Wavefront analysis of eye with monocular diplopia and cortical cataract.

Abstract:

PURPOSE:To determine whether higher-order aberrations can explain the monocular diplopia reported by a patient. DESIGN:Observational case report. METHODS:A patient complaining of monocular diplopia was examined with the Hartmann-Shack aberrometer to determine if the higher-order wavefront aberrations could account for the diplopia. The patient had a mild cortical cataract, and measurements were made before and after lensectomy. In addition, the retinal image was simulated using Zernike polynomials. RESULTS:Spherical aberration (0.20 microm for 4-mm pupil) and secondary astigmatism (-0.12 microm) were increased in the eye. The simulated retinal image had a double configuration that was approximately the same as the subjective image reported by the patient. After cataract surgery, the diplopia disappeared, and the spherical aberrations and secondary astigmatism were considerably decreased. CONCLUSIONS:The monocular diplopia probably stemmed from the combined effects of spherical aberration and secondary astigmatism caused by the cortical cataract.

journal_name

Am J Ophthalmol

authors

Fujikado T,Shimojyo H,Hosohata J,Hirohara Y,Mihashi T,Maeda N,Tano Y

doi

10.1016/j.ajo.2005.12.040

subject

Has Abstract

pub_date

2006-06-01 00:00:00

pages

1138-1140

issue

6

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(06)00013-4

journal_volume

141

pub_type

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