Measuring the visual angle of polarization-related entoptic phenomena using structured light

TL;DR

This study measures the visual angle of polarization-related entoptic phenomena using structured light, revealing larger perceived patterns than previously estimated and suggesting improved early detection of macular disease.

Contribution

It introduces a novel method to directly measure the visual angle of entoptic patterns with structured light, providing more accurate estimates and potential for early disease detection.

Findings

Average visual angle threshold radius of 9.5° in healthy participants

Higher azimuthal fringe density increases pattern visibility

Structured light stimuli may improve early detection of macular disease

Abstract

The ability to perceive polarization-related entoptic phenomena arises from the dichroism of macular pigments held in Henle's fiber layer of the retina and can be inhibited by retinal diseases such as age-related macular degeneration, which alter the structure of the macula. Structured light tools enable the direct probing of macular pigment density through the perception of polarization-dependent entoptic patterns. Here, we directly measure the visual angle of an entoptic pattern created through the illumination of the retina with a structured state of light and a perception task that is insensitive to corneal birefringence. The central region of the structured light stimuli was obstructed, with the size of the obstruction varying according to a psychophysical staircase. The perceived size of the entoptic pattern was observed to vary between participants, with an average visual angle threshold radius of $9.5^\circ \pm 0.9^\circ$, 95% C.I. = [$5.8^\circ$, $13^\circ$], in a sample of healthy participants. These results (with eleven azimuthal fringes) differ markedly from previous estimates of the Haidinger's brush phenomenon's extant (two azimuthal fringes), of $3.75^\circ$, suggesting that higher azimuthal fringe density increases pattern visibility. The increase in apparent size and clarity of entoptic phenomenon produced by the presented structured light stimuli may possess greater potential to detect the early signs of macular disease over perception tasks using uniform polarization stimuli.