Characterizing corneal shape after LASIK using a reference system intrinsic to the cornea

The reliability of using a reference system intrinsic to the cornea has been evaluated in order to characterize corneas of subjects after refractive surgery. Data on 90 eyes operated on by LASIK to correct myopia and astigmatism were considered. The corneal parameters (curvature radii and corneal asphericity) found with respect to this reference system are compared with the parameters provided directly by the corneal topographer. The corneal parameters referenced to the intrinsic main axes of the cornea allow a better characterization of the corneal geometry, showing lower variability and diminishing the dissimilarities between the different eyes. The use of these parameters reduces the discrepancies between the real experimental and the theoretically predicted values (21% mean relative error using intrinsic data versus 81% using the topographer data). To understand and reduce these differences is essential in refractive surgery.