Higher-order aberrations and visual function in pseudophakic eyes with a toric intraocular lens.

Abstract:

PURPOSE:To compare higher-order aberrations (HOAs) and visual function in eyes with a toric intraocular lens (IOL) and eyes with a nontoric IOL. SETTING:Hayashi Eye Hospital, Fukuoka, Japan. DESIGN:Case-control study. METHODS:Eyes that had phacoemulsification were enrolled in 1 of the following 3 groups: (1) preoperative corneal astigmatism of 1.00 diopter (D) with a toric IOL (toric group), (2) astigmatism of 1.00 D or more with a nontoric IOL (high-astigmatism group), and (3) astigmatism less than 1.00 D with a nontoric IOL (low-astigmatism group). Ocular and corneal HOAs were measured using a wavefront analyzer. Photopic and mesopic visual acuities at high- to low-contrast visual targets were measured using a contrast sensitivity tester. RESULTS:The mean ocular and corneal total HOAs and 3rd-order aberrations in the toric and high-astigmatism groups tended to be greater than in the low-astigmatism group; HOAs and 3rd-order aberrations at 3 months and HOAs at 6 months were significantly different (P ≤.0403). The mean corrected visual acuity did not differ significantly between groups. However, photopic low-contrast visual acuity (LCVA) and mesopic high- to low-contrast visual acuity was significantly worse in the toric and high-astigmatism groups than in the low-astigmatism group (P ≤.0210). CONCLUSION:Postoperatively, ocular and corneal HOAs were greater in eyes with a toric IOL and in eyes with high preexisting corneal astigmatism than in eyes with low preexisting astigmatism, which impaired photopic LCVA and mesopic visual acuity. FINANCIAL DISCLOSURE:No author has a financial or proprietary interest in any material or method mentioned.

authors

Hayashi K,Kondo H,Yoshida M,Manabe S,Hirata A

doi

10.1016/j.jcrs.2012.02.032

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

1156-65

issue

7

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(12)00472-5

journal_volume

38

pub_type

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