Design of a versatile clinical aberrometer

We have designed an ocular aberrometer based on the Hartmann-Shack (HS) type wavefront sensor for use in optometry clinics. The optical system has enhanced versatility compared with commercial aberrometers, yet it is compact and user-friendly. The system has the capability to sense both on-axis and off-axis aberrations in the eye within an unobstructed 20 degree field. This capability is essential to collect population data for off-axis aberrations. This data will be useful in designing future adaptive optics (AO) systems to improve image quality of eccentric retinal areas, in particular, for multi-conjugate AO systems. The ability of the examiner to control the accommodation demand is a unique feature of the design that commercial instruments are capable of only after modification. The pupil alignment channel is re-combined with the sensing channel in a parallel path and imaged on a single CCD. This makes the instrument more compact, less expensive, and it helps to synchronize the pupil center with the HS spot coordinate system. Another advantage of the optical design is telecentric re-imaging of the HS spots, increasing the robustness to small longitudinal alignment errors. The optical system has been optimized with a ray-tracing program and its prototype is being constructed. Design considerations together with a description of the optical components are presented. Difficulties and future work are outlined.