A fundamental problem facing sensory systems is to recover useful information about the external world from signals that are corrupted by the sensory process itself. Retinal images in the human eye are affected by optical aberrations that cannot be corrected with ordinary spectacles or contact lenses, and the specific pattern of these aberrations is different in every eye. Though these aberrations always blur the retinal image, our subjective impression is that the visual world is sharp and clear, suggesting that the brain might compensate for their subjective influence. The recent introduction of adaptive optics to control the eye's aberrations now makes it possible to directly test this idea. If the brain compensates for the eye's aberrations, vision should be clearest with the eye's own aberrations rather than with unfamiliar ones. We asked subjects to view a stimulus through an adaptive optics system that either recreated their own aberrations or a rotated version of them. For all five subjects tested, the stimulus seen with the subject's own aberrations was always sharper than when seen through the rotated version. This supports the hypothesis that the neural visual system is adapted to the eye's aberrations, thereby removing somehow the effects of blur generated by the sensory apparatus from visual experience. This result could have important implications for methods to correct higher order aberrations with customized refractive surgery because some benefits of optimizing the correction optically might be undone by the nervous system's compensation for the old aberrations.

We implemented a Lagrange-multiplier (LM)-based damped least-squares (DLS) control algorithm in a woofer-tweeter dual deformable-mirror (DM) adaptive optics scanning laser ophthalmoscope (AOSLO). The algorithm uses data from a single Shack-Hartmann wavefront sensor to simultaneously correct large-amplitude low-order aberrations by a woofer DM and small-amplitude higher-order aberrations by a tweeter DM. We measured the in vivo performance of high resolution retinal imaging with the dual DM AOSLO. We compared the simultaneous LM-based DLS dual DM controller with both single DM controller, and a successive dual DM controller. We evaluated performance using both wavefront (RMS) and image quality metrics including brightness and power spectrum. The simultaneous LM-based dual DM AO can consistently provide near diffraction-limited in vivo routine imaging of human retina.

We have developed a prototype apparatus for real-time closed-loop measurement and correction of aberrations in the human eye. The apparatus uses infrared light to measure the wave-front aberration at 25 Hz with a Hartmann-Shack sensor. Defocus is removed by a motorized optometer, and higher-order aberrations are corrected by a membrane deformable mirror. The device was first tested with an artificial eye. Correction of static aberrations takes approximately five iterations, making the system capable of following aberration changes at 5 Hz. This capability allows one to track most of the aberration dynamics in the eye. Results in living eyes showed effective closed-loop correction of aberrations, with a residual uncorrected wave front of 0.1microm for a 4.3-mm pupil diameter. Retinal images of a point source in different subjects with and without adaptive correction of aberrations were estimated in real time. The results demonstrate real-time closed-loop correction of aberration in the living eye. An application of this device is as electro-optic "spectacles" to improve vision.

Cellular in vivo visualization of the three dimensional architecture of individual human foveal cone photoreceptors is demonstrated by combining ultrahigh resolution optical coherence tomography and a novel adaptive optics modality. Isotropic resolution in the order of 2-3 microm, estimated from comparison with histology, is accomplished by employing an ultrabroad bandwidth Titanium:sapphire laser with 140 nm bandwidth and previous correction of chromatic and monochromatic ocular aberrations. The latter, referred to as pancorrection, is enabled by the simultaneous use of a specially designed lens and an electromagnetically driven deformable mirror with unprecedented stroke for correcting chromatic and monochromatic aberrations, respectively. The increase in imaging resolution allows for resolving structural details of distal elements of individual foveal cones: inner segment zones--myoids and ellipsoids--are differentiated from outer segments protruding into pigment epithelial processes in the retina. The presented technique has the potential to unveil photoreceptor development and pathogenesis as well as improved therapy monitoring of numerous retinal diseases.

The performance of a membrane deformable mirror with 37 electrodes (OKO Technologies) is studied in order to characterize its utility as an adaptive optics element. The control procedure is based on knowledge of the membrane's response under the action of each isolate electrode, i.e., the influence functions. The analysis of the mathematical techniques to obtain the control matrix gives useful information about the surfaces that are within the device's range of production, thus predicting the best performance of the mirror. We used a straightforward iterative algorithm to control the deformable membrane that permits the induction of surfaces in approximately four iterations, with an acceptable level of stability. The mirror and the control procedure are tested by means of generating Zernike polynomials and other surfaces. The mirror was incorporated in an adaptive optics prototype to compensate the eye's aberration in real time and in a closed loop. Double-pass retinal images with and without aberration correction were directly recorded in a real eye in order to evaluate the actual performance of the adaptive optics prototype.

Correcting ocular spherical aberration improves spatial vision in the best-focus position without compromising the subjective tolerance to defocus.

A novel deformable mirror using 52 independent magnetic actuators (MIRAO 52, Imagine Eyes) is presented and characterized for ophthalmic applications. The capabilities of the device to reproduce different surfaces, in particular Zernike polynomials up to the fifth order, are investigated in detail. The study of the influence functions of the deformable mirror reveals a significant linear response with the applied voltage. The correcting device also presents a high fidelity in the generation of surfaces. The ranges of production of Zernike polynomials fully cover those typically found in the human eye, even for the cases of highly aberrated eyes. Data from keratoconic eyes are confronted with the obtained ranges, showing that the deformable mirror is able to compensate for these strong aberrations. Ocular aberration correction with polychromatic light, using a near Gaussian spectrum of 130 nm full width at half maximum centered at 800 nm, in five subjects is accomplished by simultaneously using the deformable mirror and an achromatizing lens, in order to compensate for the monochromatic and chromatic aberrations, respectively. Results from living eyes, including one exhibiting 4.66 D of myopia and a near pathologic cornea with notable high order aberrations, show a practically perfect aberration correction. Benefits and applications of simultaneous monochromatic and chromatic aberration correction are finally discussed in the context of retinal imaging and vision.

A binocular adaptive optics visual simulator is presented. The instrument allows for measuring and manipulating ocular aberrations of the two eyes simultaneously, while the subject performs visual testing under binocular vision. An important feature of the apparatus consists on the use of a single correcting device and wavefront sensor. Aberrations are controlled by means of a liquid-crystal-on-silicon spatial light modulator, where the two pupils of the subject are projected. Aberrations from the two eyes are measured with a single Hartmann-Shack sensor. As an example of the potential of the apparatus for the study of the impact of the eye's aberrations on binocular vision, results of contrast sensitivity after addition of spherical aberration are presented for one subject. Different binocular combinations of spherical aberration were explored. Results suggest complex binocular interactions in the presence of monochromatic aberrations. The technique and the instrument might contribute to the better understanding of binocular vision and to the search for optimized ophthalmic corrections.