Yes, you can. SimVis Gekko accurately replicates the through-focus optical performance of multifocal IOLs even in dilated pupil conditions.
A pilot study included five presbyopic subjects. Defocus curves were measured through a monofocal IOL and two different multifocal IOL simulations in SimVis Gekko, before and after their pupils were dilated with Tropicamide 1%.
The results obtained showed a very high similarity between both defocus curves with the natural and dilated pupil, even in pupil dependent IOLs.
![dilatedpupils](https://www.2eyesvision.com/wp-content/uploads/2023/05/dilatedpupils.jpg)
No clinically significant differences were found when subjects were asked to score (from 0 to 10, being 10 the best possible) their visual experience looking at different natural images in the distance.
![dilated-pupils](https://www.2eyesvision.com/wp-content/uploads/2023/06/dilated-pupils.jpg)
ESCRS 2023 Talk
“Preoperative Visual Simulation Of Presbyopic Correccions With Natural Vs Dilated Pupils.” Siso, I., Zaytouny, A., Barcala, X., Alejandre N., Marcos, S., Dorronsoro, C.
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