The test makes a psychophysical estimate of macular
pigment optical density (MPOD) at different eccentricities across the retina, using
a CRT
monitor.
The module incorporates a number of significant improvements over other
methods of subjective MPOD estimation. The system incorporates
three key innovations:
The test presentation system incorporates a unique optical filter
that significantly improves the accuracy and reliability of the
pigment density estimate by eliminating CRT phosphor problems
that normally confound
MPOD estimates.
An undemanding test stimulus radically improves test performance
and measurement repeatability especially with naive subjects.
Integrated eye tracking ensures that the correct retinal locations
are tested.
This test was first demostrated at the ARVO meeting
(the Association for Research in Vision and Ophthalmology) in Fort
Lauderdale, Florida, May 1-5 2005.
Psychophysical techniques for estimating MPOD use two luminance
matches of monochromatic or narrow band lights, one of short
wavelength that is absorbed by the MP, and one of long wavelength
that is not. The initial luminance
match
is made at a location that is sufficiently eccentric for it
to be assumed that there is no MP present. This serves as a
reference
for
subsequent matches. Luminance matches are then made at retinal
locations across the macula. These values are then compared
to the reference
match and differences are assumed to be due to the differential
absorbance of the test lights by the MP. The density is expressed
as the log
of the ratio of the differences:
Efλs is short wavelength luminance match at the
a central location within the macula.
Efλl is long wavelength luminance match at the a central location
within the macula.
Epλs is short wavelength luminance match at the a peripheral
location outside the
macula.
Epλl is the short wavelength luminance match at the a peripheral
location outside
the macula.
Test presentation
The CRT monitor is an ideal way to display a structured test stimulus,
for example, to easily test a series of points across the retina.
A number of studies have been conducted in this way, using
a CRT for MPOD measurements. However there are severe limitations
in using
a conventional CRT in this application and the measured MPOD
values are a fraction of the true value. Whilst in theory this
can be corrected for using model based predictions, the extreme
under estimate makes correction prone to error due to signal
to noise issues.
The problem arises from the broad spectral output of the CRT
phosphors. Whilst perceptually distinct and clearly red, blue
and green there
is substantial overlap between their spectra. The problem is
further confounded by the absorption spectra of the macular
pigment which
shows that it absorbs light from all three phosphors, even
to some extent, the red.
The Metropsis MPOD module employs a new and novel technique
to largely overcome these short comings. In theory two narrow-band
interference filters could be used that pass one wavelength
that is absorbed by the MP and one that is not. However,
this is not a
practical solution, the amount of light from the broad-band
phosphors that is absorbed by such filters means that the
test stimuli are
not of sufficient luminance. We have solved this problem
by using a specially designed multi-layer thin film optical
filter which is
inserted into the viewing path. This is a band blocking filter
that has been
designed to separate
spectrally the output of the blue and red guns. The pass
band of the filter is, however, sufficient to allow the
test to be conducted
at practical luminances. With the filter in place, the residual
output of the blue gun is absorbed by the MP whilst that
of the red largely is not. This allows us to
make MPOD measurements that are much closer to the true value.
Stimulus
A difficulty when using any psychophysical method is conveying to
the subject the judgement that they are required to make. Both
flicker and motion nulling paradigms have been previously employed
in psychophysical
estimates of MPOD. These methods require the subject either
to adjust the stimulus to minimise flicker or motion, or judge
the relative
magnitude of flicker or motion in sequentially presented stimuli.
In practice these methods are difficult to use, especially
with naive subjects, where lengthy training is usually required
for robust test
results. In neither of the methods is there an absolute null;
some residual flicker or motion is present or the range of
any null and
uncertain.
We employ the novel method of Cavanagh
and Anstis in which the ambiguous judgment of relative
luminance, or minimum flicker, is replaced by an unambiguous
decision that can
be expressed in simple conceptual terms. The subject is simply
asked whether a pattern is rotating clockwise or anticlockwise.
The task
is entirely unambiguous, a grating is perceived as rotating
in one direction or another or at equiluminance, to be
stationary. This
stimulus is ideally suited to a forced choice psychophysical
paradigm.
The image above gives a rough impression of the stimulus
used. It consists of 4 consecutively presented square wave
gratings, each 90
deg out of phase
with the next.
The first grating
is a chromatic grating of red and blue bars. The luminance
of the blue is fixed whilst the red luminance can be varied.
The
second grating is a purely luminance modulated grating,
modulated around the mean luminance of the blue/red chromatic
grating. If the luminance
of the red component in the chromatic grating is greater
than the blue, the observer correlates that with the
brighter
of the bars
of the luminance grating when it is presented. However
if the luminance of the red is less, then it is correlated
with the
darker bar in
the luminance grating. This continues in successive
grating presentations, so that the sequence of gratings
appears to move in on direction or
the other, the direction being solely dependent upon
the relative luminance of the two components in the chromatic
gratings.
In our
stimulus, when the red luminance is greater the grating
appears to drift upwards, when the blue
is greater id drifts downwards. The
subject
is simply required to decide whether the grating is
drifting upwards or downwards in a 2AFC weighted up/down staircase
procedure.
A second advantage to the technique is that motion (first
order) is encoded only in the luminance channels of
the visual system. This
means that the adaptive measures taken to suppress
blue cone input that have previously been used in heterochromatic
flicker
photometry
are unnecessary, the blue cones having no input to
the
luminance channel.
Eye tracking
The quality of any psychophysical MPOD estimate relies on knowing
the exact retinal eccentricity that is being tested. In a
test paradigm such as this, where central fixation must be
maintained whist test target are presented, it is a natural
reflex to
look
to the test target when it is presented. A simple video
based gaze tracking system is used to ensure that correct central
fixation is maintained. The stimulus presentation sequence
is inhibited unless the subject is accurately maintaining
central fixation, and subject
feed back is provided by a visual cue when fixation is
correct.