Devices and methods for measuring high order aberrations from an eye are described. A method includes obtaining information indicating one or more aberrations of an eye, and obtaining information indicating one or more of a visual axis of the eye, a center of a pupil of the eye, and a comeal vertex of the eye. The information from the optical device is used to modify a design of a contact lens so that a combination of the eye and the modified contact lens has reduced high order aberrations. In some cases, information indicating the orientation of the contact lens positioned on the eye is also used. The optical device may include an aberrometer； a first light source for providing first light toward an eye； a lens assembly for collecting light from the eye； and a first image sensor for receiving light that has been transmitted through the lens assembly.
