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Retinal Vascular Reactivity as Assessed by Optical Coherence Tomography Angiography
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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
PubMed
Summary
This summary is machine-generated.

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.

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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.