An effective wavefront aberration analysis method for measuring spectacle lenses in as-worn status was proposed and verified using an experimental apparatus based on an eye rotation model. Two strategies were employed to improve the accuracy of measurement of the effective wavefront aberrations on the corneal sphere. The influences of three as-worn parameters, the vertex distance, pantoscopic angle, and face form angle, together with the eye rotation and corresponding incident beams, were objectively and quantitatively obtained. The experimental measurements of spherical single vision and freeform progressive addition lenses demonstrate the accuracy and validity of the proposed method and experimental apparatus, which provide a potential means of achieving supernormal vision correction with customization and personalization in optimizing the as-worn status-based design of spectacle lenses and evaluating their manufacturing and imaging qualities.