Journal of the Korean Ophthalmological Society 2007;48(1):33-41.
Published online January 31, 2007.
Comparison of High Order Aberration in Pseudophakic Eyes with Different Acrylic Intraocular Lenses (IOLs).
Jin Choi, Won Ryang Wee, Jin Hak Lee, Mee Kum Kim
1Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Kerea. kmk9@snu.ac.kr
2Seoul Artificial Eye Center, Clinical Research Institute, Seoul National University Hospital, Seoul, Korea.
3Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea.
인공수정체안에서 아크릴 후방인공수정체 종류에 따른 고위수차의 비교분석
최진1,2,위원량1,2,이진학2,3,김미금1,2
Department of Ophthalmology, Seoul National University College of Medicine1, Seoul, Kerea Seoul Artificial Eye Center, Clinical Research Institute, Seoul National University Hospital2, Seoul, Korea Department of Ophthalmology, Seoul National University Bundang Hospital3, Seongnam, Korea
Correspondence:  Jin Choi, M.D.1,2
Abstract
PURPOSE
To compare high order aberrations (HOA) among pseudophakic eyes with three different types of acrylic intraocular lenses (IOLs) and phakic eyes. METHODS: The ocular aberrations were measured within the central 4 mm pupil zone, using the Hartmann-Shack aberrometer in the eyes with acrylic IOLs, such as Acrysof(R) MA60BM, Acrysof(R) SA60AT, or Sensar(R) AR40e, at one month after uneventful cataract surgery and in the phakic eyes. Total HOA root-mean-square (RMS) value, coma, trefoil, and spherical aberration were compared among the groups. RESULTS: A total 49 pseudophakic and 18 phakic eyes were enrolled. Of the acrylic IOLs, Acrysof(R) MA60BMs (Alcon) were inserted in 16 eyes, Acrysof(R) SA60ATs (Alcon) in 16 eyes, Sensar(R) AR40es (Allergan Surgical) in 17 eyes. The average ages and pupil diameters among the four groups were not different (p=0.413, 0.797, respectively). The RMS values of total HOA, coma, and trefoil were not different among the groups (p=0.781, 0.370, 0.509, respectively), whereas the spherical aberration was significantly different among the four groups (p=0.033, Kruskal-Wallis test). There was no difference in the spherical aberration of the three acrylic IOL groups, but eyes with Acrysof(R) MA60BMs, Acrysof(R) SA60ATs had a larger spherical aberration than phakic eyes (p=0.040, 0.021, respectively, Mann-Whitney U test). CONCLUSIONS: There were no statistically significant differences in total HOA, coma, and trefoil among pseudophakias implanted with three different acrylic IOLs and phakic eyes. There was no difference in spherical aberration between the different IOL groups, but eyes with some acrylic IOLs had a larger spherical aberration than phakic eyes.
Key Words: Acrylic intraocular lens;Cataract;High order aberration;Pseudophakia;Spherical aberration


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