Characteristics of ocular higher-order aberrations in patients with pellucid marginal corneal degeneration.

Abstract:

PURPOSE:To evaluate the characteristics of higher-order aberrations (HOAs) in eyes with pellucid marginal corneal degeneration (PMCD). SETTING:Department of Ophthalmology, Osaka University Medical School, Osaka, Japan. METHODS:Ocular HOAs were measured by aberrometry in 20 eyes with PMCD (PMCD group), 76 eyes with keratoconus (KC group), and 105 normal eyes (control group) with a 4.0 mm pupil. The magnitudes and axes of trefoil, coma, tetrafoil, and secondary astigmatism and the magnitude of spherical aberration were compared between the 3 groups using vector analysis of Zernike terms. RESULTS:The mean axes of coma in the PMCD group (85.5 degrees) and KC group (82.5 degrees) were opposite the axis in the control group (253.7 degrees). The magnitude of coma was significantly lower in the PMCD group (0.27 microm +/- 0.19 [SD]) than in the KC group (0.70 +/- 0.37 microm) (P < .05). The mean axes of trefoil in the PMCD group (27.1 degrees) and control group (35.4 degrees) were opposite the axis in the KC group (93.8 degrees). The magnitude of spherical aberration was significantly higher in the PMCD group (0.086 +/- 0.10 microm) than in the KC group (-0.030 +/- 0.13 microm) (P < .05); the spherical aberration signs were opposite in the groups. CONCLUSIONS:Although PMCD and KC are categorized as noninflammatory corneal thinning disorders, the HOA patterns in the 2 groups differed, possibly due to differences in the positions of the corneal apex. PMCD and KC may cause distinctively different deterioration in the quality of vision.

authors

Oie Y,Maeda N,Kosaki R,Suzaki A,Hirohara Y,Mihashi T,Hori Y,Inoue T,Nishida K,Fujikado T,Tano Y

doi

10.1016/j.jcrs.2008.06.038

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

1928-34

issue

11

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(08)00827-4

journal_volume

34

pub_type

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