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170   Chapter Eight

        distance (2 or 3 diopters), it is necessary to wear positive lenses to read
        comfortably.
          Keratoconus is a conically shaped cornea and can be corrected by
        contact lenses which effectively overlay a new spherical surface on the
        cornea.
          An opaque or cloudy lens (cataract) is frequently removed surgically
        to restore vision. The resultant loss of power can be made up by an
        extremely strong positive spectacle lens. But better solutions are a
        contact lens or by surgically implanting a plastic intraocular lens near
        the iris. Such an aphakic eye, lacking a lens, cannot accommodate.
        Also, the change in retinal image size due to the shift in refractive
        power from inside to outside the eye (if due to the strong spectacle
        lens) will preclude binocular vision if only one eye is lensless.
          Aniseikonia is the name given to a disparity in retinal image size
        from one eye to the other, occurring in otherwise normal eyes, and
        results in lack of binocular vision if the disparity is larger than a few
        percent. Aniseikonia can be corrected by special thick meniscus lenses or
        airspaced doublets which are effectively low-power telescopes the mag-
        nifications of which balance out the difference in retinal image size.
          In instrument design, a number of additional factors should be taken
        into consideration, especially for binocular instruments. An adjustment
        must be provided for the variation in interpupillary distance, so that
        both sides of the instrument can be aligned with the pupils of the eyes.
                                      1
        This distance is typically about 2 
 in, but it ranges from 2 to 3 in. Both
                                       2
        halves of a binocular instrument must have the same magnification
               1
        (within  
 to 2 percent, depending on the individual’s tolerance) and both
                2
                                                  1
        halves must have their axes parallel (to within  
 prism diopter vertically,
                                                   4
        1 
 diopter divergence, and 1 diopter convergence). Each side must be
         2
        independently focusable to allow for variations in focus between the two
        eyes. A focus adjustment of  4 diopters will take care of the requirements
        of all but a few percent of the population;  2 diopters will satisfy about
        85 percent. The depth of field of the eye (the distance on either side of the
                                                                1
        point of best focus through which vision is distinct) is about   
 diopter.
                                                                 4
        The Rayleigh quarter wave (see Chap. 11) depth of focus is  1.1/(pupil
                 2
                                                             1
        diameter) diopters, which for a 3-mm pupil works out to   
 diopter. For
                                                              8
        biocular devices, such as head-up displays (HUDs), the angular disparity
        between the eyes should be less than 0.001 radians.
        Bibliography
        Adler, F., Physiology of the Eye—Clinical Applications, St. Louis, Mosby, 1959.
        Alpern, M., “The Eyes and Vision,” in W. Driscoll (ed.), Handbook of Optics, New York,
          McGraw-Hill, 1978.
        Blaker, W., “Ophthalmic Optics,” in Shannon and Wyant (eds.), Applied Optics and Optical
          Design, Vol. 9, New York, Academic, 1983.
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