Holographic waveguide based optometer for the quantitative monitoring of ocular refractive error

Oculomotor disorders are known to have profound impacts on a patients’ quality of life. However, current clinical practice lacks the capability to provide simultaneous assessment of three tightly coupled oculomotor control components, i.e. eye movement, lens accommodation, and pupil response. In this study, a holographic waveguide (HW) based benchtop optometer was constructed and evaluated with a model eye. Experimental result and quantitative analysis indicate that a HW can convey high quality retinal images to a camera at an illumination level safe for human subjects and support high accuracy measurements of ocular refractive error over a wide range. Further development of a HW-based system promises a wearable, see-through device for comprehensive assessment of oculomotor control components while the subject is engaged in normal daily activities and thus enable advanced research and clinical management of oculomotor disorders.