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Low_resolution_Thesis_CDD_221009_public - Visual Optics and ...

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CHAPTER 2<br />

Several routines for processing corneal surfaces, available in the laboratory from those<br />

works, was used during this thesis.<br />

For the purposes of this thesis, we will refer to “first surface aberrations” <strong>and</strong><br />

“corneal aberrations” synonymously. This term will refer to the anterior corneal<br />

aberrations for naked eyes, aberrations of the artificial cornea in artificial eye<br />

measurements or the aberrations of the anterior surface of the contact lens in eyes with<br />

fitted contact lenses. We therefore intentionally exclude from the “corneal<br />

aberrations” the effect of the posterior surface of the cornea, the effect of the anterior<br />

cornea of the eye behind a contact lens or the effect of a tear lens between a contact<br />

lens <strong>and</strong> the cornea (that will be considered part of the “internal aberrations” of the<br />

eye).<br />

2.3.2. Ocular aberrations: Laser Ray Tracing<br />

The experimental measurements of ocular aberrations in this thesis were performed<br />

using Laser Ray Tracing (LRT) technique. This technique is well suited for the<br />

measurement of eyes post-ablation (due to its high dynamic range that allows<br />

successful measurements of highly aberrated eyes) <strong>and</strong> eyes with contact lenses<br />

(especially for soft multifocal contact lenses as, besides the extended dynamic range, it<br />

has flexibility in the configuration of the sampling pattern).<br />

In brief, a set of parallel laser pencils samples the eye’s pupil, by means of a<br />

scanning system (using different sampling patterns). Aerial images of the retinal spots<br />

corresponding to different entry pupils are collected sequentially onto a cooled CCD<br />

camera. The centroids of the set of aerial images are computed. The deviations of the<br />

centroids from the principal ray are proportional to the derivatives of the wave<br />

aberrations. The wave aberration is obtained by fitting the derivatives to a Zernike<br />

polynomial expansion (up to the 7 th order) using a least-mean-squares procedure. All<br />

measurements were made foveally (the subject was asked to fixate a stimulus). A<br />

CCD camera centered at the optical axis of the instrument was used to monitor <strong>and</strong><br />

center the pupil <strong>and</strong> also to monitor possible shifts of the contact lens, were present.<br />

Subjects were stabilized by means of headrest <strong>and</strong> dental impression attached to a<br />

three-dimensional positioning system. A near infrarred laser diode (786 nm) was<br />

normally used as a light source. Light exposure was at least two orders of magnitude<br />

below safety limits.<br />

2.3.2.1. LRT basic concepts<br />

The LRT technique was first proposed in 1993 (Penney et al., 1993) <strong>and</strong> it was applied<br />

to measure ocular aberrations in human eyes in 1997 (Navarro <strong>and</strong> Losada, 1997,<br />

Molebny et al., 1997). A deeper description of the method can be found at Moreno-<br />

Barriuso’s thesis (Moreno-Barriuso, 2000).<br />

This is a double pass technique, since light is delivered into the eye <strong>and</strong> the<br />

reflection from the retina is captured on a CCD camera (Fig. 2. 19). In the first pass<br />

the pupil of the eye is sequentially sampled with laser pencils parallel to the optical<br />

axis. Each ray is deflected by a specific angle depending on the slope of the<br />

wavefront at that particular point on the pupil plane (defined by the optical<br />

characteristics of the surfaces it goes through), <strong>and</strong> therefore will impact the retina at a<br />

specific point. In an aberration-free system, all rays superimpose on the same retinal<br />

location. However, when optical aberrations are present the rays hit the retina at<br />

different positions. In the second pass the light is reflected off the retina, exiting the<br />

78

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