The human eye, like any optical instrument, is affected by aberrations that degrade the retinal image and ultimately limit spatial vision. Each individual has a distinct aberration pattern (Artal & Navarro,
1994; Howland & Howland,
1976; Liang and Williams,
1997), and the overall amount can vary from eye to eye in normal eyes. However, in a population, the average magnitude of aberrations in a group of emmetropic eyes is similar to that found in groups of mild to moderate myopes and hyperopes (Cheng, Bradley, Hong, & Thibos,
2003). This is intriguing because the size and shape of the eye is very dependent on the refractive state: Myopic eyes having characteristically longer axial lengths than hyperopic ones (Grosvenor & Goss,
1999). How the relatively simple, from an optical point of view, ocular components, the cornea and crystalline lens, are formed to produce a similar optical resolution in average at best focus, independently of the large structural ocular differences, is not well understood. In recent years, the use of advanced optical technology (Fernández, Iglesias, & Artal,
2001; Hofer, Artal, Singer, Aragón, & Williams,
2001) allowed researchers to study the relative contribution of the ocular optical elements (Artal & Guirao,
1998; Artal, Guirao, Berrio, & Williams,
2001; Kelly, Mihashi, & Howland,
2004). In most young eyes, the magnitude of aberrations for both the cornea and the lens are larger than for the complete eye, indicating a significant role of the lens in compensating for the corneal aberrations and thus producing improved retinal images. However, in older subjects the opposite situation occurs: The lens adds aberrations to the cornea yielding a complete system with poorer optical quality (Artal, Berrio, Guirao, & Piers,
2002). The changes in the shape and size of the lens through life (Glasser & Campbell,
1998) may explain the progressive lack of compensation occurring in older eyes.