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Corneal Aberrations (corneal + aberration)
Selected AbstractsVisual outcome and corneal aberrometry after implantation of intracorneal ring segments (INTACS) for keratoconusACTA OPHTHALMOLOGICA, Issue 2007J HERNANDEZ VERDEJO Purpose: To analyze corneal aberrometry and visual outcome after implantation of intracorneal ring segments (INTACS) in keratoconus patients. Methods: Corneal aberration was measured in 15 keratoconus eyes pre and post implantation of INTACS. Root Mean Square values (RMS), (Total, RMS for corneal astigmatism and RMS for coma) where recorded for 5, 6 and 7 pupil diameters, and where divided into two groups due to their previous levels of coma and total RMS. Comatic aberration was divided in vertical (Z3-1) an horizontal (Z3+1) Zernicke Coeficcients. All data was recorded pre-op and three months after surgery. Best corrected visual acuity (BCVA), uncorrected visual acuity (UCVA), spherical equivalent and astigmatism where also analyzed. Results: We found statistically significant decrease in spherical equivalent (p<0,01) and increase of UCVA (p<0,01). Significant increase (p=0,04) in coma and total RMS in patients with lower previous values for 5 and 6mm and significant decrease in patients with higher previous values for 7mm (p=0,03) Conclusions: INTACS implantation for keratoconus reduces the mean spherical refractive error, increases UCVA and improves keratoconus aberrations for 7mm pupil diameter in patients with previous high levels of coma and total RMS. [source] Aberration and contrast sensitivity comparison of aspherical and monofocal and multifocal intraocular lens eyesCLINICAL & EXPERIMENTAL OPHTHALMOLOGY, Issue 4 2007Mingbing Zeng PhD MD Abstract Background:, Higher-order aberrations and contrast sensitivity were evaluated in patients who underwent phacoemulsification cataract extraction followed by implantation of aspherical, monofocal or multifocal intraocular lens (IOL) replacements. Methods:, In this comparative trial, 124 patients with an average age of 66.8 ± 5.2 years and their 124 eyes were randomly divided into three surgical implantation groups to receive one of three types of IOLs in replacement of cataract lenses. The patients of group 1 were given an aspherical IOL Z9001 (AMO, Santa Ana, CA, USA) replacement, and group 2 was implanted a monofocal IOL SA60AT (Alcon, Fort Worth, TX, USA) and group 3 the multifocal IOL SA40N (AMO). Post-surgical best-corrected visual acuity, corneal aberrations, total ocular aberrations, pupil diameters, capsulorhexsis sizes and contrast sensitivity were measured and compared. Results:, There was no statistical difference for mean best-corrected visual acuity, pupil diameter, curvilinear capsulorhexis size and corneal aberration among the three groups. For the spherical aberration, fourth-order higher-order aberration and total ocular higher-order aberration, the SA40N group was higher than the SA60AT group and the SA60AT group was higher than the Z9001 group, and the differences between the three groups were statistically significant for these measurements. Contrast sensitivity was higher for the Z9001 group than the SA60AT group and the SA60AT group was higher than the SA40N group, and the difference was statistically significant in all the spatial frequencies of 3, 6, 12 and 18. Conclusions:, Although the multifocal IOL can provide near vision, it can increase higher-order aberration and negatively influence contrast sensitivity. However, the aspherical IOL can reduce aberration and improve contrast sensitivity as compared with the monofocal IOL. [source] Repeatability of corneal and ocular aberration measurements and changes in aberrations over one weekCLINICAL AND EXPERIMENTAL OPTOMETRY, Issue 3 2009Marco A Miranda MSc Background:, Both Shack-Hartmann aberrometry (IRX3, Imagine Eyes, Orsay, France) and Scheimpflug photography (Oculus Pentacam, Oculus Inc Wetzlar, Germany) are known to provide repeatable measurements. The variability in measurements of corneal and ocular aberrations obtained with these instruments over one week had not been assessed. The aim was to study the variability in corneal and ocular aberrations in the human eye over one week and to determine the impact of age on corneal and crystalline lens aberrations and on the variability of these measurements. Methods:, Monochromatic ocular aberrations were measured with the IRX3 and monochromatic corneal aberrations were measured using Scheimpflug photography on one eye of 23 normal subjects at periods of a few seconds, one hour and one week after the initial measurement. Results:, No significant differences were found between the initial aberrations and aberrations measured at 59 ± 24 seconds, 1.10 ± 0.24 hours and 7.11± 0.31 days later. Analysis with Bland and Altman plots showed that measurements with both instruments were highly repeatable over the times studied. There was no relationship between age and the variance of corneal and ocular aberrations (higher order, spherical and coma aberrations). Corneal spherical aberration did not show a significant correlation with age, whereas the lens aberrations changed from being negative in the younger age groups to positive in the older age group, however, these differences failed to reach statistical significance (p > 0.05). Conclusion:, The variability found in all the measurements was small and not clinically significant and could be attributable to instrument noise, changes in the tear film and to small fixational eye movements. [source] | ||||||||||