Total Aberrations Research Articles

Factors influencing axial elongation in myopic children using overnight orthokeratology

Several factors influence axial length in children with myopia treated using overnight orthokeratology. To identify these factors, this retrospective study collected axial length and corneal aberration data on 78 eyes before and 1-year after orthokeratology. Patients were divided according to axial elongation (cut-off, 0.25 mm/year). Baseline characteristics included age, sex, spherical equivalent refraction, pupil diameter, axial length, and orthokeratology lens type. Corneal shape effects were compared through tangential difference maps. Group differences in higher-order aberrations of a 4 mm zone were compared at baseline and 1-year following therapy. Binary logistic regression analysis was conducted to identify the variables determined for axial elongation. Significant differences between both groups included the initial age of wearing orthokeratology lenses, type of orthokeratology lens, size of central flattening area, corneal total surface C12 (1-year), corneal total surface C8 (1-year), corneal total surface spherical aberration (SA) (1-year root mean square [RMS] values), change in total corneal surface C12, and change in front and total corneal surface SA (RMS values). The age when wearing an orthokeratology lens was the most important factor influencing axial length in children with orthokeratology-treated myopia, followed by lens type and change in the C12 of the total corneal surface.

Visual function assessment of Chinese cataract patients after individual aspheric intraocular lens implantation according to preoperative cornea spherical aberration.

Aspheric intraocular lens (IOLs) implantation has been widely applied in cataract surgery. However, there is no consensus on the optimal guidance for the operations in IOLs implantation. This study evaluated the visual function of Chinese cataract patients six months after cataract surgery with two different guiding ideologies. We evaluated 50 patients (61 eyes) with implantation of different aspheric IOLs (SN60WF IOLs, ZCB00 IOLs, PY-60AD IOLs, AO IOLs) 6 months after cataract surgery. Twenty-four patients (30 eyes) under individual implantation were ascribed to group 1 and 26 patients (31 eyes) with randomized implantation were ascribed to the control group (group 2). Postoperatively parameters included monocular best-corrected visual acuity (BCVA), contrast sensitivity (CS), total spherical aberration Z (4, 0) at 5 mm pupil size, and patient satisfaction. The quality of life after operation was assessed through the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25). Six months after cataract operation, the contrast sensitivity with glare of group 1 at 2.5∘ was 0.697 ± 0.027, and 0.532 ± 0.049 in group 2. Besides, there was no significant difference at any other special frequency. The mean spherical aberration Z (4, 0) at 5 mm pupil size in group 1 was 0.015 ± 0.028 um, and in group 2 was 0.043 ± 0.109 um, with a significant difference (p< 0.01). The mean scores obtained from NEI VFQ-25 were not significantly different. It is effective to implant aspheric IOLs individually according to preoperative corneal spherical aberration. Patients obtained better contrast sensitivity with glare at 2.5∘, but there was no significant difference in BCVA, contrast sensitivity at other special frequency, and subjective visual function.

Fotokromik Senofilcon A Kontakt Lensin Total Göz Aberasyonlarına Etkisi

Purpose: To investigate the effect of newly designed photochromic Senofilcon-A lens(PCL) on optical aberrations of the eye (total (TA) and high-order-aberrations (HOA)) under ambient illumination conditions.&#x0D; Methods: In this retrospective study, 40 eyes of 20 volunteers were fitted with a non-photochromic Senofilcon-A contact lens on the right eye, a PCL on left eye. Subjects were evaluated in terms of best-corrected visual-acuity. Aberrometric measurements were obtained at baseline(lens-free), with activated and deactivated PCL in 3 mm, 6 mm and maximum pupil size. &#x0D; Results: In lens-free situation there was no difference in terms of TA and HOAs(for 3mm, 6mm and max-pupil-size, TA; P= .456; P= .687; P= .899 and HOA; P = .226; P = .259; P = .442 respectively).In all pupil diameters, in the PCL group compared to the standard lens group, there was a slight increase in total aberrations independent of lens activation, which was not statistically significant(for 3mm,6mm and max-pupil-size, activated lens situation;P = .523; P = .622; P = .244 and deactivated lens situation; P = .785; P = .357; P = .201,respectively). Contrary to total aberrations, higher order aberrations were non-significantly slightly decreased in the PCL group(for 3mm,6mm and max-pupil-size, activated lens situation; P = .235; P = .661; P = .841 and deactivated lens situation;P = .245; P = .071; P = .231,respectively).&#x0D; Conclusion: The PCL produces similar TA and HOAs with the non-photochromic soft contact lens in both activated and deactivated situation. PCLs can be preferred for those who need uninterrupted vision in variable light conditions.

Sub-Bowman keratomileusis versus femtosecond laser in situ keratomileusis on the long-term visual recovery: A comparative study.

To explore the long-term visual quality of the same subjects after sub-Bowman keratomileusis (SBK) or femtosecond laser in situ keratomileusis (FS-LASIK). This prospective study included patients screened for corneal refractive surgery at the Refractive Surgery Center of our Hospital between November 2017 and March 2018. One eye underwent SBK, while the other eye underwent FS-LASIK. Total higher-order aberrations, coma aberrations, and clover aberrations were evaluated before and at 1 month and 3 years after the procedure. The visual satisfaction of both eyes was investigated, respectively. The participants completed a surgical satisfaction questionnaire. Thirty-three patients were included. There were no significant differences in total higher-order aberrations, coma aberrations, and clover aberrations between the two procedures before and 1 month and 3 years after surgery (all P > 0.05), except for the total coma aberrations in FS-LASIK were significantly higher compared with the SBK group at 1 month after surgery [0.51 (0.18, 0.93) vs. 0.77 (0.40, 1.22), P = 0.019]. The surgical satisfaction questionnaire scores of the SBK group and the FS-LASIK group were 9.8 ± 0.8 and 9.8 ± 0.8, respectively, at 1 month, and 9.7 ± 0.9 and 9.7 ± 1.0, respectively, at 3 years (all P > 0.05). There were no differences in corneal aberrations and satisfaction between SBK and FS-LASIK procedures at 1 month and 3 years.

Influence of the Reference Center on the Calculation of Corneal Higher Order Aberrations

To evaluate the differences in corneal wavefront measurements in myopic and hyperopic eyes when calculated using three different reference centers and explore possible influencing factors for such differences. Corneal wavefront measurements were performed in myopic and hyperopic eyes using a GALILEI Placido Dual Scheimpflug Analyzer (Ziemer Ophthalmic Systems AG). Corneal higher order aberrations (HOAs), including total, vertical, and horizontal coma-like aberrations, spherical aberrations, and total corneal HOAs through a 6-mm pupil size, were calculated over three different reference center positions: pupil center, corneal vertex, and limbus to limbus. Values were then compared between the myopic and hyper-opic eyes, and correlations with kappa distance and spherical equivalent were tested. A significant decrease in the level of total corneal HOAs (-0.04 ± 0.05 and -0.12 ± 0.09), total corneal coma (-0.07 ± 0.09 and -0.18 ± 0.12), and horizontal coma (-0.07 ± 0.11 and -0.22 ± 0.11) in myopic and hyperopic eyes, respectively, was found when recalculating from pupil center to corneal vertex centration, whereas a significant increase in the same aberrations was observed from pupil center or corneal vertex to limbus to limbus. Significant correlations were found between the kappa distance and changes in total corneal HOAs, total corneal coma, and horizontal coma from the pupil center to the corneal vertex in both groups. Corneal vertex centration generated the lowest level of corneal wavefront error in both groups. The differences in corneal aberrations between the reference centers for calculation were highly correlated with the kappa distance in hyperopic eyes. [J Refract Surg. 2023;39(5):340-346.].

Impacts of low-order aberrations on capacity of orbital-angular-momentum quantum states

We use Hypergeometric Gaussian-II (HyGG-II) modes to investigate the impacts of non-Kolmogorov atmospheric turbulence on the Holevo channel capacity of a quantum communication scheme. The capacity of HyGG-II modes can be higher than that of Laguerre–Gaussian modes via modulating the hollowness parameter. The influences of low-order turbulence aberrations including tilt, defocus, astigmatism, and coma on the capacity are also explored. Generally, tilt aberration dominates among all low-order aberrations and defocus and astigmatism aberrations are always negligible. By contrast, the effect of coma aberration can be enhanced to be non-negligible when the turbulence strength or the channel zenith angle is enhanced. We also show that only the total and tilt aberrations are sensitive to the non-Kolmogorov power-law exponent. Our results may contribute to the quantum optical communication as well as aberration compensation in turbulent channels utilizing the novel family of vortex beams.

Changes in visual function and optical and tear film quality in computer users

To assess changes in visual function and optical and tear film quality in computer users. Forty computer workers and 40 controls were evaluated at the beginning and end of a working day. Symptoms were assessed using the Quality of Vision questionnaire (QoV), 5-item Dry Eye Questionnaire (DEQ-5) and Symptom Assessment in Dry Eye version II (SANDE II). Tear film quality was evaluated using the Medmont E300 dynamic corneal topography tool to measure the tear film surface quality (TFSQ), TFSQ area and auto tear break-up time (TBUT). Optical quality was assessed by measuring high, low and total ocular aberrations with a Hartmann-Shack wavefront sensor. Visual performance was assessed by measuring photopic and mesopic visual acuity, photopic and mesopic contrast sensitivity and light disturbance. Poorer DEQ-5, QoV and SANDE II scores were obtained in computer workers at the end of the working day compared with controls (p ≤ 0.02). Computer workers exhibited a higher (worse) TFSQ and TFSQ area at visit 2 compared with visit 1 (p ≤ 0.04), while no significant differences in TBUT (p = 0.19) or ocular aberrations were observed (p ≥ 0.09). Additionally, both light disturbance (p ≤ 0.04) and mesopic and photopic contrast sensitivity worsened at several spatial frequencies (p ≤ 0.04) throughout the working day in computer workers, while visual acuity remained unchanged (p ≥ 0.07). In contrast, control subjects exhibited no decrease in any variable during the day. While visual acuity remained unchanged, several aspects of visual function and quality of vision decreased over a day of computer use. These changes were accompanied by greater dry eye symptoms and tear film changes, which are likely to have played a fundamental role. The present study provides insight into new metrics to assess digital eye strain.

A 3-month comparison study of subjective and objective visual quality of small incision lenticule extraction and transepithelial photorefractive keratectomy in patients with low and moderate myopia.

To compare the subjective and objective visual quality between small incision lenticule extraction (SMILE) and transepithelial photorefractive keratectomy (tPRK) in patients with low and moderate myopia. Patients undertaking SMILE or tPRK for the correction of low and moderate myopia were consecutively recruited in this prospective cohort study with a 3-month follow-up period. Objective evaluation [visual acuity test, manifest refraction, wavefront aberrations, the total cut-off value of the total modulation transfer function (MTFcut-off), and Strehl ratio (SR)] and subjective evaluation of visual quality (quality-of-life questionnaire) were conducted before surgery and at days 1, 7, 30, and 90 after surgery. A total of 47 patients (94 eyes) with SMILE and 22 patients (22 eyes) with tPRK were enrolled. The uncorrected visual acuity (UCVA) was better in SMILE patients on day 7 after surgery (1.13±0.13 vs 0.99±0.17, t=4.85, P<0.001) but was comparable at days 30 and 90. At day 90, the SMILE group had a lower spherical equivalent (SE) than the tPRK group (0.04±0.31 vs 0.19±0.43, t=2.08, P=0.042). Total higher order aberrations (HOAs) were induced in both surgical types, which were more evident in the tPRK group with 3-mm pupil diameter (0.16±0.07 vs 0.11±0.05, t=4.27, P<0.001) and 5-mm pupil diameter (0.39±0.17 vs 0.36±0.11, t=2.33, P=0.022). The MTFcut-off and SR showed a trend of improvement in both SMILE and tPRK patients but were statistically better in the SMILE group with both pupil diameters. There was a significant improvement of contrast sensitivity (CS) over baseline levels at the spatial frequency of 18 cycles/degree (c/d) in the SMILE group (F=2.72, P=0.033) and at 3 c/d (F=3.03, P=0.031), 12 c/d (F=3.72, P=0.013), and 18 c/d (F=4.62, P=0.004) in the tPRK group. The subjective quality of life questionnaire showed a steady improvement in the SMILE group (F=8.31, P<0.001) but not the tPRK group. SMILE and tPRK are both safe and effective ways to correct low and moderate myopia. A generally better and quicker recovery of visual quality favors the application of SMILE in qualified patients.

Effect of Upper Lid Blepharoplasty Surgery on Corneal Topography and Corneal High-Order Aberrations.

The objective of this study was to prospectively investigate the effect of upper eyelid blepharoplasty surgery for dermatochalasis on corneal topographic data and high-order aberrations (HOAs). Fifty eyelids of 50 patients with dermatochalasis who underwent upper lid blepharoplasty surgery were prospectively studied. A Pentacam (Scheimpflug camera, Oculus) device was used to measure corneal topographic values, astigmatism degree, and HOAs before and at 2 months after upper eyelid blepharoplasty. The mean age of the patients included in the study was 55.96 ± 12.4 years, 40 (80%) were female and 10 (20%) were male. We found no statistically significant difference in the pre-and postoperative values of corneal topographic parameters (p > 0.05 for all). In addition, we observed no significant postoperative change in the root mean square values of low, high, and total aberration values. In HOAs, we detected no significant change in spherical aberration, horizontal and vertical coma, and vertical trefoil; we only found a statistically significant increase in horizontal trefoil values after surgery (p < 0.05). In our study, we found that upper eyelid blepharoplasty did not cause significant changes in corneal topography, astigmatism, and ocular HOAs. However, studies are reporting different results in the literature. For this reason, it is important for patients considering upper eyelid surgery to be warned about visual changes that may occur after surgery.

Pattern of increase in Spherical Aberration and Coma After Femtosecond Laser Assisted In-Situ Keratomileusis Using an Aspheric Ablation Profile

Purpose: To determine the contribution of spherical aberration and coma to the total ocular high order aberration before and after femto laser-assisted in-situ keratomileusis using an aspheric ablation profile. Methods: This is a prospective interventional study that was conducted on 34 eyes of 17 patients in the interval between January 2021 and June 2021. Patients did a preoperative aberrometry and corneal tomography. They underwent FS-LASIK surgery using an aspheric ablation profile. The total ocular aberrometry and corneal tomography were repeated one month postoperatively. Results: The mean preoperative contribution of coma to total ocular HOA was 52.16 % with SD of ± 25.59% which declined to 49.48 % with SD of ± 22.53 % postoperatively. The mean preoperative contribution of SA to total ocular HOA was 38.91 % with SD of ± 15.35 % which increased significantly to 51.25 % with SD of ± 16.55 % postoperatively. Conclusion: Post-operative contribution of corneal spherical aberrations to total ocular HOA showed a statistically significant increase compared to pre-operative. However, there was no significant change in coma contribution.

Comparison of Refractive Outcomes and Optical Zone Decentration After SMILE Between Patients With Symmetrical and Asymmetrical High Astigmatism.

To compare the refractive outcomes and optical zone decentration between patients with symmetrical and asymmetrical high astigmatism after small incision lenticule extraction (SMILE). This was a prospective analysis of 89 patients (152 eyes) with myopia and astigmatism of more than 2.00 diopters (D) treated with the SMILE procedure. There were 69 eyes with asymmetrical topographies (asymmetrical astigmatism group) and 83 eyes with symmetrical topographies (symmetrical astigmatism group). Decentralization values were assessed using the tangential curvature difference map preoperatively and 6 months after surgery. Decentration, visual refractive outcomes, and induced changes in corneal wavefront aberrations were compared between the two groups 6 months postoperatively. Both groups achieved favorable visual and refractive outcomes, with a mean postoperative cylinder of -0.22 ± 0.23 and -0.20 ± 0.21 D in the asymmetrical and symmetrical astigmatism groups, respectively. In addition, visual and refractive outcomes and induced changes in corneal aberrations were comparable between the asymmetrical and symmetrical astigmatism groups (all P > .05). However, the total and vertical decentration in the asymmetrical astigmatism group was greater than that in the symmetrical astigmatism group (all P < .05), whereas no significant differences were found in the values of horizontal decentration between the two groups (P > .05). There was a weak positive correlation between induced total corneal higher order aberrations and total decentration (r = 0.267, P = .026) in the asymmetrical astigmatism group but not in the symmetrical astigmatism group (r = 0.210, P = .056). An asymmetrical corneal surface might affect treatment centration after SMILE. Subclinical decentration may be associated with the induction of total higher order aberrations, but it did not affect high astigmatic correction or induced corneal aberrations. [J Refract Surg. 2023;39(4):273-280.].

Protective Eff ects of Aqueous Cranberry Fruit Extract against Genotoxicity Induced by Cisplatin in Mice Bone Marrow Cells

The cranberry (Vaccinium macrocarpon) is a North American native fruit and contains a very wide variety of phytochemicals which has several benefi cial eff ects on humans. Aim: The study was designed to assess the protective eff ect of cranberry fruit extract on selected genotoxic parameters induced by cisplatin in mice’s bone marrow. Methods: 56 male albino mice were randomLy divided into two equal numbers (28 mice)/for each part of the study [Part one: for the evaluation of chromosomal aberrations and the mitotic index; and Part two: for the evaluation of micronucleus index]; and for each part, mice were randomLy divided into 4 groups: Group I [negative Control/orally-administered normal saline]; Group II [Orally-administered cranberry fruit extract alone]; Group III [Single IP injection of cisplatin]; Group IV [Orally-administered cranberry fruits extract followed by a single IP injection of cisplatin]. Results: Treatment with cisplatin signifi cantly-increased total chromosomal aberration (0.159 ± 0.006) and micronucleus appearance (9.740 ± 0.531) but, it has a signifi cant decrease in mitotic index (6.020 ± 0.589) compared to that in negative control bone marrow cells. In addition, results showed that there were signifi cant changes in the total chromosomal aberration, micronucleus appearance, and mitotic index among the Groups (II, III, IV) (0.093 ± 0.015; 0.159 ± 0.006; 0.117 ± 0.002), (5.940 ± 0.568; 9.740 ± 0.531; 8.000 ± 0.479) and (8.720 ± 0.432; 6.020 ± 0.589; 7.480 ± 0.664), respectively in bone marrow cells. Conclusion: Cisplatin produced a pronounced eff ect on total chromosomal aberrations, micronucleus appearance, and mitotic index; and the cranberry fruit extract confers a protective eff ect against cisplatin-induced genotoxicity in mice.

Simulation of the Human Myopic Eye Cornea Compensation Based on the Analysis of Aberrometric Data.

Various diffractive, refractive and holographic optical elements, such as diffraction gratings; microlens raster; phase plates; multi-order diffractive optical elements; adaptive mirrors; diffractive and refractive axicons; holographic multiplexes and many others are used to analyze wavefront aberrations. We shortly discuss the features (advantages and disadvantages) of various wavefront aberration sensors in the Introduction. The main part of the paper is devoted to the analysis of the weight coefficients of Zernike polynomials obtained during medical examinations of the cornea in the human eye. Using data obtained by aberrometers, the average values of the Zernike polynomial coefficients for the anterior and posterior surfaces of the healthy eye cornea and a myopic one were calculated. The original wavefront for the anterior and posterior surfaces of the cornea was restored separately, as well as the total wave aberration. For an objective assessment of the quality of vision, the corresponding point spread functions (PSFs) were calculated. We propose to compensate for the aberrations of the myopic eye, taking into account the physical features of the corneal surface. The results of numerical simulation showed that in order to improve the quality of the patient's vision, it is necessary to take into account high-order aberrations of the anterior surface of the cornea in the form of a coma of the third order and aberrations of the fourth order.

Corneal Higher-Order Aberrations Measurements: Precision of SD-OCT/Placido Topography and Comparison with a Scheimpflug/Placido Topography in Eyes After Small-Incision Lenticule Extraction.

The aim of this study was to evaluate the measurements of corneal higher-order aberrations (HOAs) obtained by a new anterior segment optical coherence tomography (OCT) technique combined with a Placido topographer (the MS-39 device) in eyes with prior small-incision lenticule extraction (SMILE) and compare them to the measurements obtained by a Scheimpflug camera combined with a Placido topographer (the Sirius device). A total of 56 eyes (56 patients) were included in this prospective study. Corneal aberrations were analyzed for the anterior, posterior, and total cornea surfaces. Within-subject standard deviation (Sw), test-retest repeatability (TRT), and intraclass correlation coefficient (ICC) were used to assess the intraobserver repeatability and interobserver reproducibility. The differences were evaluated by paired t-test. Bland-Altman plots and 95% limits of agreement (95% LoA) were used to evaluate the agreement. High repeatability was observed for anterior and total corneal parameters, with Sw value < 0.07, TRT ≤ 0.16, and ICCs > 0.893, but not trefoil. For the posterior corneal parameters, ICCs varied from 0.088 to 0.966. Regarding interobserver reproducibility, all Sw values were ≤ 0.04 and TRT ≤ 0.11. ICCs ranged from 0.846 to 0.989, from 0.432 to 0.972, and from 0.798 to 0.985 for the anterior, total, and posterior corneal aberrations parameters, respectively. The mean difference in all aberrations was ≤ 0.05μm. All parameters showed a narrow 95% LoA. The MS-39 device achieved high precision in both anterior and total corneal measurements; the precision of posterior corneal higher-order RMS, astigmatism II, coma, and trefoil was lower. The two technologies used by the MS-39 and Sirius devices can be used interchangeably for measuring corneal HOAs after SMILE.

Intraocular composition of higher order aberrations in non-myopic children.

This study examined anterior corneal, internal ocular, and total ocular higher order aberrations (HOA's), and retinal image quality in a non-myopic, paediatric cohort. Anterior corneal aberrations were derived from corneal topography data captured using a Placido disk videokeratoscope (E300, Medmont International), and whole eye HOA's were measured using a Hartmann-Shack wavefront sensor (COAS-HD, Wavefront Sciences). The associations between HOA's and age, sex, refractive error, and axial length were explored using correlation analyses. Data for 84 children aged between 5 and 12 years (mean ± standard deviation spherical equivalent refraction (SER), +0.63 ± 0.35 D; range 0.00 to +1.75 D) were included, and an eighth order Zernike polynomial was fit for 4 and 6 mm pupil diameters for both the anterior corneal and total ocular HOA's, from which internal ocular HOA's were calculated via subtraction following alignment to a common reference axis (pupil centre). Internal ocular HOA's were of greater magnitude than previous studies of adolescents and adults, however partial internal "compensation" of HOA's was observed, which resulted in reduced levels of HOA's and excellent retinal image quality. Few significant associations were observed between HOA's and age, SER, and axial length (all correlations, p > 0.001), and there were minimal sex-based differences (all comparisons, p > 0.005). Coefficients for vertical coma ( and ) and spherical aberration ( and ), were most strongly associated with the visual Strehl ratio based on the optical transfer function (VSOTF), which indicated that the absolute magnitudes of these Zernike coefficients have the greatest impact on retinal image quality in this paediatric cohort. These findings provide an improved understanding of the optics and retinal image quality of children's eyes.

Correction of Asymmetric Bowtie Corneal Astigmatism with a Toric Intraocular Lens: Outcomes and Accuracy of Measurement Modes.

The outcomes of toric intraocular lens (IOL) implantation in correcting asymmetric bowtie corneal astigmatism remain uncertain. The accurate measurement of corneal astigmatism is essential for surgical planning. In this prospective cohort study, patients with asymmetric or symmetric bowtie corneal astigmatism who underwent toric IOL implantation were recruited. Preoperative corneal astigmatism was measured with an IOLMaster and Pentacam (including the simulated keratometry (SimK), total corneal refractive power (TCRP), and wavefront aberration (WFA) modes). At 3 months after surgery, the refractive outcomes and residual astigmatic refractive errors were compared with patients with symmetric bowtie astigmatism. The prediction errors (the differences between the calculated actual corneal astigmatism and the measured corneal astigmatism) were compared among the different measurement modes in the asymmetric group. There were no differences in residual astigmatism between the asymmetric and symmetric groups. However, the mean absolute residual astigmatic refractive error was greater in the asymmetric group than in the symmetric group (0.72 ± 0.42 D vs. 0.53 ± 0.24 D, p = 0.043). In the asymmetric group, the mean absolute prediction errors for the IOLMaster, SimK, TCRP and WFA modes were 0.53 ± 0.40, 0.56 ± 0.47, 0.68 ± 0.52, and 0.43 ± 0.40 D, respectively. The Pentacam WFA mode was the most accurate mode (p < 0.05). The absolute prediction error of the WFA mode was positively correlated with the total corneal irregular astigmatism higher-order aberrations and coma (r = 0.416 and r = 0.473, respectively; both p < 0.05). Our study suggests toric IOL implantation effectively corrected asymmetric bowtie corneal astigmatism. The Pentacam WFA mode may be the most accurate measurement mode, although its accuracy decreased as asymmetry increased.

Influence of Ultrasound-Assisted Vacuum Drying on Physicochemical Characteristics, Antioxidant Activity, and α-Glucosidase Inhibition Activity of Flos Sophorae Immaturus.

Flos Sophorae Immaturus (FSI) contains a large number of bioactive substances with antioxidant and hypoglycaemic activity. However, a feasible drying process plays an important role in the retention of its biological activity. The present work investigated the effects of ultrasound-assisted vacuum drying (UAVD) on FSI samples in terms of drying time, colour, microstructure, and total flavonoid content (TFC). Meanwhile, the antioxidant activity and α-glucosidase inhibition activity were also evaluated. The results show that the drying time of UVAD samples was decreased by 40% compared to that of the single vacuum-dried (VD) samples (600 W for 10 min). The cellular porous structures of FSI tissue were formed by UAVD, which promoted the migration of water from the inside to the outside. Furthermore, samples treated by UAVD exhibited better antioxidant activities and α-glucosidase and α-amylase inhibition capacities, with DPPH (81.86%), ABTS (88.61%), FRAP (83.05%), α-glucosidase inhibition capacity (89%), α-amylase (85%), drying time (3 h), and total aberration (ΔE) (1.63) being the highest characteristic traits. In this condition, the highest levels of total flavonoid content (TFC), rutin, quercetin, kaempferol, isorhamnetin, and genistein were obtained with 266.94, 239.46, 35.56, 8.54, 10.37, and 5.64 mg/g DW, respectively. The results confirm that UAVD is a novel method that significantly reduced the VD time and promoted the release of the bioactive substances of FSI.

Clinical outcomes and higher order aberrations of wavefront-guided LASIK versus SMILE for correction of myopia: A systemic review and meta-analysis.

To systematically evaluate the clinical effect of wavefront-guided laser in situ keratomileusis (WFG-LASIK) and small incision lenticule extraction (SMILE) in terms of refractive errors and high-order aberrations. A systematic literature search of PubMed, EMBASE, the Cochrane Library, Web of Science and China National Knowledge Internet was performed to identify studies evaluating the clinical outcomes of SMILE and WFG-LASIK ended in May 2022. Meta-analyses were performed according to the PRISMA guidelines. The risk of bias of the RCTs was evaluated using the Cochrane Handbook criteria, and the quality of the non-randomised controlled studies was assessed using the Newcastle-Ottawa Scale. In total, 1385 eyes (SMILE group, 750 eyes; WFG-LASIK group, 635 eyes) from 12 studies were included. The meta-analysis demonstrated that spherical aberration was smaller in the SMILE group than in the WFG-LASIK group (standardised mean difference [SMD]: -0.34, 95% confidence interval [CI]: -0.47, -0.22; p< 0.00001), and that the postoperative values of vertical coma (SMD: 0.83; 95% CI: 0.63, 1.03; p< 0.00001) and trefoil (SMD: 0.37; 95% CI: 0.02, 0.72; p=0.04) were higher in the SMILE group compared to the WFG LASIK group. There were no significant differences in the clinical outcomes and the values of induced total higher order aberrations between the WFG-LASIK and SMILE groups (SMD: 0.05; 95% CI: -0.09, 0.19; p=0.47). Both SMILE and WFG-LASIK were found to be safe, effective, and predictable. SMILE may induce more vertical coma and trefoil, whereas WFG LASIK may induce more spherical aberrations, but no significant differences were found in the total higher order aberrations between SMILE and WFG-LASIK.

Comparative study of Refractive and Visual Quality after Wavefront-Optimized FS-LASIK for Angle Kappa Adjustment in Dominant and Nondominant Eyes.

This study investigates the differences between dominant and nondominant eyes in FS-LASIK with 50% angle kappa compensation on diopter and visual quality. Setting: University hospital. Design: retrospective clinical study. Methods: A total of 109 patients (218 eyes,100%) with myopia who underwent femtosecond laser-assisted laser in situ keratomileusis (FS-LASIK) were randomly selected. The preoperative pupil size，center position and offset between the coaxially sighted corneal light reflex (P-Dist) of the patients was recorded. In preoperative and postoperative 6 months, an iTrace wavefront aberrometer (Tracey Technologies, Inc.) was used to measure the corneal, internal optics, and total aberrations. Results: The 6 months postoperatively for corneal coma of the dominant eyes were 0.141±0.055 μm and the nondominant eyes were 0.157 ±0.033 μm, which was significantly greater than the dominant eyes (P = 0.028). The postoperative corneal coma aberration changes were positively correlated with preoperative P-Dist, the dominant eyes (r = 0.221, P = 0.023), and the nondominant eyes (r = 0.251, P = 0.009). Conclusions: We suggest adjusting the angle kappa percentage in the nondominant eyes to be higher than that of the dominant eyes in individualized corneal refractive surgery to find the ablation center closest to the visual axis.

Evaluation of the Effects of Myopic Astigmatism Correction and Anterior Corneal Curvature on Functional Optical Zone After SMILE.

To evaluate the influence of different degrees of myopic astigmatism correction and preoperative anterior corneal curvature on the functional optical zone (FOZ) following small incision lenticule extraction (SMILE). In this retrospective study, 68 patients (106 eyes) treated with SMILE were grouped according to myopic astigmatism correction: control (0.00 diopters [D]), moderate astigmatism (-0.50 to -2.00 D), and high astigmatism (> -2.00 D). The FOZ was measured and compared between the three groups for 3 months. Correlations between attempted correction, anterior corneal curvature, corneal aberrations, and the FOZ were analyzed. The preoperative mean treatment spherical equivalent was comparable among the three groups. The average FOZ was 5.06 ± 0.24 mm in the control group, 5.19 ± 0.25 mm in the moderate astigmatism group, and 5.35 ± 0.20 mm in the high astigmatism group The FOZ showed statistically significant differences among the three groups (P < .001), particularly between the high astigmatism group and the other two groups (P < .001 and .018). Correlation analysis showed that the total higher order aberrations, coma, and spherical aberration change were correlated with the FOZ (P < .001). Preoperative steep keratometry, average keratometry, and corneal astigmatism were significantly correlated with the FOZ (P < .05). The correlation remained after excluding the influence of attempted correction on the FOZ (P < .05). After adjusting for other risk factors using multiple linear regression analysis, there was still a significant positive association between preoperative steep keratometry and the FOZ (P < .001). Patients with higher myopic astigmatism achieved a larger FOZ and less induced horizontal coma than the control and moderate astigmatism groups. A larger FOZ after SMILE can be achieved in eyes with steeper keratometry. [J Refract Surg. 2023;39(2):135-141.].