Effect of accommodation on coma at central and peripheral retina

Coma is one of the most common ocular higher order aberrations and highly affects the quality of image. It is assumed that corneal aberrations are balanced by internal (lenticular) aberrations so that retinal image quality may not have great impact. However, during accommodation, the shape, position, and curvature of the crystalline lens changes which might disrupt this balance between internal and corneal aberration. This study aimed to investigate the effect of accommodation on primary coma (${C}_{3}^{-1}$ and ${C}_{3}^{1}$) and secondary coma (${C}_{5}^{-1}$ and ${C}_{5}^{1}$) in relaxed and accommodated eyes. Zernike coefficients were measured in 53 subjects with Hartmann-Shack aberrometer both at the central and peripheral retina up to 30° off-axis in horizontal and vertical meridians. The process was repeated with 2.50 D accommodation stimulus and comas were compared with and without accommodation. Root-mean-square of total coma was also assessed. With accommodation, vertical comas changed to more negative value and horizontal comas changed to more positive values in most of the off-axis positions. In contrast, the secondary vertical comas became less negative and secondary horizontal comas became more negative with accommodation in most of the off-axis fixations. Thus, the results showed that accommodation affects coma which depends up on position of the fixation.