Robust adaptive optics systems for vision science

Adaptive Optics (AO) is of growing importance for understanding the impact of retinal and systemic diseases on the retina. While AO retinal imaging in healthy eyes is now routine, AO imaging in older eyes and eyes with optical changes to the anterior eye can be difficult and requires a control and an imaging system that is resilient when there is scattering and occlusion from the cornea and lens, as well as in the presence of irregular and small pupils. Our AO retinal imaging system combines evaluation of local image quality of the pupil, with spatially programmable detection. The wavefront control system uses a woofer tweeter approach, combining an electromagnetic mirror and a MEMS mirror and a single Shack Hartmann sensor. The SH sensor samples an 8 mm exit pupil and the subject is aligned to a region within this larger system pupil using a chin and forehead rest. A spot quality metric is calculated in real time for each lenslet. Individual lenslets that do not meet the quality metric are eliminated from the processing. Mirror shapes are smoothed outside the region of wavefront control when pupils are small. The system allows imaging even with smaller irregular pupils, however because the depth of field increases under these conditions, sectioning performance decreases. A retinal conjugate micromirror array selectively directs mid-range scatter to additional detectors. This improves detection of retinal capillaries even when the confocal image has poorer image quality that includes both photoreceptors and blood vessels.