Frentes de ondas (wavefronts) e limites da visão humana Parte 2: aplicações

The mean values for all the Zernike coefficients are approximately zero, while the individual variability is very high, what means that humans as a species in general have a very good optical system, though individually imperfect. Some temporal instability of higher-order aberrations, whose largest...

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Detalhes bibliográficos
Autores: Jankov, Mirko [UNIFESP], Mrochen, Michael, Schor, Paulo [UNIFESP], Chamon, Wallace [UNIFESP], Seiler, Theo
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2002
País:Brasil
Recursos:Universidade Federal de São Paulo (UNIFESP)
Repositório:Repositório Institucional da UNIFESP
Idioma:português
OAI Identifier:oai:repositorio.unifesp.br:11600/1562
Acesso em linha:http://dx.doi.org/10.1590/S0004-27492002000600017
http://repositorio.unifesp.br/handle/11600/1562
Access Level:Acceso aberto
Palavra-chave:Light
Corneal topography
Refractive errors
Visual acuity
Luz
Córnea
Topografia da córnea
Erros de refração
Acuidade visual
Descrição
Resumo:The mean values for all the Zernike coefficients are approximately zero, while the individual variability is very high, what means that humans as a species in general have a very good optical system, though individually imperfect. Some temporal instability of higher-order aberrations, whose largest source is accommodation has been described. There arises a new question: will the correction of all the aberrations for the non-accommodated state of the eye be as beneficial for the near sight also? It is possible to modify and decrease the optical aberrations by a process of photo-ablation carried out by a scanning spot LASER with the wavefront data serving as a basis for the customized ablation profile. Perfect alignment of the LASER beam on the eye by means of high frequency eye trackers is fundamental. The theoretical visual benefit by correcting the higher order aberrations is up to 12 times. The main goal of the wavefront-guided treatments is not to allow the decrease in visual acuity after refractive surgical treatments, as may occur nowadays with the traditional LASER treatments; the next step would be treatments aiming at the improvement of visual acuity, as well as the treatments of highly irregular corneas (primary irregular, small or decentered ablations, central islands or irregularities after corneal transplantation). Understanding the new terminology and the bases of the new technological evolution, together with the continuous and critical follow-up of the new results in the literature, is the key of success of the modern approach to the problems related to refraction and refractive surgery.