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Long-term optical quality of the photoablated cornea

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Abstract

High-order coreal wavefront analysis was performed in a population of 60 myopic eyes that underwent photorefractive keratectomy. Corneal aberration data over 3, 5, and 7mm pupils were collected for up to three years after surgery. The optical performance of the anterior cornea was characterized by estimation of the modulation transfer function (MTF) and the point-spread function. The high-order corneal wavefront aberrations were shown to stabilize one year after surgery. Over photopic pupils, after an early slight increase, corneal RMS-high-order aberrations (HOA) tended to decrease toward preoperative values. On the other hand, over mid- and large-pupil sizes, corneal HOA significantly increased compared with the preoperative state, while the optical performance of the cornea was diminished. The MTF ratio showed a distinct decline in the optical quality of postoperative corneas at low and middle spatial frequencies over larger pupils in the range between 6 and 19cdeg, especially for deeper ablations.

© 2007 Optical Society of America

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