Spherical aberration is
one of the most important problems that can occur after laser eye surgery,
in particular with high myopic corrections.
For lenses made with
spherical surfaces, rays which are parallel to the optic axis but at
different distances from the optic axis fail to converge to the same
point. The peripheral light rays are bent more than the central ones
as in the following diagram:

A spherical surface has a
"Q value" of 0. A surface which is a parabola has the peripheral
part of the lens relatively flatter than the centre and so bends the
peripheral light rays less, eliminating this spherical aberration. Such a
cornea has a negative Q value and has a prolate shape A parabola
has a Q value of -0.5. The human eye of a young person has a Q
value of -0.5, which is made up of the cornea (Q= -0.25) and the lens of
the eye (Q= -0.25) added up together. The over 40y age group has a
rounding out of the lens, so its Q value becomes near O. Hence older
people have more natural spherical aberration as their Q value is only
that of the cornea i.e. -0.25.
There is a nice
demonstration of spherical aberration at the Olympus
web site. The Hubble Space Telescope suffered from spherical
aberration when first launched. This was solved by using "adaptive
optics", similar to that now being used in excimer lasers. See the Hubble
page on this web site.
After a myopic PRK or
LASIK, the Q value becomes positive with increased spherical aberration.
The cornea then has an oblate shape No normal human cornea is
oblate or has a positive Q value. However, all the modern lasers have
"blend zones" that smooth off the mid-peripheral
"knee" that has a high local Q value and this lessens the
induced spherical aberration. e.g. The Technolas 217 laser has true
optical zones up to 7mm with a blend zone at least 3mm bigger than
this. (the cornea is only about 12.5mm diameter). Similarly the Nidek
EC5000 has optical zone up to 6.5mm and the blend zone is adjustable up to
10mm.
Spherical aberration is
not really a problem with low myopic corrections but can be a problem with
some patients having higher corrections e.g. about about -5 D. The laser
manufacturers are tying to improve the shape of the ablation profile to
lessen this problem. All the "custom ablations" done by various
lasers have totally "aspheric" profiles that have, in theory, no
aberrations. However, they can take off more tissue, which can again be a
problem with higher corrections as there may not be much to spare.
Spherical aberration is not normally a problem in good light but in low
light. See night
vision and lasik
complications