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Biomedical subjects

Sayuri Ninomiya

Publications and source records attributed to Sayuri Ninomiya.

7 recordsLinked to original sources

Age-related changes in ocular and corneal aberrations.

PURPOSE: To compare the ocular and corneal higher-order aberrations (HA) in eyes of different ages. DESIGN: Observational cross-sectional study. METHODS: Sixty-six eyes of 66 normal subjects (age range 4-69 years; average 37.4 +/- 15.4 years) were examined. Wavefront aberrations of the whole eye (ocular) and cornea were measured for the central 4 mm using a Hartmann-Shack aberrometer. RESULTS: Ocular Coma-like aberration (r = 0.270, P =.029), Spherical-like aberration (r = 0.531, P =.001), and total HA(r = 0.431, P =.001) were significantly correlated with age, whereas the corneal aberrations were not significantly correlated. The ocular total HA aberrations increased significantly after age 50 years. CONCLUSIONS: After 50 years of age, ocular aberrations increased abruptly due to the increase of lenticular HA. Customized ablation should be carefully considered, especially in eyes of presbyopic age.

Adolescent↗

Light scattering and optical aberrations as objective parameters to predict visual deterioration in eyes with cataracts.

PURPOSE: To predict the visual deterioration of eyes with cortical (CC) or nuclear (NC) cataract from objective data on ocular higher-order aberration (HOA) and forward (FLS) and backward light scattering (BLS). SETTING: Osaka University Medical School, Osaka, Japan. METHODS: Twenty-two eyes with mild NC, 41 eyes with mild CC, and 11 normal eyes were examined. Higher-order aberrations were calculated with the Zernike polynomials up to the fourth order from the values obtained by wavefront analysis using the Hartmann-Shack aberrometer. Forward light scattering was calculated from the size of the aberrometer spot images for the central 4 mm, and backward light scattering (BLS) was calculated from the optical density of the Scheimpflug images. The relationship between the area under the log contrast sensitivity function (AULCSF) curve and HOAs, FLS, and BLS was examined. RESULTS: Area under the log contrast sensitivity function was moderately correlated with the HOAs, FLS, and BLS. Multiple linear regression analysis revealed that the AULCSF was predicted by the linear combination of these variables (R(2)=.484, P<.001). Area under the log contrast sensitivity was predicted by BLS and HOA (R(2)=.555) in the NC group and by FLS and HOAs (R(2)=.540) in the CC group. CONCLUSIONS: Loss of contrast sensitivity was predominantly due to BLS and HOA in eyes with NC and FLS and HOA in eyes with CC. Higher-order aberrations, FLS, and BLS, variables that are obtained objectively, can be used to predict quantitatively the visual deterioration in cataractous eyes.

Adult↗

Wavefront analysis in eyes with accommodative spasm.

PURPOSE: To investigate changes of spherical aberration in eyes with accommodative spasm. DESIGN: Case reports. METHODS: Four eyes of two patients with accommodative spasm were studied. Ocular spherical aberration was measured with a Hartmann-Shack wavefront aberrometer for the central 4-mm zone. RESULTS: The root mean square values of spherical aberration were negative (-0.086 +/- 0.026 microm root mean square). However, when the spasm of accommodation was cured or treated with a cycloplegic agent, the value shifted toward positivity (0.025 +/- 0.004 microm root mean square). CONCLUSIONS: Excessive accommodative tone is manifested objectively by negative spherical aberration in eyes with accommodative spasm.

Accommodation, Ocular↗

Comparison of ocular higher-order aberrations and visual performance between photorefractive keratectomy and laser in situ keratomileusis for myopia.

The purpose was to compare the ocular higher-order aberrations and the visual performance between photorefractive keratectomy (PRK) and laser in situ keratomileusis (LASIK). Ocular aberrations and visual performance were measured after PRK in 26 eyes, after LASIK in 39 eyes, and in 29 normal myopic control eyes. Ocular aberrations were measured with a Hartmann-Shack aberrometer. Visual performance was evaluated with grating contrast sensitivity, high and low contrast visual acuity, and letter contrast sensitivity under full correction with spectacles. The results were that the root mean square (RMS) values of ocular higher-order aberrations after PRK or LASIK were significantly greater than that of normal controls for both 4-mm and 6-mm zones (PRK; 0.22 +/- 0.09 and 0.85 +/- 0.24 microm, LASIK; 0.20 +/- 0.06 and 0.82 +/- 0.24 microm, normal; 0.10 +/- 0.03 and 0.33 +/- 0.11 microm. P < 0.05 between PRK and normal, LASIK and normal, One Way ANOVA on Ranks). There were no significant differences between PRK and LASIK. The ocular higher-order aberrations increased in proportion with the attempted refractive correction by PRK and LASIK. The ocular higher-order aberrations correlated better with grating contrast sensitivity, low contrast visual acuity, and letter contrast sensitivity than with high contrast visual acuity. There was no difference among normal, PRK and LASIK in all the visual function tests, except between normal and PRK, or between normal and LASIK with letter contrast sensitivity. In conclusion, there was no difference in both ocular higher-order aberrations and visual performance between PRK and LASIK. The result suggests that surgeons can choose refractive procedures according to the corneal conditions or daily activities of patients.

Adult↗

Changes of ocular aberration with accommodation.

PURPOSE: To study the effect of accommodation on ocular aberrations. DESIGN: Observational case series. METHODS: The ocular aberrations in 33 eyes of 33 young adults were measured with a Hartmann-Shack wavefront aberrometer before and during 3 diopters of accommodation. RESULTS: The root mean square values of wavefront error did not change for a 4-mm and a 6-mm zone; however, spherical aberration changed significantly toward negativity for both the 4-mm zone (P <.001) and 6-mm zone (P =.022). CONCLUSIONS: During accommodation, the significant change in spherical aberration occurs without a change of image quality. Therefore, for customized aberration, it may not be advantageous to eliminate the physiologic spherical aberration for far vision.

Accommodation, Ocular↗

Effect of aging on ocular light scatter and higher order aberrations.

PURPOSE: To study the effect of aging on ocular light scatter and higher order aberrations in humans. METHODS: Seventy-six eyes of 76 normal subjects who had refractive errors but no ocular disease were studied. Their age ranged from 4 to 69 years (mean 34.8 +/- 5.8 yr). Both light scatter and total higher order aberrations were simultaneously and quantitatively measured by a Hartmann-Shack sensor for the central 4-mm-diameter pupil. Higher order aberrations were calculated from the Zernike polynomials up to the 4th order. The amount of light scatter was estimated by using the diameter of the point spread functions (PSFs) of the Hartmann images. A correction was made for the effect of the aberrations on the width of the images. Linear regression analysis was performed to investigate the effect of aging on light scatter and total higher order aberrations. RESULTS: A significant correlation was found between scatter and age (Spearman rank correlation coefficient, r = 0.501, P = .001). Also, the total higher order aberrations increased significantly with age (r = 0.323, P = .005). The total higher order aberration and scatter index were not statistically significantly correlated (r = 0.184, P = .112). CONCLUSIONS: These results indicate that scatter was better correlated with age than higher order aberrations.

Adolescent↗