Second-generation dual-channel visible light optical coherence tomography enables wide-field, full-range, and shot-noise limited retinal imaging

Visible light optical coherence tomography (VIS-OCT) is an emerging ophthalmic imaging method uniquely featured by ultrahigh depth resolution, retinal microvascular oximetry, and distinct scattering contrast in the visible spectral range. However, the clinical utility of VIS-OCT is impeded by the fundamental trade-off between the imaging depth range and axial resolution, determined by the spectral resolution and bandwidth respectively. While the full potential of VIS-OCT is leveraged by a broad bandwidth, the imaging depth is inversely sacrificed. The effective depth range is further limited by the wavelength-dependent roll-off that the signal-to-noise ratio (SNR) reduces in the deeper imaging range, more so in shorter wavelength. To address this trade-off, we developed a second-generation dual-channel VIS-OCT system including the first linear-in-k VIS-OCT spectrometer, reference pathlength modulation, and per A-line noise cancellation. All combined, we have achieved 7.2dB roll-off over the full 1.74 mm depth range (water) with shot-noise limited performance. The system uniquely enables >60{degrees} wide-field imaging over large retinal curvature at peripheral retina and optic nerve head, as well as high-definition imaging at ultrahigh 1.3 um depth resolution (water). The dual-channel design includes a conventional near infrared (NIR) channel, compatible with Doppler OCT and OCT angiography (OCTA). The comprehensive structure-function measurement by 2nd-Gen VIS-OCT system is a significant advance towards broader adaptation of VIS-OCT in clinical applications.