ABSTRACT
Retinal sampling poses a fundamental limit to resolution acuity in the periphery. However, reduced image quality from optical aberrations may also influence peripheral resolution. In this study, we investigate the impact of different degrees of optical correction on acuity in the periphery. We used an adaptive optics system to measure and modify the off-axis aberrations of the right eye of six normal subjects at 20 degrees eccentricity. The system consists of a Hartmann-Shack sensor, a deformable mirror, and a channel for visual testing. Four different optical corrections were tested, ranging from foveal sphero-cylindrical correction to full correction of eccentric low- and high-order monochromatic aberrations. High-contrast visual acuity was measured in green light using a forced choice procedure with Landolt C's, viewed via the deformable mirror through a 4.8-mm artificial pupil. The Zernike terms mainly induced by eccentricity were defocus and with- and against-the-rule astigmatism and each correction condition was successfully implemented. On average, resolution decimal visual acuity improved from 0.057 to 0.061 as the total root-mean-square wavefront error changed from 1.01 mum to 0.05 mum. However, this small tendency of improvement in visual acuity with correction was not significant. The results suggest that for our experimental conditions and subjects, the resolution acuity in the periphery cannot be improved with optical correction.
ABSTRACT
The concept of Adaptive Optics Visual Simulation applies to the use of an Adaptive Optics system to manipulate ocular aberrations in order to perform visual testing through a modified optics. It can be of interest both to study the visual system and to design new ophthalmic optical elements. In this work, we describe an apparatus based on a liquid crystal programmable phase modulator and explore its capabilities as a tool in the early stages of the design of ophthalmic optical elements with increased depth of field for presbyopic subjects. To illustrate the potential of the instrument, we analyze the performance of two phase profiles obtained by a hybrid optimization procedure. The liquid crystal Adaptive Optics Visual Simulator can be used to experimentally record the point spread function for different vergences in order to objectively measure depth of focus, to perform different psychophysical experiments through the phase profile in order to measure its impact on visual performance, and to study the interaction with the eye's particular aberrations. This approach could save several steps in current procedures of ophthalmic optical design and eventually lead to improved solutions.
