Peripheral Aberrations and Image Quality for Contact Lens Correction

Abstract

Contact lenses (CLs) reduced the degree of hyperopic field curvature present in myopic eyes and rigid CLs reduced spherocylindrical image blur on the peripheral retina, but their effect on higher order aberrations and overall optical quality of the eye in the peripheral visual field is still unknown. The purpose of our study was to evaluate peripheral wavefront aberrations and image quality across the visual field before and after CL correction. A commercial Hartmann-Shack aberrometer was used to measure ocular wavefront errors in 5° steps out to 30° of eccentricity along the horizontal meridian in uncorrected eyes and when the same eyes are corrected with soft or rigid CLs. Wavefront aberrations and image quality were determined for the full elliptical pupil encountered in off-axis measurements. Ocular higher order aberrations (HOA) increase away from fovea in the uncorrected eye. Third-order aberrations are larger and increase faster with eccentricity compared with the other HOA. CLs increase all HOA except third-order Zernike terms. Nevertheless, a net increase in image quality across the horizontal visual field for objects located at the foveal far point is achieved with rigid lenses, whereas soft CLs reduce image quality. Second-order aberrations limit image quality more than HOA in the periphery. Although second-order aberrations are reduced by CLs, the resulting gain in image quality is partially offset by increased amounts of HOA. To fully realize the benefits of correcting HOA in the peripheral field requires improved correction of second-order aberrations as well.