System for the design, manufacture, and testing of custom lenses with known amounts of high-order aberrations

Now that excimer laser systems can be programmed to correct complex aberrations of the eye on the basis of wave-front measurements, a method is needed to test the accuracy of the system from measurement through treatment. A closed-loop test method was developed to ensure that treatment plans generated by a wavefront measuring system were accurately transferred to and executed by the excimer laser. A surface was analytically defined, and a Shack-Hartmann-based wave-front system was used to formulate a treatment plan, which was downloaded to an excimer laser system. A plastic lens was ablated by the laser and then returned to the wave-front device, where it was measured and compared with the analytically defined wave-front surface. The two surfaces agreed up to 6th-order Zernike terms, validating the accuracy of the system.