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Age-Related Changes in Corneal Spherical Aberration.
Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|November 15, 2018
Summary
Corneal spherical aberration (CSA) and higher order aberrations (HOAs) increase non-linearly with age, particularly after age 39 and 46, respectively. A new model helps estimate and compensate for these age-related changes in the aging cornea.
Area of Science:
- Ophthalmology
- Optometry
- Corneal Physiology
Background:
- Age-related changes in corneal aberrations are significant.
- Understanding these changes is crucial for refractive surgery and vision correction.
Purpose of the Study:
- To analyze age-related changes in corneal spherical aberration (CSA) and higher order aberrations (HOAs).
- To develop a novel model for estimating CSA changes with age.
Main Methods:
- Cross-sectional study of 3,769 patients' right eyes.
- Measured anterior, posterior, and total corneal spherical aberration (ASA, PSA, TSA) and HOAs using Scheimpflug tomography.
- Plotted smoothed fitting curves against age to determine aberration changes.
Main Results:
- CSA and HOAs increased non-linearly with age, with significant increases after age 39 (TSA) and 46 (4-mm HOAs).
- The average change in TSA was -0.013 µm/10 years (18-39 years) and 0.057 µm/10 years (after 39 years).
- Strong correlation found between ASA and TSA (r=0.976), and PSA and TSA (r=0.192).
Conclusions:
- Corneal spherical aberration and HOAs increase non-linearly with age.
- A novel model is presented to calculate compensation for age-related CSA increases in the aging cornea.
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