Habitual higher order aberrations affect Landolt but not Vernier acuity

Reiniger JL, Lobecke A, Sabesan R, et al. Habitual higher order aberrations affect Landolt but not Vernier acuity. Journal of Vision. 2019;19(5): 11.To assess whether the eye's optical imperfections are relevant for hyperacute vision, we measured ocular wave aberrations, visual hyperacuity, and acuity thresholds in 31 eyes of young adults. Although there was a significant positive correlation between the subjects' performance in Vernier- and Landolt-optotype acuity tasks, we found clear differences in how far both acuity measures correlate with the eyes' optics. Landolt acuity thresholds were significantly better in eyes with low higher order aberrations and high visual Strehl ratios (r(2) = 0.22, p = 0.009), and significantly positively correlated with axial length (r(2) = 0.15, p = 0.03). A retinal image quality metric, calculated as two-dimensional correlation between perfect and actual retinal image, was also correlated with Landolt acuity thresholds (r(2 )= 0.27, p = 0.003). No such correlations were found with Vernier acuity performance (r(2) 0.3). Based on these results, hyperacuity thresholds are, contrary to resolution acuity, not affected by higher order aberrations of the eye