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Wavefront Science in Vision and Eye Care (Textbook): CHAPTER 3. WAVEFRONT ABERROMETRY

Wavefront Science in Vision and Eye Care (Textbook): CHAPTER 3. WAVEFRONT ABERROMETRY

Wavefront Science in Vision and Eye Care (Textbook): CHAPTER 3. WAVEFRONT ABERROMETRY

Dr Louis (Lou) Catania O.D., F.A.A.O., D.Sc.(Hon)
Dr Louis (Lou) Catania O.D., F.A.A.O., D.Sc.(Hon)

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Launch date: 25 Jul 2014
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Last updated: 06 Apr 2020

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Wavefront aberrometry is the technology used in wavefront science. This discussion addresses the principles of the technology and its applications in clinical vision care.
Course Outline:
1. Wavefront Aberrometry
A. Basic Principles
1. Measures points of the Zernike in a given pupil diameter
2. Uses adaptive optics
a. Lenslet array
b. Diffraction grating
c. Pixel optics
3. Infrared laser beams measure points
B. Instruments
1. Shack-Hartmann aberrometer
a. Lenslet array
b. Simultaneous delivery of beams
c. Limited number of points measured
d. Popular system with excimer lasers
2. Ray tracing aberrometry
a. Lenslet array
b. Delivers beams one at a time
c. More points measured
d. Slower than Shack-Hartmann
3. Tscherning aberrometry
a. Similar to ray tracing
b. Subjective responses from patient
4. Dynamic spatial skiascopy
a. Purely diagnostic instrument
b. Uses Scheiner’s disk principle for measuring
c. Measures up to 1400 spots
d. Weakness is skewed rays at central point
5. “Holographic imaging” (Diffraction aberrometry)
a. Proprietary technology by Ophthonix
b. Diffraction grating for measuring
c. Used exclusively for prescribing iZon lens
C. Methods of measurement
1. Lenslet array most popular
2. Optical Path Deviation (OPD)
3. Dynamic skiascopy
4. Diffraction grating
5. Pixelated optics.
D. Zernike and Fourier analysis
1. Zernike for 3rd through 6th order
2. Fourier analysis (sinusoidal) for > 6th order
E. Reading Wavefront Maps and Point Spread Function (PSF)
1. Lower order
a. Piston
b. Prism (tilt)
c. 2nd order
1) Defocus (sphere)
2) Cylinder
d. Mixed lower order
2. Higher order
a. Coma and trefoil (3rd order)
b. Spherical aberration and quadrefoil (4th order)
c. 5th order and greater
d. Mixed higher order
F. Scope and Limitations of aberrometry


1. To provide an understanding of wavefront aberrometry
2. To explain aberrometry at a clinical level;
3. To demonstrate practical applications of wavefront aberrometry in vision care
Dr Louis (Lou) Catania O.D., F.A.A.O., D.Sc.(Hon)

Author Information Play Video Bio

Dr Louis (Lou) Catania O.D., F.A.A.O., D.Sc.(Hon)

Wavefront has been evolving as a clinical science in eye care for the past 20 years now. It started with refractive surgery in the 1990s when I became involved with it and it has been growing rapidly as a vision and eye care diagnostic science as well ever since. I published this textbook in 2009 with the goal of converting the complex mathematical and optical physics of wavefront science into understandable clinical, diagnostic and non-surgical and surgical corrective approaches for day-to-day practitioners’ use. The story is told over 6 chapters in a casual, ‘user friendly’ style with extensive graphic support. It’s actually an enjoyable – almost a fun read. An extensive 30 page Subject Index is available on this website at no charge for referencing and/or downloading (as a pdf file) at the program entitled Wavefront Science in Vision and Eye Care: SUBJECT INDEX (LINK: And finally, under Additional Course Notes section, the Front Matter from the textbook is available. It includes:
> Table of Contents (general and detailed);
> Preface;
> Acknowledgements;
> Introduction

Author Bio:
> Internationally acclaimed clinical educator, author;
> Recognized expert in anterior segment, corneal disorders, refractive surgery and new eye care technologies;
> With Nicolitz Eye Consultants, a multispecialty ophthalmology group in Jacksonville, FL;
> Does clinical research on numerous eye care technologies;
> Voted one of 10 most influential optometrists of 20th century by the Review of Optometry Journal and 20/20 Magazine;
> 2013 Distinguished Service Award from the Ocular Surface Society;
> 2014 Distinguished Service Award from the American Academy of Optometry;
> 2015 Primary Care Optometry News, “Pioneer in Optometry” Award

Current Accreditations

This course has been certified by or provided by the following Certified Organization/s:

Faculty and Disclosures

Additional Contributors

Conflicts Declared

Conflicts of Interest declaration by Author:


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