Effect of Spherical Aberration on the Optical Quality after Implantation of Two Different Aspherical Intraocular Lenses

Purpose. To compare the effect of spherical aberration on optical quality in eyes with two different aspherical intraocular lenses. Methods. 120 eyes of 60 patients underwent phacoemulsification. In patients’ eyes, an aberration-free IOL (Aspira-aA; Human Optics) or an aberration-correcting aspheric...

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Main Authors: Michael Lasta, Kata Miháltz, Illés Kovács, Pia Veronika Vécsei-Marlovits
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2017/8039719
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author Michael Lasta
Kata Miháltz
Illés Kovács
Pia Veronika Vécsei-Marlovits
author_facet Michael Lasta
Kata Miháltz
Illés Kovács
Pia Veronika Vécsei-Marlovits
author_sort Michael Lasta
collection DOAJ
description Purpose. To compare the effect of spherical aberration on optical quality in eyes with two different aspherical intraocular lenses. Methods. 120 eyes of 60 patients underwent phacoemulsification. In patients’ eyes, an aberration-free IOL (Aspira-aA; Human Optics) or an aberration-correcting aspherical IOL (Tecnis ZCB00; Abott Medical Optics) was randomly implanted. After surgery, contrast sensitivity and wavefront measurements as well as tilt and decentration measurements were performed. Results. Contrast sensitivity was significantly higher in eyes with Aspira lens under mesopic conditions with 12 cycles per degree (CPD) and under photopic conditions with 18 CPD (p=0.02). Wavefront measurements showed a higher total spherical aberration with a minimal pupil size of 4 mm in the Aspira group (0.05 ± 0.03) than in the Tecnis group (0.03 ± 0.02) (p=0.001). Strehl ratio was higher in eyes with Tecnis (0.28 ± 0.17) with a minimal pupil size larger than 5 mm than that with Aspira (0.16 ± 0.14) (p=0.04). In pupils with a minimum diameter of 4 mm spherical aberration had a significant effect on Strehl ratio, but not in pupils with a diameter less than 4 mm. Conclusions. Optical quality was better in eyes with the aberration-correcting Tecnis IOL when pupils were large. In contrast, this could not be shown in eyes with pupils under 4 mm or larger. This trial is registered with Clinicaltrials.gov NCT03224728.
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spelling doaj-art-21544bdc64ab4c10928339dcabfa42362025-08-20T02:03:57ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/80397198039719Effect of Spherical Aberration on the Optical Quality after Implantation of Two Different Aspherical Intraocular LensesMichael Lasta0Kata Miháltz1Illés Kovács2Pia Veronika Vécsei-Marlovits3Department of Ophthalmology, Hospital Hietzing, Vienna, AustriaDepartment of Ophthalmology, Hospital Hietzing, Vienna, AustriaDepartment of Ophthalmology, Semmelweis University, Budapest, HungaryDepartment of Ophthalmology, Hospital Hietzing, Vienna, AustriaPurpose. To compare the effect of spherical aberration on optical quality in eyes with two different aspherical intraocular lenses. Methods. 120 eyes of 60 patients underwent phacoemulsification. In patients’ eyes, an aberration-free IOL (Aspira-aA; Human Optics) or an aberration-correcting aspherical IOL (Tecnis ZCB00; Abott Medical Optics) was randomly implanted. After surgery, contrast sensitivity and wavefront measurements as well as tilt and decentration measurements were performed. Results. Contrast sensitivity was significantly higher in eyes with Aspira lens under mesopic conditions with 12 cycles per degree (CPD) and under photopic conditions with 18 CPD (p=0.02). Wavefront measurements showed a higher total spherical aberration with a minimal pupil size of 4 mm in the Aspira group (0.05 ± 0.03) than in the Tecnis group (0.03 ± 0.02) (p=0.001). Strehl ratio was higher in eyes with Tecnis (0.28 ± 0.17) with a minimal pupil size larger than 5 mm than that with Aspira (0.16 ± 0.14) (p=0.04). In pupils with a minimum diameter of 4 mm spherical aberration had a significant effect on Strehl ratio, but not in pupils with a diameter less than 4 mm. Conclusions. Optical quality was better in eyes with the aberration-correcting Tecnis IOL when pupils were large. In contrast, this could not be shown in eyes with pupils under 4 mm or larger. This trial is registered with Clinicaltrials.gov NCT03224728.http://dx.doi.org/10.1155/2017/8039719
spellingShingle Michael Lasta
Kata Miháltz
Illés Kovács
Pia Veronika Vécsei-Marlovits
Effect of Spherical Aberration on the Optical Quality after Implantation of Two Different Aspherical Intraocular Lenses
Journal of Ophthalmology
title Effect of Spherical Aberration on the Optical Quality after Implantation of Two Different Aspherical Intraocular Lenses
title_full Effect of Spherical Aberration on the Optical Quality after Implantation of Two Different Aspherical Intraocular Lenses
title_fullStr Effect of Spherical Aberration on the Optical Quality after Implantation of Two Different Aspherical Intraocular Lenses
title_full_unstemmed Effect of Spherical Aberration on the Optical Quality after Implantation of Two Different Aspherical Intraocular Lenses
title_short Effect of Spherical Aberration on the Optical Quality after Implantation of Two Different Aspherical Intraocular Lenses
title_sort effect of spherical aberration on the optical quality after implantation of two different aspherical intraocular lenses
url http://dx.doi.org/10.1155/2017/8039719
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