reduce optical off-axis aberrations and a cubic surface is introduced to achieve athermalization. The optical phase mask containing an aspheric surface and a cubic surface is manufactured by nano-metric machining of ion implanted material(NiIM). Experimental results validate that our wide-FoV wavefront coding athermalized infrared imaging system has a full FoV of 26.10° and an operating temperature over -20°C to +70°C.

This study aimed to compare the efficacies and safety of enhanced and standard monofocal intraocular lenses (IOLs) in eyes with early glaucoma. Patients with concurrent cataracts and open-angle glaucoma (OAG) were enrolled. They underwent cataract surgery with IOL implantation. Manifest refraction; monocular uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected intermediate visual acuity (UIVA), and uncorrected near visual acuity (UNVA); visual field (VF); contrast sensitivity (CS); defocus curves and questionnaires were assessed three months postoperatively. Thirty-four and 38 patients had enhanced and standard monofocal IOLs, respectively. The enhanced monofocal IOL provided better UIVA than the standard monofocal IOL (p = 0.003) but similar UDVA, CDVA and UNVA. The enhanced monofocal IOL had more consistent defocus curves than the standard monofocal IOL, especially at -1 (p = 0.042) and -1.5 (p = 0.026) diopters. The enhanced monofocal IOL provided better satisfaction (p = 0.019) and lower spectacle dependence (p = 0.004) than the standard monofocal IOL for intermediate vision, with similar VF and CS. In conclusion, the enhanced monofocal IOL is recommended for patients with OAG because they provide better intermediate vision, higher satisfaction, and lower dependence on spectacles than standard monofocal IOL, without worsening other visual outcomes.

Scattering has been always considered a problem in most of the imaging and holography systems. In this project, a 3D imaging system has been developed based on scattering against common beliefs. The 3D imaging system consists of only two components namely a scattering lens, fabricated by grinding the surface of a convex lens using sandpaper and a web camera. The point spread function (PSF) in the form of speckle distribution was recorded using a laser source in the first step. A synthetic object was selected which was convolved with the PSF in a computer to generate the object intensity distribution. The image of the object was reconstructed by processing the PSF and object intensity distribution using a computational reconstruction method called non-linear reconstruction. The recorded PSF was scaled and the process was repeated for a different synthetic object. The concept was extended to 3D by summing the object intensity distributions generated using PSFs with different scaling factors. The image at different planes can be reconstructed using the PSFs corresponding to that plane.

In this paper, we present a finite element simulation of an adaptive piezoelectric fluid-membrane lens modeled in COMSOL Multiphysics. The simulation couples the piezoelectric effect with the fluid dynamics to model the interaction between piezoelectric forces and fluid forces. Also, the simulation is extended to model the thermal expansion of the fluid. Finally, we compare the simulation and experimental results of the adaptive lens refractive power at different actuation levels and temperatures.

Micro lens arrays (MLAs) play a critical role in optical imaging, new energy technologies, and advanced displays. In this work, high-quality micro lens arrays with controllable profiles using femtosecond-laser-induced modification assisted wet etching (FLIM-WE) were fabricated. The effects of laser single-pulse energy, pulse number, and hydrofluoric acid etching duration on micro lens profiles were systematically studied. Optimization of these parameters enabled the successful preparation of dimensionally controlled micro lens arrays with stable performance and excellent surface quality on fused silica substrates. Ultimately, two types of micro lens arrays were fabricated using femtosecond laser-assisted wet etching. These arrays demonstrated exceptional uniformity and surface quality (Ra~100nm), facilitating clear imaging at various magnifications, with an adjustment range of 1.3X~3.0X. This provides a potential technical support for special micro-optical systems.

Pars plana vitrectomy is today a common first-line procedure for treatment of rhegma-togenous retinal detachment (RRD). Removal or preservation of the natural lens at the time of vitrectomy is associated with both advantages and disadvantages. The combi-nation of cataract extraction (i.e., phacoemulsification) with pars plana vitrectomy (PPVc) enhances visualization of the peripheral retina and the surgical management of the vitreous base. However, PPVc prolongs the surgical time and is associated with iatrogenic loss of the accommodation function in younger patients, possible postoperative aniso-metropia, and unexpected refractive results. Performance of pars plana vitrectomy alone (PPVa) requires good technical skills to minimize the risk of lens damage, and quickens cataract development. We retrieved all recent papers that directly compared PPVc and PPVa using parameters that we consider essential when choosing between the two procedures (the success rate of anatomical RRD repair, postoperative refractive error, intra and postoperative complications, and costs). PPVa and PPVc were generally comparable in terms of RRD anatomical repair. PPVc was associated with fewer intraoperative, but more postoperative, complications. Macula-off RRD PPVc treatment was often associated with undesirable myopic refractive error. PPVa followed by phacoemulsification was the most expensive procedure.

Advancement in physics often results from analyzing numerical data and then creating a theoretical model that can explain and predict those data. In the field of lens design, the reverse is true: longstanding theoretical understanding is being overtaken by more powerful numerical methods.

Objectives. The aim of the study is to identify relevant research topics based on pooled bibliometric data of International Journal of Hydrogen Energy publications from 2022-2024, collected from The Lens and ScienceDirect platforms. Data source. Bibliometric records of International Journal of Hydrogen Energy articles published in 2022-2024 from The Lens and ScienceDirect platforms were used. Programs and utilities used. VOSviewer, Scimago Graphica, Inkscape, FP-growth utility. Results. The study showed the feasibility of merging bibliometric records from the open platforms ScienceDirect and The Lens, which complement each other. The 'Fields of Study' data of The Lens can be rationally interpreted as system keywords similar to Scopus Index Keywords. The possibility of using 'Fields of Study' data in a method similar to bibliographic coupling is shown. The practicality of using an Alluvial diagram to show the co-occurrence of the four terms was demonstrated. The study also emphasizes the advisability of joint use of VOSviewer and Scimago Graphica programs for complex visualization of bibliometric analysis results. The study identified two dominant publication topics in International Journal of Hydrogen Energy for 2022-2024, which can be described in terms of: 'Catalysis, Hydrogen, Physical_chemistry, Chemical_engineering, Nanotechnology, Electrochemistry, Organic_chemistry, Materials_science' and 'Electrical_engineering, Hydrogen_production, Renewable_energy, Environmental_science, Hydrogen_economy, Hydrogen, Engineering'.

This paper introduces a novel architecture—bidirectional optical neural network (BONN)—for providing backward connections alongside forward connections in artificial neural networks (ANNs). BONN incorporates laser diodes and photodiodes and exploits the properties of Köhler illumination to establish optical channels for backward directions. Thus, it has bidirectional functionality that is crucial for algorithms such as the backpropagation algorithm. BONN has a scaling limit of 96 × 96 for input and output arrays, and a throughput of 8.5 × 1015 MAC/s. While BONN's throughput may rise with additional layers for continuous input, limitations emerge in the backpropagation algorithm as its throughput doesn't scale with layer count. Successful BONN-based implementation of the backpropagation algorithm requires the development of fast spatial light modulator to accommodate frequent data flow changes. A two-mirror-like BONN and its cascaded extension are alternatives for multilayer emulation, and they help save hardware space and increase the parallel throughput for inference. An investigation into the application of the clustering technique to BONN revealed its potential to help overcome scaling limits and to provide full interconnections for backward directions between doubled input and output ports. BONN's bidirectional nature holds promise for enhancing supervised learning in ANNs and increasing hardware compactness.

This study was aimed to assess visual performance and overall satisfaction of extended depth of focus (EDOF) contact lenses (CLs) in a presbyopic population. We prospectively investigated visual acuity at all distances (0.3, 0.4, 0.5, 0.7, 1, and 5 m), higher-order aberrations (HOAs), contrast sensitivity function, and, overall satisfaction score, before and during EDOF CL wear. Binocular visual acuity at 0.3, 0.5, 0.7, 1, 2, 3, and 5 m when wearing EDOF CLs was 0.01 ± 0.14, -0.08 ± 0.02, -0.08 ± 0.02, -0.08 ± 0.00, -0.08 ± 0.00, -0.08 ± 0.02, and -0.07 ± 0.02, respectively. We found a significant improvement at near to intermediate distances (0.3, and 0.5 m), but no significant change at intermediate to far distances (0.7, 1, 2, 3, and 5 m) between before and during CL wear. The area under the log contrast sensitivity function was not significantly changed neither under photopic nor mesopic conditions (p=0.099, and p=0.689). Ocular third-order aberrations, fourth-order aberrations or total HOAs for a 4-mm pupil significantly increased. The overall satisfaction score significantly improved by wearing EDOF CLs. EDOF CLs significantly improved visual acuity at near to intermediate dis-tances, while maintaining far vision, and the effect of contrast sensitivity was minimal, suggesting its viability of presbyopic correction in such candidates.

The accommodative response of the human eye is predominantly driven by foveal vision but reacts also to off-foveal stimuli. Here, we report on monocular accommodation measurements using parafoveal and perifoveal annular stimuli centered around the fovea and extending up to 8 degree radial eccentricity for young emmetropic and myopic subjects. The stimuli were presented through a sequence of random defocus step changes induced by a pupil-conjugated tunable lens. A Hartmann-Shack wavefront sensor with an infrared beacon was used to measure real-time changes of ocular aberrations up to and including the 4th radial order across a 3 mm pupil at 20 Hz. Our findings show a significant reduction in accommodative response with increased radial eccentricity.

This article explores the cross-cultural significance of three iconic fairy tales: Cinderella, Snow White, and Sleeping Beauty. Using a comparative analysis approach, the study investigates recurring themes, motifs, and symbolism found in these tales across different cultures and time periods. The research draws on primary and secondary sources such as literary works and scholarly articles to uncover the underlying messages that resonate with audiences worldwide. The historical and cultural contexts of the tales are also examined to provide a deeper understanding of their significance in shaping cultural identity and values. The findings of the research demonstrate the enduring legacy of these tales and their continued relevance in contemporary society. The study highlights how the tales have evolved and adapted over time to reflect changing cultural values and beliefs. The interpretation of the findings offers insights into the role of storytelling in shaping cultural identity and values, and the ways in which these stories continue to inspire and captivate audiences worldwide. Overall, this research provides a comprehensive and nuanced understanding of the significance of these three fairy tales across cultures and time. By illuminating the similarities and differences in these tales, the study offers a fresh perspective on the power of storytelling and its ability to transcend cultural boundaries. The research contributes to the fields of folklore, cultural studies, and cross-cultural communication, inspiring further exploration into the captivating world of fairy tales.

Fungal keratitis (FK) is a serious ocular infection that often poses significant diagnostic and therapeutic dilemmas. This study aimed to examine the causes, clinical characteristics, outcomes, and prognostic factors of FK in the UK. All culture-positive and culture-negative presumed FK (with complete data) that presented to Queen’s Medical Centre, Nottingham, and Queen Victoria Hospital, East Grinstead, between 2011 and 2020 were included. A total of 117 patients (n=117 eyes) with FK were included in this study. The mean age was 59.0±19.6 years (range, 4-92 years) and 51.3% patients were female. Fifty-three fungal isolates were identified from 52 (44.4%) culture-positive cases, with Candida spp. (33, 62.3%), Fusarium spp. (9, 17.0%), and Aspergillus spp. (5, 9.4%) being the most common organisms. Ocular surface disease (60, 51.3%), prior corneal surgery (44, 37.6%), and systemic immunosuppression (42, 35.9%) were the three most common risk factors. Hospitalisation for intensive treatment was required for 95 (81.2%) patients, with a duration of 18.9±16.3 days. Sixty-six (56.4%) patients required additional surgical interventions for eradicating the infection. Emergency therapeutic/tectonic keratoplasty was performed in 29 (24.8%) cases, though 13 (44.8%) of them failed at final follow-up. The final corrected-distance-visual-acuity (CDVA) was 1.67±1.08 logMAR. Multivariable logistic regression analyses demonstrated increased age, large infiltrate size (>3mm), and poor presenting CDVA (<1.0 logMAR) as significant negative predictive factors for poor visual outcome (CDVA of <1.0 logMAR) and poor corneal healing (>60 days of healing time or occurrence of corneal perforation requiring emergency keratoplasty; all p<0.05). In conclusion, FK represents a difficult-to-treat ocular infection that often results in poor visual outcome, with a high need for surgical interventions. Innovative treatment strategies are urgently required to tackle this unmet need.

Direct imaging systems that create an image of an object directly on the sensor in a single step are prone to many constraints as a perfect image is required to be recorded within this step. In designing high resolution direct imaging systems with a diffractive lens, the outermost zone width either reaches the lithography limit or the diffraction limit itself imposing challenges in fabrication. However, if the imaging mode is switched to an indirect one consisting of multiple steps to complete imaging, then different possibilities open up. One such methods is the widely used indirect imaging method with Golay configuration telescopes. In this study, a Golay-like configuration has been adapted to realize a large area diffractive lens with three sub-aperture diffractive lenses. The sub-aperture diffractive lenses are not required to collect light and focus them to a single point as in a direct imaging system but to focus independently on different points within the sensor area. This approach of Large Area Diffractive lens with Integrated Sub-Apertures (LADISA) relaxes the fabrication constraints and allows the sub-aperture diffractive elements to have a larger outermost zone width and smaller area. The diffractive sub-apertures were manufactured using photolithography. The fabricated diffractive element has been implemented in indirect imaging mode using non-linear reconstruction and Lucy-Richardson-Rosen algorithm with synthesized point spread functions. The computational optical experiments revealed an improved optical and computational imaging resolutions compared to previous studies.

Polymeric Intraocular lenses (IOLs) are vital for restoring vision following cataract surgery and for correcting refractive errors. Despite technological and medical advancements, challenges persist in achieving optimal vision and preventing complications. Surface modifications aim to mitigate the risk of posterior capsule opacification (PCO), while pre-operative measurements aid in selecting suitable IOLs. However, individualized solutions are lacking and there is a clear demand for the development of fully customised IOL surfaces. We employ laser micromachining technology for precise modifications via ablation on PMMA and Acrylic IOLs, using femtosecond (fs), nanosecond (ns), and diode continuous wave (CW) lasers, at wavelengths ranging from near-ultraviolet to infrared. Characterization reveals controlled ablation patterning, achieving feature sizes from as small as 400 nm to several micrometers. Regular and confocal Micro-Raman spectroscopy revealed alterations of the IOL materials' structural integrity for some pattering cases, thus affecting the optical properties, while these can be minimised by proper selection of micromachining conditions. The results suggest the feasibility of accurate IOL patterning, which could offer personalized vision correction solutions, based on relevant corneal wavefront data, thus surpassing standard lenses, marking a significant advancement in cataract surgery outcomes.

A refractive lens is one of the simplest, cost-effective and easily available imaging elements. With a spatially incoherent illumination, a refractive lens can faithfully map every object point to an image point in the sensor plane, when the object and image distances satisfy the imaging conditions. However, static imaging is limited to the depth of focus, beyond which the point-to-point mapping can be only obtained by changing either the location of the lens or the imaging sensor. In this study, the depth of focus of a refractive lens in static mode has been expanded using a recently developed computational reconstruction method, Lucy-Richardson-Rosen algorithm (LRRA). The technique consists of three steps. In this first step, the point spread functions (PSFs) were recorded along different depths and stored in the computer as PSF library. In the next step, the object intensity distribution was recorded. The LRRA was then applied to deconvolve the object information from the recorded intensity distributions in the final step. The results of LRRA were compared against two well-known reconstruction methods namely Lucy-Richardson algorithm and non-linear reconstruction.

Wireless power transfer promises to revolutionize the way we use and power mobile devices. However, low transfer efficiencies prevent this technology from seeing wide scale real-world adoption. The aim of this work is to use quasioptics to develop a system composed of a dielectric lens fed by a phased array to reduce spillover losses, increasing the beam efficiency, while working on the antenna system’s Fresnel zone. The DC-RF electronics, digital beamforming and beam-steering by an FPGA, and radiating 4x4 microstrip patch phased array have been developed and experimented upon, while the lens has been designed and simulated. This paper details these preliminary results, where the phased array radiation pattern was measured, showing that the beam is being generated and steered as expected, prompting the lens construction for the complete system experimentation.

This paper presents a demonstration of a linearly-polarized transmit-arrays antenna with high-efficiency and wideband operating in X-band. The topology of the unit cell consists of two identical patch antennas loaded by C-loop slot and interconnected by a metalized via through a ground plane sandwiched between two identical substrates [18]. A waveguide measurement system WGMS has been used for single cell characterization (reflection/transmission coefficients). Good results have been demonstrated in terms of matching performances; the reflection coefficient S11 is under 10-dB in the 9.4-10.4 GHz band (i.e. 10.1% around 9.9 GHz) and with only 0.35 dB-insertion loss at 10 GHz. The transmit-arrays prototype permitted to achieve 22.4 dBi of directivity and 20.1 dBi of gain. The aperture and radiation efficiencies are about 28.2% and 58.3%, respectively. With a focal ratio (F/D) of 1/2 the spill-over loss is less than 2 dB. Beam-scanning up to ± 35° has been achieved with the same phase quantization (passive) and less than 3 dB of gain losses.

In any region of a space, the gravitational field cannot be eliminated. The speed of light in a vacuum has never been observed and cannot be observed with current technology. Till now, only the speed of light in a gravitational field has been observed. It results in that all the observed speed of light are always being varied by the gravity. Here, it is presented that light could be dispersion in a gravitational field analogous to the dispersion of light in the Newtonian prism experiment. The relativistic mass density on the surface of a neutron star is on the level of 10¹⁷kg/m³ while on the surface of the Earth is only 10^-7kg/m³, the effect of the gravitational field acting on the speed of light by a neutron star is much larger than that by the Earth. Therefore, the dispersion of light in strong gravitational field could be generally observed from the image of a star and it should have been observed through the double-image gravitational lensing and the spectroscopic binary system. And, it should affect the observed numbers, spectrogram, size and distance of the celestial objects.

Terahertz tomography is a promising method among non-destructive inspection techniques to detect faults and defects in dielectric samples. Image quality recently significantly improved through the incorporation of a priori information and off-axis data. However, this improvement has come at the cost of increased measurement time. To aim toward industrial applications, it is therefore necessary to speed up the measurement by parallelizing the data acquisition employing multi-channel setups. In this work, we present two tomographic frequency-modulated continuous wave (FMCW) systems working at a bandwidth of 230-320 GHz, equipped with an eight-channel detector array, and compare their imaging results with a single-pixel setup. While in the first system, the additional channels are used exclusively to detect radiation refracted by the sample, the second system features an f-θ lens, focusing the beam at different positions on its flat focal plane, and thus utilizing the whole detector array directly. The usage of the f-θ lens in combination with a scanning mirror eliminates the necessity of the formerly used slow translation of a single-pixel transmitter. This opens up the potential for a significant increase in acquisition speed, in our case by a factor of four to five, respectively.

The article considers an internal boundary value problem of the distribution of an electrostatic field in a lens formed by two identical semi-infinite circular cylinders coaxially located inside an infinite external cylinder. The problem is reduced to solving a system of singular Wiener-Hopf integral equations, which is further solved by the Wiener-Hopf method using factorized Bessel functions. Solutions to the problem for each region inside the infinite outer cylinder are presented as exponentially converging series in terms of eigenfunctions and eigenvalues.

The intention of this paper is to point out a remarkable hitherto unknown effect of General Relativity. Starting from fundamental physical principles and phenomena arising from General Relativity, it is demonstrated by a simple Gedankenexperiment that a gravitational lens enhances not only the light intensity of a background object but also its gravitational field strength by the same factor. Thus, multiple images generated by a gravitational lens are not just optical illusions, they also have a gravitational effect at the location of the observer! The "Gravitationally Lensed Gravitation" (GLG) may help to better understand the rotation curves of galaxies since it leads to an enhancement of the gravitational interactions of the stars. Furthermore, it is revealed that besides a redshift of the light of far distant objects, the cosmic expansion also causes a corresponding weakening of their gravitational effects. The explanations are presented entirely without metric representation and tensor formalism. Instead, the behavior of light is used to indicate the effect of spacetime curvature. The gravitation is described by the field strength which is identical to the free fall acceleration. The new results thus obtained provide a reference for future numerical calculations based on the Einstein field equations.

Dry eye disease (DED) is a multifactorial disorder in which tear fluid homeostasis is lost, resulting in increased tear film osmolarity and ocular surface irritation. In Asia, the short tear film breakup time type-DED is common, and stabilization of the tear film is the first goal of treatment. Treatment of DED begins with eye drops. Until now, artificial tears and steroid eye drops have been the main treatment for DED. However, artificial tears require frequent administration of eye drops and thus pose adherence problems, while steroids have problems with side effects (cataracts, increased intraocular pressure). This review evaluates the new generation of DED therapies in Asia based on what is known about them and demonstrates that they are more effective for DED than traditional therapies such as artificial tears and steroids. Based on these considerations, it is proposed that the optimal treatment for DED in Asia is the initial application of mucin secretion enhancing eye drops (long-acting diquafosol) and oral supplements, and if additional treatment is needed, cyclosporine eye drops and the adjunctive therapies presented in this review are added.

Can a gravitational lens magnify gravity ? The answer to this question is the subject of this article. Light is deflected as it passes through curved spacetime caused by a mass distribution. This phenomenon, known as "gravitational lensing," has been extensively studied and is well understood. According to the general theory of relativity, the same deflection is expected for gravitational waves, because they also propagate at the speed of light. But this applies to gravitational fields as well. Thus, gravitational fields, which extend through curved spacetime, are also deflected correspondingly. This effect is referred to as "Gravitationally Lensed Gravity". It leads to the fact that the gravitational field strength originating from an object in the background of a gravitational lens is enhanced in the same way as its light intensity. If the background object is visible to an observer several times due to the gravitational lens, each of the images also exerts a corresponding gravitational attraction on her ! For the first time, a proof of the existence of this amazing effect is given. In a simple thought experiment the contraction of a spherically symmetric gravitational lens is discussed. The proof is essentially based on Birkhoff's theorem. According to this theorem, during the contraction additional null geodesics between the background object and the observer come into existence. To these null geodesics also contributions to the gravitational field are to be assigned. In the literature, similar descriptions can be found for the gravitational self-interaction of a particle in a curved spacetime background. The article is organized as follows: In the introduction, the historical origin of the idea of the "Gravitationally Lensed Gravity" is briefly outlined. In the second chapter, the subsequently required basic principles and essential features of general relativity are explained. In the third chapter I analyze different arrangements of masses and describe the observations to be expected. The arrangements show step by step the transition from the classical "Newtonian limit" in a flat spacetime background to the "Gravitationally Lensed Gravity" in a curved spacetime background. Due to its clarity, the simple scenario may also serves as a suitable test case for the mathematical methods of general relativity. The concluding outlook provides references to current questions in astrophysics, especially the question of the existence of Dark Matter. Here, the general theory of relativity offers much simpler explanations with the "Gravitationally Lensed Gravity".

A gravitational lens is mass-curved spacetime. Light that propagates freely, locally always on the fastest way, follows curved paths in it. The same applies to all effects propagating with the speed of light, also to gravity itself. They all have to follow the curvature of spacetime. A gravitational lens not only enhances the light from background objects but concurrently also their gravitational effect ! The "Gravitationally Lensed Gravity" (GLG) is a still scarcely noticed peculiar feature of general relativity. In [1] I presented a thought experiment to make the existence of this effect plausible. Here these considerations are described in terms of future and past light cones or null cones commonly used in relativity theory to illustrate the causal structure of spacetime. In the framework of general relativity, the GLG effect can be understood as a consequence of the folding of the past null cone by a gravitational lens. Starting from the basic ideas of the theory, the terms are introduced and applied. The extensive description on textbook level should be understandable also for beginners. In order not to obstruct the view on the essential physical relations, I avoid a mathematical formalism and use instead diagrams and figures, based on realistic numerical calculations, to reinforce my logical argumentation. Experts will recognize many long-known facts, but may still be surprised by the resulting conclusions. First, I present some particular aspects of the historical evolution of the concept of gravitational lensing and give a brief overview of the work of other authors on the subject GLG. I then explain the limitations of the applicability of the "Newtonian Limit" and move on to the key role of the speed of gravity in understanding GLG. Finally, I use a simple example to illustrate the possible significance of the GLG effect. With this work I intend to elicit greater interest in "Gravitationally Lensed Gravity" and to initiate a broader discussion about it.

Increased screen time during the COVID-19 pandemic and the accelerated incorporation of technology into daily practices have directly contributed to the increased prevalence of eye disease. The human eye is not built for continual technological use and must adjust to exposure to digital screens. Overexposure to technology can result in eye strain and an increased risk of eye diseases such as myopia with complications later in life, including retinal tears, cataracts, and macular degeneration. As vision and ocular diseases become more prevalent, the study of eye diseases, including their causes and treatments, is especially relevant. There is a need to prevent ocular diseases before they become a burden to individuals, their families, and their communities by better understanding the pathophysiology of ocular diseases. Several ocular diseases are thought to be caused by imbalances in reactive oxygen species (ROS) and autophagy. ROS refers to a class of highly reactive oxygen-containing molecules that can undergo damaging reactions with other molecules in the cell. Autophagy is a cellular process of self-eating whereby damaged, harmful, or dead material in cells is broken down to maintain cellular homeostasis. This paper discusses the role of ROS and autophagy in the pathogenesis of computer vision syndrome (CVS), digital eye strain (DES), myopia, cataracts, glaucoma, diabetic retinopathy (DR), age-related macular degeneration (AMD), optic nerve crush injury (OCN), optic nerve gliomas, and retinoblastoma. Lifestyle changes such as limiting screen time, ensuring adequate exposure to evening sunlight, and using blue light protection measures or protective eyewear are important in the prevention of eye disease. Nutrition also contributes significantly to eye health. A balanced diet rich in vitamins and antioxidants may help to prevent ROS and autophagy imbalance-induced eye disease. Medical and surgical treatments become necessary when preventative measures fail. This paper also addresses how government measures to decrease the onset of eye disease, including targeted programs to increase access to fresh vegetables and fruits in food deserts, are a critical macro-level avenue to reduce eye disease prevalence in the US, which according to the National Eye Institute, costs $139 billion yearly.