RESUMO
PURPOSE: To characterize and investigate the higher-order optical aberrations (HOAs) and their distribution and symmetry between both eyes (enantiomorphism). PATIENTS AND METHODS: Wave-front measurements were taken using Hartmann-Shack aberrometry and Zernike polynomial terms reconstruction of the total ocular wave front. Optical aberrations were quantitatively analyzed using the RMS (root mean square) Zernike coefficient term value. Symmetry between both eyes was assessed for each aberration according to two criteria: the RMS coefficient value and aberration magnitude. RESULTS: Sixty patients were included in the study. The HOAs presenting the highest magnitude were fourth-order spherical aberration (Z40; M=0.3038 microm), primary coma (Z31; magnitude M=0.2285 microm) and trefoil (Z33; M=0.1870 microm). A significant mirror symmetry between both eyes was present for high-order aberration orientations. Considering the magnitude of each aberration, symmetry was present in seven of eight aberrations (all but primary coma). HOAs were higher for ametropes than emmetropes. The hyperoptic eyes had more spherical aberrations than myopic and emmetropic eyes. CONCLUSION: Symmetry between the right and left eye is a less common characteristic of HOAs. The difference in the mean age of the studied population may account for the differences in the total high-order and spherical aberration levels found in our study.
Assuntos
Erros de Refração/patologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Estatísticos , Erros de Refração/classificaçãoRESUMO
In a patient with superior oblique myokymia, a contact is visualised between the right trochlear nerve and a vascular structure by high resolution thin slices magnetic resonance images coupled to angio-MR. A similar contact is not visualised on the left side. This suggests that the neuro-vascular contact is the cause of this superior oblique myokymia and offers the possibility of neuro-surgical decompression if necessary.