ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2024-1-51-57ophthalmology-2292Research ArticleОБЗОРЫREVIEWSАберрации высшего порядка — выбор оптимальной интраокулярной коррекции при хирургическом лечении катаракты. Обзор литературыHigher-order Aberrations — the Choice of Optimal Intraocular Correction in the Surgical Treatment of Cataracts. Review of the Literaturehttps://orcid.org/0000-0003-2221-9145ХванД. А.KhvanD. A.

Хван Дмитрий Артурович — аспирант, офтальмолог

пр-т Острякова, 2, Владивосток, 690002,

ул. Борисенко, 100е, Владивосток, 690088

Khvan Dmitry A. — postgraduate, оphthalmologist the Ophthalmology and otorhinolaryngology department

Ostryakova ave., 2, Vladivostok, 690002;

 Borisenko str., 100e, Vladivostok, 690088

jedimagister93@gmail.comhttps://orcid.org/0000-0003-2440-6059ФедяшевГ. А.FedyashevG. A.

Федяшев Глеб Арнольдович — доктор медицинских наук, профессор

пр-т Острякова, 2, Владивосток, 690002,

ул. Борисенко, 100е, Владивосток, 690088

Fedyashev Gleb A. — MD, PhD, professor

Ostryakova ave., 2, Vladivostok, 690002;

 Borisenko str., 100e, Vladivostok, 690088

ФГБОУ ВО «Тихоокеанский государственный медицинский университет» Министерства здравоохранения Российской Федерации; ООО «Приморский центр микрохирургии глаза»РоссияPacific State Medical University; Primorskii center of Eye MicrosurgeryRussian Federation2024310320242115157Copyright © Хван Д.А., Федяшев Г.А., 20242024Хван Д.А., Федяшев Г.А.Khvan D.A., Fedyashev G.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ophthalmojournal.com/opht/article/view/2292

Роговица является самым мощным преломляющим элементом глаза и играет фундаментальную роль в качестве зрения. Несовершенство формы роговицы приводит к формированию ошибок фокусировки, известных как оптические аберрации, именно они несут ответственность за ухудшение зрительных характеристик. Понимание и оценка ошибок волнового фронта при выборе и расчете ИОЛ имеет большое значение для достижения максимального оптического результата в послеоперационном периоде. В статье приводятся литературные данные о влиянии аберраций высшего порядка на качество зрения в неоперированных глазах, об изменениях волнового фронта в глазах после проведенных хирургических вмешательств на роговице, влиянии различного типа ИОЛ (сферических, асферических, мультифокальных и EDOF) на общую ошибку волнового фронта глаза, рекомендациях по их выбору при различных степенях выраженности оптических аберраций, а также о перспективных направлениях исследований в сфере данной проблематики.

The cornea is the most powerful refractive element of the eye and plays a fundamental role in the quality of vision. Imperfection of corneas shape leads to the focusing errors formation, known as optical aberrations, which are responsible for visual performance deterioration. Understanding and assessing wavefront errors in IOL selection and calculation is great importance to achieve maximum optical outcome in the postoperative period. The article presents literature data of the effect of higher-order aberrations on the vision quality in unoperated eyes, changes of the wavefront in the eyes after cornea surgical interventions, the effect of various types of IOLs (spherical, aspherical, multifocal and EDOF) on the total error of the eye wavefront, recommendations at their choice with different severity levels of optical aberrations, as well as promising areas of research on this issue.

оптические аберрациимультифокальные ИОЛИОЛ с увеличенной глубиной фокусаконтрастная чувствительностьнегативные оптические явленияoptical aberrationsmultifocal IOLsextended depth of focus IOLscontrast sensitivitynegative optical phenomenaРабота выполнена в рамках научной темы рег. № НИОКТР 122101000017-1The work was carried out within the framework of the scientific topic reg. № НИОКТР 122101000017-1ReferencesOliveira CM, Ferreira A, Franco S. Wavefront analysis and Zernike polynomial decomposition for evaluation of corneal optical quality. Journal of cataract and refractive surgery. 2012;38(2):343–356. doi:10.1016/j.jcrs.2011.11.016.Oliveira CM, Ferreira A, Franco S. Wavefront analysis and Zernike polynomial decomposition for evaluation of corneal optical quality. Journal of cataract and refractive surgery. 2012;38(2):343–356. doi:10.1016/j.jcrs.2011.11.016.Аверич ВВ, Егорова ГБ. Оптические аберрации глаза при кератоконусе. Клиническая офтальмология. 2022;22(3):168–174. doi: 10.32364/2311-77292022-22-3-168-174.Averich VV, Egorova GB. Ocular aberrations in keratoconus. Russian journal of clinical ophthalmology. 2022;22(3):168–174 (In Russ.). doi: 10.32364/2311-77292022-22-3-168-174.Villegas EA, Artal P. An analytical model describing aberrations in the progression corridor of progressive addition lenses. Optometry and vision science. 2006;83(9):666–671. doi: 10.1097/01.opx.0000232827.99741.66.Villegas EA, Artal P. An analytical model describing aberrations in the progression corridor of progressive addition lenses. Optometry and vision science. 2006;83(9):666–671. doi: 10.1097/01.opx.0000232827.99741.66.Smolek MK, Klyce SD. Goodness-of-prediction of Zernike polynomial fitting to corneal surfaces. Journal of cataract and refractive surgery. 2005;31:2350–2355. doi: 10.1016/j.jcrs.2005.05.025.Smolek MK, Klyce SD. Goodness-of-prediction of Zernike polynomial fitting to corneal surfaces. Journal of cataract and refractive surgery. 2005;31:2350–2355. doi: 10.1016/j.jcrs.2005.05.025.Belluci R, Morselli S. Optimizing higher-order aberrations with intraocular lens technology. Current opinion in ophthalmology. 2007;18(1):67–73. doi: 10.1097/ICU.0b013e3280121af1.Belluci R, Morselli S. Optimizing higher-order aberrations with intraocular lens technology. Current opinion in ophthalmology. 2007;18(1):67–73. doi: 10.1097/ICU.0b013e3280121af1.Salmon TO, Pol C. Normal-eye Zernike coefficients and root-mean-square wavefront errors. Journal of cataract and refractive surgery. 2006;32(12):2064–2074. doi: 10.1016/j.jcrs.2006.07.022.Salmon TO, Pol C. Normal-eye Zernike coefficients and root-mean-square wavefront errors. Journal of cataract and refractive surgery. 2006;32(12):2064–2074. doi: 10.1016/j.jcrs.2006.07.022.Liang CL, Juo SH, Chang CJ. Comparison of higher-order wavefront aberrations with 3 aberrometers. Journal of cataract and refractive surgery. 2005:31(11):2153– 2156. doi: 10.1016/j.jcrs.2005.04.040.Liang CL, Juo SH, Chang CJ. Comparison of higher-order wavefront aberrations with 3 aberrometers. Journal of cataract and refractive surgery. 2005:31(11):2153– 2156. doi: 10.1016/j.jcrs.2005.04.040.Yagci A, Egrilmez S, Kaskaloglu M, Egrilmez ED. Quality of vision following clinically successful penetrating keratoplasty. Journal of cataract and refractive surgery. 2004;30(6):1287–1294. doi:10.1016/j.jcrs.2003.10.037.Yagci A, Egrilmez S, Kaskaloglu M, Egrilmez ED. Quality of vision following clinically successful penetrating keratoplasty. Journal of cataract and refractive surgery. 2004;30(6):1287–1294. doi:10.1016/j.jcrs.2003.10.037.Salvetat ML, Brusini P, Pedrotti E, Zeppieri M, Miani F, Marcigaglia M, Passilongo M, Marchini G. Higher Order Aberrations After Keratoplasty for Keratoconus. Optometry and vision science. 2013;90(3):293–301. doi:10.1097/opx.0b013e318281980fSalvetat ML, Brusini P, Pedrotti E, Zeppieri M, Miani F, Marcigaglia M, Passilongo M, Marchini G. Higher Order Aberrations After Keratoplasty for Keratoconus. Optometry and vision science. 2013;90(3):293–301. doi:10.1097/opx.0b013e318281980fYamaguchi T., Ohnuma K., Tomida D., Konomi K, Satake Y, Negishi K, Tsubota K, Shimazaki J. The Contribution of the Posterior Surface to the Corneal Aberrations in Eyes after Keratoplasty. Investigative Opthalmology and visual Science. 2011;52(9):6222–6229. doi:10.1167/iovs.11-7647.Yamaguchi T., Ohnuma K., Tomida D., Konomi K, Satake Y, Negishi K, Tsubota K, Shimazaki J. The Contribution of the Posterior Surface to the Corneal Aberrations in Eyes after Keratoplasty. Investigative Opthalmology and visual Science. 2011;52(9):6222–6229. doi:10.1167/iovs.11-7647.Kobashi H, Kamiya K, Shimizu K. Impact of Forward and Backward Scattering and Corneal Higher-Order Aberrations on Visual Acuity after Penetrating Keratoplasty. Seminars in ophthalmology. 2018;33(6):748–756. doi:10.1080/08820538.2018.1427767Kobashi H, Kamiya K, Shimizu K. Impact of Forward and Backward Scattering and Corneal Higher-Order Aberrations on Visual Acuity after Penetrating Keratoplasty. Seminars in ophthalmology. 2018;33(6):748–756. doi:10.1080/08820538.2018.1427767Iseli HP, Jankov M, Bueeler M, Wimmersberger Y, Seiler T, Mrochen M. Corneal and total wavefront aberrations in phakic and pseudophakic eyes after implantation of monofocal foldable intraocular lenses. Journal of Cataract and refractive surgery. 2006;32(5):762–771. doi: 10.1016/j.jcrs.2005.10.032.Iseli HP, Jankov M, Bueeler M, Wimmersberger Y, Seiler T, Mrochen M. Corneal and total wavefront aberrations in phakic and pseudophakic eyes after implantation of monofocal foldable intraocular lenses. Journal of Cataract and refractive surgery. 2006;32(5):762–771. doi: 10.1016/j.jcrs.2005.10.032.Taketani F, Yukawa E, Yoshii T, Sugie Y, Hara Y. Influence of intraocular lens optical design on high-order aberrations. Journal of cataract and refractive surgery. 2005;31(5):969–972. doi: 10.1016/j.jcrs.2004.10.064.Taketani F, Yukawa E, Yoshii T, Sugie Y, Hara Y. Influence of intraocular lens optical design on high-order aberrations. Journal of cataract and refractive surgery. 2005;31(5):969–972. doi: 10.1016/j.jcrs.2004.10.064.Rocha KM, Chalita MR, Souza CE, Soriano ES, Freitas LL, Muccioli C, Belfort R Jr. Postoperative wavefront analysys and contrast sensitivity of a multifocal apodized diffractive IOL (ReSTOR) and three monofocal IOLs. Journal of refractive surgery. 2005;21(6):808–812. doi: 10.3928/1081-597X-20051101-32.Rocha KM, Chalita MR, Souza CE, Soriano ES, Freitas LL, Muccioli C, Belfort R Jr. Postoperative wavefront analysys and contrast sensitivity of a multifocal apodized diffractive IOL (ReSTOR) and three monofocal IOLs. Journal of refractive surgery. 2005;21(6):808–812. doi: 10.3928/1081-597X-20051101-32.Padmanabhan P, Yoon G, Porter J, Rao SK, Roy J, Choudhury M. Wavefront aberrations in eyes with Acrysof monofocal intraocular lenses. J Refract Surg. 2006 Mar;22(3):237-242. doi: 10.3928/1081-597X-20060301-07.Padmanabhan P, Yoon G, Porter J, Rao SK, Roy J, Choudhury M. Wavefront aberrations in eyes with Acrysof monofocal intraocular lenses. J Refract Surg. 2006 Mar;22(3):237-242. doi: 10.3928/1081-597X-20060301-07.Martin RG, Sanders DR. A comparison of higher order aberrations following implantation of four foldable intraocular lens designs. Journal of refractive surgery. 2005;21(6):716–721. doi: 10.3928/1081-597X-20051101-10.Martin RG, Sanders DR. A comparison of higher order aberrations following implantation of four foldable intraocular lens designs. Journal of refractive surgery. 2005;21(6):716–721. doi: 10.3928/1081-597X-20051101-10.Rohart C, Lemarinel B, Thanh HX, Gatinel D. Ocular aberrations after cataract surgery with hydrophobic and hydrophilic acrylic intraocular lenses: comparative study. Journal of cataract and refractive surgery. 2006;32(7):1201–1205. doi: 10.1016/j.jcrs.2006.01.099.Rohart C, Lemarinel B, Thanh HX, Gatinel D. Ocular aberrations after cataract surgery with hydrophobic and hydrophilic acrylic intraocular lenses: comparative study. Journal of cataract and refractive surgery. 2006;32(7):1201–1205. doi: 10.1016/j.jcrs.2006.01.099.Goto S, Maeda N. Corneal topography for intraocular lens selection in refractive cataract surgery. Ophthalmology. 2021;128(11):142–152. doi: 10.1016/j.ophtha.2020.11.016.Goto S, Maeda N. Corneal topography for intraocular lens selection in refractive cataract surgery. Ophthalmology. 2021;128(11):142–152. doi: 10.1016/j.ophtha.2020.11.016.Atchison DA. Design of aspheric intraocular lenses. Ophthalmic and physiological optics. 1991;11(2):137–146. doi: 10.1111/j.1475-1313.1991.tb00213.x.Atchison DA. Design of aspheric intraocular lenses. Ophthalmic and physiological optics. 1991;11(2):137–146. doi: 10.1111/j.1475-1313.1991.tb00213.x.Kim JS, Jung JW, Lee JM, Seo KY, Kim EK, Kim TI. Clinical Outcomes Following Implantation of Diffractive Multifocal Intraocular Lenses With Varying Add Powers. American Journal of Ophthalmology. 2015;160(4):702–709. doi: 10.1016/j.ajo.2015.07.021.Kim JS, Jung JW, Lee JM, Seo KY, Kim EK, Kim TI. Clinical Outcomes Following Implantation of Diffractive Multifocal Intraocular Lenses With Varying Add Powers. American Journal of Ophthalmology. 2015;160(4):702–709. doi: 10.1016/j.ajo.2015.07.021.Maeda N. Assessment of corneal optical quality for premium IOLs with Pentacam. Highlights of Ophthalmology Journa. 2011;39(4):16–20. doi: 10.5005/hoo-1010139405.Maeda N. Assessment of corneal optical quality for premium IOLs with Pentacam. Highlights of Ophthalmology Journa. 2011;39(4):16–20. doi: 10.5005/hoo-1010139405.Braga-Mele R, Chang D, Dewey S, Foster G, Henderson BA, Hill W, Hoffman R, Little B, Mamalis N, Oetting T, Serafano D, Talley-Rostov A, Vasavada A, Yoo S; Multifocal intraocular lenses: relative indications and contraindications for implantation. Journal of cataract and refractive surgery. 2014;40(20):313–322. doi: 10.1016/j.jcrs.2013.12.011.Braga-Mele R, Chang D, Dewey S, Foster G, Henderson BA, Hill W, Hoffman R, Little B, Mamalis N, Oetting T, Serafano D, Talley-Rostov A, Vasavada A, Yoo S; Multifocal intraocular lenses: relative indications and contraindications for implantation. Journal of cataract and refractive surgery. 2014;40(20):313–322. doi: 10.1016/j.jcrs.2013.12.011.Ruiz-Mesa R, Blanch-Ruiz J, Ruiz-Santos M, Montés-Micó R. Optical and visual quality assessment of an extended depth-of-focus intraocular lens based on spherical aberration of different sign. International Ophthalmology. 2021;41(3):1019– 1032. doi: 10.1007/s10792-020-01659-z.Ruiz-Mesa R, Blanch-Ruiz J, Ruiz-Santos M, Montés-Micó R. Optical and visual quality assessment of an extended depth-of-focus intraocular lens based on spherical aberration of different sign. International Ophthalmology. 2021;41(3):1019– 1032. doi: 10.1007/s10792-020-01659-z.Першин КБ, Пашинова НФ, Цыганков АЮ, Антонов ЕА, Косова ИВ, Корнеева ЕА. Недифракционная интраокулярная линза с расширенной глубиной фокуса, формирующая волновой фронт: первый опыт имплантации. Офтальмология. 2022;19(4):774–781. doi: https://doi.org/10.18008/1816-5095-2022-4-774-781.Pershin КB, Pashinova NF, Tsygankov AYu, Antonov EA, Kosova IV, Korneeva EA. Non-Diffractive Wavefront-Shaping Intraocular Lens with Extended Depth of Focus: First Implantation Experience. Ophthalmology in Russia. 2022;19(4):774–781 (In Russ.). doi: https://doi.org/10.18008/1816-5095-2022-4-774-781.Федяшев ГА, Хван ДА, Ручкин МП. Имплантация интраокулярной линзы с механизмом формирования волнового фронта при хирургическом лечении катаракты у пациентов после сквозной кератопластики. Офтальмохирургия. 2022;4:13–17. doi: 10.25276/0235-4160-2022-4-13-17.Fedyashev GA, Khvan DA, Ruchkin MP. Implantation of an intraocular lens with a wavefront formation mechanism in the surgical treatment of cataracts in patients after penetrating keratoplasty. Fyodorov Journal of Ophthalmic Surgery. 2022;4:13– 17 (In Russ.). doi: 10.25276/0235-4160-2022-4-13-17.

The authors declare that there are no conflicts of interest present.