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Updated: Jul 9, 2026
Comparison of Agreement and Accuracy using Binocular Wavefront Optometer with Autorefractor and Phoropter
Published on: September 16, 2025
Repeatability and reliability of ocular aberration measurements in contact lens wear
Suzanne Efron1, Nathan Efron, Philip B Morgan
1Eurolens Research, The University of Manchester, Moffat Building, P.O. Box 88, Manchester M60 1QD, United Kingdom.
Background:
To assess repeatability and within- and between-observer reliability when measuring ocular aberrations with and without soft contact lens wear.
Methods:
The irx3 aberrometer was used to measure second to tenth radial order aberrations on 13 subjects with and without their habitual soft contact lenses. This was first performed by one observer, who took three separate measurements to determine repeatability. In addition, two observers each took a set of three measurements on two occasions, to determine within- and between-observer reliability. Data were normalized to a constant pupil size for all measurements made on each subject.
Results:
There was no difference in repeatability with or without contact lenses for Zernike polynomial numbers 3-20. There was no difference between within- and between-observer relative reliability either with lenses (t=1.9, p=0.07) or without lenses (t=1.1, p=0.29). However, both within-observer and between-observer reliability were worse when lenses were worn (t=3.6, p=0.0009 and t=2.8, p=0.0074, respectively).
Conclusion:
The reduction in within- and between-observer reliability when measuring aberrations in contact lens wearers may be due to variability resulting from a variety of factors, such as lens flexure, lens movement, lens decentration and reduced stability of the pre-lens tear film.
