Adaptive Optics for Vision Science

Chapter 10.5.2 - Human Factors

10.5.2   Human Factors

Fixation   An entire system can be precisely aligned, but the final image location
depends on the patient and the direction they are looking with respect
to the axis of the ophthalmoscope. To control the lateral retinal image location,
we typically rely on the subject. To control the image location, a calibrated
fixation target is provided for the subject to view while imaging. The
wavefront sensor beam will be just visible in (or near) the center of the fixation
field. If the subject looks in that direction, wavefront sensing and imaging
will be done at the fovea. If the subject looks up, then the image is of superior
retina, and so forth.

Stability   Patient stability is maintained using a bite bar (or mouth rest), or
a rigid dental impression that is fixed to an x-y-z positioner on the optical
table. The patient can be brought into alignment so that the optical axis of
the instrument passes through the entrance pupil of the eye. Another method
currently being explored is the use of a video-based pupil tracking system that
will steer the optical path so that the beam always goes through the same part
of the pupil. A good pupil tracking system will relieve the need for a bite bar
and may also be used to pass the beam through the least aberrated part of
the eye being imaged.

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