Marsha L. Kisilak

Improved scanning laser fundus imaging using polarimetry

We present a polarimetric technique to improve fundus images that notably simplifies and extends a previous procedure [Opt. Lett.27, 830 (2002)]. A generator of varying polarization states was incorporated into the illumination path of a confocal scanning laser ophthalmoscope. A series of four images, corresponding to independent incoming polarization states, were recorded. From these images, the spatially resolved elements of the top row of the Mueller matrix were computed. From these elements, images with the highest and lowest quality (according to different image quality metrics) were constructed, some of which provided improved visualization of fundus structures of clinical importance (vessels and optic nerve head). The metric values were better for these constructed images than for the initially recorded images and better than averaged images. Entropy is the metric that is most sensitive to differences in the image quality. Improved visualization of features could aid in the detection, localization, and tracking of ocular disease and may be applicable in other biomedical imaging.

Aberrations of chick eyes during normal growth and lens induction of myopia

Understanding the control of eye growth may lead to the prevention of nearsightedness (myopia). Chicks develop refractive errors in response to defocusing lenses by changing the rate of eye elongation. Changes in optical image quality and the optical signal in lens compensation are not understood. Monochromatic ocular aberrations were measured in 16 chicks that unilaterally developed myopia in response to unilateral goggles with −15D lenses and in 6 chicks developing naturally. There is no significant difference in higher-order root mean square aberrations (RMSA) between control eyes of the goggled birds and eyes of naturally developing chicks. Higher-order RMSA for a constant pupil size exponentially decreases in the chick eye with age more slowly than defocus. In the presence of a defocusing lens, the exponential decrease begins after day 2. In goggled eyes, asymmetric aberrations initially increase significantly, followed by an exponential decrease. Higher-order RMSA is significantly higher in goggled eyes than in controls. Equivalent blur, a new measure of image quality that accounts for increasing pupil size with age, exponentially decreases with age. In goggled eyes, this decrease also occurs after day 2. The fine optical structure, reflected in higher-order aberrations, may be important in understanding normal development and the development of myopia.

In chicks wearing high powered negative lenses, spherical refraction is compensated and oblique astigmatism is induced

Chicks develop refractive errors in response to defocusing lenses. Mean ocular refractions (MOR) and astigmatism were measured in chicks that developed myopia in response to unilaterally applied negative lenses (-30 D, n = 19; -15 D, n = 16). The MOR of the control eyes emmetropized with age and both goggle powers were fully compensated given enough time. The initial slopes of plots of MOR with age are not significantly different between inducing lens powers. Astigmatism in control eyes decreased significantly with age. In the presence of -30 D lenses, astigmatism significantly increased with age due to an exponential increase in JCC45 (oblique Jackson crossed cylinder). Although not statistically significant, a similar but smaller trend was observed for the -15 D lenses. Thus, oblique astigmatism results during myopia induction by high-powered lenses. This induced astigmatism is correlated with MOR. These results are consistent with emmetropization of astigmatism, which is disrupted by high-powered spherical lenses.

An x-ray extensional flow cell

We have designed an x-ray extensional flow cell based on the crossed-slot geometry that is compatible with x-ray diffraction. Extensional flow within the cell was both confirmed and characterized by examining the trajectories of small latex spheres suspended in water via video microscopy. The cell was then used to examine extensional-flow-induced structural changes in a well-known lamellar surfactant system, and the alignment of the surfactant domains was observed to increase with increasing extension rate.

Cone-Photoreceptor Density in Adolescents With Type 1 Diabetes.

PURPOSE Changes to retinal structure and function occur in individuals with diabetes before the onset of diabetic retinopathy. It is still unclear if these changes initially affect vascular or neural retina, or if particular retinal areas are more susceptible than others. This paper examines the distribution of cone photoreceptor density in the retina of adolescents with type 1 diabetes. METHODS This cross-sectional prospective study includes 29 adolescents and young adults with type 1 diabetes and no diabetic retinopathy and 44 control participants recruited at the Hospital for Sick Children. Adaptive-optics enhanced retinal imaging of the cone photoreceptor mosaic was performed in four quadrants at an eccentricity of ∼7° from the fovea. After image registration and averaging, cone photoreceptors were counted and photoreceptor density was calculated. Analysis of variance with repeated measures was used to assess the differences in photoreceptor density between groups. RESULTS Cone density was similar in both control participants and participants with diabetes. There was a small effect of retinal hemisphere; participants with diabetes did not show the expected radial asymmetry observed in control participants. CONCLUSIONS Cone density in the parafoveal retina is not reduced in adolescents with type 1 diabetes.

Characterizing image quality in a scanning laser ophthalmoscope with differing pinholes and induced scattered light

We quantify the effects on scanning laser ophthalmoscope image quality of controlled amounts of scattered light, confocal pinhole diameter, and age. Optical volumes through the optic nerve head were recorded for a range of pinhole sizes in 12 subjects (19-64 years). The usefulness of various overall metrics in quantifying the changes in fundus image quality is assessed. For registered and averaged images, we calculated signal-to-noise ratio, entropy, and acutance. Entropy was best able to distinguish differing image quality. The optimum confocal pinhole diameter was found to be 50 microm (on the retina), providing improved axial resolution and image quality under all conditions.

Longitudinal in vivo imaging of cones in the alert chicken.

Purpose. To demonstrate the feasibility of in vivo measurements of cones and their distributions as a function of normal growth without adaptive optics (AO) and also discuss the potential advantages and disadvantages of AO imaging in the chick, an animal model of myopia. Methods. Chicks were obtained on the day of hatching. Axial length and retinoscopy measurements were performed on days 0 and 14. Chicks were imaged on the day of hatching and 14 days later in a custom-built confocal scanning laser ophthalmoscope. Angular densities, linear cone spacings, and cone packing arrangements were determined. Results. Four subarrays of hexagonally packed cones were identified on both days and, from their angular spacings, appear to correspond to different cone types. There were no significant changes in angular cone density with growth and linear spacings of cones increased with growth. This is true for both overall densities and those of the cone subtypes. There was no change in the percent of hexagonally packed cones with growth. Conclusions. Cones can be imaged longitudinally in vivo in the awake chick. The packing arrangement of cones is 40% hexagonally packed. Although AO is not necessary to visualize the cones, including the subarrays of like cones, some closely spaced cones of different types may not be resolved. Most importantly, there is a need to use a larger pupil with growth to maintain the same linear resolution in the larger eye. Novel longitudinal imaging techniques and methods in animal models are shown here to give insights into normal development and, in future, will give insights into visual disorders and diseases, including myopia.

Diurnal rhythms of spherical refractive error, optical axial length, and power in the chick.

PURPOSE To measure the diurnal variation of spherical equivalent refractive error (mean ocular refraction or MOR) and to investigate factors contributing to it in chick, an important animal myopia model. METHODS Nine chicks developed naturally on a 14-hour light/10-hour dark cycle. Optical axial length (OAL) and Hartmann-Shack wavefront error (HSWE) measurements, including pupil size, were taken starting on day 7, at eight times during the following 32 hours. MOR was calculated for a constant pupil size from HSWE measurements. RESULTS MOR, OAL, and pupil size showed significant diurnal variation (P < 0.0001). Most eyes showed significant sinusoidal variations in MOR and in pupil size with periods close to 24 hours. On average, MOR oscillated ±0.84 diopters. OAL varied with a period not different from 12 hours. Diurnally varying MOR and OAL were correlated (P = 0.0003, R² = 0.62). However, as previously reported, the variation in OAL did not account for the variation in MOR. From these results, we derived the diurnal variation in ocular power necessary to give the measured MOR variation. CONCLUSIONS We confirmed a diurnal variation in OAL and found diurnal variations in pupil size and MOR. Although changes in OAL explain the MOR previously observed in response to lenses and diffusers, they do not completely account for the observed diurnal variation of MOR nor for the reduction in hyperopia during normal development. We infer that the diurnal variation in MOR and normal emmetropization both result from small differences in the relative changes of OAL and ocular power.

Blur on the retina due to higher‐order aberrations: Comparison of eye growth models to experimental data

In the simplest model of eye growth, the ocular optics uniformly scale upwards, as do monochromatic higher-order aberrations (HOA) and linear blur on the retina. However, measured HOA remain constant or decrease with growth in some species. A new model, which holds HOA and the associated linear blur on the retina constant, was used to predict changes in HOA and resulting image quality on the retina during growth, in each of chick, monkey, and human. Models used rates of growth in each of the three species. Angular optical quality on the retina due to HOA, and its metrics improved, in contrast to the constancy predicted by uniform scaling. The model with constant linear HOA blur predicts well the improvement in human optical quality between infant and adult. Overall, in chick and monkey, angular blur improves at a rate faster than that predicted by the constant linear blur model, implying that linear retinal blur due to HOA decreases with age. On the other hand, in chick, angular blur due to third-order aberrations decreased at a rate predicted by the constant linear blur model. Growth changes in retinal blur due to HOA are species dependent but can be better understood by comparison with the new model predictions.

Depolarization properties of the optic nerve head: the effect of age

The degree of polarization (DOP) of the light reflected from the optic nerve head has been assessed by means of a polarimetric scanning laser ophthalmoscope as a function of the age of the participants. Four fundus images corresponding to independent polarization states in the recording pathway were used to compute the spatially‐resolved DOP. This was not uniform across the optic nerve head and depended on both the location and the participant’s age. Along a peripapillary annulus the DOP followed a double‐peak pattern. Moreover, the values along this annulus decreased significantly with increasing age. This depolarization appears to originate in part in the retinal nerve fiber layer. Detailed age‐dependent knowledge of the ocular depolarization properties may help to improve clinical diagnosis of the retinal nerve fiber layer.