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Computationally, we use a polychromatic eye model including the typical levels of higher order aberrations (\n                      <jats:styled-content style=\"fixed-case\">HOA<\/jats:styled-content>\n                      s) for keratoconic and post\u2010\n                      <jats:styled-content style=\"fixed-case\">LASIK<\/jats:styled-content>\n                      eyes to quantify the image quality (the visually weighted Strehl ratio derived from the optical transfer function,\n                      <jats:styled-content style=\"fixed-case\">VSOTF<\/jats:styled-content>\n                      ) with different pupil sizes at both photopic and mesopic light levels.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      For distance corrected post\u2010\n                      <jats:styled-content style=\"fixed-case\">LASIK<\/jats:styled-content>\n                      and keratoconic eyes with a night\u2010time pupil (e.g., 7\u00a0mm), the starburst diameter is about 1.5 degrees (1 degree for normal presbyopic eyes), which can be reduced to \u22640.25 degrees with pupil sizes \u22643\u00a0mm. Starburst size is predicted from the magnitude of the longitudinal spherical aberration. Refracting the eye to focus the pupil margin also removed starbursts, but, unlike small pupils, significantly degraded visual acuity. Reducing pupil diameter to 3\u00a0mm improved image quality for these highly aberrated eyes by about 2.7\u00a0\u00d7\u00a0 to 1.7\u00a0\u00d7\u00a0 relative to the natural pupils when light levels were varied from 0.1 to 1000\u00a0cd\u00a0m\n                      <jats:sup>\u22122<\/jats:sup>\n                      , respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Subjects with highly aberrated eyes observed larger starbursts around bright lights at night predictable by the deviated marginal rays. These were effectively attenuated by reducing pupil diameters to \u22643\u00a0mm, which did not cause a drop in visual acuity or modelled image quality even at mesopic light levels.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/opo.12420","type":"journal-article","created":{"date-parts":[[2017,12,23]],"date-time":"2017-12-23T06:05:19Z","timestamp":1514009119000},"page":"26-36","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Reducing starbursts in highly aberrated eyes with pupil miosis"],"prefix":"10.1007","volume":"38","author":[{"given":"Renfeng","family":"Xu","sequence":"first","affiliation":[{"name":"School of Optometry Indiana University Bloomington IN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pete","family":"Kollbaum","sequence":"additional","affiliation":[{"name":"School of Optometry Indiana University Bloomington IN 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