Subjective Image Quality Metrics from The Wave Aberration

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Subjective Image Quality Metrics from The Wave Aberration David R. Williams William G. Allyn Professor of Medical Optics Center For Visual Science University of Rochester

Commercial Relationship: Bausch and Lomb Funding: Bausch and Lomb NSF Science and Technology Center for Adaptive Optics

Collaborators: Univ of Rochester: Li Chen Nathan Doble Heidi Hofer Scott MacRae Jason Porter Ben Singer Remy Tumbar Ian Cox, Bausch and Lomb Ray Applegate, University of Houston Larry Thibos, Indiana University

How Bad Is This Wave Aberration?

Goal: To compute a number that captures the subjective effect of the eye s wave aberration. Uses: Assessing severity of the wave aberration Calculating the best correction

How Bad Is This Wave Aberration? RMS Wavefront Error = 0.87 µm

Some Aberrations Interact Strongly in Image Blur Defocus rms = 0.5 µm Spherical Aberration rms = 0.16 µm Defocus and Spherical Aberration rms = 0.52 µm

radial order 2nd 3rd Zernike Modes -2 Z 2 astigmatism defocus Z 2 0 Z 2 2 astigmatism Lower Order Aberrations Higher Order Aberrations -3 Z 3-1 Z 3 trefoil coma coma trefoil Z 3 1 Z 3 3 4th Z -4 4-2 Z 4 quadrafoil secondary spherical secondary quadrafoil astigmatism astigmatism Z 4 0 Z 4 2 Z 4 4 5th pentafoil Z -5 5 secondary trefoil -3 Z 5 secondary coma 1 Z -1 5 Z 5 Z 3 5 secondary coma secondary trefoil pentafoil Z 5 5

radial order 2nd 3rd Zernike Modes -2 Z 2 astigmatism defocus Z 2 0 Z 2 2 astigmatism Lower Order Aberrations Higher Order Aberrations -3 Z 3-1 Z 3 trefoil coma coma trefoil Z 3 1 Z 3 3 4th Z -4 4-2 Z 4 quadrafoil secondary spherical secondary quadrafoil astigmatism astigmatism Z 4 0 Z 4 2 Z 4 4 5th pentafoil Z -5 5 secondary trefoil -3 Z 5 secondary coma 1 Z -1 5 Z 5 Z 3 5 secondary coma secondary trefoil pentafoil Z 5 5

radial order 2nd 3rd Zernike Modes -2 Z 2 astigmatism defocus Z 2 0 Z 2 2 astigmatism Lower Order Aberrations Higher Order Aberrations -3 Z 3-1 Z 3 trefoil coma coma trefoil Z 3 1 Z 3 3 4th Z -4 4-2 Z 4 quadrafoil secondary spherical secondary quadrafoil astigmatism astigmatism Z 4 0 Z 4 2 Z 4 4 5th pentafoil Z -5 5 secondary trefoil -3 Z 5 secondary coma 1 Z -1 5 Z 5 Z 3 5 secondary coma secondary trefoil pentafoil Z 5 5

radial order 2nd 3rd Zernike Modes -2 Z 2 astigmatism defocus Z 2 0 Z 2 2 astigmatism Lower Order Aberrations Higher Order Aberrations -3 Z 3-1 Z 3 trefoil coma coma trefoil Z 3 1 Z 3 3 4th Z -4 4-2 Z 4 quadrafoil secondary spherical secondary quadrafoil astigmatism astigmatism Z 4 0 Z 4 2 Z 4 4 5th pentafoil Z -5 5 secondary trefoil -3 Z 5 secondary coma 1 Z -1 5 Z 5 Z 3 5 secondary coma secondary trefoil pentafoil Z 5 5

There are strong interactions between Zernike Modes. Therefore, Decomposing the wave aberration into Zernike modes is not the best way to evaluate the subjective impact of the wave aberration

How Bad is This Wave Aberration? Wave Aberration Point Spread Function Use Retinal Image Quality, Not the Wave Aberration

Principle of Adaptive Optics Aberrations in Lens and Cornea Distort Wave front Deformable Mirror Corrects Wave front Sharp Image in Camera Wave front Sensor Measures Wave front

Adaptive Optics Sharpens the Eye s Point Spread Function QuickTime and a Graphics decompressor are needed to see this picture.

Adaptive Optics Can Create Wave Aberrations (Subject: ND) Wave Aberration After AO correction With coma added Convoluted retinal image

Wave aberrations from Lasik postop patient Wave aberrations created by adaptive optics (With real eye, JP)

Blur Matching Binary Noise Stimulus Lots of Sharp Edges Edges At All Orientations Seen Through Adaptive Optics 550 nm, 1 deg, 6 mm pupil

Blur Matching of Patient Wave Aberrations The subject adjusted the amplitude of defocus so that the subjective blur matched that of the patient wave aberration. QuickTime and a Photo - JPEG decompressor are needed to see this picture. Patient wave aberration Stimulus Defocus 0.3 0.3 Amplitude(µm) 0.2 0.1 0-0.1-0.2-0.3-0.4 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Zernike mode Defocus(D) 0.2 0.1 0-0.1-0.2-0.3 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Zernike mode

Blur Matching Controls for Neural Differences between Patients Using Multiple Subjects Controls for Neural Adaptation

Acuity does not always capture the subjective quality of vision Equal Acuity But Different Subjective Image Quality

Compare Subject Matches with Matches Made Using Three Different Metrics Wavefront RMS Strehl Ratio Neural Sharpness

Wave Aberration RMS Big RMS Small RMS Amplitude (µm) 3 2 1 0 Big RMS Small RMS -1-3 -2-1 0 1 2 3 Aperture(mm)

1.2 RMS Metric Metric matches (D) 1 0.8 0.6 0.4 0.2 R 2 = 0.4627 0 0 0.2 0.4 0.6 0.8 1 1.2 Subject Matches (D)

Strehl Ratio of Point Spread Function Diffraction-limited PSF (Perfect Eye) H dl Strehl Ratio = H eye H dl Actual PSF (Aberrated Eye) H eye C. of Austin Roorda

Strehl Ratio Metric 1.2 Metric matches (D) 1 0.8 0.6 0.4 0.2 R 2 = 0.4902 0 0 0.2 0.4 0.6 0.8 1 1.2 Subject Matches (D)

A Simple, Biologically-Plausible Metric for Subjective Image Quality ( Σ x = Point Spread Function Gaussian Neural Blur σ = 0.8 ) Subjective Image Quality

Neural Sharpness Metric 1.2 Metric matches (D) 1 0.8 0.6 0.4 0.2 R 2 = 0.703 0 0 0.2 0.4 0.6 0.8 1 1.2 Experiment (D)

Wavefront RMS Neural Sharpness 1.2 1.2 Metric Matches (D) 1 0.8 0.6 0.4 0.2 0 R 2 = 0.4627 Metric matches (D) 0 0.2 0.4 0.6 0.8 1 1.2 1 0.8 0.6 0.4 0.2 0 R 2 = 0.703 0 0.2 0.4 0.6 0.8 1 1.2 Subject Matches (D)

Collaboration to Identify the Optimum Image Quality Metric Ray Applegate, University of Houston: Effectiveness of Image Quality Metrics in Predicting Visual Acuity with Convolution Simulations David Williams, University of Rochester Effectiveness of Image Metrics in predicting Subjective Image Quality with Adaptive Optics Larry Thibos, Indiana University: Effectiveness of Image Quality Metrics in Predicting Visual Acuity in the Population

Optimizing refraction with an image quality metric maximum search in error 3-D space metric value subjective Guirao and Williams (2003) defocus

Conclusions Generating blur with adaptive optics leads to a robust metric for correcting vision. It is hard to estimate subjective blur from the wave aberration. Zernike Decomposition doesn t help much. The point spread function combined with a biologically plausible model of neural blur is better. Standards for optimizing correction from wavefront are in the works