Abstract
Purpose
To evaluate the effect of pupil size on higher-order aberrations (HOAs) in high-myopic 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 (P<0.001 and 0.020), as well as internal total HOAs (P<0.001) and third-order aberrations at 6-mm pupil size (P=0.018). Statistically significant differences were also found in the variation from 4- to 6-mm pupil sizes for internal coma (P=0.001), internal third-order aberrations (P=0.009), internal total HOAs (P=0.007), and ocular coma aberrations (P=0.006) between two groups. After mydriasis, Strehl ratio increased significantly in high-myopic eyes, whereas decreased slightly in normal axial length eyes (P=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=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.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Charman WN . Wavefront aberration of the eye: a review. Optom Vis Sci 1991; 68: 574–583.
Wong TY, Ferreira A, Hughes R, Carter G, Mitchell P . Epidemiology and disease burden of pathologic myopia and myopic choroidal neovascularization: an evidence-based systematic review. Am J Ophthalmol 2014; 157: 9–25.
Xu L, Li Y, Wang S, Wang Y, Wang Y, Jonas JB . Characteristics of highly myopic eyes: the Beijing Eye Study. Ophthalmology 2007; 114: 121–126.
He Miao, Wang Wei, Ragoonundun Dina, Huang Wenyong . Meta-analysis of the association between lumican gene polymorphisms and susceptibility to high myopia. PLoS One 2014; 9: e98748.
Morgan IG, Ohno-Matsui K, Saw SM . Myopia. Lancet 2012; 379: 1739–1748.
Pruett RC . Complications associated with posterior staphyloma. Curr Opin Ophthalmol 1998; 9: 16–22.
Buehren T, Collins MJ, Carney LG . Near work induced wavefront aberrations in myopia. Vision Res 2005; 45: 1297–1312.
Wei RH, Lim L, Chan WK, Tan DT . Higher order ocular aberrations in eyes with myopia in a Chinese population. J Refract Surg 2006; 22: 695–702.
Wang L, Santaella RM, Booth M, Koch DD . Higher-order aberrations from the internal optics of the eye. J Cataract Refract Surg 2005; 31: 1512–1519.
Petermeier K, Frank C, Gekeler F, Spitzer MS, Messias A, Szurman P . Influence of the pupil size on visual quality and spherical aberration after implantation of the Tecnis 1-piece intraocular lens. Br J Ophthalmol 2011; 95: 42–45.
de Castro LE, Sandoval HP, Bartholomew LR, Vroman DT, Solomon KD . High-order aberrations and preoperative associated factors. Acta Ophthalmol Scand 2007; 85: 106–110.
McKelvie J, McArdle B, McGhee C . The influence of tilt, decentration, and pupil size on the higher-order aberration profile of aspheric intraocular lenses. Ophthalmology 2011; 118: 1724–1731.
Zhu XJ, Dai JH, Chu RY, Lu Y, Zhou XT, Wang L . Accuracy of WASCA aberrometer refraction compared to manifest refraction in Chinese adult myopes. J Refract Surg 2009; 25: 1026–1033.
Philip K, Martinez A, Ho A, Conrad F, Ale J, Mitchell P et al. Total ocular, anterior corneal and lenticular higher order aberrations in hyperopic, myopic and emmetropic eyes. Vision Res 2012; 52: 31–37.
Xing XJ, Tang X, Song H, Li WW . Comparison of tilt and decentration of four different kinds of aspheric intraocular lenses implantation. Zhonghua Yan Ke Za Zhi 2010; 46: 332–336.
Lopez-Miguel A, Martinez-Almeida L, Gonzalez-Garcia MJ, Coco-Martin MB, Sobrado-Calvo P, Maldonado MJ . Precision of higher-order aberration measurements with a new Placido-disk topographer and Hartmann-Shack wavefront sensor. J Cataract Refract Surg 2013; 39: 242–249.
Zhu XJ, Zhou P, Zhang KK, Yang J, Luo Y, Lu Y . Epigenetic regulation of αA-crystallin in high myopia-induced dark nuclear cataract. PLoS One 2013; 8: e81900.
Asakuma T, Yasuda M, Ninomiya T, Noda Y, Arakawa S, Hashimoto S et al. Prevalence and risk factors for myopic retinopathy in a Japanese population: the Hisayama Study. Ophthalmology 2012; 119: 1760–1765.
Zadok D, Levy Y, Segal O, Barkana Y, Morad Y, Avni I . Ocular higher-order aberrations in myopia and skiascopic wavefront repeatability. J Cataract Refract Surg 2005; 31: 1128–1132.
Marcos S, Rosales P, Llorente L, Jimenez-Alfaro I . Change in corneal aberrations after cataract surgery with 2 types of aspherical intraocular lenses. J Cataract Refract Surg 2007; 33: 217–226.
Curtin BJ . The posterior staphyloma of pathologic myopia. Trans Am Ophthalmol Soc 1977; 75: 67–86.
Kasper T, Buhren J, Kohnen T . Intraindividual comparison of higher-order aberrations after implantation of aspherical and spherical intraocular lenses as a function of pupil diameter. J Cataract Refract Surg 2006; 32: 78–84.
Kohnen T, Klaproth OK, Buhren J . Effect of intraocular lens asphericity on quality of vision after cataract removal: an intraindividual comparison. Ophthalmology 2009; 116: 1697–1706.
van den Bos A . Aberration and the Strehl ratio. J Opt Soc Am A Opt Image Sci Vis 2000; 17: 356–358.
Lian HF, Tang X, Wang J . The influences on modulation transfer function as a function of age and pupil in adult emmetropic eyes. Zhonghua Yan Ke Za Zhi 2010; 46: 227–232.
Santhiago MR, Netto MV, Barreto JJ, Gomes BA, Oliveira CD, Kara-Junior N . Optical quality in eyes implanted with aspheric and spherical intraocular lenses assessed by NIDEK OPD-Scan: a randomized, bilateral, clinical trial. J Refract Surg 2011; 27: 287–292.
Hashemi H, Yazdani K, Khabazkhoob M, Mehravaran S, Mohammad K, Fotouhi A . Distribution of photopic pupil diameter in the Tehran eye study. Curr Eye Res 2009; 34: 378–385.
Netto MV, Ambrosio RJ, Wilson SE . Pupil size in refractive surgery candidates. J Refract Surg 2004; 20: 337–342.
Hsieh YT, Hu FR . The correlation of pupil size measured by Colvard pupillometer and Orbscan II. J Refract Surg 2007; 23: 789–795.
Acknowledgements
This work was supported by the National Natural Science Foundations of China (grant numbers: 81100653 and 81470613) and The Special Scientific Research Fund for Health Industry (number: 201302015).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no conflict of interest.
Rights and permissions
About this article
Cite this article
Zhu, X., Ye, H., Yang, J. et al. Effect of pupil size on higher-order aberrations in high-myopic pseudophakic eyes with posterior staphyloma. Eye 29, 98–105 (2015). https://doi.org/10.1038/eye.2014.242
Received:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/eye.2014.242