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Increased internal higher-order aberrations as a useful parameter for indication of vitrectomy in three asteroid hyalosis cases
  1. Sho Yokoyama1,
  2. Takashi Kojima2,
  3. Tatsushi Kaga1,
  4. Kazuo Ichikawa3
  1. 1Department of Ophthalmology, Japan Community Health Care Organization Chukyo Hospital, Nagoya, Japan
  2. 2Department of Ophthalmology, Japanese Red Cross Gifu Hospital, Gifu, Japan
  3. 3Chukyo Eye Clinic, Nagoya, Japan
  1. Correspondence to Dr Takashi Kojima, kojima{at}


We report three asteroid hyalosis cases in which internal higher-order aberrations (HOAs) were improved concomitant with improved visual symptoms after vitrectomy. Cases 1 and 2 reported severe floaters and glare disability, although their visual acuities were fairly good. Case 3 showed poor visual acuity since this patient also suffered from mild macular degeneration. For these three asteroid hyalosis cases, we were unsure if treatment with vitrectomy could improve visual symptoms. Therefore, we measured internal HOAs with an aberrometer, and found that the internal HOA values in these cases were high. We suspected that internal high HOAs values were associated with visual disturbance, and performed vitrectomy. After the vitrectomy, the internal HOA values in these three asteroid hyalosis cases markedly decreased, and visual symptoms improved. These observations suggested that measurement of internal HOAs may be useful to determine the indication for vitrectomy.

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