The spatial extent of retinal and choroidal damage will be probed with noninvasive, quantitative mapping of visual function and structure. We study the distinction between aging changes and disease processes, particularly for age-related macular degeneration (AMD). The goal is to determine why patients lose vision and then identify factors that are amenable to treatment to save vision. The long-term goals address 3 thrusts of the NEI National Plan for Eye and Vision Research: 1) develop and apply noninvasive technologies to better understand retinal function and changes in disease states; 2) improve early diagnosis of AMD; and 3) explore the pathophysiological heterogeneity of AMD to hasten development of the tools needed for improved diagnosis, prevention, and therapy. This project is one of the few that includes measurements of the visual cycle in living humans, including patients. We study patients with AMD and their family members, older control subjects, and young subjects, both as controls for family members of patients and to seek the very early changes in eye disease. ? ? We will use advanced imaging methods that are unique, rapid, and resistant to stray light. We probe both inner and outer retinal changes, to understand the environment of the photoreceptors. This includes the retinal pigment epithelium and retinal vascular changes. To investigate photoreceptor function, we will continue to develop novel methods to measure that photopigment within cones and rods in patients or regions of the retina not previously amenable to study. To our existing methods, we are adding new polarimetry techniques, including a multi-wavelength, scanning laser polarimeter. One unusual aspect is the use of multiply scattered light to provide information about pathology in and beneath the retina, otherwise obscured by the reflective retinal surface. Many of our methods use near infrared light, which improves patient comfort and provides views of the retina through moderate lens changes and fluid in the retina. ? ?
| Arthur, Edmund; Papay, Joel A; Haggerty, Bryan P et al. (2018) Subtle changes in diabetic retinas localised in 3D using OCT. Ophthalmic Physiol Opt 38:477-491 |
| VanNasdale, Dean A; Elsner, Ann E; Malinovsky, Victor E et al. (2018) Polarization Variability in Age-related Macular Degeneration. Optom Vis Sci 95:277-291 |
| Cense, Barry; Miller, Donald T; King, Brett J et al. (2018) Measuring polarization changes in the human outer retina with polarization-sensitive optical coherence tomography. J Biophotonics 11:e201700134 |
| King, Brett J; Sapoznik, Kaitlyn A; Elsner, Ann E et al. (2017) SD-OCT and Adaptive Optics Imaging of Outer Retinal Tubulation. Optom Vis Sci 94:411-422 |
| Elsner, Ann E; Chui, Toco Y P; Feng, Lei et al. (2017) Distribution differences of macular cones measured by AOSLO: Variation in slope from fovea to periphery more pronounced than differences in total cones. Vision Res 132:62-68 |
| Marcos, Susana; Werner, John S; Burns, Stephen A et al. (2017) Vision science and adaptive optics, the state of the field. Vision Res 132:3-33 |
| Clark, Christopher A; Elsner, Ann E; Konynenbelt, Benjamin J (2015) Eye shape using partial coherence interferometry, autorefraction, and SD-OCT. Optom Vis Sci 92:115-22 |
| Burns, Stephen A; Elsner, Ann E; Chui, Toco Y et al. (2014) In vivo adaptive optics microvascular imaging in diabetic patients without clinically severe diabetic retinopathy. Biomed Opt Express 5:961-74 |
| Chui, Toco Y P; VanNasdale, Dean A; Elsner, Ann E et al. (2014) The association between the foveal avascular zone and retinal thickness. Invest Ophthalmol Vis Sci 55:6870-7 |
| VanNasdale, Dean A; Elsner, Ann E; Peabody, Todd D et al. (2014) Henle fiber layer phase retardation changes associated with age-related macular degeneration. Invest Ophthalmol Vis Sci 56:284-90 |
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