The EyeSys videokeratoscope was used to assess the corneal topography in 98 subjects. Scatterplots of distance squared versus radius squared were plotted for the near horizontal and near vertical principal meridians of the two eyes. The regression lines allowed calculation of the surface apical radius and the p-value. The group average apical radius was 7.93 mm (horizontal) and 7.78 mm (vertical). The group average p-value was 0.76 (horizontal) and 0.82 (vertical). Both apical radius and p-value were similar when comparing the two eyes for both the horizontal and the vertical meridians. The two meridians in a single eye, however, had different values for both apical radius and p-value. Male apical radii were longer than those of females but the p-values were the same. There is no apparent association between age and either apical radius or p-value for the subjects used in this study. The asphericity of the cornea does not show any apparent association with corneal curvature in this group of subjects.
Laser anterior capsulotomy created a more precise capsule opening than CCC, and the buttons created by the laser procedure were easy to remove at the beginning of cataract surgery.
Spherical, single-vision acrylic IOLs continue to show some tendency to rotate for up to 24 months postoperatively, although this is usually small. The Akreos Adapt lens may be a good platform for a toric lens product.
There is increasing interest in the effects of reactive oxygen species ('free radicals') in ageing, both in the body overall and specifically in the eye. Cataract and age-related macular degeneration (AMD) are two major causes of blindness, with cataract accounting for 48 per cent of world blindness and AMD accounting for 8.7 per cent. Both cataract and AMD affect an older population (over 50 years of age) and while cataract is largely treatable provided resources are available, AMD is a common cause of untreatable, progressive visual loss. There is evidence that AMD is linked to exposure to short wavelength electromagnetic radiation, which includes ultraviolet, blue and violet wavelengths. The ageing crystalline lens provides some protection to the posterior pole because, as it yellows with age, its spectral absorption increasingly blocks the shorter wavelengths of light. Ultraviolet blocking intraocular lenses (IOLs) have been the standard of care for many years but a more recent trend is to include blue-blocking filters based on theoretical benefits. As these filters absorb part of the visible spectrum, they may affect visual function. This review looks at the risks and the benefits of filtering out short wavelength light in pseudophakic patients.
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