Corneal changes with accommodation using dual Scheimpflug photography

J Cataract Refract Surg. 2015 May;41(5):981-9. doi: 10.1016/j.jcrs.2014.08.038. Epub 2015 May 5.

Abstract

Purpose: To assess whether corneal parameters and aberrations are affected by accommodation.

Setting: Optics Department, University of Valencia, Valencia, Spain.

Design: Prospective cross-sectional study.

Methods: The Galilei G4 dual Scheimpflug device was used to obtain data on the anterior and posterior axial curvatures, total corneal power (TCP), and corneal pachymetry from 3 corneal zones (central: 0.0 up to 4.0 mm; paracentral or mid: 4.0 up to 7.0 mm; peripheral: 7.0 up to 10.0 mm) in young emmetropic eyes in the unaccommodated and 4 accommodated states (from -1.0 to -4.0 diopters [D] in 1.0 D steps). The 2nd-, 3rd-, and 4th-order aberrations as well as the root mean square (RMS) were also determined for the entire cornea at the same accommodative demands.

Results: The study evaluated 7 subjects (12 eyes). No significant changes in any measured parameter were found during accommodation for any corneal zone (P > .05). Statistically significant differences were found in the various corneal zones when it was assumed they were constant with accommodation (P < .01). A stable linear trend with accommodation was also found for corneal aberrations, although individual variations existed because of the high standard deviation values.

Conclusion: Different parameters in various zones of the cornea as well as corneal aberrations were stable during accommodation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accommodation, Ocular / physiology*
  • Adult
  • Cornea / physiopathology*
  • Corneal Pachymetry
  • Corneal Wavefront Aberration / physiopathology*
  • Cross-Sectional Studies
  • Diagnostic Techniques, Ophthalmological
  • Female
  • Healthy Volunteers
  • Humans
  • Male
  • Photography / methods
  • Prospective Studies
  • Young Adult