Diurnal fluctuation of higher order ocular aberrations: correlation with intraocular pressure and corneal thickness.
OBJECTIVE
Optimal wavefront-guided refractive corneal laser surgery requires sufficiently exact data of optical higher order aberrations. We investigated whether these aberrations had a systematic during-the-day variation, studied the range of variation, and changes in intraocular pressure and central corneal thickness.


METHODS
In 22 eyes of 22 young volunteers the optical aberrations of higher order were measured by means of a Tscherning-type ocular aberrometer three times during one day (7 AM, 12 noon, 4 PM). In addition, in 12 of these eyes the intraocular pressure and central corneal thickness were measured. The intraocular wavefront aberration was computed using Zernike polynomials up to the sixth order, and Zernike coefficients of third and fourth order were analyzed.


RESULTS
Only the coefficient Z 2/4 (C13) showed a significant increase during the day by a mean 0.016 microm. A significant regression could be detected between changes of coefficients Z3/3, Z-2/4, Z0/4, Z4/4, and changes of intraocular pressure or central corneal thickness during the day.


CONCLUSIONS
Due to the small values, the measured during-the-day changes of higher order aberrations had no direct practical consequences for the aberrometry-guided corneal laser surgery. Alterations of some Zernike coefficients during the day may be explained by the biomechanical behavior of the cornea.
Mierdel
Peter
P
Eye Clinic, Dresden University of Technology, Dresden, Germany.
Krinke
Hans-Eberhard
HE
Pollack
Katharina
K
Spoerl
Eberhard
E
D000328:Adult; D002940:Circadian Rhythm / Q000502:physiology*; D003315:Cornea / Q000473:pathology*; D003316:Corneal Diseases / Q000503:physiopathology*; D019781:Corneal Topography; D005260:Female; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology*; D008297:Male; D014786:Vision Disorders / Q000503:physiopathology*