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Low_resolution_Thesis_CDD_221009_public - Visual Optics and ...

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CHAPTER 7<br />

We found a similar trend in the evolution of the radius of both eyes of each<br />

patient. This parallelism between eyes is also found in control eyes, suggesting<br />

physiological mechanism acting bilaterally in the same way.<br />

7.7. OUTLOOK<br />

This chapter closes the study of refractive surgery in this thesis. We have developed<br />

models for the quantitative evaluation of the anterior <strong>and</strong> also of the posterior corneal<br />

shapes. We have studied the changes in corneal shape induced by corneal refractive<br />

surgery both in-vitro (using platic models) <strong>and</strong> in vivo. We have compared optical<br />

outcomes of st<strong>and</strong>ard <strong>and</strong> optimized laser refractive surgery platforms with new<br />

generation algorithms in vivo, studied the impact of those changes on corneal<br />

spherical aberration <strong>and</strong> proposed methods of optimization of current algorithms<br />

(compesated<br />

The experience gathered studying ablation algorithms <strong>and</strong> their effect on optical<br />

outcomes is of great use in the the study of contact lenses. Contact lenses modify the<br />

refraction of the anterior surface of the eye, as well as the aberration patterns, as an<br />

ablation pattern does (by addition, rather than subtraction of material). Like corneal<br />

ablation, the fitting of contact lenses is a complex process (Sections 1.9 <strong>and</strong> 1.10) with<br />

many open questions (Section 1.10). As performed for corneal ablation, we will<br />

develop an artificial model eye to test contact lenses in vitro (Chapter 8) <strong>and</strong> will<br />

perform measurements on real patients, with rigid (Chapter 9) <strong>and</strong> soft (Chapter 10)<br />

contact lenses. Both studies on LASIK <strong>and</strong> contact lenses (eye models or patients)<br />

share methodology. Furthermore a mutual feedback between both areas is expected,<br />

with important implications on the design of ablation algorithms <strong>and</strong> lenses (i.e.<br />

multifocal lenses <strong>and</strong> presbyopic treatments)<br />

182

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