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Updated: Jan 10, 2026

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Retinal Vascular Reactivity as Assessed by Optical Coherence Tomography Angiography
Published on: March 26, 2020
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On the physiological processes underlying optoretinography [Invited]
Huakun Li1, Yueming Zhuo2, Vimal Prabhu Pandiyan3,4
1School of Chemistry, Chemical Engineering and Biotechnology, Nanyang Technological University, Singapore, Singapore.
Biomedical Optics Express
|November 26, 2025
Summary
Optoretinography (ORG) images light-evoked retinal changes using phase-resolved optical coherence tomography (pOCT). This label-free method monitors cellular deformations, offering potential for assessing retinal health.
Area of Science:
- Ophthalmology
- Biophysics
- Medical Imaging
Background:
- Optoretinography (ORG) is a label-free imaging technique that captures light-induced retinal changes.
- Phase-resolved optical coherence tomography (pOCT) is a precise ORG method, sensitive to nanoscale deformations.
- Current ORG limitations include signal-to-noise ratio and tissue registration accuracy.
Purpose of the Study:
- To review the physiological mechanisms underlying optoretinography.
- To explore the potential of ORG as a non-invasive assay for retinal health.
- To delineate the mechanisms behind light-evoked retinal deformations.
Main Methods:
- Review of existing literature on optoretinography and retinal physiology.
- Analysis of phase-resolved optical coherence tomography (pOCT) capabilities and limitations.
- Discussion of light-evoked cellular and tissue responses in the retina.
Main Results:
- Photoreceptor outer segments (OS) exhibit rapid contraction and slower elongation post-stimulation.
- Light-evoked ionic and osmotic shifts cause deformations in subretinal space (SRS) and retinal pigment epithelium (RPE).
- ORG detects deformations in inner plexiform layer (IPL) and ganglion cell layer (GCL).
Conclusions:
- ORG has significant potential as a non-invasive, label-free tool for retinal health assessment.
- Understanding ORG's underlying physiological mechanisms is crucial for its clinical application.
- Further research is needed to overcome current limitations and fully realize ORG's diagnostic capabilities.
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