Abstract
We appreciate the careful reading of the manuscript by Dr Cheng and associates. We agree that the pupil size of the reported values of ocular higher-order aberrations (HOAs) of myopic eyes should have been mentioned in our article. 1 Wang L. Koch D.D. Ocular higher-order aberrations in individuals screened for refractive surgery. J Cataract Refract Surg. 2003; 29: 1896-1903 Abstract Full Text Full Text PDF PubMed Scopus (174) Google Scholar , 2 Wang Y. Zhao K. Jin Y. Niu Y. Zuo T. Changes of higher order aberration with various pupil sizes in the myopic eye. J Refract Surg. 2003; 19: S270-S274 PubMed Google Scholar , 3 Levy Y. Segal O. Avni I. Zadok D. Ocular higher-order aberrations in eyes with supernormal vision. Am J Ophthalmol. 2005; 139: 225-228 Abstract Full Text Full Text PDF PubMed Scopus (104) Google Scholar These reported values were obtained across 6 mm pupils, similar to our study eyes with supernormal vision. 1 Wang L. Koch D.D. Ocular higher-order aberrations in individuals screened for refractive surgery. J Cataract Refract Surg. 2003; 29: 1896-1903 Abstract Full Text Full Text PDF PubMed Scopus (174) Google Scholar , 2 Wang Y. Zhao K. Jin Y. Niu Y. Zuo T. Changes of higher order aberration with various pupil sizes in the myopic eye. J Refract Surg. 2003; 19: S270-S274 PubMed Google Scholar , 3 Levy Y. Segal O. Avni I. Zadok D. Ocular higher-order aberrations in eyes with supernormal vision. Am J Ophthalmol. 2005; 139: 225-228 Abstract Full Text Full Text PDF PubMed Scopus (104) Google Scholar Our study was not designed to evaluate changes of HOAs and visual acuity with various pupil sizes. We only compared the HOAs values of our study eyes with supernormal vision to the reported values of myopic eyes. Therefore, measurement of visual acuity under normal room illumination was appropriate in our study. Ocular Higher-Order Aberrations in Eyes With Supernormal VisionAmerican Journal of OphthalmologyVol. 140Issue 5PreviewIn the article by Levy and associates,1 the authors reported on the study of ocular higher-order aberrations in eyes with supernormal vision. It is a very interesting study, and the authors concluded that individuals with natural supernormal vision have an amount of higher order aberrations (HOA) similar in magnitude to those revealed in refractive surgery myopic patients. Therefore, not all aberrations are bad, and not all HOA should be eliminated during laser refractive surgery. Full-Text PDF
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