Fujikado Takashi, Kuroda Teruhito, Maeda Naoyuki, Kim Aya, Tano Yasuo, Oshika Tetsuro, Hirohara Yoko, Mihashi Toshifumi
Department of Visual Science, Osaka University Graduate School of Medicine, Osaka, Japan.
Am J Ophthalmol. 2004 Feb;137(2):361-3. doi: 10.1016/S0002-9394(03)00877-8.
To determine whether higher-order aberrations explain patient-reported monocular triplopia.
Observational case report.
A patient complaining of monocular triplopia was examined with a Hartmann-Shack aberrometer to determine whether higher-order wavefront aberrations could account for the triplopia. The patient had a mild nuclear cataract; measurements were made before and after lensectomy. The retinal image was simulated using the Zernike polynomials.
Spherical aberration (-0.18 microm, 4 mm pupil) and trefoil aberration (-0.16 microm) were increased. The simulated retinal image had a triple configuration similar to the subjective image reported by the patient. After cataract surgery, the subjective triplopia disappeared; spherical, and trefoil aberrations were markedly decreased.
The monocular triplopia probably stemmed from combined effects of spherical and trefoil aberrations caused by the nuclear cataract.
确定高阶像差是否能解释患者报告的单眼复视。
观察性病例报告。
对一名主诉单眼复视的患者使用哈特曼-夏克像差仪进行检查,以确定高阶波前像差是否可解释复视。该患者有轻度核性白内障;在晶状体切除术前和术后进行测量。使用泽尼克多项式模拟视网膜图像。
球差(-0.18微米,4毫米瞳孔)和三叶草像差(-0.16微米)增加。模拟的视网膜图像具有与患者报告的主观图像相似的三重结构。白内障手术后,主观复视消失;球差和三叶草像差明显降低。
单眼复视可能源于核性白内障引起的球差和三叶草像差的综合作用。