Effects of intraocular pressure and aspheric transition zone ablation profile on corneal biomechanics after conventional refractive surgery

Abstract

Our Purpose is to study the effects of intraocular pressure (IOP) and aspheric transition zone (ATZ) on corneal biomechanics after pure hyperopia correction by using the finite element analysis (FEA). The values of IOP were changed, and 1-5# aspheric transition zones were designed in 1-5D hyperopia correction model. Simulate and calculate the wavefront aberration, stress and vertex displacement of cornea. The results show that with the increase of IOP and diopter, defocus increases positively and sphere increases negatively. Diopter and IOP have slight influence on coma. At 22mmHg, the maximum value of defocus was 1.367mm at 5D-1#, and the maximum value of sphere was -0.32mm at 5D-5#. IOP and diopter have great influence on the stress in the marginal region of the anterior corneal surface, and 1D-1 # has the maximum value at 22mmHg. With the increase of IOP and diopter, the vertex displacement of posterior corneal surface increased. The ATZ ablation profile has little effects on the wavefront aberration and displacement. We can draw a conclusion that refractive surgery destroys the physiological structure of cornea and has a great influence on the biomechanical properties of cornea. IOP plays an important role in maintaining the physiological structure of cornea.