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We present a methodology to measure the systematic changes of aberrations induced by small changes in amplitude of accommodation. We use a method similar the one used in electrophysiology, where a periodic stimulus is presented to the eye and many periods (epochs) of the stimulus are averaged. Using this technique we have measured changes in higher order aberrations from 0.006 mum to 0.02 mum and correlated them with amplitude changes of accommodation as small as 0.14D. These small changes would have been undetectable without epoch averaging. The correlation coefficients of Zernike terms with defocus were calculated, demonstrating higher values of correlation for epoch averaging. The accurate monitoring of defocus at the start of the accommodation response has shown some interesting trends that may be related with the mechanisms behind accommodation.

New methodology to measure the dynamics of ocular wave front aberrations during small amplitude changes of accommodation