Effect of transition zone on wavefront aberration with treatment decentration after conventional refractive surgery

Based on the ablation profile of conventional refractive surgery, the influence of transition zone on induced wavefront aberrations with decentration, as well as laser oblique incidence, was studied. The results indicated that transition zone played a significantly important role in the influence of decentration on the postoperative aberrations. The induced coma increased rapidly with the increase of lateral translation of the centre of ablation. Furthermore, the induced spherical aberration increased theoretically as the translation increase and the sign of spherical aberration was usually positive for myopic correction. And yet it changed from positive to negative for hyperopic correction. In addition, the induced spherical aberration was related with the corrected refraction. As an important goal for refractive surgery, the optimal postoperative visual performance may be smoothly achieved by minimizing treatment decentration and optimizing transition zone in refractive surgery.