Wavefront analysis of an eye with monocular triplopia and nuclear cataract

Takashi Fujikado; Teruhito Kuroda; Naoyuki Maeda; Aya Kim; Yasuo Tano; Tetsuro Oshika; Yoko Hirohara; Toshifumi Mihashi

doi:10.1016/S0002-9394(03)00877-8

Wavefront analysis of an eye with monocular triplopia and nuclear cataract

Takashi Fujikado
, Teruhito Kuroda
, Naoyuki Maeda
, Aya Kim
, Yasuo Tano
, Tetsuro Oshika
, Yoko Hirohara
, Toshifumi Mihashi

The University of Osaka
University of Tsukuba
TOPCON Corporation

Research output: Contribution to journal › Article › peer-review

25 Scopus citations

Abstract

PURPOSE: To determine whether higher-order aberrations explain patient-reported monocular triplopia. DESIGN: Observational case report. METHOD: A patient complaining of monocular triplopia was examined with a Hartmann-Shack aberrometer to determine whether higher-order wavefront aberrations could account for the triplopia. The patient had a mild nuclear cataract; measurements were made before and after lensectomy. The retinal image was simulated using the Zernike polynomials. RESULT: Spherical aberration (-0. 18 μm, 4 mm pupil) and trefoil aberration (-0.16 μm) were increased. The simulated retinal image had a triple configuration similar to the subjective image reported by the patient. After cataract surgery, the subjective triplopia disappeared; spherical, and trefoil aberrations were markedly decreased. CONCLUSION: The monocular triplopia probably stemmed from combined effects of spherical and trefoil aberrations caused by the nuclear cataract.

Original language	English
Pages (from-to)	361-363
Number of pages	3
Journal	American Journal of Ophthalmology
Volume	137
Issue number	2
DOIs	https://doi.org/10.1016/S0002-9394(03)00877-8
State	Published - Feb 2004
Externally published	Yes

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10.1016/S0002-9394(03)00877-8

Cite this

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title = "Wavefront analysis of an eye with monocular triplopia and nuclear cataract",

abstract = "PURPOSE: To determine whether higher-order aberrations explain patient-reported monocular triplopia. DESIGN: Observational case report. METHOD: A patient complaining of monocular triplopia was examined with a Hartmann-Shack aberrometer to determine whether higher-order wavefront aberrations could account for the triplopia. The patient had a mild nuclear cataract; measurements were made before and after lensectomy. The retinal image was simulated using the Zernike polynomials. RESULT: Spherical aberration (-0. 18 μm, 4 mm pupil) and trefoil aberration (-0.16 μm) were increased. The simulated retinal image had a triple configuration similar to the subjective image reported by the patient. After cataract surgery, the subjective triplopia disappeared; spherical, and trefoil aberrations were markedly decreased. CONCLUSION: The monocular triplopia probably stemmed from combined effects of spherical and trefoil aberrations caused by the nuclear cataract.",

author = "Takashi Fujikado and Teruhito Kuroda and Naoyuki Maeda and Aya Kim and Yasuo Tano and Tetsuro Oshika and Yoko Hirohara and Toshifumi Mihashi",

year = "2004",

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doi = "10.1016/S0002-9394(03)00877-8",

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T1 - Wavefront analysis of an eye with monocular triplopia and nuclear cataract

AU - Fujikado, Takashi

AU - Kuroda, Teruhito

AU - Maeda, Naoyuki

AU - Kim, Aya

AU - Tano, Yasuo

AU - Oshika, Tetsuro

AU - Hirohara, Yoko

AU - Mihashi, Toshifumi

PY - 2004/2

Y1 - 2004/2

N2 - PURPOSE: To determine whether higher-order aberrations explain patient-reported monocular triplopia. DESIGN: Observational case report. METHOD: A patient complaining of monocular triplopia was examined with a Hartmann-Shack aberrometer to determine whether higher-order wavefront aberrations could account for the triplopia. The patient had a mild nuclear cataract; measurements were made before and after lensectomy. The retinal image was simulated using the Zernike polynomials. RESULT: Spherical aberration (-0. 18 μm, 4 mm pupil) and trefoil aberration (-0.16 μm) were increased. The simulated retinal image had a triple configuration similar to the subjective image reported by the patient. After cataract surgery, the subjective triplopia disappeared; spherical, and trefoil aberrations were markedly decreased. CONCLUSION: The monocular triplopia probably stemmed from combined effects of spherical and trefoil aberrations caused by the nuclear cataract.

AB - PURPOSE: To determine whether higher-order aberrations explain patient-reported monocular triplopia. DESIGN: Observational case report. METHOD: A patient complaining of monocular triplopia was examined with a Hartmann-Shack aberrometer to determine whether higher-order wavefront aberrations could account for the triplopia. The patient had a mild nuclear cataract; measurements were made before and after lensectomy. The retinal image was simulated using the Zernike polynomials. RESULT: Spherical aberration (-0. 18 μm, 4 mm pupil) and trefoil aberration (-0.16 μm) were increased. The simulated retinal image had a triple configuration similar to the subjective image reported by the patient. After cataract surgery, the subjective triplopia disappeared; spherical, and trefoil aberrations were markedly decreased. CONCLUSION: The monocular triplopia probably stemmed from combined effects of spherical and trefoil aberrations caused by the nuclear cataract.

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U2 - 10.1016/S0002-9394(03)00877-8

DO - 10.1016/S0002-9394(03)00877-8

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SN - 0002-9394

VL - 137

SP - 361

EP - 363

JO - American Journal of Ophthalmology

JF - American Journal of Ophthalmology

IS - 2

ER -

Wavefront analysis of an eye with monocular triplopia and nuclear cataract

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