Takushi Kawamorita and Hiroshi Uozato
Purpose: To investigate how activity of natural pupils under binocular and monocular conditions affect wave front aberrations. Materials and Methods: Eighteen eyes from 18 subjects (mean age 22.3 ± 0.8 years) were included in the study. The undilated pupil diameters under photopic conditions were measured using the FP-10000 (TMI, Japan) infrared pupillometer. Aberrometry measurements were performed using the KR-9000PW (Topcon, Japan) Hartmann- Shack wavefront sensor. Zernike coefficients were recalculated for the diameters of each pupil under binocular and monocular conditions using Schwiegerling’s algorithm. Multiple regression analysis was performed to analyze independent predictors of the change of higher-order aberration for 6.0 mm from the binocular to the monocular condition. The independent variables were the change of pupil diameter from binocular to monocular condition; binocular pupil diameter; total higher-order aberration for 6.0 mm, sphere, and cylinder. Results: Pupil diameter, total, total higher-order, coma-like, and spherical-like aberrations under monocular conditions were significantly greater than the binocular condition (all P<0.01). The multiple regression of analysis of variables showed that the change of total higher order aberration from the binocular to the monocular condition was related to the change of pupil diameter, and the amount of higher-order aberrations for 6.0 mm (P<0.05). Conclusion: The outcomes suggest that increased pupil diameter under monocular conditions produces higher wavefront aberrations than under binocular conditions, resulting in a degradation of retinal image quality. This effect is enhanced in eyes with greater higher order aberrations and pupil diameter
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