Wide-Field Three-Dimensional Depth-Invariant Cellular-Resolution Imaging of the Human Retina

Small. 2023 Mar;19(11):e2203357. doi: 10.1002/smll.202203357. Epub 2023 Jan 15.

Abstract

Three-dimensional (3D) cellular-resolution imaging of the living human retina over a large field of view will bring a great impact in clinical ophthalmology, potentially finding new biomarkers for early diagnosis and improving the pathophysiological understanding of ocular diseases. While hardware-based and computational adaptive optics (AO) optical coherence tomography (OCT) have been developed to achieve cellular-resolution retinal imaging, these approaches support limited 3D imaging fields, and their high cost and intrinsic hardware complexity limit their practical utility. Here, this work demonstrates 3D depth-invariant cellular-resolution imaging of the living human retina over a 3 × 3 mm field of view using the first intrinsically phase-stable multi-MHz retinal swept-source OCT and novel computational defocus and aberration correction methods. Single-acquisition imaging of photoreceptor cells, retinal nerve fiber layer, and retinal capillaries is presented across unprecedented imaging fields. By providing wide-field 3D cellular-resolution imaging in the human retina using a standard point-scan architecture routinely used in the clinic, this platform proposes a strategy for expanded utilization of high-resolution retinal imaging in both research and clinical settings.

Keywords: cellular-resolution retinal imaging; computational imaging; multi-MHz phase-stable optical coherence tomography (OCT); optical coherence tomography.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Biomarkers
  • Humans
  • Imaging, Three-Dimensional / methods
  • Retina* / diagnostic imaging
  • Tomography, Optical Coherence* / methods

Substances

  • Biomarkers