RT Journal Article A1 Elliott, Sarah L. A1 Choi, Stacey S. A1 Doble, Nathan A1 Hardy, Joseph L. A1 Evans, Julia W. A1 Werner, John S. T1 Role of high-order aberrations in senescent changes in spatial vision JF Journal of Vision JO JOV YR 2009 DO 10.1167/9.2.24 JF Journal of Vision VO 9 IS 2 SP 24 OP 24 SN 1534-7362 AB The contributions of optical and neural factors to age-related losses in spatial vision are not fully understood. We used closed-loop adaptive optics to test the visual benefit of correcting monochromatic high-order aberrations (HOAs) on spatial vision for observers ranging in age from 18 to 81 years. Contrast sensitivity was measured monocularly using a two-alternative forced-choice (2AFC) procedure for sinusoidal gratings over 6 mm and 3 mm pupil diameters. Visual acuity was measured using a spatial 4AFC procedure. Over a 6 mm pupil, young observers showed a large benefit of AO at high spatial frequencies, whereas older observers exhibited the greatest benefit at middle spatial frequencies, plus a significantly larger increase in visual acuity. When age-related miosis is controlled, young and old observers exhibited a similar benefit of AO for spatial vision. An increase in HOAs cannot account for the complete senescent decline in spatial vision. These results may indicate a larger role of additional optical factors when the impact of HOAs is removed, but also lend support for the importance of neural factors in age-related changes in spatial vision. RD 12/15/2019 UL https://doi.org/10.1167/9.2.24