Top

Graefe's Archive for Clinical and Experimental Ophthalmology

Published in:

01-02-2020 | Refractive Surgery

Optical quality in low astigmatic eyes with or without cylindrical correction

Authors: Qing-Qing Tan, Bai-Wei Wen, Xuan Liao, Jing Tian, Jia Lin, Chang-Jun Lan

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 2/2020

Abstract

Purpose

To investigate whether optical quality could be improved by cylindrical correction for low astigmatic eyes with different amounts and axis orientations in patients with myopia up to − 3.00 diopters (D).

Methods

A cross-sectional study enrolling healthy young eyes with 0 to − 3.00 D myopia and − 0.50 to − 0.75 D myopic astigmatism was implemented. With a repeated-measures design, outcome measures were sequentially obtained for each subject under two correction modalities: spherocylindrical correction and spherical correction. Subjective refraction was used to determine the refractive prescriptions accordingly in the two correction modalities to obtain optimal subject-reported visual acuity. Primary outcomes were optical quality parameters including objective scatter index (OSI), modulation transfer function (MTF) cut-off, Strehl ratio (SR), and a simulated contrast visual acuity-optical quality analysis system (OQAS) values (OV) obtained by a double-pass system. Corrected distance visual acuity (CDVA) was measured as a secondary outcome. Outcome comparisons between the two correction modalities were performed by grouping in different amounts (− 0.50 D, − 0.75 D) and axes (with the rule, WTR; against the rule, ATR; oblique, OBL) of astigmatism.

Results

A total of 194 eyes of 194 subjects were evaluated. Significantly better CDVA were shown by spherocylindrical correction for all types of astigmatism except for − 0.50 D WTR astigmatism (P = 0.831). For eyes with − 0.50 D WTR astigmatism, better outcome was only shown in OSI with spherocylindrical correction (P = 0.019). For eyes with − 0.50 D ATR and OBL astigmatism, spherocylindrical correction demonstrated better outcomes in all parameters except for SR (P > 0.05). For eyes with − 0.75 D astigmatism, significantly better outcomes in all optical quality parameters were shown with spherocylindrical correction regardless of the axis (P < 0.05).

Conclusions

Eyes with ATR or OBL myopic astigmatism may benefit in optical quality and visual acuity by combining a cylindrical correction even with a low amount down to − 0.50 D. However, optical quality and visual acuity improvement are limited for WTR astigmatic eyes when the amount of astigmatism is less than − 0.75 D.

Read SA, Collins MJ, Carney LG (2007) A review of astigmatism and its possible genesis. Clin Exp Optom 90:5–19. https://doi.org/10.1111/j.1444-0938.2007.00112.x CrossRefPubMed

Sanfilippo PG, Yazar S, Kearns L, Sherwin JC, Hewitt AW, Mackey DA (2015) Distribution of astigmatism as a function of age in an Australian population. Acta Ophthalmol 93:e377–e385. https://doi.org/10.1111/aos.12644 CrossRefPubMed

Chen M, Wu A, Zhang L, Wang W, Chen X, Yu X, Wang K (2018) The increasing prevalence of myopia and high myopia among high school students in Fenghua city, eastern China: a 15-year population-based survey. BMC Ophthalmol 18:159. https://doi.org/10.1186/s12886-018-0829-8 CrossRefPubMedPubMedCentral

Richdale K, Berntsen DA, Mack CJ, Merchea MM, Barr JT (2007) Visual acuity with spherical and toric soft contact lenses in low- to moderate-astigmatic eyes. Optom Vis Sci 84:969–975. https://doi.org/10.1097/OPX.0b013e318157c6dc CrossRefPubMed

Lehmann RP, Houtman DM (2012) Visual performance in cataract patients with low levels of postoperative astigmatism: full correction versus spherical equivalent correction. Clin Ophthalmol 6:333–338. https://doi.org/10.2147/opth.S28241 CrossRefPubMedPubMedCentral

Villegas EA, Alcon E, Artal P (2014) Minimum amount of astigmatism that should be corrected. J Cataract Refract Surg 40:13–19. https://doi.org/10.1016/j.jcrs.2013.09.010 CrossRefPubMed

Casagrande M, Baumeister M, Buhren J, Klaproth OK, Titke C, Kohnen T (2014) Influence of additional astigmatism on distance-corrected near visual acuity and reading performance. Br J Ophthalmol 98:24–29. https://doi.org/10.1136/bjophthalmol-2013-303066 CrossRefPubMed

Buscacio ES, Patrao LF, de Moraes HV, Jr. (2016) Refractive and quality of vision outcomes with toric IOL implantation in low astigmatism. J Ophthalmol 2016:5424713. https://doi.org/10.1155/2016/5424713 CrossRefPubMedPubMedCentral

Atchison DA, Mathur A (2011) Visual acuity with astigmatic blur. Optom Vis Sci 88:E798–E805. https://doi.org/10.1097/OPX.0b013e3182186bc4 CrossRefPubMed

10.

Watanabe K, Negishi K, Dogru M, Yamaguchi T, Torii H, Tsubota K (2013) Effect of pupil size on uncorrected visual acuity in pseudophakic eyes with astigmatism. J Refract Surg 29:25–29CrossRef

11.

Serra P, Chisholm C, Sanchez Trancon A, Cox M (2016) Distance and near visual performance in pseudophakic eyes with simulated spherical and astigmatic blur. Clin Exp Optom 99:127–134. https://doi.org/10.1111/cxo.12350 CrossRefPubMed

12.

Remon L, Monsoriu JA, Furlan WD (2017) Influence of different types of astigmatism on visual acuity. J Optom 10:141–148. https://doi.org/10.1016/j.optom.2016.07.003 CrossRefPubMed

13.

Mimouni M, Nemet A, Pokroy R, Sela T, Munzer G, Kaiserman I (2017) The effect of astigmatism axis on visual acuity. Eur J Ophthalmol 27:308–311. https://doi.org/10.5301/ejo.5000890 CrossRefPubMed

14.

Kobashi H, Kamiya K, Shimizu K, Kawamorita T, Uozato H (2012) Effect of axis orientation on visual performance in astigmatic eyes. J Cataract Refract Surg 38:1352–1359. https://doi.org/10.1016/j.jcrs.2012.03.032 CrossRefPubMed

15.

Pujol J, Arjona M, Arasa J, Badia V (1998) Influence of amount and changes in axis of astigmatism on retinal image quality. J Opt Soc Am A Opt Image Sci Vis 15:2514–2521CrossRef

16.

Kobashi H, Kamiya K, Yanome K, Igarashi A, Shimizu K (2013) Effect of pupil size on optical quality parameters in astigmatic eyes using a double-pass instrument. Biomed Res Int 2013:124327. https://doi.org/10.1155/2013/124327 CrossRefPubMedPubMedCentral

17.

Liao X, Lin J, Tian J, Wen B, Tan Q, Lan C (2018) Evaluation of optical quality: ocular scattering and aberrations in eyes implanted with diffractive multifocal or monofocal intraocular lenses. Curr Eye Res 43:696–701. https://doi.org/10.1080/02713683.2018.1449220 CrossRefPubMed

18.

Diaz-Douton F, Benito A, Pujol J, Arjona M, Guell JL, Artal P (2006) Comparison of the retinal image quality with a Hartmann-Shack wavefront sensor and a double-pass instrument. Invest Ophthalmol Vis Sci 47:1710–1716. https://doi.org/10.1167/iovs.05-1049 CrossRefPubMed

19.

Palomino C, Carmona D, Castillo A, Genol I, Clariana A (2010) Visual quality after presbyopia surgery. J Emmetropia 1:74–80

20.

Liao X, Lin J, Tan Q, Wen B, Tian J, Lan C (2019) Evaluation of visual quality in pseudophakic eyes with different ocular spherical aberrations. Curr Eye Res. https://doi.org/10.1080/02713683.2019.1622019 CrossRef

21.

Liao X, Haung X, Lan C, Tan Q, Wen B, Lin J, Tian J (2019) Comprehensive evaluation of retinal image quality in comparing different aspheric to spherical intraocular lens implants. Curr Eye Res. https://doi.org/10.1080/02713683.2019.1615512 CrossRef

22.

de Juan V, Aldaba M, Martin R, Vilaseca M, Herreras JM, Pujol J (2014) Optical quality and intraocular scattering assessed with a double-pass system in eyes with contact lens induced corneal swelling. Cont Lens Anterior Eye 37:278–284. https://doi.org/10.1016/j.clae.2014.02.003 CrossRefPubMed

23.

Qin Q, Bao L, Yang L, He Z, Huang Z (2019) Comparison of visual quality after EVO-ICL implantation and SMILE to select the appropriate surgical method for high myopia. BMC Ophthalmol 19:21. https://doi.org/10.1186/s12886-019-1029-x CrossRefPubMedPubMedCentral

24.

Fernandez J, Rodriguez-Vallejo M, Martinez J, Tauste A, Garcia-Montesinos J, Pinero DP (2018) Agreement and repeatability of objective systems for assessment of the tear film. Graefes Arch Clin Exp Ophthalmol 256:1535–1541. https://doi.org/10.1007/s00417-018-3986-9 CrossRefPubMed

25.

Martinez-Roda JA, Vilaseca M, Ondategui JC, Giner A, Burgos FJ, Cardona G, Pujol J (2011) Optical quality and intraocular scattering in a healthy young population. Clin Exp Optom 94:223–229. https://doi.org/10.1111/j.1444-0938.2010.00535.x CrossRefPubMed

26.

Xu CC, Xue T, Wang QM, Zhou YN, Huang JH, Yu AY (2015) Repeatability and reproducibility of a double-pass optical quality analysis device. PLoS One 10:e0117587. https://doi.org/10.1371/journal.pone.0117587 CrossRefPubMedPubMedCentral

27.

Tan QQ, Lin J, Tian J, Liao X, Lan CJ (2019) Objective optical quality in eyes with customized selection of aspheric intraocular lens implantation. BMC Ophthalmol 19:152. https://doi.org/10.1186/s12886-019-1162-6 CrossRefPubMedPubMedCentral

28.

Chen T, Yu F, Lin H, Zhao Y, Chang P, Lin L, Chen Q, Zheng Q, Zhao YE, Lu F, Li J (2016) Objective and subjective visual quality after implantation of all optic zone diffractive multifocal intraocular lenses: a prospective, case-control observational study. Br J Ophthalmol 100:1530–1535. https://doi.org/10.1136/bjophthalmol-2015-307135 CrossRefPubMed

29.

Kamiya K, Shimizu K, Igarashi A, Kobashi H, Ishii R, Sato N (2012) Clinical evaluation of optical quality and intraocular scattering after posterior chamber phakic intraocular lens implantation. Invest Ophthalmol Vis Sci 53:3161–3166. https://doi.org/10.1167/iovs.12-9650 CrossRefPubMed

30.

Vilaseca M, Padilla A, Pujol J, Ondategui JC, Artal P, Guell JL (2009) Optical quality one month after verisyse and Veriflex phakic IOL implantation and Zeiss MEL 80 LASIK for myopia from 5.00 to 16.50 diopters. J Refract Surg 25:689–698CrossRef

31.

Xiao XW, Hao J, Zhang H, Tian F (2015) Optical quality of toric intraocular lens implantation in cataract surgery. Int J Ophthalmol 8:66–71. https://doi.org/10.3980/j.issn.2222-3959.2015.01.12 CrossRefPubMedPubMedCentral

32.

Furmanski CS, Engel SA (2000) An oblique effect in human primary visual cortex. Nat Neurosci 3:535–536. https://doi.org/10.1038/75702 CrossRefPubMed

33.

Maedel S, Hirnschall N, Chen YA, Findl O (2014) Rotational performance and corneal astigmatism correction during cataract surgery: aspheric toric intraocular lens versus aspheric nontoric intraocular lens with opposite clear corneal incision. J Cataract Refract Surg 40:1355–1362. https://doi.org/10.1016/j.jcrs.2013.11.039 CrossRefPubMed

34.

Momeni-Moghaddam H, Naroo SA, Askarizadeh F, Tahmasebi F (2014) Comparison of fitting stability of the different soft toric contact lenses. Cont Lens Anterior Eye 37:346–350. https://doi.org/10.1016/j.clae.2014.05.003 CrossRefPubMed

35.

Rigi M, Al-Mohtaseb Z, Weikert MP (2016) Astigmatism correction in cataract surgery: toric intraocular lens placement versus peripheral corneal relaxing incisions. Int Ophthalmol Clin 56:39–47. https://doi.org/10.1097/iio.0000000000000128 CrossRefPubMed

36.

Shao X, Zhou KJ, Pan AP, Cheng XY, Cai HX, Huang JH, Yu AY (2017) Age-related changes in corneal astigmatism. J Refract Surg 33:696–703. https://doi.org/10.3928/1081597x-20170718-04 CrossRefPubMed

37.

Naeser K, Savini G, Bregnhoj JF (2018) Age-related changes in with-the-rule and oblique corneal astigmatism. Acta Ophthalmol 96:600–606. https://doi.org/10.1111/aos.13683 CrossRefPubMed

Title: Optical quality in low astigmatic eyes with or without cylindrical correction
Authors: Qing-Qing Tan
Bai-Wei Wen
Xuan Liao
Jing Tian
Jia Lin
Chang-Jun Lan
Publication date: 01-02-2020
Publisher: Springer Berlin Heidelberg
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 2/2020
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-019-04501-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Optical quality in low astigmatic eyes with or without cylindrical correction

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 2/2020

Salvage of the retinal ganglion cells in transition phase in Alzheimer’s disease with topical coenzyme Q10: is it possible?

Spontaneous regression of congenital corneal opacity

Hyperreflective foci in predicting the treatment outcome of antivascular endothelial growth factor in neovascular age-related macular degeneration

Aflibercept for choroidal neovascularizations secondary to pseudoxanthoma elasticum: a prospective study

The vascular densities of the macula and optic disc in normal eyes from children by optical coherence tomography angiography

Characteristics of lacrimal passage diseases by 80-MHz ultrasound biomicroscopy: an observational study