COMPARATIVE STUDY
JOURNAL ARTICLE
RESEARCH SUPPORT, NON-U.S. GOV'T
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Performance of a new binocular wavefront aberrometer based on a self-imaging diffractive sensor.

PURPOSE: To compare the performance of the Ophthonix Z-View diffractive aberrometer with two different Hartmann-Shack aberrometers.

METHODS: The Ophthonix Z-View was compared with the Alcon LADARWave and VISX WaveScan using 4 model eyes and 68 human eyes. Comparisons using three fixed, single-surface model eyes each with a different wavefront pattern were used to determine higher order accuracy. Lower order accuracy, linearity, and higher order repeatability were tested with a fourth model eye with a movable retinal surface. Manifest refraction spherical equivalent and the calculated spherical equivalent refraction of the aberrometers were compared in 68 human eyes.

RESULTS: The Z-View was more accurate with lower noise compared to the WaveScan and LADARWave systems for higher order measurements of the fixed model eyes. Total root-mean-square difference from surface topography derived average values for all model eye configurations were 0.48, 0.95, and 0.74 microm for the Z-View, WaveScan, and LADARWave aberrometers, respectively. Average inter-measurement standard deviations for the fixed model eyes were 0.024, 0.025, and 0.034 microm for the Z-View, WaveScan, and LADARWave aberrometers, respectively. Results were similar among the systems for measuring the movable retina surface model eye and comparing manifest refraction spherical equivalent of the patients.

CONCLUSIONS: Data gathered using one variable and several fixed-parameter model eyes showed good correlation to predicted values for all of the aberrrometers with one exception. A significant difference was found in the measurement of one individual fixed model eye with one of the three aberrometers. The wavefront refraction provided by the Z-View correlated well with the results of manifest refraction.

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