TY - JOUR
T1 - Improvement of visual function with glare testing after photorefractive keratectomy and radial keratotomy
AU - Wachler, Brian S.Boxer
AU - Durrie, Daniel S.
AU - Assil, Kerry K.
AU - Krueger, Ronald R.
PY - 1999/11
Y1 - 1999/11
N2 - PURPOSE: To evaluate the effect of a glare source on visual function in patients after photorefractive keratectomy and radial keratotomy. METHODS: Thirteen patients (22 eyes) who underwent photorefractive keratectomy and 20 patients (40 eyes) who underwent radial keratotomy were evaluated in this cross-sectional study. LogMAR visual acuity and contrast sensitivity were measured. Pupils were measured with the Rosenbaum card. A halogen/tungsten glare source approximated the luminance of headlights of an oncoming car at 100 feet. RESULTS: In the photorefractive keratectomy and radial keratotomy groups, pupils were significantly smaller (P < .01) and the pupillary clearance of the ablation zone in photorefractive keratectomy and the clear zone in radial keratotomy were significantly larger under the glare condition (P < .01). In the photorefractive keratectomy group, visual acuity and contrast sensitivity under the glare condition were significantly higher than in the no-glare condition (P = .02). In the radial keratotomy group, contrast sensitivity under the glare condition was significantly higher than under the no-glare condition (P = .001 to .003). CONCLUSIONS: After photorefractive keratectomy or radial keratotomy, the traditional glare source constricted the pupil and partially masked the optical aberrations, which resulted in an improvement in visual function. A 'pupil-sparing' aberration test is needed for evaluation of visual function after refractive surgery.
AB - PURPOSE: To evaluate the effect of a glare source on visual function in patients after photorefractive keratectomy and radial keratotomy. METHODS: Thirteen patients (22 eyes) who underwent photorefractive keratectomy and 20 patients (40 eyes) who underwent radial keratotomy were evaluated in this cross-sectional study. LogMAR visual acuity and contrast sensitivity were measured. Pupils were measured with the Rosenbaum card. A halogen/tungsten glare source approximated the luminance of headlights of an oncoming car at 100 feet. RESULTS: In the photorefractive keratectomy and radial keratotomy groups, pupils were significantly smaller (P < .01) and the pupillary clearance of the ablation zone in photorefractive keratectomy and the clear zone in radial keratotomy were significantly larger under the glare condition (P < .01). In the photorefractive keratectomy group, visual acuity and contrast sensitivity under the glare condition were significantly higher than in the no-glare condition (P = .02). In the radial keratotomy group, contrast sensitivity under the glare condition was significantly higher than under the no-glare condition (P = .001 to .003). CONCLUSIONS: After photorefractive keratectomy or radial keratotomy, the traditional glare source constricted the pupil and partially masked the optical aberrations, which resulted in an improvement in visual function. A 'pupil-sparing' aberration test is needed for evaluation of visual function after refractive surgery.
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U2 - 10.1016/S0002-9394(99)00219-6
DO - 10.1016/S0002-9394(99)00219-6
M3 - Article
C2 - 10577525
AN - SCOPUS:0032748312
SN - 0002-9394
VL - 128
SP - 582
EP - 587
JO - American journal of ophthalmology
JF - American journal of ophthalmology
IS - 5
ER -