The presence of optical aberrations that blur retinal images were the subject of popular lectures by Helmholtz in the 1860s, and led him to state: "Now, it is not too much to say that if an optician wanted to sell me an instrument which had all these defects, I should think myself justified in blaming his carelessness in the strongest terms and giving him back his instrument."1 Recently, the availability of wavefront aberrometers in the clinical setting and wavefront-guided vision correction has rekindled an intense interest in the optical aberrations of the eye and in particular those aberrations that cannot be corrected with traditional sphero-cylindrical lenses.