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Contribution of the cornea and internal surfaces to the change of ocular aberrations with age

We studied the age dependence of the relative contributions of the aberrations of the cornea and the internal ocular surfaces to the total aberrations of the eye. We measured the wave-front aberration of the eye with a Hartmann-Shack sensor and the aberrations of the anterior corneal surface from the elevation data provided by a corneal topography system. The aberrations of the internal surfaces were obtained by direct subtraction of the ocular and corneal wave-front data. Measurements were obtained for normal healthy subjects with ages ranging from 20 to 70 years. The magnitude of the RMS wave-front aberration (excluding defocus and astigmatism) of the eye increases more than threefold within the age range considered. However, the aberrations of the anterior corneal surface increase only slightly with age. In most of the younger subjects, total ocular aberrations are lower than corneal aberrations, while in the older subjects the reverse condition occurs. Astigmatism, coma, and spherical aberration of the cornea are larger than in the complete eye in younger subjects, whereas the contrary is true for the older subjects. The internal ocular surfaces compensate, at least in part, for the aberrations associated with the cornea in most younger subjects, but this compensation is not present in the older subjects. These results suggest that the degradation of the ocular optics with age can be explained largely by the loss of the balance between the aberrations of the corneal and the internal surfaces.

Compensation of corneal aberrations by the internal optics in the human eye.

The objective was to study the relative contribution of the optical aberrations of the cornea and the internal ocular optics (with the crystalline lens as the main component) to overall aberrations in the human eye. Three sets of wave-front aberration data were independently measured in the eyes of young subjects: for the anterior surface of the cornea, the complete eye, and internal ocular optics. The amount of aberration of both the cornea and internal optics was found to be larger than for the complete eye, indicating that the first surface of the cornea and internal optics partially compensate for each others aberrations and produce an improved retinal image. This result has a number of practical implications. For example, it shows the limitation of corneal topography as a guide for new refractive procedures and provides a strong endorsement of the value of ocular wave-front sensing for those applications.

Dynamics of the eye's wave aberration

It is well known that the eyes optics exhibit temporal instability in the form of microfluctuations in focus; however, almost nothing is known of the temporal properties of the eyes other aberrations. We constructed a real-time Hartmann-Shack (HS) wave-front sensor to measure these dynamics at frequencies as high as 60 Hz. To reduce spatial inhomogeneities in the short-exposure HS images, we used a low-coherence source and a scanning system. HS images were collected on three normal subjects with natural and paralyzed accommodation. Average temporal power spectra were computed for the wave-front rms, the Seidel aberrations, and each of 32 Zernike coefficients. The results indicate the presence of fluctuations in all of the eyes aberration, not just defocus. Fluctuations in higher-order aberrations share similar spectra and bandwidths both within and between subjects, dropping at a rate of approximately 4 dB per octave in temporal frequency. The spectrum shape for higher-order aberrations is generally different from that for microfluctuations of accommodation. The origin of these measured fluctuations is not known, and both corneal/lenticular and retinal causes are considered. Under the assumption that they are purely corneal or lenticular, calculations suggest that a perfect adaptive optics system with a closed-loop bandwidth of 1-2 Hz could correct these aberrations well enough to achieve diffraction-limited imaging over a dilated pupil.

Adaptive-optics ultrahigh-resolution optical coherence tomography.

Merging of ultrahigh-resolution optical coherence tomography (UHR OCT) and adaptive optics (AO), resulting in high axial (3 microm) and improved transverse resolution (5-10 microm) is demonstrated for the first time to our knowledge in in vivo retinal imaging. A compact (300 mm x 300 mm) closed-loop AO system, based on a real-time Hartmann-Shack wave-front sensor operating at 30 Hz and a 37-actuator membrane deformable mirror, is interfaced to an UHR OCT system, based on a commercial OCT instrument, employing a compact Ti:sapphire laser with 130-nm bandwidth. Closed-loop correction of both ocular and system aberrations results in a residual uncorrected wave-front rms of 0.1 microm for a 3.68-mm pupil diameter. When this level of correction is achieved, OCT images are obtained under a static mirror configuration. By use of AO, an improvement of the transverse resolution of two to three times, compared with UHR OCT systems used so far, is obtained. A significant signal-to-noise ratio improvement of up to 9 dB in corrected compared with uncorrected OCT tomograms is also achieved.

Analysis of the performance of the Hartmann–Shack sensor in the human eye

A description of a Hartmann-Shack sensor to measure the aberrations of the human eye is presented. We performed an analysis of the accuracy and limitations of the sensor using experimental results and computer simulations. We compared the ocular modulation transfer function obtained from simultaneously recorded double-pass and Hartmann-Shack images. The following factors affecting the sensor performance were evaluated: the statistical accuracy, the number of modes used to reconstruct the wave front, the size of the microlenses, and the exposure time.

Optical aberrations of the human cornea as a function of age

We investigated how the optical aberrations associated with the anterior surface of the human cornea change with age in a normal population. Aberrations were computed for a central part of the cornea (4, 5, and 6 mm in diameter) from the elevation data provided by a videokeratographic system. Measurements were obtained in 59 normal healthy, near-emmetropic [spherical equivalent lower than 2 diopters (D)] subjects of three age ranges: younger (20-30 years old), middle-aged (40-50 years old), and older (60-70 years old). The average corneal radius decreased with age and the cornea became more spherical. As a consequence, spherical aberration was significantly larger in the middle-aged and older corneas. Coma and other higher-order aberrations also were correlated with age. The root mean square of the wave aberration exhibited a linear positive correlation (P < 0.003) with age for the three ranges of pupil diameter. Despite a large intersubject variability, the average amount of aberration in the human cornea tends to increase moderately with age. However, this increase alone is not enough to explain the substantial reduction previously found in retinal image quality with age. The change in the aberrations of the lens with age and the possible loss of part of the balance between corneal and lenticular aberrations in youth may be the main factors responsible for the reduction of retinal image quality through the life span.

Determination of the point-spread function of human eyes using a hybrid optical–digital method

A method for the determination of the bidimensional optical transfer function (OTF) and the point-spread function of human eyes is presented. Aerial short-term images of a point source are directly recorded with a TV camera and fed into a digital image-processing system that allows one to determine and display such functions. The method has been implemented in such a way that recording and computation can be carried out on a routine basis with minimum discomfort for the observer. A detailed description of the method and typical aerial and retinal images of a point source as well as the OTFs results are presented in this paper.

Ocular wave-front aberration statistics in a normal young population.

Monochromatic ocular aberrations in 108 eyes of a normal young population (n=59) were studied. The wave-front aberration were obtained under natural conditions using a near-infrared Shack-Hartmann wave-front sensor. For this population and a 5 mm pupil, more than 99% of the root-mean square wave-front error is contained in the first four orders of a Zernike expansion and about 91% corresponds only to the second order. Comparison of wave-fronts aberrations from right and left eye in 35 subjects, showed a good correlation between most of the second- and third-order terms and a slight (but not clear) tendency for mirror symmetry between eyes.

Neural compensation for the eye’s optical aberrations

A fundamental problem facing sensory systems is to recover useful information about the external world from signals that are corrupted by the sensory process itself. Retinal images in the human eye are affected by optical aberrations that cannot be corrected with ordinary spectacles or contact lenses, and the specific pattern of these aberrations is different in every eye. Though these aberrations always blur the retinal image, our subjective impression is that the visual world is sharp and clear, suggesting that the brain might compensate for their subjective influence. The recent introduction of adaptive optics to control the eyes aberrations now makes it possible to directly test this idea. If the brain compensates for the eyes aberrations, vision should be clearest with the eyes own aberrations rather than with unfamiliar ones. We asked subjects to view a stimulus through an adaptive optics system that either recreated their own aberrations or a rotated version of them. For all five subjects tested, the stimulus seen with the subjects own aberrations was always sharper than when seen through the rotated version. This supports the hypothesis that the neural visual system is adapted to the eyes aberrations, thereby removing somehow the effects of blur generated by the sensory apparatus from visual experience. This result could have important implications for methods to correct higher order aberrations with customized refractive surgery because some benefits of optimizing the correction optically might be undone by the nervous systems compensation for the old aberrations.

Contributions of the cornea and the lens to the aberrations of the human eye.

The relative contributions of optical aberrations of the cornea and the crystalline lens to the final image quality of the human eye were studied. The aberrations of the entire eye were obtained from pairs of double-pass retinal images, and the aberrations of the cornea were obtained from videokeratographic data. Third-order spherical aberration and coma were significantly larger for the cornea than for the complete eye, indicating a significant role of the lens in compensating for corneal aberrations. In a second experiment retinal images were recorded in an eye before and after we neutralized the aberrations of the cornea by having the subjects wear swimming goggles filled with saline water, providing a direct estimate of the optical performance of the crystalline lens.