- •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 8-5 A, According to the law of rectilinear propagation, light should not change direction after traversing an aperture. B, In reality, apertures do cause light to change direction—a phenomenon called diffraction. C, The smaller the aperture is relative to the wavelength of incident light, the more pronounced is the diffraction. (Illustration b y Edmond H. Thall, MD.)
Some scientists believed that the discovery of diffraction (c 1665) offered sufficient justification to abandon the corpuscular theory completely, and they concluded that light was fundamentally a wave. Sir Isaac Newton and others, however, believed that the corpuscular theory could explain diffraction. For the next 100 years, the nature of light—wave or particle—was an open question.
The Speed of Light
In 1687, Danish astronomer Ole Roemer noted an irregularity in the orbit of Jupiter’s moon Io that he attributed to light having a finite speed. Later laboratory measurements confirmed that the speed of light is finite.
By international agreement, a meter had been defined by the length of a metal bar kept in Paris, France. Because this standard meter bar might be damaged or destroyed by war or natural disaster, the international community adopted a standard of measurement based on natural phenomena that are readily accessible and indestructible. Hence, the speed of light became the measurement standard, and the meter is defined as the distance light travels in a vacuum during 1/299,792,458 second. Thus, the speed of light is by definition exactly 299,792,458 m/s. A useful approximation for the speed of light in a vacuum is 3 × 108 m/s (approximately 1 ft/ns).
The Superposition of Waves
The superposition principle states that when 2 or more waves overlap, their amplitudes will add or cancel. The superposition of 2 waves of differing frequencies produces a changing “interference” pattern of reinforcement and cancellation that, in the case of light, is much too fast to be observed (Fig 8-6). However, the superposition of 2 waves of identical frequency produces a stable interference pattern (Fig 8-7).
Figure 8-6 According to the principle of superposition, when 2 waves overlap, their amplitudes add, producing a single resultant wave. The 2 waves at top differ slightly in frequency and align peak to peak (blue band), reinforcing each other in some places, and peak to trough (red band), canceling each other in some places. In this example, complete cancellation does not occur because the waves differ in amplitude. In any case, the pattern alternates between reinforcement and cancellation about every 10–14 second—much too fast to be observed.
Figure 8-7 Overlapping waves of identical frequency and amplitude produce stable interference patterns. A, Waves overlap in phase—peaks coincide with peaks and troughs with troughs—producing a resultant wave of twice the amplitude. B, Waves overlap out of phase—the peak of one wave coincides with the trough of the other—and the waves cancel. C, Waves partially overlap—neither completely in nor out of phase—producing a wave of intermediate amplitude
(between zero and twice the amplitude). (Illustration developed b y Edmond H. Thall, MD, and redrawn b y C. H. Wooley.)
The result of 2 particles striking the same place simultaneously is always additive, whereas 2 overlapping waves may reinforce or cancel each other, as just described. In 1801, London physician Thomas Young demonstrated that light can produce patterns of cancellation and reinforcement, thus providing strong evidence that light is a wave phenomenon.
Coherence
Light from most sources consists of wave trains. Just as a train has many cars, a wave train consists of many sections, each having a dominant frequency (Fig 8-8). Temporal coherence is a function of the bandwidth of a light source (ie, the number of frequencies it is composed of). Wave trains from broadband light sources (ie, those radiating many frequencies) consist of short sections, whereas narrowband light sources consist of wave trains with longer sections. The length of one wave train section is the coherence length. The time required for light to travel one coherence length is the coherence time.
Figure 8-8 Each section of a wave train has a dominant frequency that changes randomly from one section to the next. The color of each section corresponds to its dominant frequency—eg, in A, the red section is lower in frequency, and the blue section is higher in frequency. The length of each section is the coherence length. A, Broadband wave trains have a short coherence length. B, Compared with A, the light represented in B has a narrower bandwidth and consequently a
longer coherence length. (Illustration b y Edmond H. Thall, MD.)
Consider a single section of a wave train from a broadband point source illuminating 2 small, closely spaced pinholes in an otherwise opaque screen (Fig 8-9A). Each section arrives at both pinholes simultaneously and is diffracted by the pinholes. The distance from each pinhole to point O
is identical, so both sections produce a bright spot by constructive (ie, additive) interference.
Figure 8-9 Schematic of Young’s experiment demonstrating that light is a wave phenomenon. A, Wave train sections arrive at the pinholes simultaneously, then diffract and arrive simultaneously at point O. They constructively interfere, producing a bright spot. B, To reach point P, one section travels slightly farther than the other, which lags behind by half a wavelength. The 2 sections interfere destructively, and point P is dark. C, At point Q, one section lags behind the other by 1 full wavelength. The 2 sections interfere constructively, producing a reduced bright spot. D, At point R, one section lags the other by more than 1 coherence length so there is no interference, but a superposition of noncorresponding sections produces an average uniform illumination. (Illustration b y Edmond H. Thall, MD.)
At point P (Fig 8-9B), one section travels half a wavelength farther than the other, so the 2 sections cancel, producing a dark spot by destructive (ie, subtractive) interference. At point Q (Fig 8-9C), the sections differ by a full wavelength and again produce a bright spot by constructive interference. Alternating intervals of constructive and destructive interference produce a fringe pattern. However, as the distance from point O increases, the wave train sections overlap less and less, decreasing the degree of fringe contrast (ie, the difference in intensity between the brightest and darkest points). At point R (Fig 8-9D), one section lags the other by more than its coherence length, so the sections do not overlap at all. Because the superposition of nonidentical sections does not produce stable interference, fringes are no longer visible.
Sunlight (composed of numerous frequencies) has a coherence length of 1–2 µm, whereas laser light (composed of few frequencies) typically has a coherence length of several centimeters. If the point source in Figure 8-9 were to be replaced by a laser light source, many more fringes of much higher contrast would be generated.
Another aspect of coherence concerns a light source’s physical size (ie, length or area). Consider a second point source illuminating 2 pinholes (Fig 8-10). Fringes produced by the second source are shifted slightly relative to the first. When the 2 fringe patterns are combined, the result is lowercontrast fringes. If the light source consists of many point sources distributed over a broad area, the net result will be a total loss of contrast and no fringes will be evident. Spatial coherence refers to the size of the light source, which must be small to produce visible fringes.
