In dealing with refractive surgery as a subspecialty, a thorough understand
ing of the optical properties of the eye, the optics of appropriate vision
function testing, and corneal surface measurements is necessary. This found
ational information allows us to understand the optics of laser vision corr
ection, which is of core importance to the subject of this chapter. Finally
, both the customization of laser vision correction with topography and wav
e-front sensing allow us to look at the optics of refractive surgery in an
entirely new light. Understanding aberrations and how they may be corrected
will allow us to achieve a potential for better visual acuity than a patie
nt's best corrected acuity naturally. The chapter addresses the most import
ant issues regarding the optics of refractive surgery.