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Poster Session: Assessing the relationship between the cone mosaic and AO-corrected visual acuity.
Mina Gaffney1, Joseph Kreis2, Heather Heitkotter2
1Biomedical Engineering, Marquette University and the Medical College of Wisconsin, Milwaukee, WI, United States.
Journal of Vision
|April 11, 2025
Summary
Adaptive optics (AO) technology allows precise retinal imaging to study cone mosaic and visual function. This study established control data, finding significant variation between observed and predicted visual acuity based on cone spacing.
Area of Science:
- Ophthalmology
- Retinal Imaging
- Visual Neuroscience
Background:
- Adaptive optics (AO) enables near diffraction-limited stimuli delivery to the human retina.
- Assessing the relationship between cone mosaic structure and visual function is crucial for understanding retinal health.
- Establishing device-specific control data is essential for future studies in individuals with retinal diseases.
Purpose of the Study:
- To establish device-specific control data for adaptive optics (AO) studies.
- To quantify the cone mosaic and measure visual acuity in healthy individuals.
- To compare observed visual acuity with acuity predicted by foveal cone spacing.
Main Methods:
- Used AO scanning laser ophthalmoscopy (AOSLO) to quantify cone mosaic density in 18 healthy participants.
- Measured visual acuity using an AO-corrected Snellen E chart via a QUEST-driven task.
- Calculated predicted acuity based on foveal cone spacing within the bivariate contour ellipse area.
Main Results:
- Average cone density at the centroid was 186,925 cones/mm^2.
- Mean observed visual acuity was -0.23 (±0.08) logMAR, while mean predicted acuity was -0.30 (±0.03) logMAR.
- Observed acuity was worse than predicted acuity in 12 out of 18 individuals, with a mean observed:predicted ratio of 0.78.
Conclusions:
- Significant variation exists between observed and predicted visual acuity based on foveal cone spacing in healthy individuals.
- Further investigation is needed to understand factors influencing AO-based visual acuity measures.
- These findings provide essential control data for future research on retinal diseases using adaptive optics.

