The Effect of Accommodation on Peripheral Refraction under Two Illumination Conditions

The Influence of Accommodative Demand on Ocular Aberrations: A Study of Zernike Coefficients Repeatability and Variability

PURPOSE

To evaluate the repeatability of the Zernike coefficients in healthy eyes when monocular accommodation was stimulated at different vergences demands.

METHODS

A total of 36 right eyes from healthy volunteers were prospectively and consecutively recruited for this study. Wavefront aberrometry was conducted to objectively characterize the ocular optical quality during accommodation, from the individual's far point to a 5 D accommodation demand in steps of 0.5 D. The repeatability of Zernike coefficients up to the fourth order was assessed by calculating the within-eye repeatability (Sw), the coefficient of repeatability (CR), the coefficient of variation (CV), and the intraclass correlation coefficient (ICC) as an indicator of measurement reliability.

RESULTS

Correlation among repeated measurements showed high reliability (ICC > 0.513) for all parameters measured except some fourth-order Zernike coefficients, C(4, -4) (ICC < 0.766), C(4, -2) (ICC < 0.875), C(4, 2) (ICC < 0.778) and C(4, 4) (ICC < 0.811). Greater repeatability and less variability were obtained for high-order Zernike coefficients (CR < 0.154), although an increase in CR in the coefficients analyzed was observed with increasing accommodative demand. No clear trend was evident in CV; however, it was observed that the low-order Zernike coefficients exhibit lower CV (CV < 1.93) compared to the high-order Zernike coefficients (CV > 0).

CONCLUSIONS

The reliability of Zernike coefficients up to the fourth order in healthy young individuals demonstrated a strong consistency in measuring terms up to the fourth order, with more variability observed for high-order terms. The Zernike coefficients up to the third order exhibited the highest level of repeatability.

Peripheral refraction under different levels of illuminance

Peripheral refraction is believed to be involved in the development of myopia. The aim of this study was to compare the relative peripheral refraction (RPR) at four different levels of illuminance, ranging from photopic conditions to complete darkness, using an open-field autorefraction method. The RPR was calculated for each eccentricity by subtracting central from peripheral autorefraction measurements. The study included 114 myopic eyes from 114 subjects (mean age of 21.81 ± 1.91 years) and the mean difference in RPR between scotopic and photopic conditions (0 and 300 lux, respectively) was +0.32 D at 30° temporal and +0.37 D at 30° in the nasal visual field (NVF). Statistically significant differences were observed between 0 and 300 lux at 30° in the temporal visual field and at 30° and 20° in the NVF. Our results revealed a significant increase in relative peripheral hyperopia with increasing visual field eccentricity along the horizontal visual field in myopic eyes of young adults. Furthermore, this relative peripheral hyperopia increased as illumination decreased. These findings suggest that an increase in peripheral illuminance may protect against myopic eye growth.

A Method Used to Improve the Dynamic Range of Shack-Hartmann Wavefront Sensor in Presence of Large Aberration

With the successful application of the Shack-Hartmann wavefront sensor in measuring aberrations of the human eye, researchers found that, when the aberration is large, the local wavefront distortion is large, and it causes the spot corresponding to the sub-aperture of the microlens to shift out of the corresponding range of the sub-aperture. However, the traditional wavefront reconstruction algorithm searches for the spot within the corresponding range of the sub-aperture of the microlens and reconstructs the wavefront according to the calculated centroid, which leads to wavefront reconstruction errors. To solve the problem of the small dynamic range of the Shack-Hartmann wavefront sensor, this paper proposes a wavefront reconstruction algorithm based on the autocorrelation method and a neural network. The autocorrelation centroid extraction method was used to calculate the centroid in the entire spot map in order to obtain a centroid map and to reconstruct the wavefront by matching the centroid with the microlens array through the neural network. This method breaks the limitation of the sub-aperture of the microlens. The experimental results show that the algorithm improves the dynamic range of the first 15 terms of the Zernike aberration reconstruction to varying degrees, ranging from 62.86% to 183.87%.

Editorial to the Special Issue on “Ocular Imaging for Eye Care”

The need for fast, inexpensive, and robust medical technology is now more crucial than ever [...]