Citation: Osuagwu UL, Suheimat M, Atchison DA. Mirror symmetry of peripheral monochromatic aberrations in fellow eyes of isomyopes and anisomyopes. Invest Ophthalmol Vis Sci. 2016;57:3422-3428. DOI:10.1167/iovs.16-19267 PURPOSE. To investigate mirror symmetry of peripheral ocular aberrations in fellow eyes of isoand anisomyopes.METHODS. Peripheral aberration was measured over the central 428 3 328 visual field for a 5-mm pupil in both eyes of 19 isomyopic (spherical equivalent refraction M [right/left]: À2.5 6 2.1 diopters [D]/À2.7 6 2.3 D) and 10 anisomyopic (M: À4.0 6 1.8 D/À4.3 6 2.8 D) young adults. Isomyopes had less than 1.0 D fellow eye refraction difference and anisomyopes had between 1.0 D and 2.6 D fellow eye differences (mean difference: 1.3 6 0.6 D). Orthogonal regression of Zernike coefficients determined right-left eye correlations in isomyopes. For anisomyopes, higher and lower myopic eye coefficients were compared.
RESULTS.For isomyopes, the percentages of visual field locations with significant coefficient correlations between fellow eyes varied from 100% for astigmatism (C CONCLUSIONS. Peripheral aberration coefficients across the visual field show mirror symmetry in isomyopes, and in a pooled data set the coefficients with negative correlations require sign changes for left eye data. Anisometropia contributes no more to peripheral aberration differences between fellow eyes than could be expected on the basis of refraction differences between people.Keywords: anisometropia, COAS-HD aberrometer, higher-order aberrations, mirror symmetry, myopia, peripheral aberrations F oveal (on-axis) vision has been the main concern of vision performance research, but during the past decade and spurred by advances in technology, interest has grown in the optics and image quality of the peripheral (off-axis) retina. Despite poorer acuity in the periphery than the center, peripheral vision is important for detection and motion and has been associated with myopia development. 1,2 Information gained from peripheral vision research has been used to improve vision of people living with central visual field loss.
3,4Peripheral aberration coefficients have been measured in only one eye of participants in most studies [5][6][7][8][9][10][11][12][13][14][15] for reasons of time efficiency, 16 with the assumption that they change similarly across the visual fields of fellow eyes. Comparisons of ocular aberration coefficients of fellow eyes have been made for central vision, [17][18][19][20][21][22][23][24][25][26][27][28] in both isometropes (similar refraction in fellow eyes) [17][18][19][20][21][22][24][25][26][27] and anisometropes (dissimilar refraction in fellow eyes). 22,23,25,27,28 The coefficients of fellow eyes are significantly correlated. To account for mirror symmetry when comparing or combining data of right and left eyes, it is recommended that the signs of left eye Zernike polynomial coefficients are altered if they have either negative, even m indices or positive, odd m indices.
29Normal eyes tend to ...