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Higher order aberrations with aspheric ablations using the Nidek EC-5000 CX II laser.

AbstractPURPOSE:
To analyze the change in higher order aberrations in myopic and myopic astigmatic eyes following an aspheric ablation profile for laser in situ keratomileusis (LASIK) using a Nidek EC-5000 CX II excimer laser system.
METHODS:
We performed a retrospective audit of 38 eyes (19 patients) with myopia and myopic astigmatism. A customized aspheric transition zone profile (CATz) was used in all eyes (profile 4) with an ablation zone of 5 mm and a transition zone of 9 mm using FinalFit software and a Nidek EC-5000 CX II excimer laser system.
RESULTS:
Mean higher order aberrations (RMS) increased from 0.42 microm at baseline to 0.57 microm at 6-month follow-up. Mean spherical aberrations (Z12) increased from 0.02 microm at baseline to 0.33 microm after LASIK. Mean spherical aberration defocus equivalent (DEQ) increased from 0.56 microm at baseline to 1.54 at 6 months after surgery. Mean trefoil (Z6) was -0.11 microm at baseline and -0.14 microm at the 3-month examination. Mean coma (Z7) was -0.09 microm at baseline and -0.10 microm after surgery. Mean coma (Z8) was -0.03 at baseline and 0 at the 3-month examination. Mean trefoil (Z9) was -0.03 at baseline and -0.12 at the 3-month examination.
CONCLUSION:
The amount of postoperative higher order aberrations in these myopic eyes was acceptable. However, the clinical significance of these numerical changes in aberrations is not known.
AuthorsIan Y L Yeung, Sanjay Mantry, Ian A Cunliffe, Mark T Benson, Sunil Shah
JournalJournal of refractive surgery (Thorofare, N.J. : 1995) (J Refract Surg) 2004 Sep-Oct Vol. 20 Issue 5 Suppl Pg. S659-62 ISSN: 1081-597X [Print] United States
PMID15521261 (Publication Type: Journal Article)
Topics
  • Adult
  • Aged
  • Astigmatism (surgery)
  • Corneal Topography
  • Humans
  • Keratomileusis, Laser In Situ (methods)
  • Middle Aged
  • Myopia (surgery)
  • Postoperative Complications (diagnosis)
  • Refraction, Ocular
  • Retrospective Studies
  • Visual Acuity

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