Visual performance in emmetropia and low myopia after correction of high-order aberrations

J Vis. 2007 Jun 27;7(8):14. doi: 10.1167/7.8.14.

Abstract

Myopic observers may not benefit to the same extent as emmetropes from adaptive optics (AO) correction in a visual acuity (VA) task. To investigate this, we measured AO-corrected VA in 10 low myopes and 9 emmetropes. Subjects were grouped by refractive error. Mean spherical equivalent refractive error was -2.73 D (SEM = 0.35) for the myopes and 0.04 D (SEM = 0.1) for the emmetropes. All subjects had best corrected VA of 20/20 or better. The AO scanning laser ophthalmoscope was used to project ultrasharp stimuli onto the retina of each observer. High-contrast photopic acuity was measured using a tumbling E test with and without AO correction. AO-corrected minimum angle of resolution was 0.61' (SEM = 0.02') for the myopes and 0.49' (SEM = 0.03') for the emmetropes. The difference between groups is significant (p = .0017). This effect is even greater (p = .00013) when accounting for spectacle magnification and axial length, with myopes and emmetropes able to resolve critical features on the retina with a mean size of 2.87 mum (SEM = 0.07) and 2.25 mum (SEM = 0.1), respectively. Emmetropes and low myopes will both benefit from AO correction in a VA task but not to the same extent. Optical aberrations do not limit VA in low myopia after AO correction. There is no difference in the high-order aberrations of emmetropes and low myopes. Retinal and/or cortical factors limit VA in low myopes after AO correction.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Eyeglasses*
  • Humans
  • Myopia / diagnosis
  • Myopia / physiopathology*
  • Myopia / rehabilitation*
  • Ophthalmoscopy
  • Refraction, Ocular
  • Severity of Illness Index
  • Vision Tests
  • Visual Acuity*