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Updated: May 11, 2026

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Comparison of Agreement and Accuracy using Binocular Wavefront Optometer with Autorefractor and Phoropter
Published on: September 16, 2025
Impact of primary spherical aberration, spatial frequency and Stiles Crawford apodization on wavefront determined
Renfeng Xu1, Arthur Bradley, Larry N Thibos
1School of Optometry, Indiana University, Bloomington, USA. renfxu@indiana.edu
Summary
Spherical aberration in the eye, not pupil apodization, causes central pupil bias in refraction. This bias is linked to how the eye focuses high spatial frequencies, effectively creating an annular aperture during vision correction.
Area of Science:
- Ophthalmology
- Computational Optics
- Visual Optics
Background:
- Spherical aberration is a common optical aberration in the human eye.
- Central pupil bias in refraction has been observed, but its underlying mechanism is debated.
- Pupil apodization, or the Stiles-Crawford Effect, describes how light sensitivity varies across the pupil.
Purpose of the Study:
- To test the hypothesis that pupil apodization causes central pupil bias in spherical refractions.
- To investigate the role of spherical aberration in central pupil bias.
- To determine the optical basis for refractive errors in eyes with spherical aberration.
Main Methods:
- Fourier computational optics was used to model the eye's optical system.
- Spherical aberration levels, pupil size, and pupil apodization were systematically varied.
- Point spread functions and optical transfer functions were computed to assess image quality.
- Through-focus analysis identified the refractive correction optimizing retinal image quality.
Main Results:
- For a 7 mm pupil, increasing spherical aberration caused refractions optimizing the visual Strehl ratio to focus on a paraxial pupil region.
- These optimizing refractions were independent of Stiles-Crawford Effect apodization.
- Refractions optimizing low spatial frequencies varied with spherical aberration and Stiles-Crawford Effect, potentially inducing myopic shifts up to -0.7 D.
Conclusions:
- Spherical aberration, not pupil apodization, is the primary driver of central pupil bias in refraction.
- High spatial frequencies effectively utilize a paraxial annular aperture due to spherical aberration.
- The effective aperture size changes with focus manipulation, with optimal image quality achieved when a near-paraxial circular region defines the refraction.
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