As a first step, the system provides an objective characterization of the optical quality of the patient’s two eyes by binocular application of wave-front sensing technology. This characterization overcomes the current description based in refractive errors, providing an accurate description of the optics of each eye based on the assessment of the whole set of ocular aberrations.
The Binocular Adaptive Optics Visual Simulator (bAOVS) computes a collection of optical designs that fit with the wave-aberration of the patient and the visual needs. These designs are based on different strategies for optimizing the patient’s visual performance: “optimizing far-near vision by monovision”, “increasing depth of focus by modulating spherical aberration”, “enhancing stereovision”, “minimizing glare/halos at night”, etc.
A key function of the bAOVS is the capacity of adding sophisticated correction schemes customized to the patient's needs. The patient really sees through the compensation, which is optically superimposed on its visual path, without lenses or moving parts inside the instrument.
Another functionality of the bAOVS starts when the patient is seeing through its compensation design. The system uses pico-projectors to display custom visual tests. In opposition to the current paradigm, which is conditioned by XIX century optical instrumentation, the bAOVS overcomes the simplistic identification between visual acuity and visual performance. The bAOVS provides an open subjective stage where the evaluation of different visual functions is integrated. Tests are not restricted to black-on-white letters, but they can now be real-world scenes where the optimum correction shows all the potential. Scenes of reading at different distances and with different formats, 3-D scenes for testing stereovision, scenes of night driving, etc.
The bAOVS and its binocular simulation will enhance the relationship between patient and vision care professional; the latter controls the evaluation procedure by modulating the designs proposed by the system, and adapting them to the visual requirements of the patient, who can see the visual benefit in real time and do the feedback.
Ultimately, the output of the evaluation procedure with the bAOVS is a personalized design, composed as an adaptation of the objective correction of the patient’s wavefront and/or the addition of particular wave-front patterns to maximize the patient visual requirements. The parameters describing the compensation design can be further implemented in any existing (or future) formats: spectacle or contact lenses, intraocular lenses, refractive surgery...