Spherical aberration after implantation of an aspheric versus a spherical intraocular lens in high myopia.
OBJECTIVE
To compare visual performance and wavefront aberration in high myopia implanted with an aspheric intraocular lens (IOL) and a spherical IOL.


METHODS
In this prospective investigation, 31 highly myopic patients were randomized to receive two IOL types: aspheric IOL (Acri.Smart 36A, 22 eyes) and spherical IOL (Rayner Superflex 620H, 23 eyes). Complete ophthalmological examination including best-corrected visual acuity (BCVA) and corneal aberration (Humphrey corneal topography) were performed preoperatively, 1 and 3 months postoperatively. Ocular aberration (WASCA wavefront analyser) was performed 1 and 3 months postoperatively. Contrast sensitivity under different lighting condition (CSV-1000) was performed 3 months postoperatively.


RESULTS
The aspheric IOL group and the spherical IOL group did not differ in baseline characteristics, including corneal spherical aberration Z(4) (0) (for 5-mm pupil diameter 0.13 +/- 0.06 vs. 0.15 +/- 0.08 microm, P = 0.317; for 6-mm pupil diameter 0.30 +/- 0.11 vs. 0.29 +/- 0.13 microm, P = 0.764). Compared with the spherical IOL group, the aspheric IOL group showed statistically significant less induction of Z(4) (0) of total ocular aberration at a pupil size of 5 and 6 mm 3 months postoperatively (0.07 +/- 0.06 vs. 0.12 +/- 0.06 microm, P = 0.017; 0.17 +/- 0.11 vs. 0.27 +/- 0.12 microm, P = 0.010), but not for 4-mm pupil (0.03 +/- 0.04 vs. 0.02 +/- 0.04 microm, P = 0.54). The BCVA and contrast sensitivity were not statistically different between the two groups postoperatively.


CONCLUSIONS
The aspheric IOL induces significantly less spherical aberration than the spherical IOL after implantation in high myopia. Implantation of an aspheric IOL may reduce spherical aberration in high myopia, but clinically superior vision is not achieved.
Yu
A-Yong
AY
The Affiliated Eye Hospital at Wenzhou Medical College, Wenzhou, Zhejiang, China. yaybetter@yahoo.com.cn
Wang
Qin-Mei
QM
Sun
Jing
J
Xue
An-Quan
AQ
Zhu
Shuang-Qian
SQ
Wang
Shu-Lin
SL
Li
Jin-Yang
JY
D000328:Adult; D000368:Aged; D019923:Capsulorhexis; D015350:Contrast Sensitivity / Q000502:physiology*; D003315:Cornea / Q000503:physiopathology; D019781:Corneal Topography; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D007908:Lens, Crystalline / Q000601:surgery; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D047728:Myopia, Degenerative / Q000503:physiopathology / Q000601:surgery*; D011446:Prospective Studies; D011474:Prosthesis Design; D019591:Pseudophakia / Q000503:physiopathology*; D014792:Visual Acuity / Q000502:physiology*