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Updated: May 24, 2026

Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile
Published on: September 20, 2024
Effect of coma and spherical aberration on depth-of-focus measured using adaptive optics and computationally blurred
Richard Legras1, Yohann Benard, Norberto Lopez-Gil
1Centre National de Recherche Scientifique, Laboratoire Aimé Cotton, Orsay, France. richard.legras@u-psud.fr
Purpose:
To compare the effect of primary spherical aberration and vertical coma on depth of focus measured with 2 methods.
Setting:
Laboratoire Aimé Cotton, Centre National de la Recherche Scientifique, and Université Paris-Sud, Orsay, France.
Design:
Evaluation of technology.
Methods:
The subjective depth of focus, defined as the interval of vision for which the target was still perceived acceptable, was evaluated using 2 methods. In the first method, the subject changed the defocus term by reshaping the mirror, which also corrected the subject's aberrations and induced a certain value of coma or primary spherical aberration. In the second procedure, the subject changed the displayed images, which were calculated for various defocuses and with the desired aberration using a numerical eye model. Depth of focus was measured using a 0.18 diopter (D) step in 4 nonpresbyopic subjects corrected for the entire eye aberrations with a 6.0 mm and 3.0 mm pupil and with the addition of 0.3 μm and 0.6 μm of positive primary spherical aberration or vertical coma.
Results:
There was good concordance between the depth of focus measured with both methods (differences within 1/3 D, r(2) = 0.88). Image-quality metrics failed to predict the subjective depth of focus (r(2) < 0.41).
Conclusion:
These data confirm that defocus in the retinal image can be generated by optical or computational methods and that both can be used to assess the effect of higher-order aberrations on depth of focus.
Financial Disclosure:
No author has a financial or proprietary interest in any material or method mentioned.
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