Intraindividual comparison of higher-order aberrations after implantation of aspherical and spherical intraocular lenses as a function of pupil diameter

Kasper, Thomas; Bühren, Jens; Kohnen, Thomas

doi:10.1016/j.jcrs.2005.11.018

Cited by 97 publications

(80 citation statements)

References 27 publications

(26 reference statements)

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“…As indicated in previous studies, [10][11][12]22,23 increased pupil size was also found to increase the ocular aberrations. A similar phenomenon was observed in this study: all the ocular and internal HOAs were increased due to mydriasis, except internal SA, which might be neutralized by the implanted aspherical IOLs with negative SA, whose effects were much highlighted when pupil was dilated.…”

Section: Figuresupporting

confidence: 71%

Effect of pupil size on higher-order aberrations in high-myopic pseudophakic eyes with posterior staphyloma

Zhu

Yang

et al. 2014

Eye

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Purpose To evaluate the effect of pupil size on higher-order aberrations (HOAs) in highmyopic pseudophakic eyes with posterior staphyloma using KR-1W aberrometer. Methods Forty eyes of 40 high-myopic cataract patients with posterior staphyloma and 20 eyes of 20 age-related cataract patients with normal axial length were recruited. At 1 month after phacoemulsification and intraocular lens implantation, ocular and internal HOAs as well as the visual quality data in the two groups were evaluated with KR-1W analyzer before and after mydriasis. Results Compared with normal axial length eyes, high-myopic pseudophakic eyes with posterior staphyloma had significantly lower values of internal coma both under 4-mm and 6-mm pupil sizes (Po0.001 and 0.020), as well as internal total HOAs (Po0.001) and third-order aberrations at 6-mm pupil size (P ¼ 0.018). Statistically significant differences were also found in the variation from 4-to 6-mm pupil sizes for internal coma (P ¼ 0.001), internal third-order aberrations (P ¼ 0.009), internal total HOAs (P ¼ 0.007), and ocular coma aberrations (P ¼ 0.006) between two groups. After mydriasis, Strehl ratio increased significantly in high-myopic eyes, whereas decreased slightly in normal axial length eyes (P ¼ 0.032 when compared with the variation between the two groups). Statistically significant differences were also found for the variation of modulation transfer functions (MTFs) at frequencies of 15, 30, 45, and 60 cycles/degree between the two groups (P ¼ 0.002, 0.002, 0.004, and 0.010, respectively).Conclusions High-myopic pseudophakic eyes with posterior staphyloma had significantly lower internal coma and less coma variations during mydriasis.

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Section: Figuresupporting

confidence: 71%

Effect of pupil size on higher-order aberrations in high-myopic pseudophakic eyes with posterior staphyloma

Zhu

Yang

et al. 2014

Eye

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“…13 There is accumulating evidence supporting the functional vision benefit of aspheric over spherical IOLs, [6][7][8][9][10][20][21][22] and this study is consistent with such reports. On the contrary, some recent clinical trials reported no significant gains with the aspheric IOL in terms of BCVA, [10][11][12][13][20][21][22] or other subjective questionnaires, such as visual function-14(VF-14) score, 13 or the activities of daily vision scale. 10 This study also could not detect the significant difference between two IOL designs in terms of BCVA.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8][9][10] However, there were some recent trials showing no significant advantages in terms of subjective visual function. [11][12][13] This study compared the optical quality of the acrylate version of the aspheric Tecnis IOL (ZA9003, AMO Inc., Santa Ana, CA, USA) with the most widely used conventional acrylate IOL (AcrySof SA60AT, Fort Worth, TX). Internal aberration (which is mostly induced by the IOL) and its contribution to the entire eye was the main interest of this study.…”

Section: Introductionmentioning

confidence: 99%

Comparison of higher order aberrations in eyes with aspherical or spherical intraocular lenses

Ahn

Kim

et al. 2008

Eye

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Purpose To compare ocular, internal, corneal aberrations, and contrast sensitivity in patients implanted with aspheric or spherical intraocular lenses (IOLs). Methods Total, corneal, and internal aberrations were measured using ray-tracing technology in 23 eyes implanted with aspheric (Tecnis ZA9003) IOLs, and in 25 eyes implanted with spherical (AcrySof SA60AT) IOLs. Spherical aberration (SA), coma, trefoil, and RMS of higher order aberrations (HOAs) were analysed for 4.0 and 6.0 mm optical zones. Best-corrected visual acuities (BCVAs), contrast sensitivity under photopic and mesopic conditions, and modulation transfer function (MTF) were evaluated to compare visual performances. Results The mean internal SA was À0.06/ À0.35 lm in the aspheric IOL group and 0.04/ 0.17 lm in the spherical IOL group (at 4 mm/ 6 mm pupil). Total SA was near to zero in the aspheric IOL group, and was 0.11±0.034/ 0.48±0.13 lm in the spherical IOL group. The internal Z 3 À1 and total Z 3 À1 were more negative in the spherical IOL group. The internal Z 3 À3 was more negative in the aspheric IOL group. The two groups were similar in terms of other Zernike values and RMS of HOA. There were no differences in BCVA between groups. The aspheric IOL group showed better contrast sensitivity at 3-6 cpd in photopic and 1.5-6 cpd in mesopic conditions. The MTF curve was better for the aspheric IOL group at 5-10 cpd. Conclusions The aspheric IOL with a negative SA reduced total SA by compensating for positive corneal SA. These effects resulted in improved contrast sensitivity.

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“…[3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] What is less clear is whether the patients are aware of any difference in quality of vision between the aspheric and spherical lenses. A few studies have attempted to address this question.…”

Section: Introductionmentioning

confidence: 99%

Objective and subjective outcomes in comparing three different aspheric intraocular lens implants with their spherical counterparts

Cuthbertson

Dhingra

Benjamin

2008

Eye

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Purpose To look for objective and subjective differences between three types of aspheric intraocular lens implants and their spherical counterparts. Methods Thirty patients were randomised to receive one of six lens implants including three aspheric lenses and their spherical counterparts. Pre and postoperative testing was carried out including visual acuity, contrast sensitivity and wavefront analysis. All patients were asked to fill in a visual function questionnaire (modification of cataract TyPE) to assess subjective differences in visual quality. Results There was no significant difference between groups for best-corrected visual acuity. Contrast sensitivity testing showed the Tecnis lens to perform better than the Cee-on Edge in all lighting conditions with significant differences at 3 and/or 6 cycles/degree in three out of four lighting conditions. No significant differences in contrast sensitivity were seen between the other lens pairs. All aspheric lenses showed less spherical aberration than their spherical pairs with statistical significance reached in two out of three pairs (the Ceeon Edge vs Tecnis, and Acrysof Natural vs IQ). The questionnaire revealed no evidence of improved subjective vision with the aspheric lenses compared to the spherical lenses. Conclusions This pilot study concurs with previously published trials in showing decreased spherical aberration and improved contrast sensitivity with aspheric lenses compared to spherical lenses. There was no evidence that the patients implanted with aspheric lenses rate their quality of vision higher than those implanted with spherical lenses. Study numbers were small and larger numbers may be required to demonstrate statistical differences in subjective data.

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Intraindividual comparison of higher-order aberrations after implantation of aspherical and spherical intraocular lenses as a function of pupil diameter

Abstract: In comparison to a spherical IOL, the aspherical Tecnis IOL reduced Z(4)(0) and 4th-order RMS significantly for pupil diameters of 3 to 6 mm, whereas total HOA RMS was only significantly reduced for a pupil diameter of 6 mm.

Cited by 97 publications

References 27 publications

Effect of pupil size on higher-order aberrations in high-myopic pseudophakic eyes with posterior staphyloma

Effect of pupil size on higher-order aberrations in high-myopic pseudophakic eyes with posterior staphyloma

Comparison of higher order aberrations in eyes with aspherical or spherical intraocular lenses

Objective and subjective outcomes in comparing three different aspheric intraocular lens implants with their spherical counterparts

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