The use of Wavelight® Contoura to create a uniform cornea: the LYRA Protocol. Part 1: the effect of higher-order corneal aberrations on refractive astigmatism

The use of Wavelight® Contoura to create a uniform cornea: the LYRA Protocol. Part 1: the effect of higher-order corneal aberrations on refractive astigmatism

Manoj Motwani Motwani LASIK Institute, San Diego, CA, USA Purpose: To demonstrate how higher-order corneal aberrations can cancel out, modify, or induce lower-order corneal astigmatism. Patients and methods: Six representative eyes are presented that show different scenarios in which higher-order...

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Autor principal: Motwani M
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2017
Materias:
Astigmatism
corneal aberration
refractive surgery
trefoil
quadrafoil
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/fc65fa2ce3ff4c0b866c452431f2c196
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spelling oai:doaj.org-article:fc65fa2ce3ff4c0b866c452431f2c1962021-12-02T07:24:32ZThe use of Wavelight® Contoura to create a uniform cornea: the LYRA Protocol. Part 1: the effect of higher-order corneal aberrations on refractive astigmatism1177-5483https://doaj.org/article/fc65fa2ce3ff4c0b866c452431f2c1962017-05-01T00:00:00Zhttps://www.dovepress.com/the-use--of-wavelightr-contoura-to-create-a-uniform-cornea-the-lyra-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Manoj Motwani Motwani LASIK Institute, San Diego, CA, USA Purpose: To demonstrate how higher-order corneal aberrations can cancel out, modify, or induce lower-order corneal astigmatism. Patients and methods: Six representative eyes are presented that show different scenarios in which higher-order aberrations interacting with corneal astigmatism can affect the manifest refraction. WaveLight® Contoura ablation maps showing the higher-order aberrations are shown, as are results of correction with full measured correction using the LYRA (Layer Yolked Reduction of Astigmatism) Protocol. Results: Higher-order corneal aberrations such as trefoil, quadrafoil, and coma can create ovalization of the central cornea, which can interact with the ovalization caused by lower-order astigmatism to either induce, cancel out, or modify the manifest refraction. Contoura processing successfully determines the linkage of these interactions resulting in full astigmatism removal. Purely lenticular astigmatism appears to be rare, but a case is also demonstrated. The author theorizes that all aberrations require cerebral compensatory processing and can be removed, supported by the facts that full removal of aberrations and its linkage with lower-order astigmatism with the LYRA Protocol has not resulted in worse or unacceptable vision for any patients. Conclusion: Higher-order aberrations interacting with lower-order astigmatism is the main reason for the differences between manifest refraction and Contoura measured astigmatism, and the linkage between these interactions can be successfully treated using Contoura and the LYRA Protocol. Lenticular astigmatism is relatively rare. Keywords: topographic guided ablation, LASIK, PRK, WaveLight Contoura, uniform cornea, higher order aberrationsMotwani MDove Medical PressarticleAstigmatismcorneal aberrationrefractive surgerytrefoilquadrafoilOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 897-905 (2017)
institution DOAJ
collection DOAJ
language EN
topic Astigmatism
corneal aberration
refractive surgery
trefoil
quadrafoil
Ophthalmology
RE1-994
spellingShingle Astigmatism
corneal aberration
refractive surgery
trefoil
quadrafoil
Ophthalmology
RE1-994
Motwani M
The use of Wavelight® Contoura to create a uniform cornea: the LYRA Protocol. Part 1: the effect of higher-order corneal aberrations on refractive astigmatism
description Manoj Motwani Motwani LASIK Institute, San Diego, CA, USA Purpose: To demonstrate how higher-order corneal aberrations can cancel out, modify, or induce lower-order corneal astigmatism. Patients and methods: Six representative eyes are presented that show different scenarios in which higher-order aberrations interacting with corneal astigmatism can affect the manifest refraction. WaveLight® Contoura ablation maps showing the higher-order aberrations are shown, as are results of correction with full measured correction using the LYRA (Layer Yolked Reduction of Astigmatism) Protocol. Results: Higher-order corneal aberrations such as trefoil, quadrafoil, and coma can create ovalization of the central cornea, which can interact with the ovalization caused by lower-order astigmatism to either induce, cancel out, or modify the manifest refraction. Contoura processing successfully determines the linkage of these interactions resulting in full astigmatism removal. Purely lenticular astigmatism appears to be rare, but a case is also demonstrated. The author theorizes that all aberrations require cerebral compensatory processing and can be removed, supported by the facts that full removal of aberrations and its linkage with lower-order astigmatism with the LYRA Protocol has not resulted in worse or unacceptable vision for any patients. Conclusion: Higher-order aberrations interacting with lower-order astigmatism is the main reason for the differences between manifest refraction and Contoura measured astigmatism, and the linkage between these interactions can be successfully treated using Contoura and the LYRA Protocol. Lenticular astigmatism is relatively rare. Keywords: topographic guided ablation, LASIK, PRK, WaveLight Contoura, uniform cornea, higher order aberrations
format article
author Motwani M
author_facet Motwani M
author_sort Motwani M
title The use of Wavelight® Contoura to create a uniform cornea: the LYRA Protocol. Part 1: the effect of higher-order corneal aberrations on refractive astigmatism
title_short The use of Wavelight® Contoura to create a uniform cornea: the LYRA Protocol. Part 1: the effect of higher-order corneal aberrations on refractive astigmatism
title_full The use of Wavelight® Contoura to create a uniform cornea: the LYRA Protocol. Part 1: the effect of higher-order corneal aberrations on refractive astigmatism
title_fullStr The use of Wavelight® Contoura to create a uniform cornea: the LYRA Protocol. Part 1: the effect of higher-order corneal aberrations on refractive astigmatism
title_full_unstemmed The use of Wavelight® Contoura to create a uniform cornea: the LYRA Protocol. Part 1: the effect of higher-order corneal aberrations on refractive astigmatism
title_sort use of wavelight® contoura to create a uniform cornea: the lyra protocol. part 1: the effect of higher-order corneal aberrations on refractive astigmatism
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/fc65fa2ce3ff4c0b866c452431f2c196
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