Ophthalmic Uses
Like other lenses for vision correction, aspheric lenses can be categorized as convex or concave.
Convex aspheric curvatures are used in many presbyopic vari-focal lenses to increase the optical power over part of the lens, aiding in near-pointed tasks such as reading. The reading portion is an aspheric "progressive add". Also, in aphakia or extreme hyperopia, high plus power aspheric lenses can be prescribed, but this practice is becoming obsolete, replaced by surgical implants of intra-ocular lenses. Many convex types of lens have been approved by governing agencies regulating prescriptions.
Concave aspheres are used for the correction of high myopia. They are not commercially available from optical dispensaries, but rather must be specially ordered with instructions from the fitting practitioner, much like how a prosthetic is customized for an individual.
The range of lens powers available to dispensing opticians for filling prescriptions, even in an aspheric form, is limited practically by the size of the image formed on the retina. High minus lenses cause an image so small that shape and form aren't discernible, generally at about -15 diopters, while high plus lenses cause a tunnel of imagery so large that objects appear to pop in and out of a reduced field of view, generally at about +15 diopters.
In prescriptions for both farsightedness and nearsightedness, the lens curve flattens toward the edge of the glass, except for progressive reading adds for presbyopia, where seamless vari-focal portions change toward a progressively more plus diopter. High minus aspheres for myopes do not necessarily need progressive add portions, because the design of the lens curvature already progresses toward a less-minus/more-plus dioptric power from the center of the lens to the edge. High plus aspheres for hyperopes progress toward less-plus at the periphery. The aspheric curvature on high plus lenses are ground on the anterior side of the lens, whereas the aspheric curvature of high minus lenses are ground onto the posterior side of the lens. Progressive add reading portions for plus lenses are also ground onto the anterior surface of the lens. The blended curvature of aspheres reduces scotoma, a ringed blind spot.
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