Patent Description:
Most retinal diseases begin in one part of the retina and spread to other areas. For example, many retinal diseases such as glaucoma may begin in a peripheral part of the retina, before spreading to the more central regions of the retina. To detect such diseases early in their onset, a sensitive measure of local retinal health is required. Existing detection methods, however, are largely limited to examination of the central retina. The electroretinogram (or, equivalently, electroretinography) ("ERG") is one popular test used to determine the health of the retina. Currently available ERG stimulus sources, however, cannot stimulate or address any arbitrary or selected area of the entire retina. As a result, a local area of dysfunction in the retina often cannot be detected, particularly when the electroretinography signal may be dominated by signals from the rest of the retina, which may be healthy and functioning properly.

For ERG, many current systems use flat computer monitors as stimulation sources to test the retina. Such flat monitors, however, are incapable of generating stimuli which fill the entire visual field, even if the monitor were very large and positioned impractically close to the subject being tested.

Existing three-dimensional ERG stimulus sources are uniformly luminous, and merely reflect light evenly from an entire concave surface. The only focal ERG stimulus sources are limited to the central visual field, and are technically difficult to implement and/or produce results that can be difficult to interpret.

For example, while the current Goldmann perimetry test identifies the outer limits of the visual field, it is a difficult test to administer, requiring a skilled technician, is considered somewhat subjective, and has poor reproducibility. Other systems are known such as visual field tester of <CIT>, the sight-testing apparatus of<CIT>and the pattern stimulus system of <CIT>. Document <CIT> discloses the features of the preamble of claim <NUM>.

Accordingly, a need remains for a stimulus source which can provide selective and precise stimulation to any part of a retina, including both central and peripheral retina. Such a stimulation source should also be capable of generating any stimulus pattern for any type of ERG, visual- evoked potential ("VEP") and/or psychophysical testing for the retina, the optic nerve, and the visual cortex, and further should avoid erroneous or unwanted stimulation or stimulation reflections of retinal or other areas which could interfere with the selected testing. Such a stimulus source should also be able to identify the limits of the visual field in an objective manner, without requiring a skilled technician.

The present invention is defined by the attached claims.

The representative embodiments of the present invention provide numerous advantages. The representative apparatus, system and method embodiments provide for a stimulus source which can provide selective and precise stimulation to any part of a retina, including both central and peripheral retina. The representative apparatus, system and method embodiments are also capable of generating any stimulus pattern for any type of ERG, VEP and/or psychophysical testing for the retina, the optic nerve, and the visual cortex, and further avoid erroneous or unwanted stimulation or stimulation reflections of retinal or other areas which could interfere with the selected testing. The representative apparatus, system and method embodiments also provide an ERG, VEP and/or psychophysical testing stimulus source which is able to identify the limits of the visual field in an objective manner, without requiring a skilled technician.

A representative pixel light source apparatus embodiment for a stimulus source for visual pathway testing according to the invention comprises the features defined in claim <NUM>.

In a representative embodiment, the second optical element is optically transmissive, with the second optical element having a first surface on a first side facing the second light chamber and having a second surface opposite the first surface and forming a proximal end, wherein the second optical element further comprises an anti-reflective coating on the second surface.

In a representative embodiment, the second optical element is optically transmissive, with the second optical element having a first surface on a first side facing the second light chamber and having a second surface opposite the first surface and forming a proximal end, wherein the second optical element further comprises a first anti-reflective coating on the first surface and a second anti-reflective coating on the second surface.

In a representative embodiment, the illumination source comprises one or more light emitting diodes. For example, the one or more light emitting diodes may further comprise: at least one first light emitting diode for emission of red light or for light emission in a first spectral range; at least one second light emitting diode for emission of green light or for light emission in a second spectral range; at least one third light emitting diode for emission of blue light or for light emission in a third spectral range; and at least one fourth light emitting diode for emission of white light or for light emission in a fourth spectral range.

In a representative embodiment according to the invention, each of the first optical element and the second optical element may be a translucent diffusing optical element.

In a representative embodiment, the pixel light source apparatus may further comprise: a reflective coating covering at least part of the rear wall and at least part of the at least one side wall within the first light chamber. For example, the reflective coating may be selected from the group consisting of: barium sulfate, a white paint, a silver paint, a white polymer, a reflective polymer, a nano-structured reflective composition, zinc sulfide, titanium dioxide, magnesium fluoride, silicon dioxide, and combinations thereof.

In a representative embodiment according to the invention, the pixel light source apparatus further comprises: a non-reflective coating covering at least part of the at least one side wall within the second light chamber. For example, the non-reflective coating may be selected from the group consisting of: a flat black paint, a flocking, carbon black, carbon nanotubes, a nano-structured light absorbing composition, and combinations thereof.

In a representative embodiment, the pixel light source apparatus may further comprise: a transparent or translucent lens or cover coupled to the illumination source. In another representative embodiment, the pixel light source apparatus may further comprise: a third optical element coupled to the at least one side wall, the third optical element arranged between and spaced-apart from the illumination source and the first optical element.

In a representative embodiment, the at least one side wall may further comprise: a plurality of side walls coupled to each other to form an elongated polygonal structure enclosing the first and second light chambers in a transverse dimension. For example, the elongated polygonal structure, together with the rear wall and the second optical element, may define a frustum selected from the group consisting of: a pyramidal frustum, a triangular frustum, a square frustum, a pentagonal frustum, a hexagonal frustum, a septagonal frustum, an octagonal frustum, a conical frustum, and combinations thereof.

In a representative embodiment, a plurality of pixel light source apparatuses are coupled to each other to form a partially-spherical dome or shell.

A representative pixel light source system embodiment for a stimulus source for visual pathway testing is disclosed, with the representative pixel light source system embodiment comprising: a plurality of pixel light sources coupled to each other to form a partially-spherical dome, each pixel light source arranged to emit light directed to a convergent location of the partially-spherical dome; and a control and driver circuit coupled to the plurality of pixel light sources, the control and driver circuit adapted to implement a selected stimulus protocol to selectively energize each pixel light source of the plurality of pixel light sources.

In a representative embodiment, the control and driver circuit may comprise: a memory storing the selected stimulus protocol and a plurality of instructions; a plurality of switches, each switch coupled to a corresponding pixel light source of the plurality of pixel light sources; one or more current regulation circuits coupled to the plurality of switches; and a controller coupled to the plurality of switches and the one or more current regulation circuits, the controller adapted to generate a plurality of signals to the plurality of switches and the one or more current regulation circuits to selectively energize and de-energize each pixel light source of the plurality of pixel light sources according to the selected stimulus protocol and in response to the plurality of instructions.

In a representative embodiment, the controller may be further adapted to generate a plurality of signals to the plurality of switches and the one or more current regulation circuits to select a subset of the plurality of pixel light sources and to selectively energize and de-energize each pixel light source of the subset of the plurality of pixel light sources at a corresponding selected intensity, a corresponding selected spectral range, and a corresponding selected temporal frequency.

For example, the selected stimulus protocol is an electroretinogram (ERG) protocol, or a Visual-Evoked Potential (VEP) protocol, or a Psychophysical Test protocol, may be selected from the group consisting of: a patterned stimulus protocol, a focal ERG or VEP stimulus protocol, a multi-focal ERG or VEP stimulus protocol, a pseudo-random pattern protocol, a chromatic focal ERG or VEP protocol, a pattern ERG or VEP protocol, a full-field (Ganzfeld) stimulus protocol, a flash ERG or VEP protocol, a paired-flash ERG or VEP protocol, a flicker ERG or VEP protocol, a scotopic threshold response (STR) protocol, a photopic negative response (PhNR) protocol, a step response protocol, an ON response protocol, an OFF response protocol, a chromatic response protocol, a visual field / perimetry protocol, a contrast sensitivity protocol, and combinations thereof.

In a representative system embodiment, each pixel light source is an apparatus comprising: at least one side wall, the at least one side wall elongated in a longitudinal dimension and optically opaque; a rear wall coupled to the at least one side wall, the rear wall forming a distal end; an illumination source arranged at or adjacent the distal end, the illumination source comprising one or more light emitting diodes; a first, diffusing optical element coupled to the at least one side wall and spaced apart proximally from the illumination source to define a first light chamber; and a second, optically transmissive optical element coupled to the at least one side wall and spaced apart proximally from the first optical element to define a second light chamber, the second, optically transmissive optical element having a first surface on a first side facing the second light chamber and having a second surface opposite the first surface and forming a proximal end, the second, optically transmissive optical element further comprising a first, anti-reflective coating on the second surface.

In a representative system embodiment, as mentioned above, the one or more light emitting diodes may further comprise: at least one first light emitting diode for emission of red light or for light emission in a first spectral range; at least one second light emitting diode for emission of green light or for light emission in a second spectral range; at least one third light emitting diode for emission of blue light or for light emission in a third spectral range; and at least one fourth light emitting diode for emission of white light or for light emission in a fourth spectral range.

In a representative system embodiment, each pixel light source may further comprise: a second, reflective coating covering at least part of the rear wall and at least part of the at least one side wall within the first light chamber.

In a representative system embodiment, each pixel light source may further comprise: a third, non-reflective coating covering at least part of the at least one side wall within the second light chamber.

In a representative system embodiment, each pixel light source may further comprise: a third, diffusing optical element coupled to the at least one side wall, the third optical element arranged between and spaced-apart from the illumination source and the first optical element.

In a representative system embodiment, for each pixel light source, the at least one side wall may further comprise: a plurality of side walls coupled to each other to form an elongated polygonal structure enclosing the first and second light chambers in a transverse dimension, and wherein the elongated polygonal structure, together with the rear wall and the second optical element, define a frustum selected from the group consisting of: a pyramidal frustum, a triangular frustum, a square frustum, a pentagonal frustum, a hexagonal frustum, a septagonal frustum, an octagonal frustum, a conical frustum, and combinations thereof.

In a representative system embodiment, the partially-spherical dome spans an angular range between about <NUM>° to <NUM>° measured from the convergent location.

In a representative system embodiment, each pixel light source of the plurality of pixel light sources subtends less than <NUM>° of visual angle measured from the convergent location.

In a representative embodiment, the system may further comprise: an operator control panel coupled to the control and driver circuit for input of the selected stimulus protocol; and a subject interface coupled to the control and driver circuit.

Claim <NUM> defines another representative embodiment of the invention residing in a method of using the pixel light source system of claim <NUM> with a subject, with one or more electrodes coupled to the subject or with the system further comprising a subject interface, the representative method embodiment comprising: using a first plurality of pixel light sources, generating light stimulation to any arbitrary or selected portion of the retina of an eye of the subject; receiving signals from the one or more electrodes, such as ERG or VEP signals, or from the subject interface; correlating the received signals with one or more locations of the first plurality of pixel light sources; and identifying one or more regions of the visual system of the subject based on the correlation. Alternatively to the use of electrodes, a subject may also provide a response, such as pressing a button, when stimulation is perceived.

In a representative embodiment, the method may further comprise: selectively and sequentially generating light stimulation to a plurality of selected portions of the retina of the eye of the subject; and evaluating one or more functional changes where a local therapeutic intervention has been introduced.

In a representative embodiment, the method may further comprise: diagnosing one or more identified regions of the visual system of the subject based on the correlation.

Another representative pixel light source system embodiment for a stimulus source for visual pathway testing is disclosed, with the representative pixel light source system embodiment comprising: a plurality of pixel light sources and a control and driver circuit coupled to the plurality of pixel light sources. In such a representative embodiment, the plurality of pixel light sources are coupled to each other to form a partially-spherical dome, each pixel light source arranged to emit light directed to a convergent location of the partially-spherical dome, and each pixel light source comprising: a plurality of optically opaque side walls arranged to form a frustum structure; a rear wall coupled to the plurality of optically opaque side walls, the rear wall forming a distal end of the frustum structure; an illumination source arranged at or adjacent the distal end, the illumination source comprising one or more light emitting diodes; a first, diffusing optical element coupled to the at least one side wall and spaced apart proximally from the illumination source to define a first light chamber; a second, optically transmissive optical element coupled to the at least one side wall and spaced apart proximally from the first optical element to define a second light chamber, the second, optically transmissive optical element having a first surface on a first side facing the second light chamber and having a second surface opposite the first surface and forming a proximal end, the second, optically transmissive optical element further comprising a first, anti-reflective coating on the second surface; a second, reflective coating covering at least part of the rear wall and at least part of the plurality of optically opaque side walls within the first light chamber; and a third, non-reflective coating covering at least part of the plurality of optically opaque side walls within the second light chamber. The control and driver circuit is coupled to the plurality of pixel light sources, and the control and driver circuit is adapted to implement a selected stimulus protocol to selectively energize each pixel light source of the plurality of pixel light sources.

Numerous other advantages and features of the present invention will become readily apparent from the following detailed description of the invention and the embodiments thereof, from the claims and from the accompanying drawings.

The objects, features and advantages of the present invention will be more readily appreciated upon reference to the following disclosure when considered in conjunction with the accompanying drawings, wherein like reference numerals are used to identify identical components in the various views, and wherein reference numerals with alphabetic characters are utilized to identify additional types, instantiations or variations of a selected component embodiment in the various views, in which:.

While the present invention is susceptible of embodiment in many different forms, there are shown in the drawings and will be described herein in detail specific exemplary embodiments thereof, with the understanding that the present disclosure is to be considered as an exemplification of the principles of the invention and is not intended to limit the invention to the specific embodiments illustrated. In this respect, before explaining at least one embodiment consistent with the present invention in detail, it is to be understood that the invention is not limited in its application to the details of construction and to the arrangements of components set forth above and below, illustrated in the drawings, or as described in the examples. Methods and apparatuses consistent with the present invention are capable of other embodiments and of being practiced and carried out in various ways. Also, it is to be understood that the phraseology and terminology employed herein, as well as the abstract included below, are for the purposes of description and should not be regarded as limiting.

As mentioned above and as discussed in greater detail below, the representative apparatus, system and method embodiments provide for a stimulus source which can provide selective and precise stimulation to any part of a retina, including both central and peripheral retina. The representative apparatus, system and method embodiments are also capable of generating any stimulus pattern for any type of ERG, visual-evoked potential and/or psychophysical testing for the retina, the optic nerve, and the visual cortex, and further avoid erroneous or unwanted stimulation or stimulation reflections of retinal or other areas which could interfere with the selected testing. The representative apparatus, system and method embodiments also provide an ERG, visual-evoked potential and/or psychophysical testing stimulus source which is able to identify the limits of the visual field in an objective manner, without requiring a skilled technician.

Especially significant, the representative apparatus, system and method embodiments provide for presenting a pattern visual stimulus on a curved surface that fills the visual field, where each pixel light source apparatus <NUM> providing a pixel in the pattern is capable of delivering a level of light that saturates the corresponding segment of the visual system. This further enables any type of electrophysiological and/or psychophysiological testing, including ERG, visual-evoked potential and/or psychophysical testing, which further can span the entire visual field.

As discussed in greater detail below, there are several significant new innovations supporting this new capability, including: the pixel light source apparatuses <NUM> arranged or arrayed to form a partially-spherical dome (or shell) <NUM>; the design and configuration of the pixel light source apparatuses <NUM>, which for a selected embodiment may be described generally as polygonal tube, light emitting diode ("LED") -based pixel light sources, with each pixel light source apparatus <NUM> including, for example, a high brightness LED (red, green, blue ("RGB"), and/or white) LED as an illumination source, and further having a front optical element (diffuser or window, respectively), of either a translucent light scattering material or a transmissive or transparent material that includes anti-reflection coatings tuned to the RGB wavelengths of the LEDs.

<FIG> is an isometric view diagram illustrating a representative system <NUM> embodiment. <FIG> and <FIG> (collectively "<FIG>) are front, plan view diagrams illustrating arrays of pixel light source apparatuses arranged to form a partially-spherical dome (or shell) <NUM> for a representative system embodiment. <FIG> is a first cross-sectional view (through the A - A' plane) diagram of the representative system <NUM> embodiment of <FIG>. <FIG> is a second cross-sectional view (through the B - B' plane) diagram of the representative system embodiment of <FIG>. <FIG> further illustrates a subject <NUM> having a plurality of recording electrodes <NUM> coupled to a stimulus response recorder <NUM>. <FIG> is a block diagram of the representative system embodiment.

Referring to <FIG>, a representative system <NUM> comprises a housing <NUM>, and within the housing <NUM>, a plurality of pixel light source apparatuses <NUM> are arrayed or arranged to form a partially-spherical dome (or shell) <NUM>, and a control and driver circuit <NUM> is provided to control and selectively energize each pixel light source apparatus <NUM> of the plurality of pixel light source apparatuses <NUM>. Representative pixel light source apparatuses <NUM> and a representative control and driver circuit <NUM> are discussed in greater detail below with reference to <FIG>. The plurality of pixel light source apparatuses <NUM> may be held in place to form the partially-spherical dome (or shell) <NUM> using any means or mechanism as known in the art (not separately illustrated, such as welds, adhesives, screws, etc.), and additional structural components may also be utilized (such as a scaffolding <NUM> coupled to the plurality of pixel light source apparatuses <NUM> (illustrated in <FIG> and <FIG>), meshes, etc.), all for example and without limitation.

In one embodiment, the present disclosure details a novel stimulus source system <NUM>, apparatus <NUM> and method for electroretinography (ERG), visual-evoked potential (VEP) and/or psychophysical testing. A partially-spherical dome (or shell) <NUM> of the system <NUM> may fill the visual field of the subject <NUM> when the subject <NUM>, with an eye <NUM> positioned at the middle of the equator of the dome, looks into the center <NUM> of the interior, concave side <NUM> of the partially-spherical dome (or shell) <NUM> and fixates on a central point <NUM> (at the apex of the partially-spherical dome (or shell) <NUM>). The partially-spherical dome (or shell) <NUM> is comprised of a plurality of pixel light source apparatuses <NUM>, with each pixel light source apparatus as a part or facet of the interior, concave side (or surface) <NUM> of the partially-spherical dome (or shell) <NUM>.

The partially-spherical dome (or shell) <NUM> is illustrated as partially-spherical or hemispherical in various embodiments as far as its macro-scale overall shape or configuration. Depending upon the curvatures, if any, of the pixel light source apparatuses <NUM> (and more specifically, of the second optical element <NUM> of the pixel light source apparatuses <NUM>), the partially-spherical dome (or shell) <NUM> is not a smooth spherical surface, but is a truncated polyhedron approximating a partial sphere (or, equivalently, a faceted partial sphere), as illustrated, such as a geodesic hemisphere or dome, for example.

In addition, the partially-spherical dome (or shell) <NUM> may have any orientation (horizontal, vertical (as shown in <FIG>), or any orientation in between horizontal or vertical), such as to accommodate any selected orientation of the subject <NUM>. The partially-spherical dome (or shell) <NUM> also may be asymmetric (as discussed below), and also may be rotatable into any of a plurality of positions or orientations, such as to align properly with a subject <NUM>. This is also important for use and application of the system <NUM> with non-human subjects.

As illustrated in <FIG>, for completeness of the description of the representative system <NUM>, the control and driver circuit <NUM> is generally coupled to an operator control panel <NUM> and to a subject interface (or panel) <NUM>, and also may be coupled to a computing system <NUM>. The operator control panel <NUM> may be implemented as known in the art for entry of control data (e.g., selection of an ERG, visual-evoked potential and/or psychophysical testing protocol) into the control and driver circuit <NUM>, such as a graphical user interface. A computing system <NUM> (which also may be implemented as known in the art) may also be coupled to the control and driver circuit <NUM>, either directly or via the operator control panel <NUM>. The subject interface (or panel) <NUM> may be implemented as known in the art and merely provides a mechanism for a subject response if needed for a particular visual pathway test, such as a button to be pressed when the subject sees light during a test. The operator control panel <NUM> and/or computing system <NUM> are typically utilized for entry of various illumination parameters for a selected stimulus or stimulation protocol (discussed below). In addition, the computing system <NUM>, which also may be coupled to receive ERG, visual-evoked potential and/or psychophysical testing response signals or data from a stimulus response recorder <NUM> (discussed below), may and generally is involved in performance of part of the representative method embodiment, such as to correlate the received ERG signals with the number and location of the plurality of pixel light source apparatuses <NUM> which may have been illuminated during the selected stimulus protocol, and to identify corresponding regions of the visual system, such as those which may be damaged, diseased, or otherwise functioning improperly.

The computing system <NUM> generally comprises a processor <NUM>, a memory <NUM>, and a network interface <NUM>, among other components. The processor <NUM>, the memory <NUM>, and the network interface <NUM> are described in greater detail below. The computing system <NUM> is typically programed to provide a selected stimulation protocol to the system <NUM>, and to perform various correlation and diagnostic steps of the claimed method, as discussed in greater detail below and further with reference to <FIG>.

As illustrated, the representative system <NUM> comprises a luminous, partially-spherical dome (or shell) <NUM> comprised of a plurality of pixel light source apparatuses <NUM>. When selectively energized, each pixel light source apparatus <NUM> will emit a generally or substantially collimated light beam, into the eye <NUM> of a subject <NUM>. Any selected constant or variable density of the pixel light source apparatuses <NUM> may be utilized within the partially-spherical dome (or shell) <NUM>. For example, a greater number of pixel light source apparatuses <NUM> per unit area may be arrayed toward the center <NUM> of the partially-spherical dome (or shell) <NUM>, and a fewer number of pixel light source apparatuses <NUM> per unit area may be arrayed toward the periphery <NUM> of the partially-spherical dome (or shell) <NUM>, for example and without limitation.

Those having skill in the art will recognize that depending upon the number and density of the pixel light source apparatuses <NUM> utilized within the partially-spherical dome (or shell) <NUM>, the variation of the number and density of the pixel light source apparatuses <NUM> in different parts of the partially-spherical dome (or shell) <NUM> (e.g., center <NUM> or periphery <NUM>), and the corresponding size (or width in the transverse dimension) of the various pixel light source apparatuses <NUM>, the visual angle (e.g., α or β) subtended by the light provided by each pixel light source apparatus <NUM> will vary accordingly, providing a smaller visual angle where there is a greater density of pixel light source apparatuses <NUM>, and a greater visual angle where there is a lower density of pixel light source apparatuses <NUM>. In the representative system <NUM>, the pixel light source apparatuses <NUM> are generally shaped to efficiently tile and form the entire partially-spherical dome (or shell) <NUM>, with each pixel light source apparatus <NUM> subtending a comparatively small (e.g., approximately one to ten degrees of visual angle) portion of the partially-spherical dome (or shell) <NUM>. For example, each pixel light source of the plurality of pixel light source apparatus may subtend less than <NUM>° of visual angle measured from a singular convergent location (position or point) <NUM>, or more particularly, may subtend less than <NUM>° of visual angle measured from a singular convergent location (position or point) <NUM>, or more particularly, may subtend less than <NUM>° of visual angle measured from the singular convergent location <NUM>, or more particularly, may subtend less than <NUM>° of visual angle measured from the singular convergent location <NUM>, or more particularly, may subtend less than <NUM>° of visual angle measured from the singular convergent location <NUM>, or more particularly, may subtend less than <NUM>° of visual angle measured from the singular convergent location <NUM>, and so on.

Continuing with the example, in one embodiment, the pixel light source apparatuses <NUM> may be of varying sizes. For example, as an option, the sizes of the pixel light source apparatuses <NUM> could vary inversely with the density of cells in the associated portion of the retina. This may result in small pixel light source apparatuses <NUM> in the center <NUM> of the partially-spherical dome (or shell) <NUM> to provide finer light probe resolution where cell density is high in the retina, gradually changing to larger pixel light source apparatuses <NUM> in the periphery <NUM> of the partially-spherical dome (or shell) <NUM> to provide correspondingly lower resolution where cell density is lower.

Several of these variations are illustrated in <FIG> and <FIG>. As illustrated in <FIG>, a plurality of pixel light source apparatuses 200B (illustrated in <FIG> and <FIG>), which have hexagonal cross-sections, are arranged (or tiled) to form a partially-spherical dome (or shell) 110A for a representative system <NUM> embodiment. As illustrated in <FIG>, a plurality of pixel light source apparatuses 200D (illustrated in <FIG> and <FIG>), which have triangular cross-sections, are arranged (or tiled) to form a partially-spherical dome (or shell) 110B for a representative system <NUM> embodiment. As illustrated in <FIG>, and in comparison to the partially-spherical dome (or shell) 110B of <FIG>, a greater number of pixel light source apparatuses 200D, which also have comparatively smaller triangular cross-sections, are arranged (or tiled) to form a partially-spherical dome (or shell) 110C having a higher density of pixel light source apparatuses 200D to provide finer light probe resolution for a representative system <NUM> embodiment. As discussed in greater detail below, any and all combinations of such pixel light source apparatuses <NUM> arrayed to form a partially-spherical dome (or shell) <NUM> are within the scope of the disclosure.

Within the partially-spherical dome (or shell) <NUM>, each of the plurality of pixel light source apparatuses <NUM> may be individually selected and energized using the control and driver circuit <NUM>, using any selected addressing or selection. For example and without limitation, column and row addressing or selection may be utilized, with the plurality of pixel light source apparatuses <NUM> arranged in a plurality of annular rows and a plurality of radial columns within the partially-spherical dome (or shell) <NUM>.

Those having skill in the art will recognize that that the partially-spherical dome (or shell) <NUM> may have any of a plurality of different shapes and a plurality of different angular or circumferential spans in any dimension. <FIG> is a graphical diagram illustrating a plurality of circumferential spans in any dimension of a partially-spherical dome (or shell) for a representative system embodiment. A line from the convergent location (position or point) <NUM> to the center (or apex) <NUM> of the partially-spherical dome (or shell) <NUM>) is considered to be zero degrees, and is the "zero degree reference" for all measurements or determinations herein. As illustrated in <FIG>, the partially-spherical dome (or shell) <NUM>) will typically have any angular or circumferential span, in any dimension, from about <NUM>° to about <NUM>° (in "full" angles) or equivalently about <NUM>° to about <NUM>° (in "half" angles), and may be symmetrical or asymmetrical, as described below.

For example and without limitation, with zero degrees being defined as being a line from the convergent location <NUM> to the center (or apex) <NUM> of the partially-spherical dome (or shell) <NUM>), which is the same as or parallel to the optical axis of the eye <NUM> as illustrated, then the edges of the partially-spherical dome (or shell) <NUM>) could be located anywhere from about <NUM> degrees (in all radial directions, i.e., a spherical section that is less than half a sphere) to about <NUM> degrees (in all radial directions, i.e., a spherical section that is more than half a sphere), or it could be asymmetrical, being, for example, about <NUM> degrees in the nasal direction and about <NUM> degrees in the temporal direction and transitioning from <NUM> degrees to <NUM> degrees along any arbitrary curve between the nasal and temporal directions.

Also for example and without limitation, the partially-spherical dome (or shell) <NUM> may be, but may not be and is not required to be, a symmetric hemisphere spanning a full <NUM>° in two dimensions (in "full" angles, as measured or determined from the zero degree reference). Rather, in representative embodiments, the partially-spherical dome (or shell) <NUM> is dimensioned to accommodate stimulation and testing of the entire visual field. This is illustrated in <FIG> and <FIG>. For example, as illustrated in <FIG>, the representative partially-spherical dome (or shell) <NUM> spans <NUM>° in the vertical (or up-down, top-bottom) dimension, even though a typical visual (peripheral) field may not detect a full <NUM>° in this direction. Also for example, as illustrated in <FIG>, the representative partially-spherical dome (or shell) <NUM> spans <NUM>° in the horizontal (or lateral, right-left) dimension (also in "full" angles, as measured or determined from the zero degree reference), because a typical visual (peripheral) field is capable of detecting objects in a wider peripheral span than <NUM>° in this direction. In addition, the visual fields may be asymmetric in other ways, e.g., the more medial visual fields (nasal direction or toward a subject's nose) is also generally more limited compared to the more lateral (temporal) visual fields, as mentioned above. Accordingly, for a representative system <NUM> to accommodate both the left and right eyes <NUM> of a subject <NUM>, the partially-spherical dome (or shell) <NUM> may have some symmetry, e.g., lateral symmetry, vertical symmetry, and potentially may also have rotational symmetry. Otherwise, the partially-spherical dome (or shell) <NUM>) may be further asymmetric laterally, and be rotated <NUM>° when testing is switched from one eye (left or right) to the other eye (right or left).

By having the pixel light source apparatuses <NUM> form the partially-spherical dome (or shell) <NUM> spanning a full <NUM>° vertically (or <NUM>° using "half" angles) and potentially even more laterally (or horizontally), e.g., <NUM>° (or <NUM>° using "half" angles), however, the function of the entire visual pathway may be tested and probed, as sufficient pixel light source apparatuses <NUM> are then available to selectively illuminate any and all parts of the retinas of the eyes <NUM> of the subject <NUM>. Accordingly, as used herein, the plurality of pixel light source apparatuses <NUM> may form a partially-spherical dome (or shell) <NUM> spanning a range (in full angles) between about <NUM>° to <NUM>°, or more particularly between about <NUM>° to <NUM>°, or more particularly between about <NUM>° to <NUM>°, or more particularly between about <NUM>° to <NUM>°, or more particularly between about <NUM>° to <NUM>°, or more particularly between about <NUM>° to <NUM>°, or more particularly between about <NUM>° to <NUM>°, or more particularly between about <NUM>° to <NUM>°, or more particularly between about <NUM>° to <NUM>°, or more particularly between about <NUM>° to <NUM>°, in any dimension, for example and without limitation (in "full" angles, as measured or determined from the zero degree reference), for example and without limitation. In addition, the partially-spherical dome (or shell) <NUM> may also be implemented to by asymmetric, such as spanning a greater number of degrees in one dimension (e.g., horizontally) compared to another dimension (e.g., vertically), and/or vice-versa.

In a representative system <NUM>, the partially-spherical dome (or shell) <NUM> may be as large as <NUM> in diameter or larger, e.g., typically having a radius about equal to the shortest distance of focus for a typical adult, for a human subject, such as about <NUM> (fourteen inches), for example and without limitation. An array of pixel light source apparatuses <NUM>, adjacent to one another, is disposed in an arrangement to form the luminous, partially-spherical dome (or shell) <NUM>. For testing, a subject <NUM> is positioned or aligned in front of the partially-spherical dome (or shell) <NUM>, facing the interior of the partially-spherical dome (or shell) <NUM>, such that the eye <NUM> of the subject <NUM> is about at the convergent location <NUM>, with the individual subject <NUM> generally looking at the center <NUM> of the partially-spherical dome (or shell) <NUM>, in such a manner as to allow the testing of the entire field of vision, as shown in cross-section in <FIG>. This alignment allows the image of each pixel light source apparatus <NUM> to be focused by the optics of the eye <NUM> of the subject <NUM> and stimulate a corresponding part of the retina of the eye <NUM> of the subject <NUM>. With the partially-spherical dome (or shell) <NUM>) being sized to have a radius on the order of <NUM>, the optics of the eye <NUM> can cast the image of the pixels on the retina in focus. A beam being directed into the eye <NUM>, however, does not need to be at any particular distance to be cast on the retina as a spot, as long as the refraction of the cornea is eliminated or accommodated (e.g., by use of a flat window coupled to the cornea, for example and without limitation). Accordingly, the partially-spherical dome (or shell) <NUM>) may have a wide range of shapes and sizes, any and all of which are within the scope of the disclosure.

Also as illustrated in <FIG>, a plurality of recording electrodes <NUM> are attached to the subject <NUM>, and further have electrode leads coupled to a stimulus response recorder <NUM>, for receiving stimulus response signals following stimulation for ERG, visual-evoked potential and/or perimetry testing, for example. As illustrated for ERG recording, a recording electrode <NUM> A contacts the eye <NUM> or the skin near the eye <NUM>, another, "reference" recording electrode 255B contacts the skin of the subject <NUM> near the eye <NUM> (e.g., temple, or ear), and another "ground" recording electrode 255D contacts the skin of the subject near the neck of the subject <NUM> (or sometimes near the eye <NUM>). For VEP recording, a recording electrode <NUM> C contacts the skin near or over the visual cortex of the subject <NUM>, the "reference" recording electrode 255B would contact the skin of the subject <NUM> at the ear, and the "ground" recording electrode 255D would also contact the skin of the subject near the neck of the subject <NUM>. Any type or kind of recording electrodes <NUM> and stimulus response recorders <NUM> which are known or become known may be utilized with the representative system <NUM>. The stimulus response may be recorded using standard stimulus response recording techniques.

While illustrated with a human subject <NUM>, those having skill in the art will recognize that the representative system <NUM> may be utilized for visual pathway testing and diagnosis with any type of subject, including non-human primates, rabbits, pigs, mice, rats, cats, and zebra fish, for example and without limitation. The representative system <NUM>, therefore, is also especially suited for use in research studies involving such non-human subjects, especially where perimetry stimulus protocols can be used in conjunction with electrophysiological recording instead of the typical behavioral recording.

As discussed in greater detail below, in a representative embodiment, the partially-spherical dome (or shell) <NUM> may comprise an array of individual pixel light source apparatuses <NUM>, where each individual pixel light source apparatus <NUM> may emit the same ranges of wavelengths of light (e.g., white, red, blue, or green) or a plurality of different ranges of wavelengths of light (e.g., white, red, blue, or green), or any combination thereof. For example, each pixel light source apparatus <NUM> may have a plurality of selectable illumination sources <NUM>, each having a different range of wavelengths of light (e.g., white, red, blue, or green). Alternatively, a first pixel light source apparatus <NUM> may have a single illumination source <NUM> having a first selected range of wavelengths of light (e.g., white), a second pixel light source apparatus <NUM> may have a single illumination source <NUM> having a second selected range of wavelengths of light (e.g., red), a third pixel light source apparatus <NUM> may have a single illumination source <NUM> having a third selected range of wavelengths of light (e.g., blue), a fourth pixel light source apparatus <NUM> may have a single illumination source <NUM> having a fourth selected range of wavelengths of light (e.g., green), and so on. This may allow a combination of individual light sources <NUM> to be used together to product a mixture of wavelengths of light, thereby producing different colors of light, for example and without limitation.

Using the control and driver circuit <NUM>, each of the pixel light source apparatuses <NUM> may be illuminated or turned on individually or in any combination, and the luminance of each pixel light source apparatus <NUM> may also be individually controllable. This flexibility of the representative system <NUM> in being able to light different portions of the partially-spherical dome (or shell) <NUM>, and in being able to have varying degrees of illumination, allows the user to probe any arbitrary section of the retina, by providing a visual stimulus to that part of the retina by illuminating the corresponding pixel light source apparatuses <NUM> on the partially-spherical dome (or shell) <NUM>, thereby ascertaining a measure of local health. Accordingly, the representative system <NUM> adds a significant new dimension to ERG testing, i.e., spatial selectivity. The representative system <NUM> also may also be programmed to present the kind of stimulus used in the multi-focal ERG test, thereby expanding that test from evaluating the central retina only to evaluating the entire retina.

Any type of visual pathway testing may be performed by the representative system <NUM>, which may now be extended to probe the entire visual field and no longer limited to the central visual field, including without limitation:.

Especially novel, the representative system <NUM> may perform completely new types of ERG, visual-evoked potential and/or psychophysical testing and diagnostics, which heretofore cannot be accomplished using any other device or system. For example, as a new type of patterned stimulus protocol, an ERG response may be recorded in the presence of an induced transient scotoma, accomplished by delivering a saturating, continuous luminance from a first, small cluster of a plurality of pixel light source apparatuses <NUM> to a corresponding portion of the retina (which then cannot respond to any further stimulus, and hence behaves like a scotoma or blind spot). Then during the delivery of this locally-saturating stimulus from the first plurality of pixel light source apparatuses <NUM>, a second, different plurality of pixel light source apparatuses <NUM> present a brief flash of light to the remainder of the retina.

In addition, such testing is no longer limited to probing the entire retina uniformly, resulting in a response that represents the average response of the entire retina. The representative system <NUM> provides the capability to probe isolated areas of the retina with any of the full-field protocols. Any protocol to be utilized by the system <NUM>, of a plurality of stimulation protocols, may be stored in a memory <NUM> and/or memory <NUM> and selected using the computing system <NUM> and/or the operator control panel <NUM>.

<FIG> is a first cross-sectional view diagram illustrating an array of pixel light source apparatuses 200A, 200B arranged to form a partially-spherical dome (or shell) <NUM> for a representative system <NUM> embodiment. <FIG> is an isometric view diagram illustrating a representative first pixel light source apparatus 200A embodiment. <FIG> is an isometric view diagram illustrating a representative second pixel light source apparatus 200B embodiment. <FIG> is cross-sectional view diagram of the representative first and second pixel light source apparatus 200A, 200B embodiments of <FIG> and <FIG>. <FIG> is a second cross-sectional view diagram illustrating an array of pixel light source apparatuses 200C, 200D arranged to form a partially-spherical dome (or shell) <NUM> for a representative system <NUM> embodiment. <FIG> is an isometric view diagram illustrating a representative third pixel light source apparatus 200C embodiment. <FIG> is an isometric view diagram illustrating a representative fourth pixel light source apparatus 200D embodiment. <FIG> is cross-sectional view diagram of the representative third and fourth pixel light source apparatus 200C, 200D embodiments of <FIG> and <FIG>.

Referring to <FIG>, each pixel light source apparatus <NUM> is generally elongated and/or tubular, and may be trapezoidal in longitudinal dimension or cross-section, such as illustrated in <FIG> for the representative first and second pixel light source apparatus 200A, 200B embodiments of <FIG> and <FIG>, or may be rectangular in longitudinal dimension or cross-section, such as illustrated in <FIG> for the representative third and fourth pixel light source apparatus 200C, 200D embodiments of <FIG> and <FIG>, for example and without limitation. While referred to as elongated or tubular, the pixel light source apparatuses <NUM> may have any transverse shape or cross-section, such as polygonal, in addition to circular or elliptical, for example and without limitation.

Each pixel light source apparatus <NUM> comprises one or more side walls <NUM>, and may also include a rear or distal wall <NUM> (which may be solid or may be perforated, such as for air flow and cooling, and which forms a first, rear or distal end <NUM> of the pixel light source apparatus <NUM>), which may be considered to form a housing or a cell. The side walls <NUM> and the rear or distal wall <NUM> may be integrally-formed or may be coupled to each other using any mechanism which is known or becomes known, such as tabs, slots, adhesives, welds, screws, etc., for example and without limitation (not separately illustrated), and/or may be held in place using any of the structures of the partially-spherical dome (or shell) <NUM> discussed above. For example, the scaffolding <NUM> may be coupled to the rear or distal wall <NUM>, and in turn, the rear or distal wall <NUM> is coupled to the one or more side walls <NUM>.

Each pixel light source apparatus <NUM> further comprises an illumination source <NUM> arranged or disposed at or near the distal end of the pixel light source apparatus <NUM>, such as one or more light emitting diodes as mentioned above; a first, diffusing internal optical element <NUM> arranged or disposed to be spaced-apart proximally from the illumination source <NUM> and coupled to the side walls <NUM> to form a first, rear or distal light chamber <NUM> (which also may be further divided into parts, as 270A and 270B); and a second optical element <NUM> forming a second, front or proximal end <NUM> of the pixel light source apparatus <NUM>, with the second optical element <NUM> arranged or disposed to be spaced-apart further proximally from the illumination source <NUM> and arranged or disposed to be spaced-apart proximally from the first, internal optical element <NUM>, and also coupled to the side walls <NUM> to form a second, front or proximal light chamber <NUM>. Positive and negative electrical leads or wires <NUM>, <NUM> are also coupled to the illumination source <NUM> for coupling to the control and driver circuit <NUM> for selectively providing power to and energizing the illumination source <NUM>. The illumination source <NUM>, the rear or distal wall <NUM>, the first, internal optical element <NUM>, the second optical element <NUM> (and third optical element <NUM>) may be held in place or attached to the side walls <NUM> using any mechanism which is known or becomes known, such as tabs <NUM>, or slots, adhesives, welds, screws, etc., for example and without limitation (not separately illustrated).

In a representative embodiment, the second optical element <NUM> of the pixel light source apparatus <NUM> has first and second surfaces <NUM> and <NUM>, with the first surface <NUM> facing the interior space defined or enclosed by the partially-spherical dome (or shell) <NUM>, and the second surface <NUM> facing the second, front or proximal light chamber <NUM>. There are several available embodiments of the second optical element <NUM> within the scope of the disclosure. In a first representative embodiment, the second optical element <NUM> is substantially optically transmissive, transparent or clear, and the pixel light source apparatus <NUM> further includes or comprises a first, anti-reflective coating <NUM> on the first surface <NUM> of the second optical element <NUM>, or on both the first and second surfaces <NUM> and <NUM>. Any type or kind of anti-reflective coating may be utilized. In a representative embodiment, the composition of the anti-reflective coating <NUM> is tuned to the various ranges of wavelengths of the light emitted by the illumination source <NUM>, such that any incident light on the second optical element <NUM> of a first pixel light source apparatus <NUM> from another, second pixel light source apparatus <NUM> of the partially-spherical dome (or shell) <NUM> is substantially not reflected. As a result, internal reflections from the pixel light source apparatuses <NUM> within the partially-spherical dome (or shell) <NUM> are greatly diminished and generally will not be reflected into the eye <NUM> of the subject <NUM>.

For example, the design of each pixel light source apparatus <NUM> generally reduces or eliminates the reflecting of light from opposing surfaces of the interior of the partially-spherical dome (or shell) <NUM>. In a representative embodiment, this may be accomplished by having the second optical element <NUM> include the first, anti-reflection coating <NUM> on one or both first and second surfaces <NUM> and <NUM>. The second optical element <NUM> may contain a coating or inclusion to increase scattering of transmitted light.

In another, second representative embodiment, the second optical element <NUM> diffuses light, e.g., is substantially optically translucent, and may be comprised similarly or identically to the first optical element <NUM>, as discussed below.

The side walls <NUM> and the rear or distal wall <NUM> of the pixel light source apparatus <NUM> may be comprised of any material, such as a metal, a polymer, a plastic, glass, etc., which is generally sufficiently opaque to the transmission of the various ranges of wavelengths of the light emitted by the illumination source <NUM>, such that light emitted from an illumination source <NUM> does not pass through the side walls <NUM>. In a representative embodiment, the side walls <NUM> and the rear or distal wall <NUM> are comprised of aluminum. In addition, as an option, the surfaces of the side walls <NUM> and the rear or distal wall <NUM> facing the first and second light chambers <NUM>, <NUM> may also be polished or mirrored to be comparatively highly light reflective (such as for the first light chamber <NUM>) or may be etched or roughened to be comparatively highly light diffusing or absorbing (such as for the second light chamber <NUM>). The side walls <NUM> and the rear or distal wall <NUM> may have any selected thickness. In general, both the side walls <NUM> and the rear or distal wall <NUM> should be sufficiently thin to allow a sufficient number of pixel light source apparatuses <NUM> to be utilized in the partially-spherical dome (or shell) <NUM>, but nonetheless have sufficient thickness to be structurally sound and robust during use of the system <NUM>.

The illumination source <NUM> of the pixel light source apparatus <NUM> may comprise any type or kind of illumination or light emitting source. For example, the illumination source <NUM> may comprise one or more LEDs in a representative embodiment. Other types of lights or lamps may be utilized equivalently, including without limitation halogen lamps, fluorescent lamps, incandescent lamps, mercury and sodium vapor lamps, and so on. Optionally, the illumination source <NUM> may also include a lens or other transparent or translucent covering <NUM>. For example, many commercially available LEDs include such a lens or other transparent or translucent covering <NUM>. The illumination source <NUM> is generally located at or near the distal end <NUM>, and may be coupled at or near the rear or distal wall <NUM>. In other embodiments, the illumination source <NUM> may have other positions. For example and without limitation, a single or a plurality of illumination sources <NUM> may be utilized, with each illumination source <NUM> coupled to one or more side walls <NUM> at or near the distal end <NUM> of the pixel light source apparatus <NUM>. Those having skill in the art will recognize additional variation, any and all of which are within the scope of the disclosure.

As another option, the pixel light source apparatus <NUM> may further comprise a third, diffusing optical element <NUM> arranged or disposed to be spaced-apart proximally from the illumination source <NUM> (between the illumination source <NUM> and the first, internal optical element <NUM>) and coupled to the side walls <NUM> within the first, rear or distal light chamber <NUM>. For example and without limitation, such a third optical element <NUM> may be included (as an option) when the illumination source <NUM> does not include a lens or other transparent or translucent covering <NUM>. <FIG> illustrates the optional inclusion of both a third optical element <NUM> and a lens or other transparent or translucent covering <NUM>, while no third optical element <NUM> is included in <FIG>. When the third optical element <NUM> is included, the first, rear or distal light chamber <NUM>, as illustrated in <FIG>, is divided into two parts, first, rear or distal light chambers 270A and 270B, which are collectively referred to as a first, rear or distal light chamber <NUM>.

The first, internal optical element <NUM> (and also the third optical element <NUM> and/or the lens or other transparent or translucent covering <NUM>, and the second embodiment of the second optical element <NUM> mentioned above) of the pixel light source apparatus <NUM> may be any type of light diffusing structure and may comprise any substantially translucent material, including those discussed below for the first embodiment of the second optical element <NUM>. In a representative embodiment, the first, internal optical element <NUM> (and also the third optical element <NUM> and/or the lens or other transparent or translucent covering <NUM>) comprise a silicate glass or any type of plastic or polymer having a layer of glass spheres or beads arranged on one or both (proximal and distal) surfaces <NUM>, <NUM>. Also for example, in another representative embodiment, the first, internal optical element <NUM> (and also the third optical element <NUM> and/or the lens or other transparent or translucent covering <NUM> and the second embodiment of the second optical element <NUM>) comprise a silicate glass or any type of plastic or polymer which is frosted or etched, or includes other surface structures (e.g., hemispheres) on one or both (proximal and distal) surfaces <NUM>, <NUM>, which provide light diffusion or other spreading. In other representative embodiments, the first, internal optical element <NUM> is translucent. In another representative embodiment, the first, internal optical element <NUM> is a transparent or translucent diverging lens. In addition, depending upon the selected embodiment, the first, internal optical element <NUM> may also provide color filtering (e.g., RGB).

The second optical element <NUM> of the pixel light source apparatus <NUM> also may be any type of light transmitting or diffusing structure and may comprise any substantially transparent or translucent material. As mentioned above, for a first embodiment of the second optical element <NUM>, the second optical element <NUM> is substantially transparent, and for the second embodiment of the second optical element <NUM>, the second optical element <NUM> is substantially translucent or otherwise diffusing. For example, the second optical element <NUM> may be comprised of any silicate glass or any type of plastic or polymer. Also for example, the second optical element <NUM> is comprised of any substantially optically transmissive material for various ranges of wavelengths of the light emitted by the illumination source <NUM>, such as a borosilicate glass or polystyrene latex. Representative types of substantially transparent or translucent materials include, in addition to borosilicate glass (any silicate glass having at least <NUM>% of boric oxide): soda-lime glass, a lead glass (including a lead-alkali glass), aluminosilicate glass (having aluminum oxide in its composition), ninety-six percent silica glass, and fused silica glass, for example and without limitation. As mentioned above, the first, internal optical element <NUM> and the second embodiment of the second optical element <NUM> may also be comprised of any of these materials, but then generally includes etching, frosting, embedded glass beads, or other surface structures which will be light diffusing.

The first, internal optical element <NUM> and the second optical element <NUM> of the pixel light source apparatus <NUM> may have any selected thickness. In general, both the first, internal optical element <NUM> and the second optical element <NUM> should be sufficiently thin to allow sufficient light to be emitted from the pixel light source apparatus <NUM>, such as to cause saturation as discussed above, but nonetheless have sufficient thickness to be structurally sound and robust during use of the system <NUM>.

As options, each pixel light source apparatus <NUM> further comprises several different internal coatings on the interior surfaces of the side walls <NUM> and the rear or distal wall <NUM>, in addition to the first, anti-reflective (or comparatively highly reflective) coating <NUM> provided on the external surface <NUM> (or both surfaces <NUM>, <NUM>) of the second optical element <NUM>. A second, reflective coating <NUM> of the pixel light source apparatus <NUM> is arranged or disposed to cover or coat the side walls <NUM> of the first, rear or distal light chamber <NUM>, and may also be arranged or disposed to cover or coat the rear or distal wall <NUM> of the first, rear or distal light chamber <NUM>. This second coating <NUM> is comparatively highly reflective for the various wavelength ranges of the light emitted by the illumination source <NUM>. For example, in a representative embodiment, the second coating <NUM> may be barium sulfate or some other highly reflective coating, such as a silver or white coating or paint, a nano-structured reflective composition, a white or silver polymeric or plastic film or coating, or virtually anything white or silver (e.g., white paper or plastic) or otherwise reflective. Also for example, the first, anti-reflective coating <NUM> may include periodic layers of high-index materials (e.g., zinc sulfide or titanium dioxide) and low-index materials (e.g., magnesium fluoride or silicon dioxide) such that the reflection is tuned to the wavelengths emitted by the illumination source <NUM> (such as LEDs). Also other dielectric or metallic coatings known to those skilled in the art. As discussed above, when the side walls <NUM> and/or the rear or distal wall <NUM> have polished or mirrored internal surfaces forming the first, rear or distal light chamber <NUM>, the second, reflective coating <NUM> may be omitted.

A third, non-reflective coating <NUM> of the pixel light source apparatus <NUM> is arranged or disposed to cover or coat the side walls <NUM> of the second, front or proximal light chamber <NUM>. This third coating <NUM> is comparatively highly non-reflective, high absorbance for the various wavelength ranges of the light emitted by the illumination source <NUM>. For example, in a representative embodiment, the third coating <NUM> may be flat black paint or flocking, carbon black, carbon nanotubes, a nano-structured light absorbing composition such as Vantablack™ or Acktar high absorbance black coatings such as VIS, SWIR and MWIR high absorbing coatings for stray light suppression, also for example. As discussed above, when the side walls <NUM> and/or the rear or distal wall <NUM> have roughened or otherwise non-reflective internal surfaces forming the second, front or proximal light chamber <NUM>, the third coating <NUM> may be omitted.

Combination of such second and third coatings <NUM>, <NUM> may also be utilized on different portions of the interior side walls <NUM> and the rear or distal wall <NUM> of the pixel light source apparatus <NUM>. In addition, when included, the second and third coatings <NUM>, <NUM> may have any selected thickness sufficient to be generally or substantially reflective and non-reflective, respectively.

Using these various second and third coatings <NUM>, <NUM> (and/or internal surface treatments of the side walls <NUM> and the rear or distal wall <NUM>), using the first, internal optical element <NUM> and the second optical element <NUM>, and due to the generally elongated structure (longitudinally) of the pixel light source apparatus <NUM>, the light generated by the illumination source <NUM> and leaving the pixel light source apparatus <NUM> through the second optical element <NUM> will be at least partially collimated, i.e., will be a beam having comparatively little divergence.

Referring to <FIG>, for ease of reference, the longitudinal dimension (or cross-section) of the pixel light source apparatus <NUM> is illustrated as an "x" axis, and the transverse dimension (or cross-section) of the pixel light source apparatus <NUM> is illustrated as a "y" axis. As mentioned above, the pixel light source apparatus <NUM> is generally elongated in the longitudinal dimension as illustrated, and the pixel light source apparatus <NUM> longitudinal axis is oriented radially (illustrated using dashed lines in <FIG>) in the partially-spherical dome (or shell) <NUM>, such that a beam of light emitted from each pixel light source apparatus <NUM> will be provided to a convergent location (position or point) <NUM> of the partially-spherical dome (or shell) <NUM>, as illustrated in <FIG>. It should be noted that the convergent location (position or point) <NUM> is not located on or within the partially-spherical dome (or shell) <NUM>, but is spaced-apart from the partially-spherical dome (or shell) <NUM> and located or positioned based upon the orientations of the plurality of pixel light source apparatuses <NUM>, so the convergent location (position or point) <NUM> may be within the concave region bounded by the partially-spherical dome (or shell) <NUM> or may be external to the partially-spherical dome (or shell) <NUM>. While a singular convergent location <NUM> is generally utilized in the representative system <NUM>, those having skill in the art will recognized that multiple convergent locations <NUM> could also be implemented, such as a tight grouping of convergent locations <NUM> positioned similarly to the singular convergent location <NUM> illustrated in <FIG> and <FIG>, and any and all such variations are within the scope of the disclosure.

As mentioned above, for testing, a subject <NUM> is positioned or aligned in front of the partially-spherical dome (or shell) <NUM>, such that the eye <NUM> of the subject <NUM> is at this convergent location <NUM>, with the individual subject <NUM> generally looking at the center <NUM> of the partially-spherical dome (or shell) <NUM>. The relative positions of the partially-spherical dome (or shell) <NUM> and the subject <NUM> may be arranged, moved or otherwise varied to provide this visual alignment. This alignment allows the image of each pixel light source apparatus <NUM> to be focused by the optics of the eye <NUM> of the subject <NUM> and stimulate a corresponding part of the retina of the eye <NUM> of the subject <NUM>. As each pixel light source apparatus <NUM> may be selectively and independently energized, the plurality of the pixel light source apparatuses <NUM> may produce any illuminated pattern on the interior surface of the partially-spherical dome (or shell) <NUM>. The pattern may illuminate any portion of the partially-spherical dome (or shell) <NUM>, thereby allowing the evaluation of the entire retina. Each pixel light source apparatus <NUM> may thereby correspond to a section of a retina. This allows the user to probe any arbitrary section of the retina by providing a visual stimulus to a section of the retina by illuminating the associated pixel light source apparatuses <NUM> of the partially-spherical dome (or shell) <NUM>.

While the pixel light source apparatus <NUM> is generally elongated and/or tubular, each pixel light source apparatus <NUM> may have virtually any shape and size, with pixel light source apparatuses 200A, 200B, 200C, and 200D providing examples. For example and without limitation, a pixel light source apparatus <NUM> may be trapezoidal in the longitudinal dimension (or cross-section), such as illustrated in <FIG> for the representative first and second pixel light source apparatus 200A, 200B, or may be rectangular in longitudinal dimension (or cross-section), such as illustrated in <FIG> for the representative third and fourth pixel light source apparatus 200C, 200D.

In addition, a pixel light source apparatus <NUM> may have any polygonal, circular, elliptical or other shape in the transverse dimension (or cross-section). For example and without limitation, a pixel light source apparatus <NUM> may be square or rectangular in transverse dimension (or cross-section), such as illustrated in <FIG> for the representative first pixel light source apparatus 200A; or a pixel light source apparatus <NUM> may be hexagonal in transverse dimension (or cross-section), such as illustrated in <FIG> for the representative second pixel light source apparatus 200B and as illustrated in <FIG> for the representative third pixel light source apparatus 200C; or a pixel light source apparatus <NUM> may be triangular in transverse dimension (or cross-section), such as illustrated in <FIG> for the representative fourth pixel light source apparatus 200D. For example, the polygonal transverse dimension (or cross-section) of each pixel light source apparatus <NUM> may be of a triangular, square, rectangulary pentagonal, hexagonal, septagonal, octagonal, or another polygonal configuration, or the pixel light source apparatus <NUM> may have a circular, ovoid, elliptical, etc. transverse dimension (or cross-section). The transverse dimensions (or cross-sections) of the pixel light source apparatuses <NUM> may not all be of the same shape. For example, some of the transverse dimensions (or cross-sections) of the pixel light source apparatuses <NUM> may be pentagonal and some may be hexagonal.

Stated another way, the pixel light source apparatuses <NUM> which are trapezoidal in the longitudinal dimension (or cross-section) may also be considered a conical frustum, or a pyramidal frustum, or a hexagonal frustum, or a triangular frustum, or a pentagonal frustum, a square frustum, or an octagonal frustum, and so on, as illustrated in <FIG> and <FIG>. When arranged in a partially-spherical dome (or shell) <NUM> and viewed by a properly aligned subject <NUM>, such frustum embodiments of pixel light source apparatuses <NUM> create a "viewing frustum" for each pixel. A particular advantage of this configuration is that eye <NUM> of the subject <NUM> views only the surfaces of the most proximal portions of the pixel light source apparatuses <NUM>, such as only the second optical element <NUM>, and not the side walls <NUM>, including the side walls <NUM> having the third, non-reflective coating <NUM>.

The pixel light source apparatuses <NUM> are disposed or arranged to form a partially-spherical dome (or shell) <NUM> for a representative system <NUM> embodiment. Several variations of this arrangement of the pixel light source apparatuses <NUM> to form a partially-spherical dome (or shell) <NUM> for a representative system <NUM> embodiment are illustrated and any and all variations are within the scope of this disclosure. The individual pixel light source apparatuses <NUM> may each have a transverse (or cross-sectional) shape such that the pixel light source apparatuses <NUM> can be arranged with the front or proximal ends <NUM> set adjacent to one another, either abutting (as illustrated in <FIG>) or adjacent but spaced-apart (as illustrated in <FIG>), and arranged to form a partially-spherical dome (or shell) <NUM>, or to tile a surface of arbitrary curvature, such as any other surface that may be similar to Buckyball geometry. The partially-spherical dome (or shell) <NUM> may be comprised of a plurality of triangular (transversely) pixel light source apparatuses <NUM>, or a plurality of hexagonal (transversely) pixel light source apparatuses <NUM>, or a plurality of pentagonal (transversely) pixel light source apparatuses <NUM>, or a plurality of square (transversely) pixel light source apparatuses <NUM>, or a plurality of rectangular (transversely) pixel light source apparatuses <NUM>, or it may be comprised of a combination of pixel light source apparatuses <NUM> of various polygonal, circular or elliptical transverse dimension or cross-sections; for example and without limitation, a plurality of hexagonal (transversely) pixel light source apparatuses <NUM> combined with a plurality of pentagonal (transversely) pixel light source apparatuses <NUM>. The partially-spherical dome (or shell) <NUM> may also be considered to form a partially-spherical surface in the interior, concave side <NUM>, comprised of the front or proximal ends <NUM> of the various pixel light source apparatuses <NUM>.

For example, two such available arrangements of the pixel light source apparatuses <NUM> are illustrated in <FIG>, which may be any of the various pixel light source apparatuses <NUM>, e.g., 200A, 200B. As illustrated in <FIG>, the pixel light source apparatuses <NUM> are trapezoidal in the longitudinal dimension. In addition, the pixel light source apparatuses <NUM><NUM> are abutting each other in the partially-spherical dome (or shell) <NUM>. Other pixel light source apparatuses <NUM><NUM>, however, are spaced-apart from each other in the partially-spherical dome (or shell) <NUM>. Other pixel light source apparatuses <NUM><NUM>, however, share one or more side walls <NUM> with each other, illustrated as side walls 210A, with a single side wall 210A being common to more than one pixel light source apparatus <NUM><NUM>. The one or more side walls, whether shared or separate, separate each illumination source <NUM> in a pixel light source apparatus <NUM> from its neighbors. Any and all of these variations are within the scope of the disclosure.

Also for example, two additional available arrangements of the pixel light source apparatuses <NUM> are illustrated in <FIG>, which may be any of the various pixel light source apparatuses <NUM>, e.g., 200C, 200D. As illustrated in <FIG>, the pixel light source apparatuses <NUM> are rectangular in the longitudinal dimension. In addition, the front or proximal ends <NUM> of pixel light source apparatuses <NUM><NUM> are abutting each other in the partially-spherical dome (or shell) <NUM>. The front or proximal ends <NUM> of other pixel light source apparatuses <NUM><NUM>, however, are spaced-apart from each other in the partially-spherical dome (or shell) <NUM>. Any and all of these variations are also within the scope of the disclosure.

<FIG> is a block and circuit diagram illustrating a first representative embodiment of control and drive circuitry 150A for a representative system <NUM> embodiment. <FIG> is a block and circuit diagram illustrating a second representative embodiment of control and drive circuitry 150B for a representative system <NUM> embodiment. The first and second representative embodiments of control and drive circuitry 150A, 150B are merely provided for completeness as examples of typical control and drive circuitry which may be utilized in a system <NUM>, with the pixel light source apparatuses <NUM> in a partially-spherical dome (or shell) <NUM>, and should not be regarded as limiting in any way.

As discussed above, each pixel light source apparatus <NUM> may have one or more illumination sources <NUM>. As illustrated in <FIG>, the first embodiment of control and drive circuitry 150A is for one or more pixel light source apparatuses <NUM> which each utilize a single LED as an illumination source <NUM>, illustrated as illumination source 205A in <FIG>, such as an LED to emit white light, for example and without limitation. As illustrated in <FIG>, the second embodiment of control and drive circuitry 150B is for one or more pixel light source apparatuses <NUM> in which at least some pixel light source apparatuses <NUM> each utilize a plurality of LEDs as illumination sources <NUM>, illustrated as illumination sources 205A, 205B, 205C, and 205D in <FIG>, such as LEDs to emit white, red, green, and/or blue light, for example and without limitation. In addition, any combination of these first and second embodiments of control and drive circuitry <NUM> OA, 150B is also within the scope of the disclosure.

As illustrated in <FIG> and <FIG>, the first and second representative embodiments of control and drive circuitry <NUM> OA, 150B each comprise one or more switches <NUM>, one or more current regulation circuits <NUM>, a controller (or processor) <NUM>, a memory circuit <NUM>, an operator input/output ("I/O") interface <NUM> (typically coupleable to receive commands and/or data from the operator control panel <NUM>), and a subject I/O interface <NUM> (typically coupleable to receive commands and/or data from the subject interface (or panel) <NUM>). As an option, a computing system <NUM> may also be coupled to a controller (or processor) <NUM> (not separately illustrated).

Also as illustrated in <FIG> and <FIG>, each illumination source (LED) <NUM> is coupled to a switch <NUM>, such as a transistor, and typically coupled through a resistor <NUM> to a current regulation circuit <NUM>, which may provide a constant current or may provide a variable current, such as for dimming. Such current regulation circuits and other control and drive circuitry are well known in the electronic arts, and any current regulation circuit <NUM> may be utilized, such as any of the drive and/or current regulation circuits disclosed, for example and without limitation, in <CIT>; <CIT>; <CIT>; <CIT>. Other power supplies and corresponding circuits may also be included (not separately illustrated).

The controller (or processor) <NUM>, in conjunction with any data stored in the memory <NUM>, together with any commands and/or data received through the operator I/O interface <NUM> from the operator control panel <NUM>, will issue commands and or other signals (e.g., on/off signals to switches <NUM>, current level commands or settings to the current regulation circuits <NUM>, etc.), to implement any of the ERG and other protocols discussed above, such as to flash or dim one or more of the illumination sources <NUM>, in any combination and/or permutation. As mentioned above, the illumination source <NUM> may be an array of LEDs each emitting a different wavelength of light such that under the control of the controller (or processor) <NUM>, a combination of LEDs can be activated to produce a mixture of wavelengths of light emitted from the front <NUM> of the pixel light source apparatus <NUM>. The mixture can be designed to produce the sensation of "white" light to an observer, or to produce the sensation of different colors or hues (e.g., red, green, blue).

A controller (or processor) <NUM> and a non-transient computer-readable memory storing instructions (e.g. , memory <NUM>) may be provided. The controller (or processor) <NUM> may execute instructions from the memory <NUM>, thereby causing one or a plurality of the illumination sources <NUM> or pixel light source apparatuses <NUM> to become illuminated. An operator I/O interface <NUM> configured to receive an input from the operator control panel <NUM> allows a user to determine a frequency (i. , temporal frequency), intensity, and location of illumination of the illumination sources <NUM> or pixel light source apparatuses <NUM>. The user may cause the illumination of a pattern that includes illuminating a first subset of the illumination sources <NUM> or pixel light source apparatuses <NUM>, then illuminating a second subset of illumination sources <NUM> or pixel light source apparatuses <NUM>, for example and without limitation. Pixel light source apparatuses <NUM> chosen for illumination would be selected via an operator control panel <NUM> or a computing system <NUM>, and on user command the stimulus (typically a brief flash, or series of flashes, of white or colored light) may be delivered by the selected pixel light source apparatuses <NUM>.

Numerous advantages of the representative embodiments are readily apparent. Also for example, under the operation and control of the controller (or processor) <NUM>, each of the pixel light source apparatuses <NUM> may be illuminated or turned on individually or in any combination, and the luminance or intensity of each pixel light source apparatus <NUM> may also be individually controllable. This flexibility in being able to light different portions of the partially-spherical dome (or shell) <NUM><NUM>, and in being able to have varying degrees of illumination allows the user to probe any arbitrary section of the retina, by providing a visual stimulus to that part of the retina by illuminating the corresponding pixel light source apparatuses <NUM> of the partially-spherical dome (or shell) <NUM><NUM>, thereby ascertaining a measure of local health. This system <NUM> therefore adds a significant new dimension to ERG testing, namely, spatial selectivity. Also for example, the controller (or processor) <NUM> also be programmed to present the kind of stimulus used in the multi-focal ERG test, thereby expanding that test from evaluating the central retina only to evaluating the entire retina. Also for example, the controller (or processor) <NUM> also be programmed to present the kind of stimulus used in the multi-focal ERG test, thereby expanding that test from evaluating the central retina only to evaluating the entire retina. Also for example, the controller (or processor) <NUM> also be programmed to present the kind of stimulus used in any of the various protocols mentioned above.

Pixel light source apparatuses <NUM> chosen for illumination are selected via a commands and/or data from the operator control panel <NUM>, and on user command the visual stimulus would be delivered by the selected pixel light source apparatuses <NUM>, and the ERG response recorded using standard ERG recording techniques. The stimulus may typically comprise a brief flash, or series of flashes, of white or colored light, although a constant light could also be used, alone or in combination with full-field or pattern flashes.

Also advantageously, the representative system <NUM> can also be used to perform novel psychophysical tests, such as perimetry and contrast sensitivity, by using the stimulus in conjunction with a subject-response system, as is routinely done in Humphrey Visual Field testing. Using the representative system <NUM> in this manner would greatly increase the utility of these common clinical tests by extending the area of the retina that is evaluated all the way to the edges of the visual field. Current perimetry and contrast sensitivity testing only evaluate the central retina, such as due to the limitations on the design of the stimulus source. The representative system <NUM> overcomes these limitations and allows stimuli under individual control to be presented to any part of the retina.

One advantage of the representative system <NUM> is that it could be used to measure the limits of the visual field using an objective and reliable electrophysiological measure (e.g., an ERG response to a local stimulus) as opposed to relying on the voluntary response of the subject (e.g., a button push). In contrast, prior art psychophysical (i.e., subject-response types of tests) are generally (and notoriously) unreliable due to subject non-compliance and inconsistency, for example, and further because these types of tests involve other aspects of the person's physiology beyond the visual pathway.

Also advantageously, the representative system <NUM> is also able to probe the entire retina using any arbitrary user-defined set of stimulus areas. This clinical test could be used, for example, to screen for local dysfunction by "scanning" the retina section by section, to test for dysfunction in areas where structural or imaging tests suggest a potential problem, or to evaluate functional improvement where a local therapeutic intervention has been introduced (gene therapy, cryotherapy, photocoagulation, etc.). The benefit of localized measurements versus traditional full-field ERG is a clinically significant increase in sensitivity to localized changes in function or health state of the retina.

Yet another advantage, the representative system <NUM> has the ability to test arbitrary areas of the retina, which would be in addition to the ability to perform all tests that current full-field stimulus sources are used for (full-field homogeneous flashes of white or colored light, ramp or step stimuli, paired-flash sequences, bleaching background lights, etc.). This would give the clinician or researcher unparalleled flexibility in designing testing protocols or sequences of protocols to diagnose and monitor retinal disease.

This representative system <NUM> overcomes the limitation of flat (CRT or LED computer monitors) ERG stimulus sources by filling the entire visual field. By creating a three-dimensional dome-shaped stimulus source that surrounds the eye, there are pixels in the stimulus that correspond with every part of the anatomical retina. The focal ERG approach described here overcomes all of these limitations in a single piece of hardware, namely, the representative system <NUM>.

An additional problem solved by this approach is that using LEDs as a light source can create a stimulus of higher luminance than is possible with current flat-panel displays. This allows greater flexibility in designing the stimulus protocol for evaluating different aspects of retinal function.

A representative system <NUM> also provides for greater sensitivity in testing visual pathway function. Importantly, the ability to saturate the visual pathway provided by the representative system <NUM> allows for normalization of responses across subjects, as responses to stimuli of lower strength are normalized to a maximal (saturated) response for each subject. This compensates for wide differences in ERG amplitude that are not related to the health of the retina, but to other factors such as the type or style of a recording electrode or placement of a reference electrode. In the prior art, if the stimulus source is not capable of saturating the visual pathway, this type of normalization cannot be accomplished, and the sensitivity of any given test is substantially reduced, as the variation in response amplitude that is considered "healthy" goes up substantially.

<FIG> is a flow diagram illustrating a representative method embodiment, and provides a useful summary. Beginning with start step <NUM>, a stimulus protocol is selected, step <NUM>, such as by user entry or through the controller (or processor) <NUM> accessing the memory <NUM>. The stimulus protocol will generally specify the number (quantity) and location of the plurality of pixel light source apparatuses <NUM> being energized or de-energized, the modulation of the brightness or intensity of any of the plurality of pixel light source apparatuses <NUM>, the color of any of the plurality of pixel light source apparatuses <NUM>, and the modulation of any temporal frequency of such energizing and de-energizing, such as dimming, on, off, flashing, bursting, etc., for example and without limitation.

The controller (or processor) <NUM> then generates commands or other signals to the various switches <NUM> and current regulation circuits <NUM> to selectively energize one or more pixel light source apparatuses <NUM> of a first plurality of pixel light source apparatuses <NUM> in accordance with the selected stimulus protocol, step <NUM>. In a representative embodiment, as part of the selected stimulus protocol, each of the pixel light source apparatuses <NUM> of the first plurality of pixel light source apparatuses <NUM> has a selected intensity, color and (temporal) frequency of illumination and a selected location in the partially-spherical dome (or shell) <NUM>. In accordance with the selected stimulus protocol, the controller (or processor) <NUM> then generates commands or other signals to the various switches <NUM> and current regulation circuits <NUM> to selectively de-energize one or more pixel light source apparatuses <NUM> of the first plurality of pixel light source apparatuses <NUM>, step <NUM>.

When additional stimulation is to occur in the selected stimulus protocol, step <NUM>, in accordance with the selected stimulus protocol, for any of the various energizing and de-energizing steps, as illustrated for step <NUM>, the number (quantity), color and location of the plurality of pixel light source apparatuses <NUM> being energized or de-energized, the modulation of the brightness or intensity of any of the plurality of pixel light source apparatuses <NUM>, and the modulation of any temporal frequency of such energizing and de-energizing, is generally varied, as an option. The controller (or processor) <NUM> generates commands or other signals to the various switches <NUM> and current regulation circuits <NUM> to selectively energize one or more pixel light source apparatuses <NUM> of a second (or next) plurality of pixel light source apparatuses <NUM> in accordance with the selected stimulus protocol, step <NUM>. In a representative embodiment, as part of the selected stimulus protocol, each of the pixel light source apparatuses <NUM> of the second (or next) plurality of pixel light source apparatuses <NUM> also has a selected intensity and temporal frequency of illumination, a selected color, and a selected location in the partially-spherical dome (or shell) <NUM>. In accordance with the selected stimulus protocol, the controller (or processor) <NUM> then generates commands or other signals to the various switches <NUM> and current regulation circuits <NUM> to selectively de-energize one or more pixel light source apparatuses <NUM> of the second (or next) plurality of pixel light source apparatuses <NUM>, step <NUM>. When additional stimulation is to occur in the selected stimulus protocol, step <NUM>, the method returns to step <NUM> and iterates, performing steps <NUM>, <NUM> and <NUM>, in accordance with the selected stimulus protocol, until completion.

Concurrently with steps <NUM> through <NUM>, a recording device, such as a stimulus response recorder <NUM>, is receiving signals from one or more electrodes <NUM>, step <NUM>, or a response is received from a subject interface <NUM> (e.g., when a subject presses a button, for example), which continues until terminated in accordance with the selected stimulus protocol. Following step <NUM>, in step <NUM>, the received electrode <NUM> signals are correlated with the number and location of the pixel light source apparatuses <NUM> which have been energized in steps <NUM>, <NUM>, <NUM> and <NUM>, typically using a computing system <NUM>. As mentioned above, the various locations of the plurality of pixel light source apparatuses <NUM> within the partially-spherical dome (or shell) <NUM> correspond to locations in a retina of an eye <NUM> of the subject <NUM>. This allows probing of any arbitrary or selected part of the retina. Using the correlation between the received electrode <NUM> signals with the number and location of the pixel light source apparatuses <NUM> which have been energized, in step <NUM>, the method identifies corresponding regions of the visual system, such as those which may be damaged, diseased, or otherwise functioning improperly, including evaluating one or more functional changes where a local therapeutic intervention has been introduced or diagnosing one or more identified regions of the visual system of the human subject based on the correlation, also typically using the computing system <NUM>. Following step <NUM>, the method may end return step <NUM>.

For example, in addition to the use of recording electrodes <NUM>, for step <NUM>, the received signals may be from a behavioral response of the subject such as pressing a button provided as or on a subject interface <NUM>. In addition, for step <NUM>, the received signals may be from the one or more electrodes <NUM> simultaneously with a behavioral response of the subject such as pressing a button provided as or on a subject interface <NUM>.

As used herein, a "controller" (or "processor") <NUM> and/or processor <NUM> may be any type of controller or processor, and may be embodied as one or more controller(s) <NUM> or processor(s) <NUM>, configured, designed, programmed or otherwise adapted to perform the functionality discussed herein. As the term controller or processor is used herein, a controller <NUM> or processor <NUM> may include use of a single integrated circuit ("IC"), or may include use of a plurality of integrated circuits or other components connected, arranged or grouped together, such as controllers, microprocessors, digital signal processors ("DSPs"), array processors, graphics or image processors, parallel processors, multiple core processors, custom ICs, application specific integrated circuits ("ASICs"), field programmable gate arrays ("FPGAs"), adaptive computing ICs, associated memory (such as RAM, DRAM and ROM), and other ICs and components, whether analog or digital. As a consequence, as used herein, the term processor or controller should be understood to equivalently mean and include a single IC, or arrangement of custom ICs, ASICs, processors, microprocessors, controllers, FPGAs, adaptive computing ICs, or some other grouping of integrated circuits which perform the functions discussed herein, with associated memory, such as microprocessor memory or additional RAM, DRAM, SDRAM, SRAM, MRAM, ROM, FLASH, EPROM or E<NUM>PROM. A controller <NUM> or processor <NUM>, with associated memory, may be adapted or configured (via programming, FPGA interconnection, or hard-wiring) to perform the methodology of the invention, as discussed herein. For example, the methodology may be programmed and stored, in a controller <NUM> or processor <NUM> with its associated memory (and/or memory <NUM> or memory <NUM>) and other equivalent components, as a set of program instructions or other code (or equivalent configuration or other program) for subsequent execution when the controller <NUM> or processor <NUM> is operative (i.e., powered on and functioning). Equivalently, when the controller <NUM> or processor <NUM> may implemented in whole or part as FPGAs, custom ICs and/or ASICs, the FPGAs, custom ICs or ASICs also may be designed, configured and/or hard-wired to implement the methodology of the invention. For example, the controller <NUM> or processor <NUM> may be implemented as an arrangement of analog and/or digital circuits, controllers, microprocessors, DSPs and/or ASICs, collectively referred to as a "processor" or "controller", which are respectively hard-wired, programmed, designed, adapted or configured to implement the methodology of the invention, including possibly in conjunction with a memory <NUM> or memory <NUM>.

The memory <NUM> and/or memory <NUM>, which may include a data repository (or database), may be embodied in any number of forms, including within any computer or other machine-readable data storage medium, memory device or other storage or communication device for storage or communication of information, currently known or which becomes available in the future, including, but not limited to, a memory integrated circuit ("IC"), or memory portion of an integrated circuit (such as the resident memory within a controller <NUM> or processor <NUM> or processor IC), whether volatile or non-volatile, whether removable or non-removable, including without limitation RAM, FLASH, DRAM, SDRAM, SRAM, MRAM, FeRAM, ROM, EPROM or E<NUM>PROM, or any other form of memory device, such as a magnetic hard drive, an optical drive, a magnetic disk or tape drive, a hard disk drive, other machine-readable storage or memory media such as a floppy disk, a CDROM, a CD-RW, digital versatile disk (DVD) or other optical memory, or any other type of memory, storage medium, or data storage apparatus or circuit, which is known or which becomes known, depending upon the selected embodiment. The memory <NUM> and memory <NUM> may be adapted to store various look up tables, parameters, coefficients, other information and data, programs or instructions (of the software of the present invention), and other types of tables such as database tables.

As indicated above, the controller <NUM> or processor <NUM> is hard-wired or programmed, using software and data structures of the invention, for example, to perform the methodology of the present invention. As a consequence, the system and method of the present invention may be embodied as software which provides such programming or other instructions, such as a set of instructions and/or metadata embodied within a non-transitory computer readable medium, discussed above. In addition, metadata may also be utilized to define the various data structures of a look up table or a database. Such software may be in the form of source or object code, by way of example and without limitation. Source code further may be compiled into some form of instructions or object code (including assembly language instructions or configuration information). The software, source code or metadata of the present invention may be embodied as any type of code, such as C, C++, Matlab, SystemC, LISA, XML, Java, Brew, SQL and its variations (e.g., SQL <NUM> or proprietary versions of SQL), DB2, Oracle, or any other type of programming language which performs the functionality discussed herein, including various hardware definition or hardware modeling languages (e.g., Verilog, VHDL, RTL) and resulting database files (e.g., GDSII). As a consequence, a "construct", "program construct", "software construct" or "software", as used equivalently herein, means and refers to any programming language, of any kind, with any syntax or signatures, which provides or can be interpreted to provide the associated functionality or methodology specified (when instantiated or loaded into a processor or computer and executed, including the controller <NUM> or processor <NUM>, for example).

The software, metadata, or other source code of the present invention and any resulting bit file (object code, database, or look up table) may be embodied within any tangible, non-transitory storage medium, such as any of the computer or other machine-readable data storage media, as computer-readable instructions, data structures, program modules or other data, such as discussed above with respect to the memory <NUM> and/or memory <NUM>, e.g., a floppy disk, a CDROM, a CD-RW, a DVD, a magnetic hard drive, an optical drive, or any other type of data storage apparatus or medium, as mentioned above.

The network interface <NUM> and the various operator and subject I/O interface circuit(s) <NUM>, <NUM> are utilized for appropriate connection to a relevant channel, network or bus; for example, the network interface <NUM> and the operator and subject I/O interface circuit(s) <NUM>, <NUM> may provide impedance matching, drivers and other functions for a wireline interface, may provide demodulation and analog to digital conversion for a wireless interface, and may provide a physical interface, respectively, for the computing system <NUM> (with processor <NUM> and memory <NUM>) and for the controller (or processor) <NUM> and/or memory <NUM>, with other devices. In general, the network interface <NUM> and the operator and subject I/O interface circuit(s) <NUM>, <NUM> are used to receive and transmit data, depending upon the selected embodiment, such as program instructions, parameters, configuration information, control messages, data and other pertinent information.

The network interface <NUM> and the operator and subject I/O interface circuit(s) <NUM>, <NUM> may be implemented as known or may become known in the art, to provide data communication between the processor <NUM> or controller <NUM>, respectively, and any type of network or external device, such as wireless, optical, or wireline, and using any applicable standard (e.g., one of the various PCI, USB, RJ <NUM>, Ethernet (Fast Ethernet, Gigabit Ethernet, 300ase-TX, 300ase-FX, etc.), IEEE <NUM>, WCDMA, WiFi, GSM, GPRS, EDGE, <NUM> and the other standards and systems mentioned above, for example and without limitation), and may include impedance matching capability, voltage translation for a low voltage processor to interface with a higher voltage control bus, wireline or wireless transceivers, and various switching mechanisms (e.g., transistors) to turn various lines or connectors on or off in response to signaling from the processor <NUM> or controller <NUM>, respectively. In addition, the network interface <NUM> and the operator and subject I/O interface circuit(s) <NUM>, <NUM> may also be configured and/or adapted to receive and/or transmit signals externally to the computing system <NUM> and/or system <NUM>, respectively, such as through hard-wiring or RF or infrared signaling, for example, to receive information in real-time for output on a display, for example. The network interface <NUM> and the operator and subject I/O interface circuit(s) <NUM>, <NUM> may provide connection to any type of bus or network structure or medium, using any selected architecture. By way of example and without limitation, such architectures include Industry Standard Architecture (ISA) bus, Enhanced ISA (EISA) bus, Micro Channel Architecture (MCA) bus, Peripheral Component Interconnect (PCI) bus, SAN bus, or any other communication or signaling medium, such as Ethernet, ISDN, T1, satellite, wireless, and so on.

The present disclosure is to be considered as an exemplification of the principles of the invention and is not intended to limit the invention to the specific embodiments illustrated. In this respect, it is to be understood that the invention is not limited in its application to the details of construction and to the arrangements of components set forth above and below, illustrated in the drawings, or as described in the examples. Systems, methods and apparatuses consistent with the present invention are capable of other embodiments and of being practiced and carried out in various ways.

Although the invention has been described with respect to specific embodiments thereof, these embodiments are merely illustrative and not restrictive of the invention. In the description herein, numerous specific details are provided, such as examples of electronic components, electronic and structural connections, materials, and structural variations, to provide a thorough understanding of embodiments of the present invention. One skilled in the relevant art will recognize, however, that an embodiment of the invention as defined in the claims can be practiced without one or more of the specific details, or with other apparatus, systems, assemblies, components, materials, parts, etc. In other instances, well-known structures, materials, or operations are not specifically shown or described in detail to avoid obscuring aspects of embodiments of the present invention. In addition, the various Figures are not drawn to scale and should not be regarded as limiting.

It will also be appreciated that one or more of the elements depicted in the Figures can also be implemented in a more separate or integrated manner, or even removed or rendered inoperable in certain cases, as may be useful in accordance with a particular application. Integrally formed combinations of components are also within the scope of the invention, particularly for embodiments in which a separation or combination of discrete components is unclear or indiscernible. In addition, use of the term "coupled" herein, including in its various forms such as "coupling" or "couplable", means and includes any direct or indirect electrical, structural or magnetic coupling, connection or attachment, or adaptation or capability for such a direct or indirect electrical, structural or magnetic coupling, connection or attachment, including integrally formed components and components which are coupled via or through another component.

With respect to signals, we refer herein to parameters that "represent" a given metric or are "representative" of a given metric, where a metric is a measure of a state of at least part of the regulator or its inputs or outputs. A parameter is considered to represent a metric if it is related to the metric directly enough that regulating the parameter will satisfactorily regulate the metric. A parameter may be considered to be an acceptable representation of a metric if it represents a multiple or fraction of the metric.

Furthermore, any signal arrows in the drawings/Figures should be considered only exemplary, and not limiting, unless otherwise specifically noted. Combinations of components of steps will also be considered within the scope of the present invention, particularly where the ability to separate or combine is unclear or foreseeable. The disjunctive term "or", as used herein and throughout the claims that follow, is generally intended to mean "and/or", having both conjunctive and disjunctive meanings (and is not confined to an "exclusive or" meaning), unless otherwise indicated. As used in the description herein and throughout the claims that follow, "a", "an", and "the" include plural references unless the context clearly dictates otherwise. Also as used in the description herein and throughout the claims that follow, the meaning of "in" includes "in" and "on" unless the context clearly dictates otherwise.

The foregoing description of illustrated embodiments of the present invention, including what is described in the summary or in the abstract, is not intended to be exhaustive or to limit the invention to the precise forms disclosed herein.

Claim 1:
A pixel light source apparatus (<NUM>) for a stimulus source for visual pathway testing, the pixel light source apparatus (<NUM>) comprising:
at least one side wall (<NUM>), the at least one side wall (<NUM>) elongated in a longitudinal dimension and optically opaque;
a rear wall (<NUM>) coupled to the at least one side wall (<NUM>), the rear wall (<NUM>) forming a distal end;
an illumination source (<NUM>) arranged at or adjacent the distal end;
a first optical element (<NUM>) coupled to the at least one side wall and spaced apart proximally from the illumination source to define a first light chamber (<NUM>);
a second optical element (<NUM>) coupled to the at least one side wall and spaced apart proximally from the first optical element to define a second light chamber (<NUM>); and
a non-reflective coating covering at least part of the at least one side wall (<NUM>) within the second light chamber (<NUM>),
wherein the first optical element (<NUM>) is a translucent diffusing optical element,
characterised in that
the second optical element (<NUM>) is a translucent diffusing optical element.