Abstract

Higher-order aberration correction in abnormal eyes can result in significant vision improvement, especially in eyes with abnormal corneas. Customized optics such as phase plates and customized contact lenses are one of the most practical, nonsurgical ways to correct these ocular higher-order aberrations. We demonstrate the feasibility of correcting higher-order aberrations and improving visual performance with customized soft contact lenses in keratoconic eyes while compensating for the static decentration and rotation of the lens. A reduction of higher-order aberrations by a factor of 3 on average was obtained in these eyes. The higher-order aberration correction resulted in an average improvement of 2.1 lines in visual acuity over the conventional correction of defocus and astigmatism alone.

© 2007 Optical Society of America

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N. López-Gil, N. Chateau, J. F. Castejón-Mochón, P. Artal, and A. Benito, S. Afr. Optom. 62, 173 (2003).

2002

R. A. Applegate, E. J. Sarver, and V. Khemsara, J. Refract. Surg. 18, S556 (2002).
[PubMed]

N. Maeda, T. Fujikado, T. Kuroda, T. Mihashi, Y. Hirohara, K. Nishida, H. Watanabe, and Y. Tano, Ophthalmology 109, 1996 (2002).
[CrossRef] [PubMed]

A. Guirao, J. Porter, D. R. Williams, and I. G. Cox, J. Opt. Soc. Am. A 19, 1 (2002).
[CrossRef]

A. Guirao, I. G. Cox, and D. R. Williams, J. Opt. Soc. Am. A 19, 126 (2002).
[CrossRef]

G. Yoon and D. R. Williams, J. Opt. Soc. Am. A 19, 266 (2002).
[CrossRef]

2001

2000

S. MacRae, J. Schwiegerling, and R. Snyder, J. Refract. Surg. 16, S230 (2000).

R. Navarro, E. Moreno-Barriuso, S. Bara, and T. Mancebo, Opt. Lett. 25, 236 (2000).
[CrossRef]

1995

D. Fonn, C. A. Gauthier, and N. Pritchard, Optom. Vision Sci. 72, 857 (1995).
[CrossRef]

Applegate, R. A.

R. A. Applegate, E. J. Sarver, and V. Khemsara, J. Refract. Surg. 18, S556 (2002).
[PubMed]

Artal, P.

N. López-Gil, N. Chateau, J. F. Castejón-Mochón, P. Artal, and A. Benito, S. Afr. Optom. 62, 173 (2003).

E. J. Fernandez, I. Iglesias, and P. Artal, Opt. Lett. 26, 746 (2001).
[CrossRef]

Bara, S.

Benito, A.

N. López-Gil, N. Chateau, J. F. Castejón-Mochón, P. Artal, and A. Benito, S. Afr. Optom. 62, 173 (2003).

Castejón-Mochón, J. F.

N. López-Gil, N. Chateau, J. F. Castejón-Mochón, P. Artal, and A. Benito, S. Afr. Optom. 62, 173 (2003).

Chateau, N.

N. López-Gil, N. Chateau, J. F. Castejón-Mochón, P. Artal, and A. Benito, S. Afr. Optom. 62, 173 (2003).

Cox, I. G.

Fernandez, E. J.

Fonn, D.

D. Fonn, C. A. Gauthier, and N. Pritchard, Optom. Vision Sci. 72, 857 (1995).
[CrossRef]

Fujikado, T.

N. Maeda, T. Fujikado, T. Kuroda, T. Mihashi, Y. Hirohara, K. Nishida, H. Watanabe, and Y. Tano, Ophthalmology 109, 1996 (2002).
[CrossRef] [PubMed]

Gauthier, C. A.

D. Fonn, C. A. Gauthier, and N. Pritchard, Optom. Vision Sci. 72, 857 (1995).
[CrossRef]

Guirao, A.

Hirohara, Y.

N. Maeda, T. Fujikado, T. Kuroda, T. Mihashi, Y. Hirohara, K. Nishida, H. Watanabe, and Y. Tano, Ophthalmology 109, 1996 (2002).
[CrossRef] [PubMed]

Iglesias, I.

Jeong, T. M.

Khemsara, V.

R. A. Applegate, E. J. Sarver, and V. Khemsara, J. Refract. Surg. 18, S556 (2002).
[PubMed]

Kuroda, T.

N. Maeda, T. Fujikado, T. Kuroda, T. Mihashi, Y. Hirohara, K. Nishida, H. Watanabe, and Y. Tano, Ophthalmology 109, 1996 (2002).
[CrossRef] [PubMed]

López-Gil, N.

N. López-Gil, N. Chateau, J. F. Castejón-Mochón, P. Artal, and A. Benito, S. Afr. Optom. 62, 173 (2003).

MacRae, S.

S. MacRae, J. Schwiegerling, and R. Snyder, J. Refract. Surg. 16, S230 (2000).

Maeda, N.

N. Maeda, T. Fujikado, T. Kuroda, T. Mihashi, Y. Hirohara, K. Nishida, H. Watanabe, and Y. Tano, Ophthalmology 109, 1996 (2002).
[CrossRef] [PubMed]

Mancebo, T.

Menon, M.

Mihashi, T.

N. Maeda, T. Fujikado, T. Kuroda, T. Mihashi, Y. Hirohara, K. Nishida, H. Watanabe, and Y. Tano, Ophthalmology 109, 1996 (2002).
[CrossRef] [PubMed]

Moreno-Barriuso, E.

Navarro, R.

Nishida, K.

N. Maeda, T. Fujikado, T. Kuroda, T. Mihashi, Y. Hirohara, K. Nishida, H. Watanabe, and Y. Tano, Ophthalmology 109, 1996 (2002).
[CrossRef] [PubMed]

Porter, J.

Pritchard, N.

D. Fonn, C. A. Gauthier, and N. Pritchard, Optom. Vision Sci. 72, 857 (1995).
[CrossRef]

Sarver, E. J.

R. A. Applegate, E. J. Sarver, and V. Khemsara, J. Refract. Surg. 18, S556 (2002).
[PubMed]

Schwiegerling, J.

S. MacRae, J. Schwiegerling, and R. Snyder, J. Refract. Surg. 16, S230 (2000).

Snyder, R.

S. MacRae, J. Schwiegerling, and R. Snyder, J. Refract. Surg. 16, S230 (2000).

Tano, Y.

N. Maeda, T. Fujikado, T. Kuroda, T. Mihashi, Y. Hirohara, K. Nishida, H. Watanabe, and Y. Tano, Ophthalmology 109, 1996 (2002).
[CrossRef] [PubMed]

Watanabe, H.

N. Maeda, T. Fujikado, T. Kuroda, T. Mihashi, Y. Hirohara, K. Nishida, H. Watanabe, and Y. Tano, Ophthalmology 109, 1996 (2002).
[CrossRef] [PubMed]

Williams, D. R.

Yoon, G.

Appl. Opt.

J. Opt. Soc. Am. A

J. Refract. Surg.

R. A. Applegate, E. J. Sarver, and V. Khemsara, J. Refract. Surg. 18, S556 (2002).
[PubMed]

S. MacRae, J. Schwiegerling, and R. Snyder, J. Refract. Surg. 16, S230 (2000).

Ophthalmology

N. Maeda, T. Fujikado, T. Kuroda, T. Mihashi, Y. Hirohara, K. Nishida, H. Watanabe, and Y. Tano, Ophthalmology 109, 1996 (2002).
[CrossRef] [PubMed]

Opt. Lett.

Optom. Vision Sci.

D. Fonn, C. A. Gauthier, and N. Pritchard, Optom. Vision Sci. 72, 857 (1995).
[CrossRef]

S. Afr. Optom.

N. López-Gil, N. Chateau, J. F. Castejón-Mochón, P. Artal, and A. Benito, S. Afr. Optom. 62, 173 (2003).

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Figures (3)

Fig. 1
Fig. 1

Designed and measured (or manufactured) HOA with a wet-cell Shack–Hartmann wavefront sensor of a customized soft contact lens for subject MB for a 6 mm pupil. The interval between contour lines is 1 μ m .

Fig. 2
Fig. 2

HOA of moderate (MT) and advanced (MB) KC eyes wearing conventional and customized soft contact lenses. The Zernike coefficients are expressed according to the ANSI Z80.28-2004 standard. The error bars represent ± 1 standard deviation. The interval between all contour maps is 1.5 μ m . All plots are over a 6 mm pupil.

Fig. 3
Fig. 3

High- and low-contrast visual acuity for three KC eyes wearing conventional and customized soft contact lenses measured over a 6 mm pupil. High- and low-contrast visual acuity wearing RGP lens was shown for an advanced KC eye (SC).

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