Measurement of Accommodative Amplitude Using Wavefront Aberrometer

Objective: To measure and compare the accommodative amplitude of Filipino patients with different accommodative conditions using a wavefront aberrometer. Methods: A total of 120 eyes of 67 patients seen in a private eye center were included and divided into two groups (phakic and pseudophakic). A...

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Main Authors: Robert Edward T. Ang, MD, Jennifer Aurea S. Sarmiento, MD, Jocelyn Therese M. Remo, MD, Gladness Henna A. Martinez, MD, Lilette Marie B. Canilao, MD
Format: Article
Language:English
Published: Philippine Academy of Ophthalmology 2015-06-01
Series:Philippine Journal of Ophthalmology
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Online Access:https://paojournal.com/index.php/pjo/article/view/174
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_version_ 1850096826912342016
author Robert Edward T. Ang, MD
Jennifer Aurea S. Sarmiento, MD
Jocelyn Therese M. Remo, MD
Gladness Henna A. Martinez, MD
Lilette Marie B. Canilao, MD
author_facet Robert Edward T. Ang, MD
Jennifer Aurea S. Sarmiento, MD
Jocelyn Therese M. Remo, MD
Gladness Henna A. Martinez, MD
Lilette Marie B. Canilao, MD
author_sort Robert Edward T. Ang, MD
collection DOAJ
description Objective: To measure and compare the accommodative amplitude of Filipino patients with different accommodative conditions using a wavefront aberrometer. Methods: A total of 120 eyes of 67 patients seen in a private eye center were included and divided into two groups (phakic and pseudophakic). After undergoing routine ophthalmologic examination that included manifest refraction and visual acuity testing, accommodative amplitude was measured using the iTrace™ wavefront aberrometer. Comparison of the measurements was made between the accommodative amplitude of phakic pre-presbyopes and presbyopes, and between eyes implanted with monofocal and accommodating intraocular lenses (IOLs). Results: The mean age of the pre-presbyopes was 27 years, presbyopes 50 years, monofocal IOL 69 years, and accommodating IOL 67 years. The mean accommodative amplitude of the pre-presbyopes was 1.64 ± 1.06D, presbyopes 0.99 ± 0.42D, monofocal IOL 0.36 ± 1.16D, and accommodating IOL 0.94 ± 0.89D. The pre-presbyopes had a higher accommodative amplitude than the presbyopes (p=0.008), while the accommodating IOL subgroup had a higher amplitude than the monofocal IOL subgroup (p=0.02). Increasing age was correlated with decreasing amplitude in the phakic group (r2 =0.926). There was no correlation between refractive error and amplitude of accommodation in the phakic and pseudophakic groups (r2 =0.02 for both groups). Conclusion: The wavefront aberrometer is a reliable tool in objectively measuring accommodative amplitude. Prepresbyopes and accommodating IOLs were shown to have higher amplitudes of accommodation than presbyopes and monofocal IOLs.
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spelling doaj-art-d526d0fd9c0f42408d7888a021a057b12025-08-20T02:41:08ZengPhilippine Academy of OphthalmologyPhilippine Journal of Ophthalmology0031-76592015-06-01401310174Measurement of Accommodative Amplitude Using Wavefront AberrometerRobert Edward T. Ang, MD0Jennifer Aurea S. Sarmiento, MD1Jocelyn Therese M. Remo, MD2Gladness Henna A. Martinez, MD3Lilette Marie B. Canilao, MD4Cardinal Santos Medical Center, Greenhills, San Juan City, Philippines; Asian Eye Institute, Rockwell Center, Makati City, PhilippinesCardinal Santos Medical Center, Greenhills, San Juan City, PhilippinesAsian Eye Institute, Rockwell Center, Makati City, PhilippinesCardinal Santos Medical Center, Greenhills, San Juan City, Philippines; Pasig City General Hospital, Pasig City, Philippines; Rizal Medical Center, Pasig City, PhilippinesAsian Eye Institute, Rockwell Center, Makati City, PhilippinesObjective: To measure and compare the accommodative amplitude of Filipino patients with different accommodative conditions using a wavefront aberrometer. Methods: A total of 120 eyes of 67 patients seen in a private eye center were included and divided into two groups (phakic and pseudophakic). After undergoing routine ophthalmologic examination that included manifest refraction and visual acuity testing, accommodative amplitude was measured using the iTrace™ wavefront aberrometer. Comparison of the measurements was made between the accommodative amplitude of phakic pre-presbyopes and presbyopes, and between eyes implanted with monofocal and accommodating intraocular lenses (IOLs). Results: The mean age of the pre-presbyopes was 27 years, presbyopes 50 years, monofocal IOL 69 years, and accommodating IOL 67 years. The mean accommodative amplitude of the pre-presbyopes was 1.64 ± 1.06D, presbyopes 0.99 ± 0.42D, monofocal IOL 0.36 ± 1.16D, and accommodating IOL 0.94 ± 0.89D. The pre-presbyopes had a higher accommodative amplitude than the presbyopes (p=0.008), while the accommodating IOL subgroup had a higher amplitude than the monofocal IOL subgroup (p=0.02). Increasing age was correlated with decreasing amplitude in the phakic group (r2 =0.926). There was no correlation between refractive error and amplitude of accommodation in the phakic and pseudophakic groups (r2 =0.02 for both groups). Conclusion: The wavefront aberrometer is a reliable tool in objectively measuring accommodative amplitude. Prepresbyopes and accommodating IOLs were shown to have higher amplitudes of accommodation than presbyopes and monofocal IOLs.https://paojournal.com/index.php/pjo/article/view/174wavefront aberrometeraccommodative amplitudepresbyopiaaccommodating intraocular lensmonofocal intraocular lens
spellingShingle Robert Edward T. Ang, MD
Jennifer Aurea S. Sarmiento, MD
Jocelyn Therese M. Remo, MD
Gladness Henna A. Martinez, MD
Lilette Marie B. Canilao, MD
Measurement of Accommodative Amplitude Using Wavefront Aberrometer
Philippine Journal of Ophthalmology
wavefront aberrometer
accommodative amplitude
presbyopia
accommodating intraocular lens
monofocal intraocular lens
title Measurement of Accommodative Amplitude Using Wavefront Aberrometer
title_full Measurement of Accommodative Amplitude Using Wavefront Aberrometer
title_fullStr Measurement of Accommodative Amplitude Using Wavefront Aberrometer
title_full_unstemmed Measurement of Accommodative Amplitude Using Wavefront Aberrometer
title_short Measurement of Accommodative Amplitude Using Wavefront Aberrometer
title_sort measurement of accommodative amplitude using wavefront aberrometer
topic wavefront aberrometer
accommodative amplitude
presbyopia
accommodating intraocular lens
monofocal intraocular lens
url https://paojournal.com/index.php/pjo/article/view/174
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