Spatially resolved wavefront aberrations of ophthalmic progressive-power lenses in normal viewing conditions

Stability of the retinal image under normal viewing conditions and the implications for neural adaptation

Previous studies have demonstrated that the visual system adapts to the specific aberration pattern of an individual's eye. Alterations to this pattern can lead to reduced visual performance, even when the Root Mean Square (RMS) of the wavefront error remains constant. However, it is well-established that ocular aberrations are dynamic and can change with factors such as pupil size and accommodation. This raises an intriguing question: can the neural system adapt to continuously changing aberration patterns? To address this question, we measured the ocular aberrations in four subjects under various natural viewing conditions, which included changes in accommodative state and pupil size. We subsequently computed the associated Point Spread Functions (PSFs). For each subject, we examined the stability in the orientation of the PSFs and analyzed the cross-correlation between different PSFs. These findings were then compared to the characteristics of a distribution featuring PSF shapes akin to random variations. Our results indicate that the changes observed in the PSFs are not substantial enough to produce a PSF shape distribution resembling random variations. This lends support to the notion that neural adaptation is indeed a viable mechanism even in response to continuously changing aberration patterns.

Effects of Lens-Induced Astigmatism at Near and Far Distances

Purpose

To investigate and compare the degradation of visual acuity (VA) in myopic presbyopes due to lens-induced astigmatism at near and at far distance.

Patients and Methods

Fourteen corrected myopic presbyopes were recruited. VA (logarithm of the minimum angle of resolution) was measured binocularly for different conditions of lens-induced astigmatism: cylindrical powers of -0.25, -0.50, -0.75, -1.00, -1.50, and -2.00 diopters (and positive spherical power of half the cylindrical power) with two axis orientations (with-the-rule WTR and against-the-rule ATR) were added to their optical correction. Measurements were carried out at far and near distance both in photopic and mesopic conditions, and for high and low contrast (HC/LC) stimuli. The paired Wilcoxon signed-rank statistics test was used to evaluate difference between conditions.

Results

The measured VA as a function of the lens-induced astigmatism was described by regression lines in all investigated experimental conditions. The angular coefficients (slopes) of these lines represent the VA degradation, ie, the variation in logMAR corresponding to the addition of 1.00 diopters of cylindrical power. In photopic HC conditions, the VA degradation is significantly more pronounced at far distance than at near distance (0.22±0.06 diopters^-1 vs 0.15±0.05 diopters^-1, p = 0.0061 in WTR conditions; 0.18±0.06 diopters^-1 vs 0.12±0.05 diopters^-1, p = 0.0017 in ATR conditions), although VAs at near and at far with zero cylinder were similar (-0.14±0.10 vs -0.14±0.08, p = 0.824).

Conclusion

The better tolerance to lens-induced astigmatism blur at near than at far distance in photopic conditions with HC stimuli is tentatively attributed to a possible experience-mediated neural compensation associated to the tendency of the eye toward an inherent astigmatism at near.

Recent advances in measurement of monochromatic aberrations of human eyes

The field of aberrations of the human eye is moving rapidly, being driven by the desire to monitor and optimise vision following refractive surgery. It is important for ophthalmologists and optometrists to have an understanding of the magnitude of various aberrations and how these are likely to be affected by refractive surgery and other corrections. In this paper, I consider methods used to measure aberrations, the magnitude of aberrations in general populations and how these are affected by various factors (for example, age, refractive error, accommodation and refractive surgery) and how aberrations and their correction affect spatial visual performance.

Optical performance of progressive addition lenses (PALs) with astigmatic prescription

The progressive addition lens (PAL) is a spectacle lens design with progressive refractive power changes across the lens surface to provide sharp vision at different viewing distances for patients with reduced accommodative strength. It has gained in popularity not just for presbyopic patients, but also patients with occupational (office, driving, or digital device) and therapeutic (e.g., myopia control) needs. However, despite the increasing prevalence of astigmatism in adults > 40 years old who rely on PAL correction, no metric is available to reflect the optical variation in PALs with astigmatic prescriptions. Based on recent studies, four novel optical metrics sensitive to variation of refractive power across the lens surface of PALs have been developed. These metrics were used to compare the optical performance of PALs of various prescriptions, designs, and manufacturers. For each lens, the refractive power profile was first measured with a Moire-deflectometry-based instrument.The data was then exported and analyzed using a two-dimensional error map for each of the four metrics. The results revealed significant impacts of astigmatic prescription, providing evidence for the usefulness of these metrics in quantifying the optical performance of PALs for patients with astigmatic prescriptions.

Subjective Evaluation of Defocus and Astigmatism Combinations Using Image Simulation in Presbyopes

SIGNIFICANCE

Image simulation is a useful and efficient tool to explore the impact of defocus and astigmatism combinations on visual acuity and image quality score when accommodation is taken into account.

PURPOSE

The goal of this experiment was to determine if a simulation is able to predict visual acuity and image quality score (IQS) with defocus and astigmatism combinations in presbyopes.

METHODS

We measured visual acuity and IQS in five defocus and astigmatism combinations in either real or simulated conditions. In real conditions, the subjects viewed a stimulus through an ophthalmic lens or a deformable mirror. In simulated conditions, subjects viewed images of the same stimulus with simulated blur. The amounts of defocus and astigmatism combinations of a progressive addition lens in near vision were generated through a static correction of the subject's aberrations. We simulated three levels of accommodation: subject could not accommodate (FOC0), subject could accommodate to the less hyperopic focal point (FOC1), or subject could accommodate to the circle of least confusion (FOC2).

RESULTS

Visual acuity or IQS did not differ between mirror and progressive addition lens conditions. Visual acuity measured in real blur conditions differed significantly from that in FOC0 simulated blur condition but were similar to that in FOC1 and FOC2 simulated blur conditions. Image quality score obtained in real conditions were between scores measured with the FOC0 and FOC1 simulated conditions, suggesting that the subjects were able to produce a low level of accommodation.

CONCLUSIONS

Accommodation may play a role when comparing optical and simulated defocus and astigmatism combinations. Presbyopic subjects are able to produce a low level of accommodation that may counterbalance a part of the deleterious effect of the astigmatism on image quality. Simulation remains a useful tool if the correct accommodation state is taken into account.

Good Visual Performance Despite Reduced Optical Quality during the First Month of Orthokeratology Lens Wear

Purpose: To measure changes in visual performances and optical quality in myopic children during the first month of wearing orthokeratology lens, and to reveal the association between those two.Methods: Thirty-five myopic children participated in this study. Visual performances were evaluated with visual acuity and shape discrimination threshold (SDT) for radial frequency patterns. Placido disc-based corneal topography for central 4 mm and 6 mm zones was collected and decomposed by Fourier analysis into the spherical, asymmetric, and regular astigmatic components. Root-mean-square of third-order, fourth-order, and total higher-order aberrations (HOA) were extracted for the 4 mm and 6 mm zones. All examinations were conducted at baseline, 1-week, and 1-month after lens dispensing. The changing trends over time and association between SDT and optical quality were analysed with linear-mixed model.Results: All subjects' uncorrected visual acuity improved to 0.1 logMAR or better at 1-week and 1-month lens wear (P < .01). SDT did not change significantly from the baseline at 1-week and 1-month after lens wear (P > .05). For the two zones with diameters of 4 mm and 6 mm, the spherical component decreased significantly at 1-week (P < .01) and remained stable thereafter (P < .01); the asymmetric component increased significantly at 1-week (P < .01) and remained high at 1-month (P < .01); and the regular astigmatism did not show any significant change throughout (P > .05). At the two zones with diameters of 4 mm and 6 mm, the third-order, fourth-order, and total HOA increased significantly over time (P < .05). Change of SDT did not correlate with impairments in optical quality (P > .05 for all parameters).Conclusions: While corneal optical quality decreased steadily during the first month following lens wearing, the visual acuity and shape discrimination sensitivity assessed by SDT remained very satisfactory.

Higher order aberrations, refractive error development and myopia control: a review

Evidence from animal and human studies suggests that ocular growth is influenced by visual experience. Reduced retinal image quality and imposed optical defocus result in predictable changes in axial eye growth. Higher order aberrations are optical imperfections of the eye that alter retinal image quality despite optimal correction of spherical defocus and astigmatism. Since higher order aberrations reduce retinal image quality and produce variations in optical vergence across the entrance pupil of the eye, they may provide optical signals that contribute to the regulation and modulation of eye growth and refractive error development. The magnitude and type of higher order aberrations vary with age, refractive error, and during near work and accommodation. Furthermore, distinctive changes in higher order aberrations occur with various myopia control treatments, including atropine, near addition spectacle lenses, orthokeratology and soft multifocal and dual-focus contact lenses. Several plausible mechanisms have been proposed by which higher order aberrations may influence axial eye growth, the development of refractive error, and the treatment effect of myopia control interventions. Future studies of higher order aberrations, particularly during childhood, accommodation, and treatment with myopia control interventions are required to further our understanding of their potential role in refractive error development and eye growth.

Adaptation to Brightness Perception in Patients Implanted With a Small Aperture

PURPOSE

Small apertures are successfully used to extend depth of focus in presbyopic patients implemented either as corneal inlays or intraocular lenses. The use of small apertures reduces retinal illuminance. In this study, we quantify the relative perceived brightness in the 2 eyes of patients implanted monocularly with a small-aperture inlay.

DESIGN

Prospective case series.

METHODS

We used a binocular adaptive optics vision simulator to determine the relative perceived brightness. Four patients implanted monocularly with the KAMRA corneal inlay (1.6 mm) and a group of control subjects participated in the study. The projected pupil on the eye implanted with the inlay alternated in diameter between 0 and 2.5 mm (effective 1.6 mm) to eliminate potential for light to project around the periphery of the inlay while the corresponding fellow eye projected pupil alternated between 0 and 3.0 mm or 0 and 4.0 mm at a frequency of 1 Hz. Alternation on both eyes was synchronized so that only 1 eye at a time had a nonblocked pupil. At equal transmittance, a flickering was perceived. Patients' task consisted of modifying the transmittance of the pupil corresponding to the fellow eye until the perceived flickering, owing to the different perceived brightness, was minimized. This equalizing transmittance (ET) value indicates the relative perceived brightness.

RESULTS

In the KAMRA's patients, ET was found to be greater than expected considering the difference in pupil sizes and the Stiles-Crawford effect, showing an enhanced a greater brightness perception in the eye with the small aperture in comparison with the fellow eye. Compared with the control subjects, this difference was on average bigger by a factor of ×1.42.

CONCLUSIONS

Patients implanted with the small-aperture corneal inlay exhibited an enhanced brightness perception with the eye implanted, in comparison with their untreated fellow eye. The amount of this increase is much larger than what could be expected owing to the Stiles-Crawford effect and was probably attributable to a neural adaptation process. This phenomenon could explain a reported equalization of brightness between eyes in patients with unilateral inlays and implies that the expected reduction of brightness may have a less significant impact on these patients, as expected.

Measurement of spectacle lenses using wavefront aberration in real view condition

A wavefront aberration analysis method for measuring spectacle lenses in real-view condition is proposed and verified using experimental apparatus based on the eye-rotation model. Two strategies-feedback positioning and posture adjustment of incident beams and Hartmann-Shack wavefront-aberration sensor calibration at each measurement subarea-are applied to improve measurement accuracy. By simulating the real-view condition, wavefront aberration and user power on the vertex sphere can be obtained. Comparison experiments demonstrate the validity and accuracy of the proposed method and experimental apparatus. Freeform progressive addition lenses are also measured and the results analyzed. The findings provide a possible approach for optimizing the design of spectacle lenses and evaluating their manufacturing and imaging quality.

Interferometric Local Measurements of High-Order Aberrations in Progressive Addition Lenses

PURPOSE

The main goal of this work is to show the principles, design, and performance of a modified point diffraction interferometer (PDI) for evaluating the local higher-order aberrations of progressive addition lenses (PALs). Because aberrations have different impacts in visual perception, we propose a device to provide a customized solution with the best permissible amounts and combinations of aberrations for improving a subject's vision.

METHODS

A PDI has been adapted to measure local high-order aberrations in PALs.

RESULTS

High-order aberrations in three different PALs within four relevant circular regions of interest (ROIs) with a radius ranging from 0.4 to 2.4 mm were measured with an accuracy of λ/10 within the ROI using the tailored PDI. The interferometer also allows for easily choosing the position and number of the ROIs.

CONCLUSIONS

The interferometric device is compact, robust, and accurate. The operational principle is very simple, and it provides the local high-order aberrations directly without adding additional parts to the interferometer. As expected, the amount of high-order aberrations depends on the chosen ROI of the PAL; the corridor is the more critical region. We found, in accordance with the literature, that, in the corridor, second- and third-order aberrations are dominant and spherical aberration is negligible.

Measurement of spherical and cylindrical power in ophthalmic lenses based in the change of lateral amplification

In this article, we present a new technique to measure spherical and cylindrical power in ophthalmic lenses. This method is based in the change of lateral amplification produced by an optical system when introducing an ophthalmic lens. Ophthalmic lens power is calculated by considering the change in image size from a reference object and its own image seen through the ophthalmic lens. Mathematical analysis is presented along with the experimental setup and the obtained results. Several algorithms were applied to the obtained results as a method to compensate the error in order to fit into ISO 8598 specifications.

Astigmatism impact on visual performance: meridional and adaptational effects

PURPOSE

Astigmatic subjects are adapted to their astigmatism and perceptually recalibrate upon its correction. However, the extent to which prior adaptation to astigmatism affects visual performance, whether this effect is axis dependent, and the time scale of potential changes in visual performance after astigmatism correction are not known. Moreover, the effect of possible positive interactions of aberrations (astigmatism and coma) might be altered after recalibration to correction of astigmatism.

METHODS

Visual acuity (VA) was measured in 25 subjects (astigmats and non-astigmats, corrected and uncorrected) under induction of astigmatism and combinations of astigmatism and coma while controlling subject aberrations. Astigmatism (1.00 diopter) was induced at three different orientations, the natural axis, the perpendicular orientation, and 45 degrees for astigmats and at 0, 90, and 45 degrees for non-astigmats. Experiments were also performed, adding coma (0.41 μm at a relative angle of 45 degrees) to the same mentioned astigmatism. Fourteen different conditions were measured using an 8-Alternative Forced Choice procedure with Tumbling E letters and a QUEST algorithm. Longitudinal measurements were performed up to 6 months. Uncorrected astigmats were provided with proper astigmatic correction after the first session.

RESULTS

In non-astigmats, inducing astigmatism at 90 degrees, produced a statistically lower reduction in VA than at 0 or 45 degrees, whereas in astigmats, the lower decrease in VA occurred for astigmatism induced at the natural axis. Six months of astigmatic correction did not reduce the insensitivity to astigmatic induction along the natural axis. Differences after orientation of astigmatism were also found when adding coma to astigmatism.

CONCLUSIONS

The impact of astigmatism on VA is greatly dependent on the orientation of the induced astigmatism, even in non-astigmats. Previous experience to astigmatism plays a significant role on VA, with a strong bias toward the natural axis. In contrast to perceived isotropy, the correction of astigmatism does not shift the bias in VA from the natural axis of astigmatism.

Simulation and measurement of optical aberrations of injection molded progressive addition lenses

Injection molding is an important mass-production tool in the optical industry. In this research our aim is to develop a process of combining ultraprecision diamond turning and injection molding to create a unique low-cost manufacturing process for progressive addition lenses (PALs). In industry, it is a well-known fact that refractive index variation and geometric deformation of injection molded lenses due to the rheological properties of polymers will distort their optical performance. To address this problem, we developed a method for determining the optical aberrations of the injection molded PALs. This method involves reconstructing the wavefront pattern in the presence of uneven refractive index distribution and surface warpage using a finite element method. In addition to numerical modeling, a measurement system based on a Shack-Hartmann wavefront sensor was used to verify the modeling results. The measured spherocylindrical powers and aberrations of the PALs were in good agreement with the model. Consequently, the optical aberrations of injection molded PALs were successfully predicted by finite element modeling. In summary, it was demonstrated in this study that numerically based optimization for PAL manufacturing is feasible.

Comparison of progressive addition lenses by direct measurement of surface shape

PURPOSE

To compare the optical properties of five state-of-the-art progressive addition lenses (PALs) by direct physical measurement of surface shape.

METHODS

Five contemporary freeform PALs (Varilux Comfort Enhanced, Varilux Physio Enhanced, Hoya Lifestyle, Shamir Autograph, and Zeiss Individual) with plano distance power and a +2.00-diopter add were measured with a coordinate measuring machine. The front and back surface heights were physically measured, and the optical properties of each surface, and their combination, were calculated with custom MATLAB routines. Surface shape was described as the sum of Zernike polynomials. Progressive addition lenses were represented as contour plots of spherical equivalent power, cylindrical power, and higher order aberrations (HOAs). Maximum power rate, minimum 1.00-DC corridor width, percentage of lens area with less than 1.00 DC, and root mean square of HOAs were also compared.

RESULTS

Comfort Enhanced and Physio Enhanced have freeform front surfaces, Shamir Autograph and Zeiss Individual have freeform back surfaces, and Hoya Lifestyle has freeform properties on both surfaces. However, the overall optical properties are similar, regardless of the lens design. The maximum power rate is between 0.08 and 0.12 diopters per millimeter and the minimum corridor width is between 8 and 11 mm. For a 40-mm lens diameter, the percentage of lens area with less than 1.00 DC is between 64 and 76%. The third-order Zernike terms are the dominant high-order terms in HOAs (78 to 93% of overall shape variance). Higher order aberrations are higher along the corridor area and around the near zone. The maximum root mean square of HOAs based on a 4.5-mm pupil size around the corridor area is between 0.05 and 0.06 µm.

CONCLUSIONS

This nonoptical method using a coordinate measuring machine can be used to evaluate a PAL by surface height measurements, with the optical properties directly related to its front and back surface designs.

Aberrations and spherocylindrical powers within subapertures of freeform surfaces

A method is described for the derivation of refractive properties and aberration structure of subapertures of freeform surfaces. Surface shapes are described in terms of Zernike polynomials. The method utilizes matrices to transform between Zernike and Taylor coefficients. Expression as a Taylor series facilitates the translation and size rescaling of subapertures of the surface. An example operation using a progressive addition lens surface illustrates the method.

Measurement of ocular aberrations in downward gaze using a modified clinical aberrometer

Changes in corneal optics have been measured after downward gaze. However, ocular aberrations during downward gaze have not been previously measured. A commercial Shack-Hartmann aberrometer (COAS-HD) was modified by adding a relay lens system and a rotatable beam splitter to allow on-axis aberration measurements in primary gaze and downward gaze with binocular fixation. Measurements with the modified aberrometer (COAS-HD relay system) in primary and downward gaze were validated against a conventional aberrometer. In human eyes, there were significant changes (p<0.05) in defocus C(2,0), primary astigmatism C(2,2) and vertical coma C(3,-1) in downward gaze (25 degrees) compared to primary gaze, indicating the potential influence of biomechanical forces on the optics of the eye in downward gaze. To demonstrate a further clinical application of this modified aberrometer, we measured ocular aberrations when wearing a progressive addition lens (PAL) in primary gaze (0 degree), 15 degrees downward gaze and 25 degrees downward gaze.

Combining coma with astigmatism can improve retinal image over astigmatism alone

We demonstrate that certain combinations of non-rotationally symmetric aberrations (coma and astigmatism) can improve retinal image quality over the condition with the same amount of astigmatism alone. Simulations of the retinal image quality in terms of Strehl Ratio, and measurements of Visual Acuity under controlled aberrations with adaptive optics were performed, varying defocus, astigmatism and coma. Astigmatism ranged between 0 and 1.5D. Defocus ranged typically between -1 and 1D. The amount of coma producing best retinal image quality (for a given relative angle between astigmatism and coma) was computed and the amount was found to be different from zero in all cases (except for 0D of astigmatism). For example, for a 6mm pupil, in the presence of 0.5D of astigmatism, a value of coma of 0.23mum produced (for best focus) a peak improvement in Strehl Ratio by a factor of 1.7, over having 0.5D of astigmatism alone. The improvement holds over a range of >1.5D of defocus and peak improvements were found for amounts of coma ranging from 0.15mum to 0.35mum. We measured VA under corrected high order aberrations, astigmatism alone (0.5D) and astigmatism in combination with coma (0.23mum), with and without adaptive optics correction of all the other aberrations, in two subjects. We found that the combination of coma with astigmatism improved decimal VA by a factor of 1.28 (28%) and 1.47 (47%) in both subjects, over VA with astigmatism alone when all the rest of aberrations were corrected. Nevertheless, in the presence of typical normal levels of HOA the effect of the coma/astigmatism interaction is considerably diminished.

Measurement and comparison of the optical performance of an ophthalmic lens based on a Hartmann-Shack wavefront sensor in real viewing conditions

The spatially resolved wavefront aberrations of four types of ophthalmic lens are measured with a custom-built apparatus based on a Hartmann-Shack wavefront sensor and specially designed positioning stage. The wavefront aberrations of the progressive addition lenses (PALs) are compared. The results show that the distribution depends much on the design philosophy, although the average values of root mean square in the entire measurement areas have no significant difference. It is feasible to evaluate the optical performance through the wavefront analysis of PALs, but how to meet the customized visual needs of patients and how to minimize the unwanted aberrations in some special zones are important points that should be taken into account.

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.

Visual Acuity and Optical Parameters in Progressive-Power Lenses

PURPOSES

The purposes of this study are to explore the effect of astigmatism and high-order aberrations of progressive-power lenses (PPLs) on visual acuity (VA) and to find a good optical metric for evaluating visual performance of PPLs.

METHODS

A Hartmann-Shack (HS) wavefront sensor was used to measure PPLs and human eyes either independently or in combination. An additional channel permits the measurement of VA under the same optical conditions. Measurements were taken in six relevant locations of a PPL and in three eyes of different normal subjects. In every case, we obtained the wavefront aberration as Zernike polynomials expansions, the root mean square (RMS) error, and two metrics on point spread function (PSF): Strehl ratio and the common logarithm of the volume under the PSF normalized to one (Log_Vol_PSF).

RESULTS

Aberration coupling of the PPL with the eye tends to equalize the retinal image quality between central and peripheral zones of the progressive lenses. In the corridor of the PPL, the combination of small amounts of coma, trefoil, and astigmatism (total RMS 0.1 mum) does not significantly affect VA. The continuous increase of astigmatism from corridor to outside zones reduces moderately the quality of vision. The highest correlations between optical metrics and VA were found for Log_Vol_PSF of the entire system eye plus PPL.

CONCLUSIONS

Ocular aberrations reduce optical quality difference between corridor and peripheral zones of PPLs. In the same way, VA through the corridor is similar to that of eyes without a lens and it decreases slowly toward peripheral locations. VA through PPLs is well predicted by the logarithm of metrics directly related with image spread (Log_Vol_PSF or equivalent) of the complete system of the eye with the lens.

An Analytical Model Describing Aberrations in the Progression Corridor of Progressive Addition Lenses

PURPOSE

In the progression corridor of a typical progressive addition lens (PAL) with an addition of 2.5 D, the power changes by roughly 1/8 D/mm. This renders a power difference of some 0.5 D across a typical pupil diameter of 4 mm. Contrary to this fact, PALs do work well in the progression zone. To explain why, we apply a simple model to derive wavefront characteristics in the progression zone and compare it with recent experimental data.

METHODS

We consider a simple analytic function to describe the progression zone of a PAL, which has been introduced by Alvarez and other authors. They considered the power change and astigmatism, which are second-order wavefront aberrations. We include third-order aberrations and compare them with spatially resolved wavefront data from Hartmann-Shack-sensor measurements.

RESULTS

The higher-order aberrations coma and trefoil are the dominant aberrations besides astigmatism as given by experimental data. According to our model, the third-order aberrations in the transition zone are strongly coupled to the power change and the cubic power of the pupil radius. Their overall contribution according to experimental data is nicely reproduced by our model. The numeric contribution of higher-order aberrations is small and, for practical purposes, the wavefront can be described locally by the second-order components of sphere and astigmatism only.

CONCLUSIONS

We propose a simple analytical model to understand the optics in the progression corridor and nearby zones of a PAL. Our model confirms that for typical pupil sizes, all higher-order aberrations, including the dominant modes of coma and trefoil, are small enough to render an undisturbed vision in the progression zone. Therefore, higher-order aberrations have a minimal impact on the optical performance of these lenses.

Comparison of aberrations in different types of progressive power lenses

Recently, computer numerically controlled machines have permitted the manufacture of progressive power lenses (PPLs) with different designs. However, the possible differences in optical performance among lens designs are not yet well established. In this work, the spatially resolved aberrations, at 20 relevant locations, of three PPLs with different designs were measured with a Hartmann-Shack wavefront sensor. The wavefront aberration (WA), its root mean square error (RMS) and the point-spread function were obtained. Spatially resolved plots are shown for all aberrations, astigmatism alone, and for higher order aberrations. The average RMS of all zones is also compared, and the standard deviation is used as a parameter to evaluate the level of hard-soft design. We find differences in the spatial distribution of the aberrations but not in the global RMS, indicating that current PPLs are rather similar to a waterbed, with the aberrations being the water: they can be moved but they cannot be eliminated.

Adaptive Optics for Vision: The Eye's Adaptation to Point Spread Function

PURPOSE

Despite the fact that ocular aberrations blur retinal images, our subjective impression of the visual world is sharp, which suggests that the visual system compensates for subjective influence. If the brain adjusts for specific aberrations of the eye, vision should be clearest when looking through a subject's typical wave aberration rather than through an unfamiliar one. We used adaptive optics techniques to control the eye's aberrations in order to evaluate this hypothesis.

METHODS

We used adaptive optics to produce point spread functions (PSFs) that were rotated versions of the eye's typical PSF by angles in 45 degrees intervals. Five normal subjects were asked to view a stimulus with their own PSF or with a rotated version, and to adjust the magnitude of the aberrations in the rotated case to match the subjective blur of the stimulus to that seen when the wave aberration was in typical orientation.

RESULTS

The magnitude of the rotated wave aberration required to match the blur with the typical wave aberration was 20% to 40% less, indicating that subjective blur for the stimulus increased significantly when the PSF was rotated.

CONCLUSION

These results support the hypothesis that the neural visual system is adapted to an eye's aberrations and has important implications for correcting higher order aberrations with customized refractive surgery or contact lenses. The full visual benefit of optimizing optical correction requires that the nervous system compensate for the new correction.