- •Contents
- •General Introduction
- •Objectives
- •1 Geometric Optics
- •Rays, Refraction, and Reflection
- •Introduction
- •Point Sources, Pencils, and Beams of Light
- •Object Characteristics
- •Image Characteristics
- •Magnification
- •Image Location
- •Depth of Focus
- •Image Quality
- •Light Propagation
- •Optical Media and Refractive Index
- •Law of Rectilinear Propagation
- •Optical Interfaces
- •Law of Reflection (Specular Reflection)
- •Law of Refraction (Specular Transmission)
- •Normal Incidence
- •Total Internal Reflection
- •Dispersion
- •Reflection and Refraction at Curved Surfaces
- •The Fermat Principle
- •Pinhole Imaging
- •Locating the Image: The Lensmaker’s Equation
- •Ophthalmic Lenses
- •Vergence
- •Reduced Vergence
- •Thin-Lens Approximation
- •Lens Combinations
- •Virtual Images and Objects
- •Focal Points and Planes
- •Paraxial Ray Tracing Through Convex Spherical Lenses
- •Paraxial Ray Tracing Through Concave Spherical Lenses
- •Objects and Images at Infinity
- •Principal Planes and Points
- •Section Exercises
- •Focal Lengths
- •Gaussian Reduction
- •Knapp’s Law, the Badal Principle, and the Lensmeter
- •Afocal Systems
- •Section Exercises
- •Questions
- •Power of a Lens in a Medium
- •Spherical Interface and Thick Lenses
- •Thick Lens
- •Back Vertex Power Is Not True Power
- •Aberrations of Ophthalmic Lenses
- •Third-Order Seidel Aberrations
- •Chromatic Aberrations
- •Avoiding Aberrations
- •Mirrors
- •Reflection From a Plane Mirror
- •Spherically Curved Mirrors
- •Reversal of the Image Space
- •The Central Ray for Mirrors
- •Vergence Calculations for Mirrors
- •Spherocylindrical Lenses
- •Combination of Spherocylindrical Lenses
- •The Conoid of Sturm
- •The Jackson Cross Cylinder
- •Prisms
- •Prism Diopter
- •Prismatic Effect of Lenses and the Prentice Rule
- •Prism Aberrations
- •Fresnel Prisms
- •Chapter Exercises
- •Questions
- •Appendix 1.1
- •Quick Review of Angles, Trigonometry, and the Pythagorean Theorem
- •Appendix 1.2
- •Light Properties and First-Order Optics
- •2 Optics of the Human Eye
- •The Human Eye as an Optical System
- •Schematic Eyes
- •Important Axes of the Eye
- •Pupil Size and Its Effect on Visual Resolution
- •Visual Acuity
- •Contrast Sensitivity and the Contrast Sensitivity Function
- •Refractive States of the Eyes
- •Binocular States of the Eyes
- •Accommodation and Presbyopia
- •Epidemiology of Refractive Errors
- •Developmental Myopia
- •Developmental Hyperopia
- •Prevention of Refractive Errors
- •Chapter Exercises
- •Questions
- •3 Clinical Refraction
- •Objective Refraction Technique: Retinoscopy
- •Positioning and Alignment
- •Fixation and Fogging
- •The Retinal Reflex
- •The Correcting Lens
- •Finding Neutrality
- •Retinoscopy of Regular Astigmatism
- •Aberrations of the Retinoscopic Reflex
- •Subjective Refraction Techniques
- •Astigmatic Dial Technique
- •Stenopeic Slit Technique
- •Cross-Cylinder Technique
- •Refining the Sphere
- •Binocular Balance
- •Cycloplegic and Noncycloplegic Refraction
- •Overrefraction
- •Spectacle Correction of Ametropias
- •Spherical Correcting Lenses and the Far Point Concept
- •The Importance of Vertex Distance
- •Cylindrical Correcting Lenses and the Far Point Concept
- •Prescribing for Children
- •Myopia
- •Hyperopia
- •Anisometropia
- •Clinical Accommodative Problems
- •Presbyopia
- •Accommodative Insufficiency
- •Accommodative Excess
- •Accommodative Convergence/Accommodation Ratio
- •Effect of Spectacle and Contact Lens Correction on Accommodation and Convergence
- •Prescribing Multifocal Lenses
- •Determining the Add Power of a Bifocal Lens
- •Types of Bifocal Lenses
- •Trifocal Lenses
- •Progressive Addition Lenses
- •The Prentice Rule and Bifocal Lens Design
- •Occupation and Bifocal Segment
- •Prescribing Special Lenses
- •Aphakic Lenses
- •Absorptive Lenses
- •Special Lens Materials
- •Therapeutic Use of Prisms
- •Chapter Exercises
- •Questions
- •Appendix 3.1
- •Common Guidelines for Prescribing Cylinders for Spectacle Correction
- •4 Contact Lenses
- •Introduction
- •Contact Lens Glossary
- •Clinically Important Features of Contact Lens Optics
- •Field of Vision
- •Image Size
- •Accommodation
- •Convergence Demands
- •Tear Lens
- •Correcting Astigmatism
- •Correcting Presbyopia
- •Contact Lens Materials and Manufacturing
- •Materials
- •Manufacturing
- •Patient Examination and Contact Lens Selection
- •Patient Examination
- •Contact Lens Selection
- •Contact Lens Fitting
- •Soft Contact Lenses
- •Rigid Gas-Permeable Contact Lenses
- •Toric Soft Contact Lenses
- •Contact Lenses for Presbyopia
- •Keratoconus and the Abnormal Cornea
- •Contact Lens Overrefraction
- •Gas-Permeable Scleral Contact Lenses
- •Therapeutic Lens Usage
- •Orthokeratology and Corneal Reshaping
- •Custom Contact Lenses and Wavefront Technology
- •Contact Lens Care and Solutions
- •Contact Lens–Related Problems and Complications
- •Infections
- •Hypoxic/Metabolic Problems
- •Toxicity
- •Mechanical Problems
- •Inflammation
- •Chapter Exercises
- •Questions
- •Appendix 4.1
- •Transmission of Human Immunodeficiency Virus in Contact Lens Care
- •Appendix 4.2
- •Federal Law and Contact Lenses
- •5 Intraocular Lenses
- •Intraocular Lens Designs
- •Classification
- •Background
- •Optical Considerations for Intraocular Lenses
- •Intraocular Lens Power Calculation
- •Piggyback and Supplemental Intraocular Lenses
- •Intraocular Lens Power Calculation After Corneal Refractive Surgery
- •Instrument Error
- •Index of Refraction Error
- •Formula Error
- •Power Calculation Methods for the Post–Keratorefractive Procedure Eye
- •Intraocular Lens Power in Corneal Transplant Eyes
- •Silicone Oil Eyes
- •Pediatric Eyes
- •Image Magnification
- •Lens-Related Vision Disturbances
- •Nonspherical Optics
- •Multifocal Intraocular Lenses
- •Types of Multifocal Intraocular Lenses
- •Clinical Results of Multifocal Intraocular Lenses
- •Accommodating Intraocular Lenses
- •Intraocular Lens Standards
- •Chapter Exercises
- •Questions
- •Appendix 5.1
- •History of Intraocular Lens Design
- •6 Optical Considerations in Keratorefractive Surgery
- •Corneal Shape
- •Angle Kappa
- •Pupil Size
- •Irregular Astigmatism
- •Application of Wavefront Analysis in Irregular Astigmatism
- •Causes of Irregular Astigmatism
- •Conclusion
- •Chapter Exercises
- •Questions
- •7 Optical Instruments and Low Vision Aids
- •Magnification
- •Telescopes
- •Galilean Telescope
- •Astronomical Telescope
- •Accommodation Through a Telescope
- •Surgical Loupe
- •General Principles of Optical Engineering
- •Terminology
- •Measurements of Performance of Optical Systems
- •Optical Instruments and Techniques Used in Ophthalmic Practice
- •Direct Ophthalmoscope
- •Indirect Ophthalmoscope
- •Fundus Camera
- •Slit-Lamp Biomicroscope
- •Gonioscopy
- •Surgical Microscope
- •Geneva Lens Clock
- •Lensmeter
- •Knapp’s Rule
- •Optical Pachymeter
- •Applanation Tonometry
- •Specular Microscopy
- •Keratometer
- •Topography
- •Ultrasonography of the Eye and Orbit
- •Macular Function Tests
- •Scanning Laser Ophthalmoscopes
- •Scheimpflug Camera
- •Autorefractors
- •Optical Coherence Tomography
- •Optical Aids
- •Magnifiers
- •Telescopes
- •Prisms
- •High-Add Spectacles
- •Nonoptical Aids
- •Electronic Devices
- •Lighting, Glare Control, and Contrast Enhancement
- •Nonvisual Assistance
- •Eccentric Viewing or Fixation Training
- •Instruction and Training
- •Chapter Exercises
- •Questions
- •Appendix 7.1
- •Approach to the Patient With Low Vision
- •8 Physical Optics
- •The Corpuscular Theory of Light
- •Diffraction
- •The Speed of Light
- •The Superposition of Waves
- •Coherence
- •Electromagnetic Waves
- •Polarization
- •Refractive Index and Dispersion
- •Reflection, Transmission, and Absorption
- •The Electromagnetic Spectrum
- •Frequency and Color
- •Energy in an Electromagnetic Wave
- •Quantum Theory
- •Light Sources
- •Thermal Sources
- •Luminescent Sources
- •Fluorescence
- •Phosphorescence
- •Lasers
- •Light–Tissue Interactions
- •Photocoagulation
- •Photoablation
- •Photodisruption
- •Photoactivation
- •Light Scattering
- •Rayleigh Scattering
- •Mie Scattering
- •The Tyndall Effect
- •Radiometry and Photometry
- •Light Hazards
- •Clinical Applications
- •Polarization
- •Interference
- •Diffraction
- •Imaging and the Point Spread Function
- •Image Quality—Modulation Transfer Function
- •Chapter Exercises
- •Questions
- •Appendix 8.1
- •Radiometric and Photometric Units
- •Basic Texts
- •Related Academy Materials
- •Requesting Continuing Medical Education Credit
Figure 8-20 The interference filter transmits mainly those wavelengths for which the internally reflected waves are in
phase with one another. (Redrawn b y C. H. Wooley.)
Optical coherence tomography (OCT) uses Michaelson interferometry to image the retinal layers. The coherence of the light source is crucial; a light source with high temporal coherence (eg, laser) actually decreases the accuracy of OCT thickness measurements. However, a light source with too little coherence limits the thickness that can be measured. To measure the entire retina, OCT uses a superluminous diode, which operates in the near-infrared range and has a 50-nm bandwidth.
Diffraction
Some multifocal intraocular lenses use diffraction (and interference) to produce near and distance images simultaneously. Such lenses have at least one surface that is not smooth but that consists of circular steps that break wavefronts to produce diffraction. Such lenses rely for their effect on interference from the opposite side of each ring and, therefore, should be placed as well centered as possible with respect to the pupil. Consequently, eyes with irregular pupils may not be well suited for such lenses. Corneal astigmatism or IOL tilt also degrades the image quality of diffractive IOLs.
Imaging and the Point Spread Function
Two different but closely related approaches exist to understand the image formation process. (See Chapter 1 for discussions of image formation by lenses, mirrors, or pinholes.) The first approach is the basis for aberration theory, whereas the second is the basis for contrast sensitivity and the measurement of image quality. In the first approach, an object is regarded as a collection of point
sources, each of which radiates light in all directions. Some of the light traverses the lens and focuses at best to a small, irregularly shaped region, never to a perfect point (Fig 8-21). The light from nearby point sources partially overlaps and causes a loss of detail in the formed image. Although no lens focuses perfectly, some focus better than others and produce more detail in the resulting image.
Figure 8-21 Light from a single object point never focuses to a perfect point. Even at best focus, it is usually distributed
over a small, irregularly shaped region in the image. (Illustration developed b y Edmond H. Thall, MD, and Kevin Miller, MD, and rendered b y C. H. Wooley.)
The point spread function (PSF) describes how light from a single point source is distributed in an image and completely describes the imaging characteristics of an optical system. During the design stage of a lens, calculating the PSF precisely is a complex matter that must account for not only refraction and reflection but also diffraction and characteristics such as interference, polarization, light scattering, and dispersion. Even using a computer, calculating a PSF that accounts for all optical variables is difficult. The PSF of a lens can be measured after it is manufactured, but doing so is a time-consuming and costly task requiring specialized equipment and expertise.
Fortunately, most image characteristics, such as location, size, orientation, and brightness, can be calculated or measured without considering PSF. The field of geometric optics greatly simplifies calculations of image characteristics by ignoring most of light’s physical characteristics, especially diffraction. Using only the 3 laws of rectilinear propagation, refraction, and reflection, image characteristics can be determined with sufficient accuracy for most uses. Only when diffraction, interference, or some other physical property is a significant factor in image quality is it necessary to use calculations from physical optics.
The PSF is required only for the analysis of image quality, which in most cases is dominated by aberrations or diffraction. Sir George Airy calculated the PSF for an axial object point imaged by any aberration-free optical system with a circular aperture stop. Airy also assumed temporally coherent light, so the PSF contained interference rings. Airy found that the PSF consisted of a central bright spot (the Airy disc) surrounded by larger rings (Fig 8-22). Most of the energy is in the central disc, so the outer rings are usually ignored. The diameter of the Airy disc is determined according to the equation
where D is the exit pupil diameter and f is the focal length. For an eye with a 3-mm-diameter pupil, the PSF diameter is approximately 6 µm, encompassing the outer segments of roughly 7 photoreceptors.
Figure 8-22 The point spread function of a single monochromatic axial object point produced by an aberration-free optical
system with a circular aperture. (From Campb ell, CJ. Physiologic Optics. Hagerstown, MD: Harper & Row; 1974:20.)
As noted, the Airy disc diameter is the PSF produced solely by diffraction when no aberrations are present. Alternatively, the PSF can be calculated using only the 3 laws of geometric optics, entirely ignoring diffraction. As a rule, diffraction decreases as pupil size increases, but aberrations increase as pupil size increases.
If the geometric PSF value is much larger than the Airy disc diameter, then aberrations dominate and diffraction can be ignored, whereas if the geometric PSF is much smaller, then diffraction dominates and aberrations can be ignored. If values for the geometric PSF and the Airy disc diameter are about the same, then image quality is probably close to optimal for that optical system.
