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Biomedical subjects

Christoph K Hitzenberger

Publications and source records attributed to Christoph K Hitzenberger.

11 recordsLinked to original sources

Retinal cone mosaic imaged with transverse scanning optical coherence tomography.

We improved our recently reported retinal OCT system based on transverse priority scanning to achieve high resolution in both the transverse and the axial directions. The implementation of an additional SLO channel enables precise on-line focusing. The system enables imaging of the human retinal cone mosaic off the foveal center without adaptive optics. We demonstrate, for what is believed to be the first time, cone mosaic imaging simultaneously in the scanning laser ophthalmoscope and optical coherence tomography (OCT) channels. OCT B-scan images demonstrate that the cone mosaic is observable in two adjacent layers. Furthermore, we present what are believed to be the first C-scan OCT images of the cone mosaic and show that the major part of light backscattered from below the photoreceptor layer is not guided back toward the pupil by the photoreceptors.

Equipment Design↗

Human macula investigated in vivo with polarization-sensitive optical coherence tomography.

PURPOSE: To investigate a depolarizing layer that is visible in polarization-sensitive optical coherence tomography (PS-OCT) images of the retina. To identify this layer and characterize its depolarizing effect quantitatively. METHODS: Ten healthy human subjects (mean age, 31 +/- 8 years) and two patients with RPE diseases participated in the study. The macular region of one eye of each subject was investigated with a phase-resolved PS-OCT system. The instrument measured backscattered intensity (standard OCT), phase retardation, and (cumulative) birefringent axis orientation, simultaneously. For a quantification of the depolarizing layer, plots of the distributions of retardation and axis orientation within and above this layer were analyzed. RESULTS: A polarization-scrambling layer (PSL) was observed at the posterior boundary of the retina in PS-OCT images of all volunteers. It was identified in PS-OCT images by determining random retardation and axis orientation in a transverse direction. Measurements in patients with neurosensory retinal detachment, retinal pigment epithelium (RPE) detachment, and RPE atrophy suggest that the PSL is the RPE. The statistical analysis provided objective discrimination of the RPE from the other retinal structures. CONCLUSIONS: PS-OCT represents a powerful tool for increasing image contrast in ocular tissues. The observed polarization-scrambling nature of the RPE may be used in diseased eyes to locate the RPE or remains of the RPE definitively in OCT images.

Adult↗

Transversal phase resolved polarization sensitive optical coherence tomography.

We present a novel optical coherence tomography (OCT) method to measure backscattered intensity and birefringence properties (retardation and fast axis orientation) and apply it to imaging of human ocular tissue. The method is based on a Mach Zehnder interferometer, on transversal scanning, and on a polarization sensitive two-channel detection. A highly stable carrier frequency is generated by acousto-optic modulators (AOMs). This allows a phase sensitive demodulation by the lock-in technique. Since the recording of individual interference fringes is avoided by this method the amount of data to be recorded and processed is considerably reduced. We demonstrate this method on human cornea and anterior chamber angle and present, to the best of our knowledge, the first OCT images of retardation and fast axis orientation of the anterior chamber angle region in vivo.

Anterior Chamber↗

Real-time measurement of in vitro flow by Fourier-domain color Doppler optical coherence tomography.

The possibility of measuring a full Doppler flow depth profile in parallel by use of frequency-domain optical coherence tomography is demonstrated. The method is based on a local phase analysis of the backscattered signal and allows for imaging of bidirectional Doppler flow. The Doppler frequency limit is 5 kHz for the presented measurements and is set by half of the frame rate of the CCD detector array. We measured the flow of 0.3-microm microspheres suspended in distilled water at controlled flow rates and in vitro human blood flow through a 200-microm capillary with a real-time color-encoded Doppler tomogram rate of 2-3/s.

Blood Cells↗

Phase-shifting algorithm to achieve high-speed long-depth-range probing by frequency-domain optical coherence tomography.

Standard Fourier-domain optical coherence tomography (FDOCT) suffers from the presence of autocorrelation terms that obscure the object information and degrade the sensitivity and signal-to-noise ratio. By exploiting the phase information of the recorded interferograms, it is possible to remove those autocorrelation terms and to double the measurement range. However, standard phase-retrieval algorithms need three to five interferograms. We present a novel technique that shows all the features of complex FDOCT with only two recorded interferograms.

Algorithms↗

Speckle reduction in optical coherence tomography by frequency compounding.

We are investigating the possibility of a frequency compounding method for speckle reduction in optical coherence tomography. The method is based on incoherent summation of the magnitudes of two independent interferometric signals, which were recorded at two different center wavelengths simultaneously. We derive the corresponding statistics and compare the theoretical results with measurements obtained in a uniformly scattering sample. Finally we demonstrate our method by comparing images of human skin recorded in vivo with and without frequency compounding. The compounding method results in an increased contrast and improved image quality without loss of resolution.

Algorithms↗

Quantitative performance of bifocal and multifocal intraocular lenses in a model eye: point spread function in multifocal intraocular lenses.

OBJECTIVE: To compare the optical properties of bifocal diffractive and multifocal refractive intraocular lenses. METHODS: A model eye with a pupil 4.5 mm in diameter was used to determine the point spread function (PSF) of the distance focus and near focus of a diffractive bifocal intraocular lens (IOL) (model 811E; Pharmacia Inc, Columbus, Ohio) and of a refractive multifocal IOL (model SA40N; Allergan Optical Inc, Irvine, Calif) to compare them with PSFs of foci of corresponding monofocal lenses. For interpreting the PSFs the through focus response, the modulation transfer function, and the Strehl ratio were evaluated. RESULTS: The intensity of the distance focus of the bifocal diffractive lens reached 58.5% and the near focus attained 42.7% of the intensity of a corresponding monofocal lens. The maximal halo intensity surrounding both foci was approximately 4.5%. The distance peak of the refractive multifocal IOL was 73.4% and the near peak 25.1% of a corresponding monofocal lens. The out-of-focus image overlaying the distance focus of the refractive multifocal IOL was approximately 3% of the light intensity of the distance focus, whereas the PSF of the near focus of the multifocal IOL is substantially affected by out-of-focus images. The computed modulation transfer functions show better results for the monofocal lenses, similar results for the tested distance foci, and clear advantages for the bifocal diffractive near focus. CONCLUSIONS: Modulation transfer functions reveal comparable properties for distance vision and a superiority of the bifocal diffractive lens over the refractive multifocal lens for near vision.

Eye↗

Biometry of cataractous eyes using partial coherence interferometry: clinical feasibility study of a commercial prototype I.

PURPOSE: To evaluate the clinical feasibility of the prototype version of a commercial partial coherence interferometry instrument (axial length measurement, ALM, Carl Zeiss Jena) for noninvasive, high-precision biometry in cataractous eyes. SETTING: Department of Ophthalmology, Vienna General Hospital, and Institute of Medical Physics, University of Vienna, Austria. METHODS: The preoperative axial length in 49 eyes of 37 cataract patients was measured with the commercial (ALM) and laboratory (PCI) prototypes of the partial coherence interferometry instrument, as well as with immersion ultrasound (IUS). RESULTS: Axial length measurements with the ALM and PCI did not differ significantly (P = .23). Both prototypes assessed longer axial lengths than the IUS technique (P < .0001; median 203 microm; range -476 to +635 microm). The precision of the axial length measurement was 18 microm, 28 microm, and 54 microm with the PCI, ALM, and IUS, respectively. CONCLUSIONS: Partial coherence tomography is a high-precision, high-resolution, noncontact biometric technique.The commercial PCI prototype is practical in clinical use, with improved comfort for patients, no need for anesthesia, and a reduced risk of infection. However, the difference between the PCI and IUS in axial length measurement must be considered when using the constants supplied by intraocular lens (IOL) manufacturers for IOL power calculations.

Adult↗

Refractive outcome of cataract surgery using partial coherence interferometry and ultrasound biometry: clinical feasibility study of a commercial prototype II.

PURPOSE: To evaluate the refractive outcome of cataract patients 3 months postoperatively using optical biometry obtained with a prototype version (axial length measurement, ALM, Carl Zeiss Jena) of the commercial partial coherence interferometry (PCI) instrument (IOLMaster, Carl Zeiss Jena). SETTING: Department of Ophthalmology, Vienna General Hospital, and Institute of Medical Physics, University of Vienna, Austria. METHODS: Forty-five patients with age-related cataract in both eyes were scheduled for bilateral cataract surgery. Axial length was measured preoperatively with a prototype (ALM) of the commercial PCI instrument as well as with immersion ultrasound (IUS). Immersion US was performed by a single experienced investigator. In each patient, the first eye was randomly assigned to receive an intraocular lens (IOL) using the Holladay IOL power formula based on ALM or IUS biometry. The other biometric technique was used in the contralateral eye. Subjective refractive outcome was assessed 3 months postoperatively. RESULTS: Refractive outcomes with the 2 techniques did not differ significantly (P = .28). The mean numerical error (MNE) (the difference between the refractive outcome 3 months postoperatively and the predicted spherical equivalent) was 0.13 diopter (D) and 0.03 D for the ALM and IUS, respectively. The mean absolute error (MAE) (the absolute value of MNE) was 0.48 D (range 0.00 to 1.58 D) and 0.46 D (range 0.01 to 1.92 D) with the ALM and IUS, respectively. By recalculating the surgeon factor retrospectively to correct the Holladay formula to obtain a postoperative MNE of zero, a theoretical MAE of 0.46 D was obtained with both biometry techniques. CONCLUSIONS: Refractive outcome in cataract patients using PCI biometry was as good as that achieved with optimized IUS. However, the difference in axial length measured by the ALM compared to that measured by IUS must be considered when using the IOL A-constants supplied by the manufacturers.

Aged↗

Measurement and imaging of birefringent properties of the human cornea with phase-resolved, polarization-sensitive optical coherence tomography.

Optical coherence tomography (OCT) is an emerging technology for high-resolution, noncontact imaging of transparent and scattering media. Polarization-sensitive optical coherence tomography (PS-OCT) is a functional extension of OCT that can image birefringent properties of a biological sample. PS-OCT was used to measure and image retardation and birefringent axis orientation of in vitro human cornea. We used a two-channel PS-OCT system employing a phase-sensitive recording of the interferometric signals in two orthogonal polarization channels. Using an algorithm based on a Hilbert transform, it is possible to calculate the retardation and the slow axis orientation of the sample with only a single A-scan per transversal measurement location. While the retardation information is encoded in the amplitude ratio of the two interferometric signals, the axis orientation is encoded entirely in their phase difference. We present maps of retardation and the distribution of slow axis orientation of the human cornea in longitudinal cross-sections and en face images obtained at the back surface of the cornea. The retardation increases in a radial direction and with depth; the slow axis varies in the transversal direction. Knowledge of the retardation and the slow axis distribution of the cornea might improve nerve fiber polarimetry for glaucoma diagnostics and could be useful for diagnosing different types of pathologies of the cornea.

Birefringence↗