J Korean Ophthalmol Soc.  2013 Apr;54(4):581-586. 10.3341/jkos.2013.54.4.581.

The Effects of Pharmacologic Pupil Dilatation on Ocular, Corneal, and Internal Aberrations

• Yoo EJ
• Kang SY
• Kim HM
• Song JS

• KMID: 2216938
• DOI: http://doi.org/10.3341/jkos.2013.54.4.581

Abstract

PURPOSE
The present study investigates the effects of pharmacologic pupil dilatation on ocular, corneal and internal aberrations.
METHODS
Sixty-two right eyes of 62 healthy participants were included in the present study. Ocular, corneal and internal aberrations were measured with a KR-1W wavefront aberrometer (Topcon Corp., Tokyo, Japan) before mydriasis in mesopic conditions. After pupil dilatation with a mydriatic drug (phenylephrine chloride 0.5% + tropicamide 0.5%) (Mydrin-P, Santen, Osaka, Japan), the measurements were repeated. The wavefront data of 4-mm and 6-mm diameter zones were analyzed. The changes of aberrations before and after mydriasis were evaluated by paired t-test.
RESULTS
The values of ocular, corneal and internal spherical aberrations before and after mydriasis on the 4-mm diameter pupil zone were not statistically significantly different. On the 6-mm diameter zone, the ocular and internal spherical aberrations were statistically significantly different (p = 0.025, p = 0.002, respectively, paired t-test). However, the corneal aberrations did not show significant changes. The internal aberrations average before mydriasis was -0.043 (+/-0.21) microm and was shifted in a negative direction to -0.093 (+/-0.17) microm after mydriasis. The ocular aberrations average also changed toward negative after mydriasis. The high-order aberrations and astigmatism did not change significantly.
CONCLUSIONS
The ocular and internal spherical aberrations changed toward negative with mydriasis in the participants' eyes suggesting the change of the ocular spherical aberration to be attributed to internal changes.

Keyword

Aberrations; KR-1W; Mydriasis

MeSH Terms

Astigmatism
Dilatation
Eye
Mydriasis
Pupil
Tokyo
Tropicamide
Tropicamide

Figure

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  Figure 1. Comparison of spherical aberrations (SA) before and after mydriasis (in micrometer). The ocular and internal spherical aberrations were statistically significantly different on 6-mm diameter zone (p = 0.025, p = 0.002, respectively, paired t-test). Before = before mydriasis, at mesopic conditions, 8 lux; After = after pharmacologically induced mydriasis.

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  Figure 2. Comparison of high order aberrations (HOA) before and after mydriasis (in average root mean square; RMS). The high order aberrations did not change significantly after mydriasis. Before = before mydriasis, at mesopic conditions, 8 lux; After = after pharmacologically induced mydriasis.

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  Figure 3. Comparison of astigmatism (Astig.) before and after mydriasis (in diopter). The astigmatism did not change significantly after mydriasis. Before = before mydriasis, at mesopic conditions, 8 lux; After = after pharmacologically induced mydriasis.

Reference

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