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VU Research Portal

Imaging the structure and the movement of the retina with scanning light

ophthalmoscopy

Vienola, K.V.

2018

document version

Publisher's PDF, also known as Version of record

Link to publication in VU Research Portal

citation for published version (APA)

Vienola, K. V. (2018). Imaging the structure and the movement of the retina with scanning light ophthalmoscopy.

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Contents

1 General introduction . . . . 1

1.1 Human eye . . . 2

1.1.1 Anatomy of the human eye . . . 2

1.1.2 Retina . . . 3

1.1.3 Diseases of the eye . . . 4

1.2 Fixational eye movement. . . 5

1.3 Visualizing the retina . . . 8

1.3.1 Fundus photography . . . 9

1.3.2 Slit lamp . . . 10

1.3.3 Scanning laser ophthalmoscope (SLO) . . . 10

1.3.4 Optical coherence tomography (OCT) . . . 11

1.4 Thesis aim and outline . . . 12

2 The principles of scanning-based retinal imaging and eye motion detection 19 2.1 Scanning light ophthalmoscopy . . . 20

2.1.1 Line scanning. . . 22

2.1.2 Adaptive optics. . . 23

2.2 Optical coherence tomography . . . 24

2.2.1 Swept-source OCT . . . 26

2.3 Digital micro-mirror device . . . 27

2.4 Detecting motion from SLO images . . . 28

2.4.1 Cross-correlation method for motion detection . . . 29

2.5 Laser safety in ocular imaging . . . 30

2.5.1 Laser safety using ANSI standard 2007 . . . 30

2.5.2 Laser safety using IEC 2014 . . . 31

3 Real-time eye motion compensation for OCT imaging with tracking SLO 37 3.1 Introduction . . . 38

3.2 Experimental system. . . 39

3.2.1 Optical setup . . . 39

3.2.2 Image stabilization . . . 41

3.2.3 Ethical considerations . . . 42

3.3 Tracking performance analysis . . . 42

3.3.1 Scaling of the correction signals . . . 44

3.4 Imaging . . . 45

3.4.1 Performance of the TOCT imaging in the model eye . . . 45

3.4.2 Performance of the TOCT imaging in a real eye . . . 46

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3.5 Discussion . . . 52

3.6 Conclusion . . . 53

4 Parallel line scanning ophthalmoscope for retinal imaging . . . . 59

4.1 Introduction . . . 60

4.2 Materials & Methods . . . 60

4.3 Results . . . 62

4.3.1 Lateral resolution . . . 62

4.3.2 Describing the SNR . . . 63

4.3.3 In vivo imaging of the human retina . . . 66

4.3.4 In vivo imaging with the 2nd generation system . . . 68

4.4 Discussion . . . 69

4.5 Conclusion . . . 69

4.6 Acknowledgements . . . 70

5 In vivo retinal imaging for fixational eye motion detection using a high-speed DMD-based ophthalmoscope . . . . 73

5.1 Introduction . . . 74

5.2 Experimental system. . . 75

5.2.1 Image acquisition . . . 75

5.2.2 Motion detection using normalized cross-correlation . . . 76

5.2.3 Model eye . . . 77

5.2.4 Measurement protocol for in vivo measurements . . . 78

5.3 System performance (results) . . . 79

5.3.1 Model eye performance . . . 79

5.3.2 In vivo eye measurements . . . 81

5.4 Discussion . . . 84

5.5 Conclusion . . . 85

6 General discussion and outlook . . . . 91

6.1 Field-programmable gate arrays for data acquisition and processing . . . 92

6.2 The effect of latency to tracking bandwidth . . . 93

6.3 Accuracy in image-based motion detection . . . 94

6.4 New opportunities for real-time eye tracking . . . 95

6.5 Thesis conclusion . . . 96

7 Summary . . . 101

8 Curriculum Vitae . . . 105

9 Publication list . . . 107

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