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Higher-order aberrations and IOL decentration

Poster Details

First Author: A.VARAVKA RUSSIAN FEDERATION

Co Author(s):    A. KACHANOV   L. BALASHEVICH           

Abstract Details



Purpose:

To investigate the influence of intraocular lens (IOL) decentration on higher-order aberrations (HOAs) using wavefront Hartmann-Shack analysis.

Setting:

: Svyatoslav Fyodorov "Eye Microsurgery Clinic", St.-Petersburg Branch, 21 Yaroslav Gashek Str., St.-Petersburg, 192283, Russia.

Methods:

All ophthalmic investigations were performed including WASCA and CRS-Master aberrometry (“Carl Zeiss Meditec”) and Pentacam (“OCULUS”) system. Ocular wavefront aberrations were measured in 30 eyes with a different types of IOL using a Hartmann-Shack aberrometer. Higher-order aberrations from the 3rd to 4th order were calculated using Zernike polynomials. The relationship between IOL decentration (incl. dislocation) and ocular HOAs were investigated.

Results:

We revealed HOAs (especially total, spherical-like and mild positive vertical coma) increasing in eyes with IOL decentration (incl. IOL dislocation). The correlation between IOL decentration and total, spherical-like and coma-like aberrations was significant (Spearman rank correlation coefficient r=0.580,). However, the accuracy of IOL decentration aberrometry depends of the lens capsul opacification, secondary cataract and the level of IOL decentration.

Conclusions:

IOL decetration influenced ocular total, spherical-like and coma-like aberrations, /especially vertical coma (Zernike polinomia Z (3,1)/ in Hartmann-Shack aberrometer.

Financial Disclosure:

No

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