Impact of Defocus and High-Order Aberrations on Light Disturbance Measurements

Purpose. To evaluate the impact of different levels of positive and negative defocus on light disturbance (LD) measures and to understand how high-order aberrations (HOAs) and topographic quality parameters may influence the perception of photic phenomena. Methods. Thirty young healthy subjects (21...

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Main Authors: A. Amorim-de-Sousa, R. Macedo-de-Araújo, P. Fernandes, A. Queirós, J. M. González-Méijome
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2019/2874036
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author A. Amorim-de-Sousa
R. Macedo-de-Araújo
P. Fernandes
A. Queirós
J. M. González-Méijome
author_facet A. Amorim-de-Sousa
R. Macedo-de-Araújo
P. Fernandes
A. Queirós
J. M. González-Méijome
author_sort A. Amorim-de-Sousa
collection DOAJ
description Purpose. To evaluate the impact of different levels of positive and negative defocus on light disturbance (LD) measures and to understand how high-order aberrations (HOAs) and topographic quality parameters may influence the perception of photic phenomena. Methods. Thirty young healthy subjects (21 females and 9 males) attended this cross-sectional study. LD was evaluated with the light distortion analyzer (LDA) in natural accommodative and cycloplegic conditions with positive and negative induced defocus of 1.00D. HOAs were taken for a natural mesopic (without cycloplegia) and for fixed 5 mm (with cycloplegia) pupil size. The impact of corneal morphological parameters (SAI, SRI, and Q-value) in LD was also investigated. Results. Positive and negative induced defocus of 1.00D significantly increased the size of LD (p<0.010, Wilcoxon signed rank test) but not its irregularity index. Spherical-like HOAs were associated with the size of LD, while coma-like and total-like HOAs were associated with LD irregularity. Our results showed that SRI was significantly correlated with the size of the disturbance area (r=0.519, p=0.003, Spearman correlation) and SAI with both size (r=0.502, p=0.005, Spearman correlation) and irregularity (r=0.371, p=0.044, Spearman correlation). However, no correlation between the Q-value and LD parameters was found. Conclusions. The uncorrected positive and negative refractive errors might increase the size of the LD, such as the spherical-like HOAs, SAI, and SRI, instead of asphericity. Coma-like and total-like HOAs and SAI may influence the perception of irregularities in the LD shape. These results might have an impact on postrefractive surgery visual performance that should be investigated.
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spelling doaj-art-74c1db65bf10458e824aa8517461894e2025-02-03T01:32:49ZengWileyJournal of Ophthalmology2090-004X2090-00582019-01-01201910.1155/2019/28740362874036Impact of Defocus and High-Order Aberrations on Light Disturbance MeasurementsA. Amorim-de-Sousa0R. Macedo-de-Araújo1P. Fernandes2A. Queirós3J. M. González-Méijome4Clinical Experimental Optometry Research Laboratory (CEORLab), Center of Physics, School of Sciences, University of Minho, Braga, PortugalClinical Experimental Optometry Research Laboratory (CEORLab), Center of Physics, School of Sciences, University of Minho, Braga, PortugalClinical Experimental Optometry Research Laboratory (CEORLab), Center of Physics, School of Sciences, University of Minho, Braga, PortugalClinical Experimental Optometry Research Laboratory (CEORLab), Center of Physics, School of Sciences, University of Minho, Braga, PortugalClinical Experimental Optometry Research Laboratory (CEORLab), Center of Physics, School of Sciences, University of Minho, Braga, PortugalPurpose. To evaluate the impact of different levels of positive and negative defocus on light disturbance (LD) measures and to understand how high-order aberrations (HOAs) and topographic quality parameters may influence the perception of photic phenomena. Methods. Thirty young healthy subjects (21 females and 9 males) attended this cross-sectional study. LD was evaluated with the light distortion analyzer (LDA) in natural accommodative and cycloplegic conditions with positive and negative induced defocus of 1.00D. HOAs were taken for a natural mesopic (without cycloplegia) and for fixed 5 mm (with cycloplegia) pupil size. The impact of corneal morphological parameters (SAI, SRI, and Q-value) in LD was also investigated. Results. Positive and negative induced defocus of 1.00D significantly increased the size of LD (p<0.010, Wilcoxon signed rank test) but not its irregularity index. Spherical-like HOAs were associated with the size of LD, while coma-like and total-like HOAs were associated with LD irregularity. Our results showed that SRI was significantly correlated with the size of the disturbance area (r=0.519, p=0.003, Spearman correlation) and SAI with both size (r=0.502, p=0.005, Spearman correlation) and irregularity (r=0.371, p=0.044, Spearman correlation). However, no correlation between the Q-value and LD parameters was found. Conclusions. The uncorrected positive and negative refractive errors might increase the size of the LD, such as the spherical-like HOAs, SAI, and SRI, instead of asphericity. Coma-like and total-like HOAs and SAI may influence the perception of irregularities in the LD shape. These results might have an impact on postrefractive surgery visual performance that should be investigated.http://dx.doi.org/10.1155/2019/2874036
spellingShingle A. Amorim-de-Sousa
R. Macedo-de-Araújo
P. Fernandes
A. Queirós
J. M. González-Méijome
Impact of Defocus and High-Order Aberrations on Light Disturbance Measurements
Journal of Ophthalmology
title Impact of Defocus and High-Order Aberrations on Light Disturbance Measurements
title_full Impact of Defocus and High-Order Aberrations on Light Disturbance Measurements
title_fullStr Impact of Defocus and High-Order Aberrations on Light Disturbance Measurements
title_full_unstemmed Impact of Defocus and High-Order Aberrations on Light Disturbance Measurements
title_short Impact of Defocus and High-Order Aberrations on Light Disturbance Measurements
title_sort impact of defocus and high order aberrations on light disturbance measurements
url http://dx.doi.org/10.1155/2019/2874036
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