Adaptive Optics for Vision Science

Chapter 10 - Strategies for High-Resolution Retinal Imaging

Strategies for High-Resolution Retinal Imaging

AUSTIN ROORDA,
University of California, Berkeley, Berkeley, California

DONALD T. MILLER,
Indiana University, Bloomington, Indiana

JULIAN CHRISTOU
University of California, Santa Cruz, Santa Cruz, California

10.1  INTRODUCTION

This chapter focuses on technical issues pertaining to the overall design of
high-resolution ophthalmoscopes that employ adaptive optics (AO). The
complexities of AO coupled with the inherent difficulties of safely and effectively
imaging inside living human eyes create formidable challenges. As with
any field, there is a certain amount of black art necessary to develop the
instrument to a level that, in this case, is useful for basic and clinical research.
Unfortunately much of the technical know-how is not reflected in the current
literature. As such, we attempt to articulate some of the most beneficial technical
and hands-on issues related to the overall design of an AO ophthalmoscope.
These will help answer questions such as: “What type of AO
ophthalmoscope is best for my application?”, “How short must the exposure
be to avoid retinal motion blur?”, “What is an effective approach to integrate
AO into my ophthalmoscope?”

The chapter begins with three sections that address three types of AO
ophthalmoscopes: conventional flood illumination, confocal scanning laser
ophthalmoscopes (cSLO), and optical coherence tomography (OCT). Collectively
these ophthalmoscope architectures (without AO) cover the major
imaging modalities currently available to patients visiting an eye care clinic.
Each requires unique approaches for integrating AO. Each has performance
strengths and retinal imaging applications that generally compliment those of
the other two. For example, the optical sectioning capability of these ophthalmoscopes
is wide ranging, with conventional flood illumination systems providing
little axial resolution, while OCT systems extract the thinnest retinal
slices (<10 μm). The optical performance of the eye (diffraction and ocular
aberrations) fundamentally limits lateral resolution and defines the smallest
internal structures that can be observed when looking “into” the eye with any
of the three ophthalmoscopes. Significant gains in ophthalmoscopic resolution
can accrue by correcting the eye’s aberrations, and this will allow smaller
structures to be observed. Following these sections is a section containing
general information that is applicable to all AO ophthalmoscopes. The final
section deals with image deconvolution, specifically as it applies to the
postprocessing of AO-corrected retinal images.

While our experience is almost exclusively with research-grade AO ophthalmoscopes,
much of the chapter content is directly applicable to the development
of commercial systems. We hope this information expedites their
development and look forward to when AO is an integral component of the
commercial ophthalmoscope. Note that the specific details of AO system
construction, operation, and performance are covered in Chapters 4 to 8.

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