Spherical refractive correction with an electro-optical liquid lens in a double-pass system

In this study we show a novel double-pass configuration to correct the spherical refractive error by means of an electro-optical liquid lens.The proposed method enables spherical correction in the -12 D to +7 D range without movable parts using an electro-optical liquid lens.We have measured the optical performance of the spherical corrector in terms of power, pupil size and optical quality verifying that it fitsthe requirements to be applied to a double-pass system. We have also evaluated the performance of the proposed method in patients bycomparison with a conventional double-pass system using a Badal optometer

Optics of Astigmatism and Retinal Image Quality

In the first part of this chapter, the optical condition of astigmatism is defined. The main causes and available classifications of ocular astigmatism are briefly described. The most relevant optical properties of image formation in an astigmatic eye are analysed and compared to that of an emmetropic eye and an eye with spherical ametropia. The spectacle prescription and axis notation for astigmatism are introduced, and the correction of astigmatism by means of lenses is briefly described. The formation of the retinal image for extended objects and the related blurring are also analysed, and the real limits of tolerance of uncorrected astigmatism are provided. Simulations of retinal images in astigmatic eyes, obtained by means of commercial optical design software, are also presented. Finally, the clinical assessment of retinal image quality by means of wavefront aberrometry and double-pass systems in eyes with astigmatism is presented, and current trends in research related to this topic are highlighted.Peer ReviewedPostprint (published version

An Objective Scatter Index Based on Double-Pass Retinal Images of a Point Source to Classify Cataracts

PURPOSE: To propose a new objective scatter index (OSI) based in the analysis of double-pass images of a point source to rank and classify cataract patients. This classification scheme is compared with a current subjective system. METHODS: We selected a population including a group of normal young eyes as control and patients diagnosed with cataract (grades NO2, NO3 and NO4) according to the Lens Opacities Classification System (LOCS III). For each eye, we recorded double-pass retinal images of a point source. In each patient, we determined an objective scatter index (OSI) as the ratio of the intensity at an eccentric location in the image and the central part. This index provides information on the relevant forward scatter affecting vision. Since the double-pass retinal images are affected by both ocular aberrations and intraocular scattering, an analysis was performed to show the ranges of contributions of aberrations to the OSI. RESULTS: We used the OSI values to classify each eye according to the degree of scatter. The young normal eyes of the control group had OSI values below 1, while the OSI for subjects in LOCS grade II were around 1 to 2. The use of the objective index showed some of the weakness of subjective classification schemes. In particular, several subjects initially classified independently as grade NO2 or NO3 had similar OSI values, and in some cases even higher than subjects classified as grade NO4. A new classification scheme based in OSI is proposed. CONCLUSIONS: We introduced an objective index based in the analysis of double-pass retinal images to classify cataract patients. The method is robust and fully based in objective measurements; i.e., not depending on subjective decisions. This procedure could be used in combination with standard current methods to improve cataract patient surgery scheduling