1. Simulated biomechanical effect of aspheric transition zone ablation profiles after conventional hyperopia refractive surgery
- Author
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Binhui Guo, Xingdao He, Yinyu Song, Lihua Fang, Huirong Xiao, Ruirui Du, and Xinliang Xu
- Subjects
Materials science ,genetic structures ,medicine.medical_treatment ,Keratomileusis, Laser In Situ ,Visual Acuity ,Keratomileusis ,02 engineering and technology ,Astigmatism ,aspheric ,biomechanics ,Stress (mechanics) ,Optics ,Refractive surgery ,Cornea ,cornea ,0502 economics and business ,Myopia ,0202 electrical engineering, electronic engineering, information engineering ,medicine ,QA1-939 ,Humans ,Wavefront ,business.industry ,Applied Mathematics ,05 social sciences ,LASIK ,General Medicine ,Ablation ,medicine.disease ,eye diseases ,Computational Mathematics ,Hyperopia ,medicine.anatomical_structure ,Modeling and Simulation ,transition zone ,refractive surgery ,020201 artificial intelligence & image processing ,sense organs ,General Agricultural and Biological Sciences ,business ,050203 business & management ,TP248.13-248.65 ,Mathematics ,Biotechnology - Abstract
We studied the effects of the aspheric transition zone on the optical wavefront aberrations, corneal surface displacement, and stress induced by the biomechanical properties of the cornea after conventional laser in situ keratomileusis (LASIK) refractive surgery. The findings in this study can help improve visual quality after refractive surgery. Hyperopia correction in 1-5D was simulated using five types of aspheric transition zones with finite element modeling. The algorithm for the simulations was designed according to the optical path difference. Wavefront aberrations were calculated from the displacements on the anterior and posterior corneal surfaces. The vertex displacements and stress on the corneal surface were also evaluated. The results showed that the aspheric transition zone has an effect on the postoperative visual quality. The main wavefront aberrations on the anterior corneal surface are defocus, y-primary astigmatism, x-coma, and spherical aberrations. The wavefront aberrations on the corneal posterior surface were relatively small and vertex displacements on the posterior corneal surface were not significantly affected by the aspheric transition zone. Stress analysis revealed that the stress on the cutting edge of the anterior corneal surface decreased with the number of aspheric transition zone increased, and profile #1 resulted in the maximum stress. The stress on the posterior surface of the cornea was more concentrated in the central region and was less than that on the anterior corneal surface overall. The results showed that the aspheric transition zone has an effect on postoperative aberrations, but wavefront aberrations cannot be eliminated. In addition, the aspheric transition zone influences the postoperative biomechanical properties of the cornea, which significantly affect the postoperative visual quality.
- Published
- 2021
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