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Multizone model for postsurgical corneas: analysis of standard and custom LASIK outcomes

AuthorsGonzález, Luis M.; Hernández-Matamoros, José Luis; Navarro, Rafael
KeywordsCorneal topography
Multizone model
Ablation profile
Custom LASIK surgery
Corneal aberrations
Physiological optics
Issue Date27-Aug-2008
PublisherThe International Society for Optics and Photonics
CitationJournal of Biomedical Optics 13 (4): 044035-1/12 (2008)
AbstractA multizone model for postsurgical corneal topography is presented and applied to a comparative analysis of the outcome of standard and customized myopic LASIK. The different zones are segmented automatically by a clustering algorithm. The algorithm uses a set of three local descriptors, which correspond to normalized physical magnitudes computed for each point of the corneal topography map: Gauss curvature, root-mean-square RMS fit error to an ellipsoid surface model, and distance to the center of the topographic map. Both presurgical and post-LASIK corneal topographies of 31 eyes were analyzed using monozone and multizone models. The patients were classified into three groups according to the different LASIK treatments applied: Allegretto, Zyoptix, and PlanoScan. For post-LASIK corneas, the multizone model provided a lower fit error, an average of 1.2±0.4 micra versus 2.4±0.7 micra monozone. The comparative analysis of the three different LASIK treatments showed no improvement of custom over standard treatments. The outcomes of Zyoptix and PlanoScan were basically equivalent and consistent with previous findings: The higher-order aberration HOA increased by a factor of two. The increase in HOA was higher, by a factor of three, after the Allegretto treatment. The mutizone model shows a higherfidelity representation and permits a deeper understanding of the postsurgical cornea.
DescriptionContiene fórmulas, 5 tablas y 10 ilustraciones.
Publisher version (URL)http://dx.doi.org/10.1117/1.2960621
Appears in Collections:(ICMA) Artículos
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