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Optical aberrations

Anatomy & Optics

Key Points

  • •Lower-order aberrations (defocus + astigmatism) account for ~85% of total ocular aberrations and are correctable with spectacles/CL; higher-order aberrations (~15%) require wavefront-guided approaches
  • •The 5 Seidel monochromatic aberrations are: spherical aberration, coma, oblique astigmatism, curvature of field, and distortion
  • •Zernike polynomials provide the mathematical framework for describing wavefront aberrations - each polynomial represents a specific aberration mode ordered by radial order and angular frequency
  • •The young crystalline lens has negative spherical aberration that partially compensates for corneal positive spherical aberration; this balance is lost with ageing
  • •The duochrome test exploits longitudinal chromatic aberration (~2 D): red clearer = under-corrected (needs more minus); green clearer = over-corrected

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  • Definition
  • Epidemiology
  • Aetiology and causes
  • Pathogenesis
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  • Risk factors and associations

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