the good doctor on: Single-Photon Imaging

Blog #51 Single-photon imaging

I would like to acknowledge my indebtedness to a publisher called Nature that puts out regular newsletters on the latest research in science and technology. In March, 2021, Nature published a paper on photonics showing that 3-D images can be created of objects from as far as 200 km way! Astounding and mind-bending.

This represents a paradigm shift, like taking the Earth from the centre of the solar system and putting the sun there. All along we have been dealing with light and imaging from an optical perspective. If we wanted to see something from a long distance, we would get a powerful enough telescope and point it at the object. There are limitations to this process, from the size and power of lenses, to the optical surface and materials, and finally to looking through a “hazy” media like the sky. With the advent of powerful lasers, ultra-sensitive digital detection, and sophisticated algorithms, scientists are on the verge of being able to create images of an object from a long distance.

These single-photon lidars use a telescope and a device that produces light in the near-infrared wavelength of 1550 nm (the human eye works in the 400-700 nm wavelength range). This allows for less interference when travelling through the air. The rebound photon is collected and with the help of filters, can be analyzed and converted to a viewable sketch.

The use of infrared light is once again proving valuable in advancing scientific research, as with the Optical Coherence Tomographer that Burlington Eyecare uses when scanning the eye or the Meibography camera that we use to detect and treat dry eye. Both of these tools have proven invaluable in the accurate diagnosis and early detection of eye problems. We are so thankful for this technology. The uses of infrared light are many and the potential for something like distance single-photon imaging is fascinating. With sharing of information and collaboration among disciplines the results can be surprising.

Till next week,


the good doctor, Dr. Mark Germain, Burlington Eyecare

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Blog vol 6.40. The Gut and the Eyes. One of my biggest jobs is to keep abreast of new research and advances in eye health. Most recently, we have seen new stem cell research, gene therapies, as well as new drugs for dry and wet macular degeneration. In January of this year, there was an article in the journal, Cell Death and Disease, that looked at cell apoptosis, specifically with the photoreceptors of the eye. (Read the article here ). Apoptosis is the genetic programming of deliberate and constructive cell death, allowing for the maintenance of healthy structures and systems in the body. Some estimates have the body replacing 50 to 70 billion cells daily by this process. Necrosis, on the other hand, is unplanned cell death caused by injury, toxins, or other negative outside factors; this causes inflammation and disrupts the body’s balance of things. There are stressors that speed up cell turnover. The study looked at photoreceptors in the retina and were able to demonstrate cellular recovery, even in late stages of apoptosis, recovery not breakdown. When certain stressors were reduced, by working with the mitochondria, there was recovery of the photoreceptor cells. How? Mitophagy, the mitochondria’s own process of programmed breaking down and then repurposing the recycled components for new ones. This mitochondrial repair helps to reverse the sequence of apoptosis for the photoreceptors. Mitochondria, how cool. How is this helpful for our eyes? Conditions like retinitis pigmentosa or macular degeneration directly involve the photoreceptors and may be slowed or reversed by helping the mitochondria. So, let’s take care of those mitochondria. There is some evidence for nutritional support for the mitochondrial system. The nutrient, Urolithin A (UA), which is a compound made in our gut from fiber found in pomegranates, berries, and nuts is the only clinically proven substance known to trigger mitophagy, made in the gut no less. Vitamin B3 is critical for mitochondria function, however vitamin B3 based supplements are still to be clinically tested for their support of cell recovery. Nutrients Coenzyme Q10 and L-carnitine are known to help the mitochondria generate energy, and interestingly, infrared light therapy has also been shown to benefit mitochondrial function. Again, food for thought. The gut and its function needs a lot of research. How do probiotics and nutrient precursors affect eye tissues? It is so interesting that the gut can be a factor in eye health. Maybe adding Urolithin A as a supplement is wise, along with the antioxidants in Lutein and Zeaxanthin we use to combat photoreceptor degeneration. Will keep you posted on any new developments.  The good doctor
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