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In vivo fundus imaging and computational refocusing with a diffuser-based fundus camera
Corey Simmerer1, Marisa Morakis1, Lei Tian2
1Johns Hopkins University, Department of Biomedical Engineering, Baltimore, Maryland, United States.
Biophotonics Discovery
|April 24, 2026
Summary
This study introduces a new computational fundus camera using phase mask imaging for improved diagnostic eye care. The device successfully captured and refocused in vivo fundus images, demonstrating its feasibility for ocular diagnostics.
Area of Science:
- Ophthalmology
- Biomedical Imaging
- Computational Optics
Background:
- Diagnostic eye care can be enhanced with high-throughput, user-friendly tools.
- Phase mask-based imaging offers computational refocusing without moving parts, potentially reducing fundus camera complexity and cost.
- Previous demonstrations of phase mask imaging were limited to model eyes, not in vivo applications.
Purpose of the Study:
- To design, construct, and evaluate a computational fundus camera for in vivo imaging.
- To assess the feasibility and performance of phase mask-based computational imaging of the human fundus.
Main Methods:
- A holographic diffuser was integrated into a modified commercial fundus camera.
- The diffuser was placed conjugate to the ocular pupil, creating a shift-invariant point spread function dependent on refractive error.
- Digital refocusing was performed across a range of +/- 10 diopters of defocus.
Main Results:
- The system achieved digital refocusing of in vivo human fundus images.
- The field of view was >= 35 degrees, with a resolution of 7.7 to 9.6 line pairs per millimeter.
- The device underwent ocular safety testing and a pilot human imaging study.
Conclusions:
- This research presents the first in vivo diffuser-based fundus images.
- The findings demonstrate the feasibility of computational imaging for ocular diagnostics.
- Phase mask-based imaging holds promise for advancing fundus camera technology.

