An ophthalmic device includes an accommodating optic having adjustable optical power, an optical tap positioned within a vision of an eye when the ophthalmic device is mounted in or on the eye, an image sensor positioned outside of a foveal vision of the eye when the ophthalmic device is mounted in or on the eye, and a controller coupled to the accommodating optic and the image sensor. The optical tap redirects a portion of the vision light that passes through the accommodating optic as tapped light. The image sensor is aligned to receive the tapped light from the optical tap and adapted to generate image data indicative of a focus of the vision light in response to the tapped light. The controller is adapted to generate an accommodation control signal that manipulates the adjustable optical power of the accommodating optic based upon the image data.