Research Article - Ophthalmology Case Reports (2018) Volume 2, Issue 1

## Pantoscopic tilt induced higher order aberrations characterization using Shack Hartmann wave front sensor and comparison with Martin's Rule

**Venkataramana Kalikivayi**

^{1,4*}, Kannan K^{2}, Ganesan^{3}^{1}Department of Mathematics, SASTRA University, India

^{2}Department of Optometry, Kozhipara Post, Kerala, India

^{3}Department of Physics, Indian Institute of Technology, India

^{4}Department of Optometry, St.Thomas Mount, Chennai

- *Corresponding Author:
- Venkataramana Kalikivayi

Department of Mathematics

SASTRA University, India

**Tel:**+9380764631

**E-mail:**[email protected]

**Accepted date:** March 06, 2018

**Citation: **Kalikivayi V, Kannan K, Ganesan AR. Pantoscopic tilt induced higher order aberrations characterization using Shack Hartmann wave front sensor and comparison with Martin’s Rule. Ophthalmol Case Rep. 2018;1(2):40-44.

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### Abstract

Purpose: The aim of this work is to characterize the higher order aberrations due to Pantoscopic Tilt using Shack Hartmann Wave front Sensor and comparing it with Martin’s Rule. Methods: A Shack Hartmann wavefront sensor consisting of a hexagonal array of 127 micro lenses and a CCD Camera is used in this work to measure the tilt induced optical aberrations. The optical set up was aligned for perfect centration. A rotation stage was set for one of the lenses to induce pantoscopic tilt. The tilt was given from 10 to 130 in steps of 10. At each step, the various optical aberrations, consisting of first 15 Zernike terms were measured and analyzed. The resultant spherical equivalent is calculated using both methods viz., from SHWFS and Martin’s rule. Results: Pantoscopic tilt showed significant increase in 2nd and 4th order aberrations. Change in spherical equivalent of 0.50 D, 1.00 D and 2.00 D were observed for tilts of 40, 70 and 100 respectively. Whereas with Martin’s rule, the total change in the resultant spherical equivalent for 100 is 0.11 D only. The pantoscopic tilt increases 2nd and 4th order aberrations significantly and there was no statistical significant correlation for 3rd order aberrations. Conclusion: Our study insists the pantoscopic tilt induced aberrations should be taken into account while designing spectacle lenses and their frames for proper seating on the nose bridge and ears

## Keywords

Pantoscopic tilt, aberrations, Shack hartmann wavefront Sensor, zernike polynomials, martin’s rule

## Introduction

Spectacles play an important role in “Vision Correction”. Apart
from the spectacle prescription, there are other factors like
Inter-Pupillary Distance (IPD), vertex distance, pantoscopic tilt
etc. which play a major role in good and comfortable vision.
Although earlier works discuss extensively about IPD and vertex
distance, the influence of pantoscopic tilt is seldom discussed.
Pantoscopic tilt is defined as a lens tilt about the horizontal axis,
with respect to primary gaze of a subject. In a simple way, it
can be explained as “The rotation of lens bottom towards the
cheeks”. Typically these tilts range from 0-12 degrees, and tilt
up to 3-7 degrees are considered normal. It usually depends
on how a spectacle sits on the face, which further depends
on the heights of the ears nose and bridge. Tilt changes the
effective power of a lens or spectacle [1-3], which results in
a sphero cylindrical combination. Earlier studies discussed
the mathematical calculations of the resultant power by using
matrix methods [3,4]. The Shack Hartmann Wave front Sensor
[5-8] (SHWFS) is extensively used in astronomy and human
eyes. As human ocular aberrations are mostly measured using
SHWFS, it needs to be centered or aligned well to accurately measure ocular aberrations. If the optical measurement system
has any misalignment, this would add to the ocular aberrations
being measured. This would result in misinterpretation of total
aberrations as we cannot distinguish whether the aberrations are
caused by the optical system or the eye. This would result in
wrong aberration data. As is well known, the optical aberrations
consist of lower and higher order. 92% of vision correction is
achieved by correcting the lower order aberrations, viz. Defocus
and astigmatism, whereas 8% due to higher order aberrations
remain uncorrected [9,10]. These consist of aberrations like
Coma, Trefoil, Spherical aberrations etc. When a spectacle lens
was inserted and tilted during the calibration of SHWFS, it was
observed that there was manifold increase in the higher order
aberrations. This triggered us to look for the resultant power of a
spectacle lens when a tilt is introduced and found to be very less
compared to the calculated values using Martin’s rule. Hence in
this work, we have analyzed the pantoscopic tilt induced higher
order optical aberrations, consisting of various Zernike terms up
to the 4^{th} order, along with comparison of spherical equivalent
using Shack Hartmann Wave front Sensor and Martin’s Rule.

## Materials and Methods

The schematic of the experimental set up is shown in Light from a fiber coupled Super Luminescent Laser Diode (SLD) of
wavelength 633 nm was used as a test beam. The output from
the fiber was collimated by lens L1with initial beam size of 24
mm. The exit aperture of the collimating lens L1 was reimaged
onto a lens let array of the SHWFS using lenses L2-L5, which
also takes care of beam resizing to fill the entire micro lens array
with the given input beam diameter. The focal lengths of L1, L2
and L3 are 15 cm with a radius of curvature of 154 mm, central
thickness of 3.1 mm and edge thickness of 2 mm. The focal
length of L4 is 50 cm with a radius of curvature of 514.7 mm,
central thickness of 2.3 mm and edge thickness of 2 mm. The
focal length of L5 was 10 cm with a radius of curvature of 102.4
mm, central thickness of 3.6 mm, and edge thickness of 2 mm.
All lenses were 25 mm in diameter and made of Schott optical
glass with refractive index of 1.79. As it is mandatory to resize
the beam in a Shack Hartmann Wave front sensor, the power and
spacing of the lenses were carefully calculated and the beam
resized to 3.9 mm to match the clear aperture size of micro lens
array. It is also important to maintain conjugacy at 3 planes (at
L1, Mirror 1 and at wave front sensor), following spacing of
lenses in the experiment (**Figure 1**).

SLD to L1=15 cm,

L2 to L3=30 cm,

L3 to Mirror 1=15 cm,

Mirror 1 to L4=15 cm,

L4 to L5=60 cm and

L5 to WFS=11.4 cm.

Hence the beam emerging from L1, Mirror 1 and L5 are always
parallel. The second mirror was a plane mirror and rays from
L4 are converging to a point before L5. Hence the lens used for
tilt measurement cannot be changed for different magnitude of
powers and is dependent on beam resizing optics used in SHWFS.
If a lens with different power (L2) is used for introducing the tilt,
the rest of the optics has to be reworked to maintain conjugacy
and beam resizing. The wave front sensor used in this work
consists of hexagonal array of 127 micro lenses and a CCD
Camera. The focal length of the micro lens array was18 mm
and the array pitch was 300 micrometer. The micro lens array
focuses the incoming beam to an array of spots. The position of
these spots varies when the input beam has aberrations compared to a perfect plane wave front. By measuring the shift of the
centroids of these spots, all the aberrations were calculated [9].
Further, the wave front reconstruction was performed by using
“modal reconstruction” method, which means that the required
wave front is represented by a series expansion over a system
of linearly independent basis functions, and the coefficients of
expansion are calculated in terms of this basis [10]. Singular
Value Decomposition (SVD) algorithm was used to construct
an orthogonal basis [11,12]. The reconstructed wave front was
then defined continuously throughout the whole aperture of
the sensor which is 3.9 mm in our wave front sensor. Optical
aberrations up to 8th orders consisting of 44 Zernike terms
were computed. As only the first 15 Zernike terms are visually
significant [9-13], we have analyzed the data up to 4^{th} order.
The entire set up was initially aligned and tested for perfect
centration. It was achieved by using a cage system and a point
laser beam sent through a pin hole. The system was tested
for minimum values of various optical aberrations. To induce
pantascopic tilt about the X-axis, the lens L2 was mounted on
a rotation stage. We take Z-axis as the direction of propagation
and the XY plane as the plane of wave front, centered on the
optic axis as shown in **Figure1**. The rotation stage of the lens
L2 was rotated about X axis in 1 degree steps up to 13 degrees.
The size of the collimated beam was 24 mm and to measure the
entire wave front, the beam was resized to the size of the micro
lens array which was 3.9 mm using lenses L2 to L4. Apart from
beam resizing, the lenses L2 to L5 also image the exit aperture
of the collimating lens on to the microlens array. When the lens
bottom was tilted towards the wave front sensor, it was taken
as pantoscopic. At each point the wavefront data consisting of
all Zernike values up to the 4th order, Peak-Valley and RMS
values were stored. After obtaining the Zernike values, the 2^{nd} order aberration data consisting [Z_2 ^ 0 Z_2^2, Z_2 ^ (-2) were
converted to the clinical sphere cylindrical form by using the
following equations [14,15]. The Z_2^0defocus corresponds to
spherical equivalent M, Z_2 ^ 2 corresponds to with/against the
rule astigmatism J180 and Z_2 ^ (-2) corresponds to oblique
astigmatism J45 with axis 45 0 or 135 0.

J45 = (-2√6) / r2 Z_2 ^ (-2), M=(-4√3) / r2 Z_2 ^ 0, J180=(-2 √ 6) / r2 Z_2 ^ 2

When ‘r’ is the pupil radius in mm, Zernike values were in microns, the corresponding refractive error will be in diopters. Thibos et al. [16] earlier reported that the following equation can be used to convert J45, M and J180 to conventional spherocylindrical form.

S = M +√ (J_180 ^ 2 + J_45 ^ 2), C = -2 √ (J_180 ^ 2 + J_45 ^ 2), Ѳ = 1/2 arc tan (J45 / J180)

Where ‘S’ is sphere, ‘C’ is cylindrical power and ‘Ѳ’ is the axis.

Martin's rule essentially calculates the resultant power of a lens when a tilt is introduced. Tilt of a lens results in shifting the optical axis away from the center of rotation. It means that the line of sight is at an angle to the lens in its primary position of gaze. Hence this tilting of a lens changes the three components in the resultant power.

1. Sphere power.

2. Cylinder is induced, equal in sign to the sphere power

3. The axis is oriented at the axis of rotation.

In this work, for each degree of tilt for the known power of a lens, the resultant power of the lens was calculated mathematically by using the following Martin’s formula as reported earlier by D Meister and JE Sheedy [17].

Dsph=D (1+ (Sin ^ 2 Ѳ) / 2n)

Dcyl=Dsph (Tan ^ 2 Ѳ)

Where

Dsph=induced sphere

Ѳ=degrees of tilt

D=Sphere power of the tilted lens.

Dcyl=induced cylinder at the rate of 180

Spherical equivalent was then calculated by using conventional formula M=Dsph + Dcyl/2

Descriptive analyses, Correlation tests and Regression analyses were performed by using Microsoft Excel. Confidence interval was fixed at 95%.

## Discussion

After getting the conventional spherocylindrical form from
the lower order aberrations measured by SHWFS, spherical
equivalent was calculated for pantoscopic tilt. Later the difference
was calculated by subtracting the original power of the lens from
the values obtained from SHWFS method and is given in **Table 1**.
For all the 2^{nd} order aberrations, Defocus (p<0.001), Horizontal
(p=0.001) and Vertical Astigmatism (p=0.01), pantoscopic tilt
was found to have a significant negative correlation. Although
3^{rd} order aberrations (Horizontal and Vertical Coma, Horizontal
and Vertical Trefoil) showed positive correlation, there was
no statistical significant difference with pantoscopic tilt. In
fourth order aberrations, Spherical Aberration (p=0.005),
Vertical Secondary Astigmatism (p=0.01) and Horizontal
Trefoil (p=0.004) showed significant negative correlation
with pantoscopic tilt. Horizontal Secondary Astigmatism and
Vertical Trefoil showed negative correlation with pantoscopic
tilt but there was no statistical significance. Peak to Valley (PV)
(p<0.001) and Root Mean Square (RMS) (p<0.001) showed
statistically significant positive correlation with pantoscopic tilt
as shown in **Figure 2** and **Figure 3** respectively. Higher Order
RMS (HO RMS) was found to have statistically significant
positive correlation with pantoscopic tilt (p=0.03). Difference
in the Spherical equivalent derived from SHWFS was found
to have statistically significant positive correlation with
panto scopic tilt (p<0.00) as shown in **Figure 4**. Similarly the
following (**Table 2**) gives the difference in spherical equivalent
values calculated by subtracting the original power of the lens
from the values obtained from Martin’s rule method. Difference
in the Spherical equivalent derived from Martin’s Formula was
found to have statistically significant positive correlation with
pantoscopic tilt (p<00) as shown in **Figure 5**.

Pantoscopic tilt In degrees |
Difference in spherical equivalent in diopters |
---|---|

0 | 0 |

1 | 0.08 |

2 | 0.17 |

3 | 0.34 |

4 | 0.49 |

5 | 0.66 |

6 | 0.86 |

7 | 1.07 |

8 | 1.29 |

9 | 1.68 |

10 | 2.15 |

11 | 3.05 |

13 | 2.39 |

13 | 1.43 |

**Table 1:** Difference in Spherical Equivalent in diopters for Pantoscopic
Tilt measured from SHWFS method.

Pantoscopic Tilt in Degrees |
Difference in Spherical Equivalent in Diopters |
---|---|

0 | 0 |

1 | 0.00 |

2 | 0.01 |

3 | 0.01 |

4 | 0.03 |

5 | 0.04 |

6 | 0.06 |

7 | 0.08 |

8 | 0.10 |

9 | 0.13 |

10 | 0.16 |

11 | 0.19 |

12 | 0.23 |

13 | 0.27 |

**Table 2:** Difference in Spherical Equivalent in diopters obtained from Martin’s rule.

## Results

Most of the earlier works [1-4] discusses the methods to
calculate the resultant power of a tilted lens, whereas we have
tried to calculate and quantify the amount of higher order aberrations and its relationship with increase in pantoscopic tilt
up to 13 degrees in 1 degree steps. From our study, we found
that the pantoscopic tilt increases 2^{nd} and 4^{th} order aberrations
significantly. Surprisingly there was no statistical significant
correlation for 3^{rd} order aberrations with pantoscopic tilt. This
needs further work to understand the absence of significance
for 3^{rd} order aberrations. The total RMS showed statistically
significant positive correlation with pantoscopic tilt, whereas
Higher Order RMS showed significant negative correlation.

This gives us an understanding that lower order aberrations are
positively correlated and higher order aberrations are negatively
correlated. Also, for tilts of 40, 70 and 100, there was a change in
spherical equivalent up to 0.50 D, 1.00 D and 2.00 D respectively,
as spherical equivalent showed significant positive correlation
with pantoscopic tilt. When using the Martin’s rule to calculate
the pantoscopic tilt and the resultant spherical equivalent,
it was found that there was a significant positive correlation.
But the magnitude of the change in spherical equivalent was
very low and was found to be 0.19 D for 110 degrees of tilt.
Whereas SHWFS method showed a large amount of change up
to 3.04 D for 110 degrees. But the most significant observation
was that when a mathematical formula was used to calculate
the tilt induced power, it is gradually increasing and showing
a linear relationship.Whereas in the SHWFS method, resultant
spherical equivalent increases gradually till 110 degrees
and started reducing as shown in **Figure 6**. This reduction in
the tilt values mainly depend on the number of micro-lenses,
array pitch, array geometry, intensity of light, and wave front
reconstruction methods used in constructing the SHWFS. These
values may change for different wave front sensors depending
on the above mentioned factors. Hence it is not only important
to align the optical components of a SHWFS for the tilt, but
also it is important to know the upper limit of the tilt in a given
SHWFS. Earlier studies used different focal length lenses in
their experiments using SHWFS [18-20]. In this work, it stresses
the importance of using these lenses without inducing the tilt.
One may think, a tilt of up to 110 induces only a 0.19 diopter as measured by Martin’s formula. But in the SHWFS, the same
amount of tilt causes 3 diopters variation. This explains that
there was a limitation or tolerance level in the SHWFS while
doing the experiments involving the use of ophthalmic lenses.
As was seen clearly from this work, a 20 degree tilt induces 0.17
D in SHWFS, whereas it takes up to 100 degrees of pantoscopic
tilt in a spectacle lens for the human eye. The adaptability,
accommodation, depth of focus etc. makes the human eye to
tolerate up to 100 degrees of pantoscopic tilt, whereas SHWFS
is highly sensitive to these tilts. A tilt in the spectacles induces a
small variation in the resultant power but tilt induced by any of
the lenses used in SHWFS results in huge variations. Hence one
needs to be very careful in the experiments involving SHWFS.
This works gives us the insight on tilt induced optical aberrations
in an experimental set up using SHWFS. Hence it would help
people who use Shack Hartmann Wave front Sensor in their
experimental studies using ophthalmic lenses thereby guiding in
proper alignment or misalignment of optical components where
tilt is involved. The pantoscopic tilt increases 2^{nd} and 4^{th} order
aberrations significantly and there was no statistical significant
correlation for 3rd order aberrations. Our study suggests that
the change in the resultant power of a tilted lens calculated by
Martin’s rule is very less when compared to the measurement
of change in resultant power using a SHWFS. This insists that
experimental studies involving SHWFS needs not only proper
alignment of optical components but also it is important to
know the upper limit of the tilt in a given SHWFS. Further,
the pantoscopic tilt induced aberrations should be taken into
account while designing spectacle lenses.

## Acknowledgements

The authors acknowledge the financial support from the Science & Engineering Research Council of India under grant nos.SR/ SO/HS/0073/2010 and SR/SO/HS/0072/2010.

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