Birefringent properties of the cornea measured by a Mueller type polarimeter in healthy adults and children

Optimizing near-infrared polariscopic imaging for the living human eye

Hardware architectures and image interpretation can be simplified by partial polarimetry. Mueller matrix (MM) polarimetry allows the investigation of partial polarimeter designs for a given scientific task. In this work, we use MM measurements to solve for a fixed polarization illumination and analyzer state that maximize polariscopic image contrast of the human eye. The eye MM image acquisition takes place over 15 seconds which motivates the development of a partial polarimeter that has snapshot operation. Within the eye, the birefringent cornea produces spatially-varying patterns of retardance exceeding half of a wave with a fast-axis varying from linear, to circular, and elliptical states in between. Our closed-form polariscopic pairs are a general solution that maximizes contrast between two non-depolarizing pure retarder MMs. For these MMs, there is a family of polariscopic pairs that maximize contrast. This range of solutions creates an opportunity to use the distance from optimal as a criteria to adjust polarimetric hardware architecture. We demonstrate our optimization approach by performing both Mueller and polariscopic imaging of an in vivo human eye at 947 nm using a dual-rotating-retarder polarimeter. Polariscopic images are simulated from Mueller measurements of 19 other human subjects to test the robustness of this optimal solution.

An integrated model of the human cornea as a linear biaxial birefringent medium

A novel model of human corneal birefringence is presented. The cornea is treated as a homogeneous biaxial linear birefringent medium in which the values of the binormal axes angle and organization of the main refractive indices vary continuously from the apex to the limbus. In its central part, the angle between binormal axes is 35°, and para centrally, it smoothly increases to 83.7°. The values of the main refractive indices (nx, ny, nz) change, as well as their order, from nx < nz < ny to nz < nx < ny. The transition between these two states was described with a normal distribution (μ = 0.45, σ = 0.1). The presented model corresponds with the experimental results presented in the literature. To our knowledge, it is the first model that presents the anisotropic properties' distributions of the entire cornea. The presented model facilitates a better understanding of the corneal birefringence phenomenon directly related to its lamellar structure.

Laser speckle contrast imaging enables perfusion monitoring of the anterior segment during strabismus surgery: a study on the horizontal rectus muscles

BACKGROUND

A dreaded complication of strabismus surgery is anterior segment ischaemia (ASI), caused by damage to the anterior ciliary arteries. To avoid ASI, a maximum of two rectus muscles are operated on at a time. However, these surgical protocols are based on empirical observations of clinical outcome, rather than objective perfusion measurements. There is no method available for perioperative, real-time perfusion measurements during ocular muscle surgery. The aims of this study were to investigate whether laser speckle contrast imaging (LSCI) could be used for such measurements, and to monitor perfusion during strabismus surgery on one or two horizontal rectus muscles.

METHODS

Forty-four eyes in 44 patients with horizontal strabismus underwent corrective surgery involving medial and/or lateral rectus muscle detachment. Perfusion in the adjacent paralimbal and iris tissue was monitored with LSCI.

RESULTS

When the first horizontal rectus muscle was detached perfusion in the adjacent paralimbal tissue decreased by 23% (p<0.0001), and by 12% (p<0.0001) when the second muscle was detached. The iris perfusion decreased by 5% (p<0.05) when the first muscle was detached but showed no significant decrease as the second muscle was cut.

CONCLUSION

This is the first study showing that perfusion of the anterior segment can be monitored non-invasively with LSCI during strabismus surgery. In this cohort, two horizontal rectus muscles were detached with only a small decrease in the anterior segment circulation. Future studies are required for complete mapping of the effect of surgery on multiple ocular muscles on the anterior segment circulation.

The effect of pupil size on the measurement of corneal birefringence properties: preliminary study

We used a partial Mueller matrix polarimeter to measure the corneal anisotropic properties at three pupil sizes (dilated, natural, and constricted). The geometrical parameters of first order isochromes were described by quadrilaterals. These parameters are statistically significantly different between the three pupil sizes. The pupillary size changes do not influence the azimuth angle distribution α. The retardation R and birefringence distributions show asymmetry in the nasal-temporal cross-section. There are differences between pupil sizes for both nasal and temporal parts of the cornea for these distributions. Iridial light scattering and diffraction might be the reason for these differences.