- •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 1-72 Right-angled triangle. (Illustration developed b y Kevin M. Miller, MD, and rendered b y C. H. Wooley.)
The Pythagorean theorem states that c2 = a2 + b2; as a result, therefore, . Triangles are said to be similar when their angles are equal. When 2 triangles have identical angles, their sides are proportional. The triangles in Figure 1-73 are similar.
Figure 1-73 These 2 triangles are similar because their angles are equal. (Illustration developed b y Kevin M. Miller, MD, and
rendered b y C. H. Wooley.)
Appendix 1.2
Light Properties and First-Order Optics
The Fermat principle
As discussed earlier in the chapter, the mathematician Pierre de Fermat believed that natural processes occur in the most economic way. The Fermat principle, as applied to optics, implies that light travels from one point to another along the path requiring the least time. Historically, the laws of reflection and refraction were discovered by careful experimental measurements before Fermat’s time. However, both the law of refraction and the law of reflection can be mathematically derived.
The Fermat principle is an important conceptual and practical tool. The concept of optical path length (OPL) enhances the practical utility of this principle. OPL is the actual distance light travels in a given medium multiplied by the medium’s refractive index. For instance, if light travels 5 cm in air (n = 1.000) and 10 cm in spectacle crown glass (n = 1.523), the OPL is (5 cm × 1.000) + (10 cm × 1.523) = 20.2 cm. According to the Fermat principle, light follows the path of minimum OPL.
Figure 1-23 shows light from an object point traveling along 2 different paths to the image point.
Light traveling path 1 from object to image point traverses a relatively thick part of the lens. Light traveling the longer path 2 goes through less glass. If the lens is properly shaped, the greater distance in air is perfectly compensated for by the shorter distance in glass. In other words, the time required for light to travel from object to image—and, thus, the OPL—is identical for both paths.
Stigmatic imaging using a single refracting surface
By the early 1600s, the telescope and microscope had been invented. Although the images produced by these early devices were useful, their quality was not very high because the lenses did not focus stigmatically.
At the time, lensmakers were not very particular about the shape of the surfaces that were ground on the lens. It seemed that any curved surface produced an image, so lens surfaces were carefully polished but haphazardly shaped. However, as ideas such as stigmatic imaging and Snell’s law developed, it became clear that the shape of the lens surfaces determined the quality of the image, and so, during the seventeenth century, lensmakers began to carefully shape the lens surface.
The following question arose: what surface produces the best image? Descartes applied the Fermat principle to the simplest situation possible—a single refracting surface. Consider a single object point and a long glass rod (Fig 1-74). Descartes realized that if the end of the rod were configured in a nearly elliptical shape, a stigmatic image would form in the glass. This shape became known as a Cartesian ellipsoid, or Cartesian conoid.
Figure 1-74 The Cartesian conoid is a single refracting surface that produces a stigmatic image for a single object point.
(Illustration developed b y Edmond H. Thall, MD, and Kevin M. Miller, MD, and rendered b y C. H. Wooley.)
Some readers may be troubled by the fact that the image forms in the vitreous cavity, and in an emmetropic eye the image forms on the retina. Once a stigmatic image is produced, the rod is cut and a second Cartesian ellipsoid placed on the back surface (Fig 1-75). The final image is also stigmatic. The Cartesian ellipsoid produces a stigmatic image of only 1 object point. All other object points image nonstigmatically.
Figure 1-75 A combination of Cartesian ellipsoids also gives a stigmatic image. (Illustration developed b y Edmond H. Thall, MD,
and Kevin M. Miller, MD, and rendered b y C. H. Wooley.)
Until about 1960, it was impossible to manufacture a Cartesian ellipsoid. The only surfaces that could be accurately configured were spheres, cylinders, spherocylinders, and flats. Now, aspheric surfaces are relatively easy to manufacture.
Descartes established that a single refracting surface could, at best, produce a stigmatic image of only 1 object point. By means of mathematics, it has been demonstrated that an optical system can produce a stigmatic image for only as many object points as there are “degrees of freedom” in the optical system. A single lens has 3 degrees of freedom (df): the front surface, the back surface, and the lens thickness. A combination of the 2 lenses has 7 df: the 4 lens surfaces, the 2 lens thicknesses, and the distance between the lenses. Optical systems utilizing multiple lenses improve image quality.
First-order optics
For centuries, the sphere was the only useful lens surface that could be manufactured. Descartes proved that lenses with spherical surfaces do not produce stigmatic images, but common experience shows that such lenses can produce useful images. Consequently, the properties of spherical refracting surfaces have been carefully studied.
The currently accepted approach for studying the imaging properties of any lens is through the method called exact ray tracing. In this technique, Snell’s law is used to trace the paths of several rays, all originating from a single object point. A computer carries out the calculations to as high a degree of accuracy as necessary, usually between 6 and 8 significant figures.
Figure 1-76 shows an exact ray trace for a single spherical refracting surface. Because the image is not stigmatic, the rays do not converge to a single point. However, there is one location where the rays are confined to the smallest area, and this is the location of the image. The distribution of rays at the image location indicates the size of the blur circle, or point spread function (PSF). From the size of the blur circle, the image quality is determined. From the location of the image, other properties, such as magnification, are determined. Ultimately, all image properties may be determined with exact ray tracing.
Figure 1-76 An exact ray trace for a single refracting surface. The image is not stigmatic. However, at one particular location, indicated by the dotted line, the rays are confined to the smallest area. This is the image location. (Illustration
developed b y Edmond H. Thall, MD, and Kevin M. Miller, MD, and rendered b y C. H. Wooley.)
Beginning in the 1600s, methods of analyzing optical systems were developed that either greatly reduced or eliminated the need for calculation. These methods are based on approximations—that is, these methods do not give exact answers. Nevertheless, carefully chosen approximations can yield results that are very close to the exact answer while greatly simplifying the mathematics.
The trick is to choose approximations that provide as much simplification as possible while retaining as much accuracy as possible. In this regard, the mathematician Carl Gauss (1777–1855) made many contributions to the analysis of optical systems. Gauss’s work, combined with that of others, developed into a system for analyzing optical systems that has become known as first-order optics.
Ignoring image quality
Determining image quality requires knowledge of how light from a single object point is distributed in the image (ie, the PSF). To determine the PSF, hundreds of rays must be accurately traced. In Gauss’s day, manufacturing techniques rather than optical system design limited image quality. Accordingly, there was little interest in theoretically analyzing image quality. Interest lay instead in analyzing other image features, such as magnification and location.
To determine all image characteristics except image quality requires tracing only a few rays. In fact, if image quality is ignored, analysis of optical systems is reduced from tracing hundreds of rays to tracing just 2 rays. In Gauss’s time, however, tracing even 2 rays exactly was a daunting task, especially if the optical system consisted of several lenses.
Paraxial approximation
To trace a ray through a refracting surface exactly, we need to establish a coordinate system. By convention, the origin of the coordinate system is located at the vertex, the point where the optical axis intersects the surface. Also by convention, the y-axis is vertical, the z-axis coincides with the optical axis, and the x-axis is perpendicular to the page (Fig 1-77). An object point is selected, and a ray is drawn from that object point to the refracting surface.
Figure 1-77 To trace a ray through a refracting surface exactly, it is necessary to establish a coordinate system (the x-, y-, and z-axes) and then find the precise coordinates (y,z) of the point where the ray intersects the surface. (Illustration
developed b y Edmond H. Thall, MD, and Kevin M. Miller, MD, and rendered b y C. H. Wooley.)
The first difficulty in making an exact ray trace is determining the precise coordinates (y,z) where the ray strikes the refracting surface. The formula for finding the intersection of a ray with a spherical surface requires fairly complicated calculations involving square roots.
Instead of tracing a ray through an optical system, it is easier to work with rays extremely close to the optical axis, the so-called paraxial rays. The portion of the refracting surface near the optical axis may be treated as flat. Just as the earth’s surface seems flat to a human observer, a refracting surface “seems” flat to a paraxial ray (Fig 1-78). For a ray to be paraxial, it must hug the optical axis over its entire course from object to image. A ray from an object point far off-axis is not paraxial even if it strikes the refracting surface near the axis (Fig 1-79).
Figure 1-78 The paraxial region. The enlargement (bottom) shows the paraxial region with the vertical scale greatly increased but the horizontal dimensions unchanged. Notice that in the paraxial region, the lens is essentially flat. The
paraxial rays are shown in red. (Illustration developed b y Edmond H. Thall, MD, and Kevin M. Miller, MD, and rendered b y C. H. Wooley.)
Figure 1-79 Both rays strike the refracting surface in the paraxial region. Only the lower (red) ray is a paraxial ray, however, because it is close to the optical axis over its entire path. (Illustration developed b y Edmond H. Thall, MD, and Kevin M.
Miller, MD, and rendered b y C. H. Wooley.)
Small-angle approximation
To trace a paraxial ray, begin with an object point at or near the optical axis. Then extend a ray from the object point to the refracting surface, which is represented by a flat vertical plane (Fig 1-80). The next step is to determine the direction of the ray after refraction.
Figure 1-80 Detail of the paraxial region with the vertical scale greatly enlarged relative to the horizontal scale. The lens is spherical but appears flat in the paraxial region. The center of the lens is indicated by point C. The points O and I represent the object point and its image, respectively. θi and θt indicate the angles of incidence and transmission, respectively.
(Illustration developed b y Edmond H. Thall, MD, and Kevin M. Miller, MD, and rendered b y C. H. Wooley.)
To determine the direction of the refracted ray, apply Snell’s law. The angle of incidence is θ, and the angle of transmission is θt. Thus,
n sin θ = n′ sin θt
Now the polynomial expansion for the sine function is
where the angle θ is expressed in radians. If the angle θ is small, the third-order term, θ3/3!, and every term after it become insignificant, and the sine function is approximated as
sin θ ≈ θ
This is the mathematical basis of the (essentially equivalent) terms small-angle approximation, paraxial approximation, and first-order approximation. Only the first-order term of the polynomial expansion needs to be used when the analysis is limited to paraxial rays, which have a small angle of entry into the optical system.
The angles appear large in the bottom part of Figure 1-78 because of the expanded vertical scale, but the upper part shows that in the paraxial region these angles are quite small.
Using the small-angle approximation, Snell’s law becomes n θi = n′ θt
Now, using geometry and Figure 1-80 the angle of incidence, θi, is
θi = α + γ
and the angle of transmission, θt, is
θt = γ – β
Thus, Snell’s law becomes n(α + γ) = n′(γ – β)
or
nα + n′β = γ(n′ – n)
Now, the small-angle approximation also works for tangents: tan α ≈ α tan β ≈ β tan γ ≈ γ
and
The negative sign is used because the object distance (o), which extends backward from the lens to the object point, is considered a negative distance.
Thus,
Canceling the common factor h gives
Rearranging yields
Finally, we define the refractive power of the surface, P = [(n′ – n)/r]. Thus,
This equation is the lensmaker’s equation. The ratio n/o is the reduced object vergence (U), and the ratio n′/i is the reduced image vergence (V). Vergence is discussed in detail in the section Ophthalmic Lenses.
