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Profile of off-axis higher order aberrations and its variation with time among various refractive error groups
Krupa Philip1, Padmaja R Sankaridurg2, Jit B Ale3
1School of Optometry and Vision Science, University of New South Wales, Sydney, Australia.
Insights
Peripheral higher order aberrations (HOA) in children
Area of Science:
- Ophthalmology and Optometry
- Pediatric Eye Research
Background:
- Peripheral higher order aberrations (HOA) are crucial for understanding visual quality.
- Previous studies have primarily focused on central eye aberrations, with less known about peripheral HOA in pediatric populations.
Purpose of the Study:
- To investigate the longitudinal changes in peripheral higher order aberrations (HOA) in children.
- To analyze the relationship between refractive error and peripheral HOA over time.
Main Methods:
- Utilized a Shack-Hartmann aberrometer to measure peripheral HOA at 30° temporal, nasal, and inferior visual fields in 646 children.
- Collected data at baseline and a five-year follow-up, assessing refractive error changes.
Main Results:
- Coma and 3rd order aberrations increased with eccentricity in all participants.
- Hyperopic eyes showed more positive C(4,0) at the periphery.
- Horizontal coma changed significantly over five years, becoming more negative nasally and positive temporally, irrespective of refractive error changes.
Conclusions:
- Peripheral HOA, particularly coma, change with age and eye growth in children.
- These longitudinal changes suggest variations in the peripheral cornea and crystalline lens shape or optical component alignment.
- Understanding these peripheral optical changes is vital for pediatric eye care and myopia progression research.
Abstract:
Peripheral higher order aberrations (HOA) of 646 children at 30° temporal, nasal and inferior visual field were measured under cycloplegia (5 mm pupil diameter) using a commercially available Shack-Hartmann aberrometer in the Sydney Myopia Study [age, 12.7 ± 0.4 years (mean ± standard deviation)] and five years later in the Sydney Adolescent Vascular and Eye Study. At baseline, 176 eyes were emmetropic, 95 were myopic and 375 were hyperopic. Coma, 3rd order and RMS of coma increased with eccentricity for all eyes and no difference was observed for 4th order and RMS of C(4,0) among refractive error groups. More positive C(4,0) was observed for hyperopic eyes at periphery. At follow up, 26% had 'myopic change' and 70% had 'no change' in refractive error. At follow-up, horizontal coma became more negative at nasal field and more positive at temporal field for all eyes. More positive C(4,0) for hyperopic eyes at baseline may indicate variation in optical characteristics of peripheral cornea and crystalline lens. An increase in horizontal coma with time, irrespective of refractive error change, may be attributed to variation in the shape factor of peripheral cornea and crystalline lens and/or misalignment of optical surfaces/components relative to the visual axis (angle kappa) as the eye grows in axial length.
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