Li Shi-ming, Xiong Ying, Li Jing, Zhou Yue-hua, Dai Yun, Liu Qian, Xue Li-xia, Zhang Yu-dong, Jiang Wen-han, Wang Ning-li
Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Sciences Key Lab, Beijing 100730, China.
Zhonghua Yan Ke Za Zhi. 2009 Oct;45(10):926-30.
To analyze the effects of different wavefront-guided aberration ablation patterns on visual function using adaptive optics technique and explore the effective and feasible pattern of customized refractive surgery.
Control study. Under dark condition, six volunteers'right eyes were fully dilated with 5 g/L phenyl ephedrine. The myopia and astigmatism were first fully corrected with optical lens, and then 100% contrast visual acuity of different wavefront correction patterns was detected using adaptive optics system in through a 6.0 mm pupil optical path.
All of the eight different aberration correction strategies obtained excellent correction effect. On the basis of this correction, visual acuity test was performed. The results showed that all aberration correction strategies improved the visual acuity compared with static correction. Correction of high order aberrations and full correction of aberrations could obtain better visual acuity than that of only correction of low order aberrations. Correction of aberrations from second to third order and fourth order spherical aberration second only to full correction of aberration.
As for low myopia patients, eliminating ocular high order aberrations could improve visual acuity. Correction of aberration from second to third order and fourth spherical aberration might be an effective and feasible pattern of customized refractive surgery.
利用自适应光学技术分析不同波前引导像差消融模式对视觉功能的影响,探索个体化屈光手术有效可行的模式。
对照研究。在暗室条件下,6名志愿者右眼用5g/L去氧肾上腺素充分散瞳。先用光学镜片完全矫正近视和散光,然后通过6.0mm瞳孔光路,使用自适应光学系统检测不同波前校正模式下的100%对比度视力。
8种不同的像差校正策略均获得了良好的校正效果。在此校正基础上进行视力测试,结果显示,与静态校正相比,所有像差校正策略均提高了视力。高阶像差校正和像差全校正比仅校正低阶像差能获得更好的视力。二阶至三阶像差校正和四阶球差校正仅次于像差全校正。
对于低度近视患者,消除眼高阶像差可提高视力。二阶至三阶像差校正和四阶球差校正可能是一种有效可行的个体化屈光手术模式。