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Wavefront Analysis of Eye With Monocular Diplopia and Cortical Cataract

2006; Elsevier BV; Volume: 141; Issue: 6 Linguagem: Inglês

10.1016/j.ajo.2005.12.040

1879-1891

Takashi Fujikado, Hiroshi Shimojyo, Jun Hosohata, Yoko Hirohara, Toshifumi Mihashi, Naoyuki Maeda, Yasuo Tano,

Corneal surgery and disorders

Purpose To determine whether higher-order aberrations can explain the monocular diplopia reported by a patient. Design Observational case report. Methods A patient complaining of monocular diplopia was examined with the Hartmann-Shack aberrometer to determine if the higher-order wavefront aberrations could account for the diplopia. The patient had a mild cortical cataract, and measurements were made before and after lensectomy. In addition, the retinal image was simulated using Zernike polynomials. Results Spherical aberration (0.20 μm for 4-mm pupil) and secondary astigmatism (−0.12 μm) were increased in the eye. The simulated retinal image had a double configuration that was approximately the same as the subjective image reported by the patient. After cataract surgery, the diplopia disappeared, and the spherical aberrations and secondary astigmatism were considerably decreased. Conclusions The monocular diplopia probably stemmed from the combined effects of spherical aberration and secondary astigmatism caused by the cortical cataract. To determine whether higher-order aberrations can explain the monocular diplopia reported by a patient. Observational case report. A patient complaining of monocular diplopia was examined with the Hartmann-Shack aberrometer to determine if the higher-order wavefront aberrations could account for the diplopia. The patient had a mild cortical cataract, and measurements were made before and after lensectomy. In addition, the retinal image was simulated using Zernike polynomials. Spherical aberration (0.20 μm for 4-mm pupil) and secondary astigmatism (−0.12 μm) were increased in the eye. The simulated retinal image had a double configuration that was approximately the same as the subjective image reported by the patient. After cataract surgery, the diplopia disappeared, and the spherical aberrations and secondary astigmatism were considerably decreased. The monocular diplopia probably stemmed from the combined effects of spherical aberration and secondary astigmatism caused by the cortical cataract.