波前像差引导的LASIK术矫正眼球像差

Operative correction of ocular aberrations to improve visual acuity

目的 :观察波前像差引导的LASIK术矫正人眼像差后的效果 ,以确定人眼是否可获得超过一般的视敏度。方法 :波前像差引导的LASIK手术对 15只眼矫正近视和散光 ,同时矫正眼球的像差。结果 :手术后 1个月时 ,4只眼 (占 2 7% )获得了 2 0 /10以上的超常视力。波前像差的均方根值从 0 .6增加到 2 .3,与视觉敏感度的提高呈显著性相关 (P <0 .0 5 )。结论 :像差的矫正虽然还不能最令人满意 ,但这些结果表明 ,眼球的像差使人眼视敏度受限制 ,而通过手术矫正可获得超过一般的视敏度。

Objective:Optical aberrations of the human eye degrade the quality of the retinal image and may,therefore,represent a major limit of visual acuity.Methods:In 15 eyes,ocular aberrations were corrected in addition to myopia and astigmatism by means of wavefront guided laser in situ keratomileusis(LASIK).Results:At 1 month after surgery,a supernormal visual acuity of 20/10 or better was obtained in 4 eyes(27%). The increase in root mean square wavefront error ranged from 0.6 to 2.3 and was significantly correlated with the increase in visual acuity(P<0.05).Conclusion:Although the correction of aberrations was not yet optimal,these results show that ocular optical aberrations limit visual acuity in humans and supernormal visual acuity can be achieved by operative correction.