title: Higher order aberrations with aspheric ablations using the Nidek EC-5000 CX II laser.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Midland Eye Institute, West Midlands, United Kingdom.
authors.forename: Ian Y L
authors.initials: IY
authors.lastname: Yeung
authors.forename: Sanjay
authors.initials: S
authors.lastname: Mantry
authors.forename: Ian A
authors.initials: IA
authors.lastname: Cunliffe
authors.forename: Mark T
authors.initials: MT
authors.lastname: Benson
authors.forename: Sunil
authors.initials: S
authors.lastname: Shah
mesh_terms: D000328:Adult; D000368:Aged; D001251:Astigmatism / Q000601:surgery*; D019781:Corneal Topography; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000379:methods*; D008875:Middle Aged; D009216:Myopia / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis; D012029:Refraction, Ocular; D012189:Retrospective Studies; D014792:Visual Acuity