Investigating sources of variability of monochromatic and transverse chromatic aberrations across eyes

The visual benefits of correcting longitudinal and transverse chromatic aberration

We describe a system-the Binocular Varichrome and Accommodation Measurement System-that can be used to measure and correct the eye's longitudinal and transverse chromatic aberration (LCA and TCA) and to perform vision tests with custom corrections. We used the system to investigate how LCA and TCA affect visual performance. Specifically, we studied the effects of LCA and TCA on visual acuity, contrast sensitivity, and chromostereopsis. LCA exhibited inter subject variability but followed expected trends compared with previous reports. TCA at the fovea was variable between individuals but with a tendency for the shift at shorter wavelengths to be more temporalward in the visual field in each eye. We found that TCA was generally greater when LCA was corrected. For visual acuity, we found that a measurable benefit was realized only with both LCA and TCA correction unless the TCA was low. For contrast sensitivity, we found that the best sensitivity to a 10-cycle/degree polychromatic grating was attained when LCA and TCA were corrected. Finally, we found that the primary cause of chromostereopsis is the TCA of the eyes.

Measurement of Longitudinal Chromatic Aberration in the Last Crystalline Lens Surface Using Hartmann Test and Purkinje Images

Research has shown that longitudinal chromatic aberration (LCA) of the human eye is generated across all of the eye's optical surfaces. However, it may not be necessary to measure the LCA from the first surface of the cornea to the retina, as it is known that most of the changes that can modify the path of light occur from the first surface of the cornea to the last surface of the crystalline lens. This investigation presents the study of an objective technique that allows the measurement of longitudinal chromatic aberration (LCA) on the last crystalline lens surface by developing a pulse width wavefront system using a Hartmann test, Purkinje image, and Zernike polynomial. A blue pulse (440-480 nm) and a red pulse (580-640 nm) were used to generate a pattern of spots in the human eye. This pattern generated on the posterior surface of the crystalline lens of the human eye allows the reconstruction of the wavefront via a modal method with Zernike polynomials. Once the wavefront is reconstructed, Zernike coefficients can be used to quantify the LCA. The methodology and objective measurements of the magnitude of the longitudinal chromatic aberration of five test subjects are explained in this article.

Understanding In Vivo Chromatic Aberrations in Pseudophakic Eyes Using on Bench and Computational Approaches

Diffractive multifocal intraocular lenses (IOLs) modulate chromatic aberration and reduce it at certain distances due to interactions between the refractive and diffractive chromatic components. However, the extent to which computer modeling and on bench measurements of IOL chromatic aberration translate to chromatic aberration in patients implanted with these multifocal IOLs (MIOLs) is not yet fully understood. In this study, we compare the chromatic difference of focus and longitudinal chromatic aberrations in pseudophakic patients implanted with different IOL designs (monofocal and trifocal IOLs) and materials (hydrophobic and hydrophilic), and compared them with predictions from computer eye models and on bench measurements with the same IOLs. Patient data consisted of results from 63 pseudophakic eyes reported in four different studies and obtained psychophysically in the visual testing channel of a custom-developed polychromatic adaptive optics system. Computational predictions were obtained using ray tracing on computer eye models, and modulation transfer function (MTF) on bench measurements on physical eye models. We found that LCA (in vivo/simulated) for far vision was 1.37 ± 0.08 D/1.19 D for monofocal hydrophobic, 1.21 ± 0.08 D/0.88 D for monofocal hydrophilic, 0.99 ± 0.06 D/1.19 D for MIOL hydrophobic, and 0.82 ± 0.05 D/0.88 D for MIOL hydrophilic. For intermediate and near vision, LCA (in vivo/simulated) was 0.67 ± 0.10 D/0.75 D and 0.23 ± 0.08 D/0.19 D for MIOL hydrophobic and 0.27 ± 0.15 D/0.38 D and 0.15 ± 0.15 D/−0.13 D for MIOL hydrophilic, respectively. In conclusion, computational ray tracing and on bench measurements allowed for evaluating in vivo chromatic aberration with different materials and designs for multifocal diffractive intraocular lenses.

Testing the effect of ocular aberrations in the perceived transverse chromatic aberration

We have measured the ocular transverse chromatic aberration (TCA) in 11 subjects using 2D-two-color Vernier alignment, for two pupil diameters, in a polychromatic adaptive optics (AO) system. TCA measurements were performed for two pupil diameters: for a small pupil (2-mm), referred to as 'optical TCA' (oTCA), and for a large pupil (6-mm), referred to 'perceived TCA' (pTCA). Also, the TCA was measured through both natural aberrations (HOAs) and AO-corrected aberrations. Computer simulations of pTCA incorporated longitudinal chromatic aberration (LCA), the patient's HOAs measured with Hartmann-Shack, and the Stiles-Crawford effect (SCE), measured objectively by laser ray tracing. The oTCA and the simulated pTCA (no aberrations) were shifted nasally 1.20 arcmin and 1.40 arcmin respectively. The experimental pTCA (-0.27 arcmin horizontally and -0.62 vertically) was well predicted (81%) by simulations when both the individual HOAs and SCE were considered. Both HOAs and SCE interact with oTCA, reducing it in magnitude and changing its orientation. The results indicate that estimations of polychromatic image quality should incorporate patient's specific data of HOAs, LCA, TCA & SCE.

Eye tracking-based estimation and compensation of chromatic offsets for multi-wavelength retinal microstimulation with foveal cone precision

Multi-wavelength ophthalmic imaging and stimulation of photoreceptor cells require consideration of chromatic dispersion of the eye, manifesting in longitudinal and transverse chromatic aberrations. Contemporary image-based techniques to measure and correct transverse chromatic aberration (TCA) and the resulting transverse chromatic offset (TCO) in an adaptive optics retinal imaging system are precise but lack compensation of small but significant shifts in eye position occurring during in vivo testing. Here, we present a method that requires only a single measurement of TCO during controlled movements of the eye to map retinal chromatic image shifts to the image space of a pupil camera. After such calibration, TCO can be compensated by continuously monitoring eye position during experimentation and by interpolating correction vectors from a linear fit to the calibration data. The average change rate of TCO per head shift and the correlation between Kappa and the individual foveal TCA are close to the expectations based on a chromatic eye model. Our solution enables continuous compensation of TCO with high spatial precision and avoids high light intensities required for re-measuring TCO after eye position changes, which is necessary for foveal cone-targeted psychophysical experimentation.

Clinical assessment of chromatic aberration in phakic and pseudophakic eyes using a simple autorefractor

We describe a psychophysical method and a simple setup - an autorefractor with a Scheiner disc, sequentially illuminated with red and blue lights - for the clinical assessment of the longitudinal chromatic aberration (LCA) in phakic and pseudophakic patients. This method applies to the unaccommodated eye, even in the presence of positive or negative refractive errors and astigmatism. It measures the chromatic difference of refraction as an estimate of LCA. We built a proof of concept from inexpensive and off-the-shelf optomechanical components with which we obtained the preliminary clinical results presented in the paper. We considered one control group of phakic patients and three groups of pseudophakic patients with monofocal implants of different designs and materials. The results, satisfactory and consistent with those reported by other researchers in related works, demonstrate the method and system feasibility.

Transverse chromatic offsets with pupil displacements in the human eye: sources of variability and methods for real-time correction

Tracking SLO systems equipped to perform retinally targeted stimulus delivery typically use near-IR wavelengths for retinal imaging and eye tracking and visible wavelengths for stimulation. The lateral offsets between wavelengths caused by transverse chromatic aberration (TCA) must be carefully corrected in order to deliver targeted stimuli to the correct location on the retina. However, both the magnitude and direction of the TCA offset is dependent on the position of the eye's pupil relative to the incoming beam, and thus can change dynamically within an experimental session without proper control of the pupil position. The goals of this study were twofold: 1) To assess sources of variability in TCA alignments as a function of pupil displacements in an SLO and 2) To demonstrate a novel method for real-time correction of chromatic offsets. To summarize, we found substantial between- and within-subject variability in TCA in the presence of monochromatic aberrations. When adaptive optics was used to fully correct for monochromatic aberrations, variability both within and between observers was minimized. In a second experiment, we demonstrate that pupil tracking can be used to update stimulus delivery in the SLO in real time to correct for variability in chromatic offsets with pupil displacements.

Adaptive optics imaging of the human retina

Adaptive Optics (AO) retinal imaging has provided revolutionary tools to scientists and clinicians for studying retinal structure and function in the living eye. From animal models to clinical patients, AO imaging is changing the way scientists are approaching the study of the retina. By providing cellular and subcellular details without the need for histology, it is now possible to perform large scale studies as well as to understand how an individual retina changes over time. Because AO retinal imaging is non-invasive and when performed with near-IR wavelengths both safe and easily tolerated by patients, it holds promise for being incorporated into clinical trials providing cell specific approaches to monitoring diseases and therapeutic interventions. AO is being used to enhance the ability of OCT, fluorescence imaging, and reflectance imaging. By incorporating imaging that is sensitive to differences in the scattering properties of retinal tissue, it is especially sensitive to disease, which can drastically impact retinal tissue properties. This review examines human AO retinal imaging with a concentration on the use of the Adaptive Optics Scanning Laser Ophthalmoscope (AOSLO). It first covers the background and the overall approaches to human AO retinal imaging, and the technology involved, and then concentrates on using AO retinal imaging to study the structure and function of the retina.

Glaucoma: the retina and beyond

Over 60 million people worldwide are diagnosed with glaucomatous optic neuropathy, which is estimated to be responsible for 8.4 million cases of irreversible blindness globally. Glaucoma is associated with characteristic damage to the optic nerve and patterns of visual field loss which principally involves the loss of retinal ganglion cells (RGCs). At present, intraocular pressure (IOP) presents the only modifiable risk factor for glaucoma, although RGC and vision loss can continue in patients despite well-controlled IOP. This, coupled with the present inability to diagnose glaucoma until relatively late in the disease process, has led to intense investigations towards the development of novel techniques for the early diagnosis of disease. This review outlines our current understanding of the potential mechanisms underlying RGC and axonal loss in glaucoma. Similarities between glaucoma and other neurodegenerative diseases of the central nervous system are drawn before an overview of recent developments in techniques for monitoring RGC health is provided, including recent progress towards the development of RGC specific contrast agents. The review concludes by discussing techniques to assess glaucomatous changes in the brain using MRI and the clinical relevance of glaucomatous-associated changes in the visual centres of the brain.

Higher order aberrations of the eye: Part one

This article is the first in a series of two articles that provide a comprehensive literature review of higher order aberrations (HOAs) of the eye. The present article mainly explains the general principles of such HOAs as well as HOAs of importance, and the measuring apparatus used to measure HOAs of the eye. The second article in the series discusses factors contributing to variable results in measurements of HOAs of the eye.Keywords: Higher order aberrations; wavefront aberrations; aberrometer

Verification of the lack of correlation between age and longitudinal chromatic aberrations of the human eye from the visible to the infrared

Several researchers studied the longitudinal chromatic aberration (LCA) of the human eye and observed that it does not change due to age. We measured the LCA of 45 subjects' normal right eyes at three distinct wavelengths (561, 690, and 840 nm) using a Hartmann-Shack wavefront aberrometer (HSWA) while consecutively switching between three light sources for wavefront sensing. We confirmed that the LCA of the human eye does not change due to age between 22 and 57 years.

Longitudinal chromatic aberration of the human eye in the visible and near infrared from wavefront sensing, double-pass and psychophysics

Longitudinal Chromatic Aberration (LCA) influences the optical quality of the eye. However, the reported LCA varies across studies, likely associated to differences in the measurement techniques. We present LCA measured in subjects using wavefront sensing, double-pass retinal images, and psychophysical methods with a custom-developed polychromatic Adaptive Optics system in a wide spectral range (450-950 nm), with control of subjects' natural aberrations. LCA measured psychophysically was significantly higher than that from reflectometric techniques (1.51 D vs 1.00 D in the 488-700 nm range). Ours results indicate that the presence of natural aberrations is not the cause for the discrepancies across techniques.

Crystalline lens thickness determines the perceived chromatic difference in magnification

Since the origin of the high interindividual variability of the chromatic difference in retinal image magnification (CDM) in the human eye is not well understood, optical parameters that might determine its magnitude were studied in 21 healthy subjects with ages ranging from 21 to 58 years. Two psychophysical procedures were used to quantify CDM. They produced highly correlated results. First, a red and a blue square, presented on a black screen, had to be matched in size by the subjects with their right eyes. Second, a filled red and blue square, flickering on top of each other at 2 Hz, had to be adjusted in perceived brightness and then in size to minimize the impression of flicker. CDM varied widely among subjects from 0.0% to 3.6%. Biometric ocular parameters were measured with low coherence interferometry and crystalline lens tilt and decentration with a custom-built Purkinjemeter. Correlations were studied between CDM and corneal power, anterior chamber depth, lens thickness, lens tilt and lens decentration, and vitreous chamber depths. Lens thickness was found significantly correlated with CDM and accounted for 64% of its variance. Vertical lens tilt and decentration were also significantly correlated. It was also found that CDM increased by 3.5% per year, and part of this change can be attributed to the age-related increase in lens thickness.

Measurement and correction of transverse chromatic offsets for multi-wavelength retinal microscopy in the living eye

A special challenge arises when pursuing multi-wavelength imaging of retinal tissue in vivo, because the eye's optics must be used as the main focusing elements, and they introduce significant chromatic dispersion. Here we present an image-based method to measure and correct for the eye's transverse chromatic aberrations rapidly, non-invasively, and with high precision. We validate the technique against hyperacute psychophysical performance and the standard chromatic human eye model. In vivo correction of chromatic dispersion will enable confocal multi-wavelength images of the living retina to be aligned, and allow targeted chromatic stimulation of the photoreceptor mosaic to be performed accurately with sub-cellular resolution.

Investigation of the isoplanatic patch and wavefront aberration along the pupillary axis compared to the line of sight in the eye

Conventional optical systems usually provide best image quality on axis, while showing unavoidable gradual decrease in image quality towards the periphery of the field. The optical system of the human eye is not an exception. Within a limiting boundary the image quality can be considered invariant with field angle, and this region is known as the isoplanatic patch. We investigate the isoplanatic patch of eight healthy eyes and measure the wavefront aberration along the pupillary axis compared to the line of sight. The results are used to discuss methods of ocular aberration correction in wide-field retinal imaging with particular application to multi-conjugate adaptive optics systems.

Design of isoplanatic aspheric monofocal intraocular lenses

A new and complete methodology of monofocal intraocular lens (IOL) design is presented aiming at isoplanatism, i.e. IOLs that provide the eye with optimized optical quality over a wide field of view (typically in a range of ten degrees). The methodology uses a merit function considering dimensional and biomechanical constraints, and a geometrical optical quality metric that is evaluated simultaneously at different field angles. As an example, we present new isoplanatic designs based on different commercial IOL platforms. Aspheric isoplanatic designs improve peripheral quality over current aspheric IOLs. Also, isoplanatic designs provide more stable optical quality across the field and across pupil diameter.

Visual effect of the combined correction of spherical and longitudinal chromatic aberrations

An instrument permitting visual testing in white light following the correction of spherical aberration (SA) and longitudinal chromatic aberration (LCA) was used to explore the visual effect of the combined correction of SA and LCA in future new intraocular lenses (IOLs). The LCA of the eye was corrected using a diffractive element and SA was controlled by an adaptive optics instrument. A visual channel in the system allows for the measurement of visual acuity (VA) and contrast sensitivity (CS) at 6 c/deg in three subjects, for the four different conditions resulting from the combination of the presence or absence of LCA and SA. In the cases where SA is present, the average SA value found in pseudophakic patients is induced. Improvements in VA were found when SA alone or combined with LCA were corrected. For CS, only the combined correction of SA and LCA provided a significant improvement over the uncorrected case. The visual improvement provided by the correction of SA was higher than that from correcting LCA, while the combined correction of LCA and SA provided the best visual performance. This suggests that an aspheric achromatic IOL may provide some visual benefit when compared to standard IOLs.

Effects of ocular transverse chromatic aberration on near foveal letter recognition

Transverse chromatic aberration (TCA) smears retinal images of peripheral stimuli. In reading, text information is extracted from both foveal and near fovea, where TCA magnitude is relatively small and variable. The present study investigated whether TCA significantly affects near foveal letter identification. Subjects were briefly presented a string of five letters centered one degree of visual angle to the left or right of fixation. They indicated whether the middle letter was the same as a comparison letter subsequently presented. Letter strings were rendered with a reddish fringe on the left edge of each letter and a bluish fringe on the right edge, consistent with expected left periphery TCA, or with the opposite fringe consistent with expected right periphery TCA. Effect of the color fringing on letter recognition was measured by comparing the response accuracy for fringed and non-fringed stimuli. Effects of lateral interference were examined by manipulating inter-letter spacing and similarity of neighboring letters. Results demonstrated significantly improved response accuracy with the color fringe opposite to the expected TCA, but decreased accuracy when consistent with it. Narrower letter spacing exacerbated the effect of the color fringe, whereas letter similarity did not. Our results suggest that TCA significantly reduces the ability to recognize letters in the near fovea by impeding recognition of individual letters and by enhancing lateral interference between letters.

A wavelength tunable wavefront sensor for the human eye

We have designed and assembled an instrument for objective measurement of the eye's wave aberrations for different wavelengths with no modifications in the measurement path. The system consists of a Hartmann-Shack wave-front sensor and a Xe-white-light lamp in combination with a set of interference filters used to sequentially select the measurement wavelength. To show the capabilities of the system and its reliability for measuring at different wavelengths, the ocular aberrations were measured in three subjects at 440, 488, 532, 633 and 694 nm, basically covering the whole visible spectrum. Even for the shortest wavelengths, the illumination level was always several orders of magnitude below the safety limits. The longitudinal chromatic aberration estimates and the wavelength dependence of coma and spherical aberration, as examples of higher-order aberration terms, were compared to the predictions of a chromatic eye model, with good agreement. To our knowledge, this is the first report of a device to objectively determine the spectral fluctuations in the ocular wavefront.

Wide-angle chromatic aberration corrector for the human eye

The human eye is affected by large chromatic aberration. This may limit vision and makes it difficult to see fine retinal details in ophthalmoscopy. We designed and built a two-triplet system for correcting the average longitudinal chromatic aberration of the eye while keeping a reasonably wide field of view. Measurements in real eyes were conducted to examine the level and optical quality of the correction. We also performed some tests to evaluate the effect of the corrector on visual performance.

Clinical Ocular Wavefront Analyzers

PURPOSE

To provide a summary of the methods used by clinical wavefront analyzers and their historical, current, and future applications.

METHODS

Review of the literature and authors' experience with the various devices.

RESULTS

A wide range of clinical wavefront aberrometers, which use different principles, are available to clinicians and researchers.

CONCLUSIONS

Applications of wavefront analyzers in vision sciences range from assessment of refractive error, refractive surgery planning, evaluation of outcomes, optimization of contact lenses and IOL designs, evaluation of pathology relating to optical performance of the eye, and evaluation of accommodation alterations.

Change in corneal aberrations after cataract surgery with 2 types of aspherical intraocular lenses

PURPOSE

To study the effect of cataract surgery through 3.2 mm superior incisions on corneal aberrations with 2 types of monofocal intraocular lenses (IOLs) with an aspherical design.

SETTING

Instituto de Optica, Consejo Superior de Investigaciones Científicas, and Fundación Jiménez Díaz, Madrid, Spain.

METHODS

Corneal topography of 43 eyes was obtained before and after small corneal incision cataract surgery. Twenty-two eyes had implantation of a Tecnis Z9000 silicone IOL (Advanced Medical Optics) and 21 had implantation of an AcrySof IQ SN60WF acrylic IOL (Alcon Research Labs) using the recommended injector for each IOL type. The intended incision size (3.2 mm) was similar in the 2 groups. Corneal aberrations were estimated using custom-developed algorithms (based on ray tracing) for 10.0 mm and 5.0 mm pupils. Comparisons between preoperative and postoperative measurements and across the groups were made for individual Zernike terms and root-mean-square (RMS) wavefront error.

RESULTS

The RMS (excluding tilt and defocus) did not change in the AcrySof IQ group and increased significantly in the Tecnis group with the 10.0 mm and 5.0 mm pupil diameters. Spherical aberration and coma-like terms did not change significantly; however, vertical astigmatism, vertical trefoil, and vertical tetrafoil changed significantly with surgery with the 10.0 mm and 5.0 mm pupil diameters (P<.0005). The induced wave aberration pattern for 3rd- and higher-order aberrations consistently showed a superior lobe, resulting from a combination of positive vertical trefoil (Z(3)(-3)) and negative tetrafoil (Z(4)(4)). The mean vertical astigmatism increased by 2.47 microm +/- 1.49 (SD) and 1.74 +/- 1.44 microm, vertical trefoil increased by 1.81 +/- 1.19 microm and 1.20 +/- 1.34 microm, and tetrafoil increased by -1.10 +/- 0.78 microm and -0.89 +/- 0.68 microm in the Tecnis group and AcrySof IQ group, respectively. There were no significant differences between the corneal aberrations in the 2 postoperative groups, although there was a tendency toward more terms or orders changing statistically significantly in the Tecnis group, which had slightly higher amounts of induced aberrations.

CONCLUSIONS

Cataract surgery with a small superior incision induced consistent and significant changes in several corneal Zernike terms (vertical astigmatism, trefoil, and tetrafoil), resulting in a significantly increased overall corneal RMS wavefront error. These results can be used to improve predictions of optical performance with new IOL designs using computer eye models and identify the potentially different impact of incision strategies on cataract surgery.

The relationship between anterior corneal aberrations and contrast sensitivity in conventional LASIK

PURPOSE

To evaluate the changes of anterior corneal aberrations before and after laser in situ keratomileusis (LASIK) and to assess the correlation between contrast sensitivity and anterior corneal aberrations.

METHODS

Right eyes of 51 patients including 6 males and 45 females undergoing conventional LASIK from September 2000 to July 2003 were enrolled. The calculation of anterior corneal aberrations before and after LASIK was obtained by analyzing the corneal topography from TMS-1 by using VOL-CT Version 6.23 software. Contrast sensitivity was measured after LASIK with an MCT 8000 under daytime and nighttime settings and with glare conditions. The differences of the Zernike coefficients and root mean square (RMS) of anterior corneal aberrations before and after LASIK were analyzed. The changes of contrast sensitivity at 1.5, 3, 6, 12, and 18 cpd were added separately for daytime and nighttime contrast sensitivity with and without glare after LASIK and were correlated with the changes of anterior corneal aberrations.

RESULTS

Vertical coma, RMS of coma-like RMS of spherical-like, RMS of trefoil-like and RMS of higher-order anterior corneal aberrations increased significantly after LASIK surgery. There were no significant correlations between the changes of anterior corneal aberrations and the changes of contrast sensitivity at daytime and nighttime, with and without glare. Contrast sensitivity at daytime and nighttime decreased at each spatial frequency after LASIK.

CONCLUSIONS

LASIK surgery induces changes of the anterior corneal aberrations. However, changes in anterior corneal aberrations did not correlate with the changes of contrast sensitivity at daytime and nighttime, with and without glare.

Ocular aberrations after cataract surgery with hydrophobic and hydrophilic acrylic intraocular lenses

PURPOSE

To compare tilt and some higher-order aberrations (HOAs) in patients who had cataract surgery and implantation of 2 types of acrylic intraocular lens (IOL), the hydrophobic MA60AC (Alcon) or the hydrophilic XLSTABI (Ioltech).

SETTING

Fondation Ophtalmologique Adolphe de Rothschild, Department of Pr Hoang-Xuan, Paris, France.

METHODS

Sixty eyes were included in this study. Eyes in group 1 (n = 30) received the acrylic hydrophobic MA60AC IOL, and eyes in group 2 (n = 30) received the acrylic hydrophilic XLSTABI IOL. Optical aberrations were measured with Nidek OPD-Scan at least 1 month after cataract surgery for a 6.0 mm pupil diameter using a 6th-order Zernike polynomials decomposition.

RESULTS

In group 1, the mean root-mean-square (RMS) coefficient for the total higher aberration was 0.86 microm +/- 0.38 (SD). The mean RMS of the tilt, coma, trefoil, tetrafoil, spherical aberration, and secondary astigmatism was 0.81 +/- 0.45 microm, 0.38 +/- 0.30 microm, 0.55 +/- 0.18 microm, 0.13 +/- 0.23 microm, 0.30 +/- 0.13 microm, and 0.17 +/- 0.21 microm, respectively. In group 2, the mean RMS coefficient for the total higher aberration was 0.72 +/- 0.31 microm. The mean RMS of the tilt, coma, trefoil, tetrafoil, spherical aberration, and secondary astigmatism was 0.55 +/- 0.30 microm, 0.24 +/- 0.19 microm, 0.50 +/- 0.23 microm, 0.07 +/- 0.22 microm, 0.32 +/- 0.13 microm, and 0.14 +/- 0.14 microm, respectively. There was a statistical difference in aberrations between the 2 groups for the tilt and the coma aberrations (P<.05). There were more aberrations in the MA60AC IOL group.

CONCLUSIONS

The design of the IOL influenced ocular aberrations after cataract surgery. There were more tilt and coma aberrations in the MA60AC IOL group.

Analysis of crystalline lens position

PURPOSE

To study normal crystalline lens position to provide a comparative baseline for future studies of crystalline lens or intraocular lens shift.

SETTING

Taipei Municipal Yang-Ming Hospital, Taipei, Taiwan.

METHODS

A Scheimpflug anterior segment analyzer (EAS-1000, Nidek) was prospectively applied to measure the cycloplegic crystalline lens position in subjects who had not had previous ocular surgeries or who had been diagnosed previously with major ocular diseases such as glaucoma, retinal detachment, or cataract. Measurements included anterior chamber depth (ACD), magnitudes, direction of lens decentration, and lens tilt. Refractive error was measured with an autorefractometer, and multiple linear regression was used to verify revealed relationships. The aging effect was determined with the Pearson correlation test.

RESULTS

Thirty-nine eyes of 30 subjects (15 men, median age 13 years, range 4 to 53 years) were included. The center of the anterior lens surface was decentered 0.25 mm superotemporally. The lens tilted 2.85 degrees with the anterior lens surface facing the inferotemporal quadrant. The mean ACD was 3.26 mm; it tended to increase before subjects reached 20 years of age and to decrease thereafter. With age, the lens tended to exhibit less tilt. Lens position did not affect the spherical equivalent or the magnitude of astigmatism.

CONCLUSION

The crystalline lens was not aligned perfectly along the visual axis, but its effect on refraction was limited.

Phakometry and lens tilt and decentration using a custom-developed Purkinje imaging apparatus: validation and measurements

We present a Purkinje imaging system for phakometry and measurement of tilt and decentration of crystalline and intraocular lenses (IOLs). Crystalline lens radii of curvature were estimated by using both a merit function and the equivalent mirror approaches. Tilts and decentrations were estimated by using Phillips's linear analysis. We present a complete validation of the technique through exhaustive computer simulations and control experiments, and measurements in 17 normal eyes (mean age 26.67 +/- 2.31) and nine postcataract surgery eyes (mean age 74 +/- 2.3). Crystalline lens radii ranged from 12.7 to 8.81 mm and from -5.64 to -7.09 mm for anterior and posterior surfaces, respectively. Crystalline lens tilt ranged from 2.8 to -2.87 deg horizontally and from 2.58 to -1 deg vertically. Crystalline lens decentration ranged from 0.09 to 0.45 mm horizontally and from 0.09 to -0.22 mm vertically. IOL tilt ranged from 3.6 to -1.51 deg horizontally and from 5.97 to -1.85 deg vertically. IOL decentration ranged from 0.53 to -0.31 mm horizontally and from 0.13 to -0.96 mm vertically.

Optical Quality and Depth-of-field of Eyes Implanted With Spherical and Aspheric Intraocular Lenses

PURPOSE

To compare experimental optical performance in eyes implanted with spherical and aspheric intraocular lenses (IOLs).

METHODS

Corneal, total, and internal aberrations were measured in 19 eyes implanted with spherical (n=9) and aspheric (n=10) IOLs. Corneal aberrations were estimated by virtual ray tracing on corneal elevation maps, and total aberrations were measured using a second-generation laser ray tracing system. Corneal and total wave aberrations were fit to a Zernike polynomial expansion. Internal aberrations were measured by subtracting corneal from total wave aberrations. Optical performance was evaluated in terms of root-mean-square (RMS) wavefront error and Strehl ratio (estimated from the modulation transfer function). Depth-of-field was obtained from through-focus Strehl estimates from each individual eye.

RESULTS

Corneal aberrations increased after IOL implantation, particularly astigmatism and trefoil terms. Third and higher order RMS (and the corresponding Strehl ratio) were significantly better in eyes with aspheric IOLs than with spherical IOLs; however, this tendency was reversed when astigmatism was included. Spherical aberration was not significantly different in eyes with aspheric IOLs, whereas it was significantly positive in eyes with spherical IOLs. Third order aberrations were not significantly different across groups. Depth-of-field was significantly larger in eyes with spherical IOLs. Spherical IOLs showed better absolute optical quality in the presence of negative defocus >1.00 D.

CONCLUSIONS

Our study shows a good degree of compensation of the corneal spherical aberration in eyes implanted with aspheric IOLs, as opposed to eyes implanted with spherical IOLs. Other sources of optical degradation, both with aspheric and spherical IOLs, are non-symmetric preoperative corneal aberrations, incision-induced aberrations, and third order internal aberrations. Although best corrected optical quality is significantly better with aspheric IOLs, tolerance to defocus tended to be lower.

Corneal and total optical aberrations in a unilateral aphakic patient

PURPOSE

To measure corneal and total optical aberrations in the normal and treated eye of a unilateral aphakic patient to (1) cross-validate techniques in an eye in which corneal and total aberrations should be almost identical (aphakic eye) and (2) compare the interactions of corneal and internal aberrations in the normal eye with those in the aphakic eye.

SETTING

Instituto de Optica, Consejo Superior de Investigaciones Científicas, Madrid, Spain.

METHODS

Aberrations in both eyes of a unilateral aphakic patient were measured using laser ray tracing. Corneal aberrations were obtained from corneal elevation data measured with a corneal videokeratoscope (Humphrey Instruments) using custom software that performs virtual ray tracing on the measured front corneal surface.

RESULTS

There was a 98.4% correspondence between the total and corneal aberration pattern in the aphakic eye (6.5 mm pupil). In the normal eye, the total spherical aberration was much lower than the corneal spherical aberration; this did not occur in the aphakic eye.

CONCLUSIONS

The posterior corneal surface contributed slightly to the aberrations in the normal cornea (2% at most). The crystalline lens appears to play a compensatory role in the total spherical aberration in normal eyes.

Imperfect optics may be the eye's defence against chromatic blur

The optics of the eye cause different wavelengths of light to be differentially focused at the retina. This phenomenon is due to longitudinal chromatic aberration, a wavelength-dependent change in refractive power. Retinal image quality may consequently vary for the different classes of cone photoreceptors, cells tuned to absorb bands of different wavelengths. For instance, it has been assumed that when the eye is focused for mid-spectral wavelengths near the peak sensitivities of long- (L) and middle- (M) wavelength-sensitive cones, short-wavelength (bluish) light is so blurred that it cannot contribute to and may even impair spatial vision. These optical effects have been proposed to explain the function of the macular pigment, which selectively absorbs short-wavelength light, and the sparsity of short-wavelength-sensitive (S) cones. However, such explanations have ignored the effect of monochromatic wave aberrations present in real eyes. Here we show that, when these effects are taken into account, short wavelengths are not as blurred as previously thought, that the potential image quality for S cones is comparable to that for L and M cones, and that macular pigment has no significant function in improving the retinal image.

Objective measurement of optical aberrations in myopic eyes

PURPOSE

To determine whether the degree of myopia affects the optical quality of the retinal image after appropriate correction, monochromatic aberrations of the human eye were measured as a function of the degree of myopia.

METHODS

Using a modified Hartmann-Shack method, a population of 27 myopic (up to -9.25 D) and 7 emmetropic optometry students (18-32 years) were objectively evaluated before and after pupil dilation. We then identified for each subject the most influential aberration types, and we calculated the profile of wavefront aberration. To study the behavior of aberration as a function of the degree of myopia, we determined the maximum value of aberration as well as the root mean square (rms) value.

RESULTS

It turned out that aberration increases with the refractive error in a quasi-linear relationship for pupil diameters of 5 and 9 mm. This result is valid for both rms and maximum values.

CONCLUSIONS

We objectively showed that optical quality decreases as myopia increases and as the pupil gets larger. Coma is more frequent in high myopia, and spherical aberration occurs more frequently for dilated pupils.