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However, no study has analyzed the alteration in photophobia before and after cataract surgery or the association between retinal spatial property and photophobia. Here, we measured the higher-order aberrations (HOAs) of the entire eye and the subjective photophobia score. This study investigated 71 eyes in 71 patients who received conventional cataract surgery. Scaling of photophobia was based on the following grading system: when the patient is outdoor on a sunny day, score of 0 and 10 points were assigned to the absence of photophobia and the presence of severe photophobia prevents eye-opening, respectively. We decomposed wavefront errors using Zernike polynomials for a 3-mm pupil diameter and analyzed the association between photophobia scores and HOAs with Spearman\u2019s rank sum correlation (rs). We classified patients into two groups: photophobia (PP) unconcerned included patients who selected 0 both preoperatively or postoperatively and PP concerned included the remaining patients. After cataract surgery, photophobia scores increased, remained unchanged (stable), and decreased in 3, 41, and 27 cases, respectively. In the stable group, 35 of 41 cases belonged to PP unconcerned. In PP concerned, there were significant correlations between photophobia score and postoperative root-mean-square values of total HOAs (rs = 0.52, p = 0.002), total coma (rs = 0.52, p = 0.002), total trefoil (rs = 0.47, p = 0.006), and third-order group (rs = 0.53, p = 0.002). In contrast, there was no significant correlation between photophobia scores and preoperative HOAs. Our results suggest that the spatial properties of retinal image modified by HOAs may affect the degree of photophobia. Scattering light due to cataracts could contribute to photophobia more than HOAs, which may mask the effect of HOAs for photophobia preoperatively.<\/jats:p>","DOI":"10.1371\/journal.pone.0274705","type":"journal-article","created":{"date-parts":[[2022,9,15]],"date-time":"2022-09-15T17:32:27Z","timestamp":1663263147000},"page":"e0274705","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":5,"title":["Correlation between higher-order aberration and photophobia after cataract surgery"],"prefix":"10.1371","volume":"17","author":[{"given":"Naoko","family":"Ishiguro","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9536-5875","authenticated-orcid":true,"given":"Hiroshi","family":"Horiguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Katagiri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuya","family":"Shiba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadashi","family":"Nakano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2022,9,15]]},"reference":[{"issue":"6","key":"pone.0274705.ref001","doi-asserted-by":"crossref","first-page":"e339","DOI":"10.1016\/S2214-109X(13)70113-X","article-title":"Causes of vision loss worldwide, 1990\u20132010: a systematic analysis","volume":"1","author":"RR Bourne","year":"2013","journal-title":"Lancet Glob Health"},{"issue":"9459","key":"pone.0274705.ref002","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1016\/S0140-6736(05)70803-5","article-title":"Age-related cataract","volume":"365","author":"PA Asbell","year":"2005","journal-title":"Lancet"},{"issue":"8258","key":"pone.0274705.ref003","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.1016\/S0140-6736(81)91490-2","article-title":"Cataract\u2014the ultraviolet risk factor","volume":"2","author":"F Hollows","year":"1981","journal-title":"Lancet"},{"issue":"2","key":"pone.0274705.ref004","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/0039-6257(86)90077-9","article-title":"Corticosteroid-induced cataracts","volume":"31","author":"RC Urban","year":"1986","journal-title":"Surv Ophthalmol"},{"issue":"2","key":"pone.0274705.ref005","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1136\/bjo.86.2.152","article-title":"Relation of ocular trauma to cortical, nuclear, and posterior subcapsular cataracts: the Beaver Dam Eye Study","volume":"86","author":"TY Wong","year":"2002","journal-title":"Br J Ophthalmol"},{"issue":"4","key":"pone.0274705.ref006","first-page":"493","article-title":"Epidemiology of cataract\u2014a major cause of preventable blindness","volume":"59","author":"CR Dawson","year":"1981","journal-title":"Bull World Health Organ"},{"issue":"Suppl 1","key":"pone.0274705.ref007","first-page":"91","article-title":"Clinical importance of the lens opacities classification system III (LOCS III) in phacoemulsification","volume":"29","author":"G Bencic","year":"2005","journal-title":"Coll Antropol"},{"issue":"6","key":"pone.0274705.ref008","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1001\/archopht.1993.01090060119035","article-title":"The Lens Opacities Classification System III. 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