Understanding the Real Effect of the High-Order Aberrations after Myopic Femto-Lasik

In this work we try to understand the real effect of increase in aberrations after Femto-LASIK surgery on the patient’s final visual quality, specifically when the visual acuity measurement is considered. A clinical study with 37 eyes of 20 patients that underwent myopic Femto-LASIK surgery and diff...

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Main Authors: Juan J. Miret, Ester Rojas, Vicente J. Camps, Celia Garcia, Maria T. Caballero, Begoña Martín, Enrique Chipont
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Optics
Subjects:
Online Access:https://www.mdpi.com/2673-3269/3/4/33
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author Juan J. Miret
Ester Rojas
Vicente J. Camps
Celia Garcia
Maria T. Caballero
Begoña Martín
Enrique Chipont
author_facet Juan J. Miret
Ester Rojas
Vicente J. Camps
Celia Garcia
Maria T. Caballero
Begoña Martín
Enrique Chipont
author_sort Juan J. Miret
collection DOAJ
description In this work we try to understand the real effect of increase in aberrations after Femto-LASIK surgery on the patient’s final visual quality, specifically when the visual acuity measurement is considered. A clinical study with 37 eyes of 20 patients that underwent myopic Femto-LASIK surgery and different personalized eye model simulations were carried out. In clinical study, correlations between pre- and postoperative parameters with visual acuity were analysed. Eye simulations (based on real data) provided simulations of vision quality before and after surgery. Our main results showed a significant increase in aberrations was obtained after surgery; however, no differences were found between the preoperative corrected distance visual acuity (CDVA) and the postoperative uncorrected distance visual acuity (UDVA). This absence of differences in visual quality could be explained by performing different simulations on three eyes that would cover most of the possible clinical situations. Simulations were implemented considering a pupil size of 2.5 mm and the personalized data of each patient. Results showed that final visual acuity (VA) change are determined by the final high-order aberrations (HOAS) and their increase after surgery but measured under photopic conditions. In conclusion, customized analysis of higher-order aberrations in scotopic pupils better predicts patient visual acuity after Lasik surgery.
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spelling doaj.art-1cad68e38ce24453b93ed677e2daa5032023-11-24T17:11:03ZengMDPI AGOptics2673-32692022-10-013438439910.3390/opt3040033Understanding the Real Effect of the High-Order Aberrations after Myopic Femto-LasikJuan J. Miret0Ester Rojas1Vicente J. Camps2Celia Garcia3Maria T. Caballero4Begoña Martín5Enrique Chipont6Grupo de Óptica y Percepción Visual (GOPV), Department of Optics, Pharmacology and Anatomy, University of Alicante, Carretera San Vicente, s/n, 03690 San Vicente del Raspeig, SpainGrupo de Óptica y Percepción Visual (GOPV), Department of Optics, Pharmacology and Anatomy, University of Alicante, Carretera San Vicente, s/n, 03690 San Vicente del Raspeig, SpainGrupo de Óptica y Percepción Visual (GOPV), Department of Optics, Pharmacology and Anatomy, University of Alicante, Carretera San Vicente, s/n, 03690 San Vicente del Raspeig, SpainGrupo de Óptica y Percepción Visual (GOPV), Department of Optics, Pharmacology and Anatomy, University of Alicante, Carretera San Vicente, s/n, 03690 San Vicente del Raspeig, SpainGrupo de Óptica y Percepción Visual (GOPV), Department of Optics, Pharmacology and Anatomy, University of Alicante, Carretera San Vicente, s/n, 03690 San Vicente del Raspeig, SpainOftalica Alicante, Avda. Padre Esplá, 58, 03013 Alicante, SpainOftalica Alicante, Avda. Padre Esplá, 58, 03013 Alicante, SpainIn this work we try to understand the real effect of increase in aberrations after Femto-LASIK surgery on the patient’s final visual quality, specifically when the visual acuity measurement is considered. A clinical study with 37 eyes of 20 patients that underwent myopic Femto-LASIK surgery and different personalized eye model simulations were carried out. In clinical study, correlations between pre- and postoperative parameters with visual acuity were analysed. Eye simulations (based on real data) provided simulations of vision quality before and after surgery. Our main results showed a significant increase in aberrations was obtained after surgery; however, no differences were found between the preoperative corrected distance visual acuity (CDVA) and the postoperative uncorrected distance visual acuity (UDVA). This absence of differences in visual quality could be explained by performing different simulations on three eyes that would cover most of the possible clinical situations. Simulations were implemented considering a pupil size of 2.5 mm and the personalized data of each patient. Results showed that final visual acuity (VA) change are determined by the final high-order aberrations (HOAS) and their increase after surgery but measured under photopic conditions. In conclusion, customized analysis of higher-order aberrations in scotopic pupils better predicts patient visual acuity after Lasik surgery.https://www.mdpi.com/2673-3269/3/4/33myopic Femto-LASIKhigh-order aberrationspupil sizevisual acuityeye simulation
spellingShingle Juan J. Miret
Ester Rojas
Vicente J. Camps
Celia Garcia
Maria T. Caballero
Begoña Martín
Enrique Chipont
Understanding the Real Effect of the High-Order Aberrations after Myopic Femto-Lasik
Optics
myopic Femto-LASIK
high-order aberrations
pupil size
visual acuity
eye simulation
title Understanding the Real Effect of the High-Order Aberrations after Myopic Femto-Lasik
title_full Understanding the Real Effect of the High-Order Aberrations after Myopic Femto-Lasik
title_fullStr Understanding the Real Effect of the High-Order Aberrations after Myopic Femto-Lasik
title_full_unstemmed Understanding the Real Effect of the High-Order Aberrations after Myopic Femto-Lasik
title_short Understanding the Real Effect of the High-Order Aberrations after Myopic Femto-Lasik
title_sort understanding the real effect of the high order aberrations after myopic femto lasik
topic myopic Femto-LASIK
high-order aberrations
pupil size
visual acuity
eye simulation
url https://www.mdpi.com/2673-3269/3/4/33
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