The Analysis of Corneal Asphericity and its Related Factors in Cataract Patients
Abstract Purpose: To determine the corneal asphericity and its related factors in cataract patients.Methods: This study enrolled 121 eligible eyes of 121 cataract patients. The corneal Q values of anterior and posterior surface were measured in the central 3.0, 4.0, 5.0, and 6.0 mm zone using the Sirius System. Age, gender, and corneal higher-order aberrations (HOAs) were recorded. Comparison of preoperative and postoperative Q value was conducted in 103 eyes of 103 patients three months after surgery.Results: The Q value of the anterior corneal surface at 6.0 mm zone and the posterior surface in 3.0, 4.0, 5.0, and 6.0 mm zone were statistically significant across the different age groups. The Q value of the posterior surfaces in 3.0, 4.0, 5.0, and 6.0 mm zone was statistically significant between the male and the female groups. The Q values of the anterior corneal surface in the 6.0 mm zone were positively correlated with Z40 cornea, Z40 CF, Z33,-3 CF, and total corneal HOAs; While the Q value of the posterior surface in the 6.0 mm zone were negatively correlated with Z31,-1 cornea, Z33,-3 cornea, Z33,-3 CF, Z31,-1CB, Z40 CB, and total corneal HOAs. Besides, no significant change was found in corneal Q value 3 months after surgery.Conclusion: There were great individual differences between the corneal asphericity of the cataract patients. Age, sex, and HOAs seemed to be correlated with the corneal asphericity. The preoperative Q value can be used as one of the parameters for personalized selection of intraocular lens.