The research described herein is an investigation into the problems of obtaining useful clinical measurements from stereo photographs of the human retina through automation of the stereometric procedure by digital stereo matching and image analysis techniques. Clinical research has indicated a correlation between physical changes to the optic disc topography (the region on the retina where the optic nerve enters the eye) and the advance of eye disease such as hypertension and glaucoma. Stereoscopic photography of the human retina (or fundus, as it is called) and the subsequent measurement of the topography of the optic disc is of great potential clinical value as an aid in observing the pathogenesis of such disease, and to this end, accurate measurements of the various parameters that characterise the changing shape of the optic disc topography must be provided. Following a survey of current clinical methods for stereoscopic measurement of the optic disc, fundus image data acquisition, stereo geometry, limitations of resolution and accuracy, and other relevant physical constraints related to fundus imaging are investigated. A survey of digital stereo matching algorithms is presented and their strengths and weaknesses are explored, specifically as they relate to the suitability of the algorithm for the fundus image data. The selection of an appropriate stereo matching algorithm is discussed, and its application to four test data sets is presented in detail. A mathematical model of two-dimensional image formation is developed together with its corresponding auto-correlation function. In the presense of additive noise, the model is used as a tool for exploring key problems with respect to the stereo matching of fundus images. Specifically, measures for predicting correlation matching error are developed and applied. Such measures are shown to be of use in applications where the results of image correlation cannot be independently verified, and meaningful quantitative error measures are required. The application of these theoretical tools to the fundus image data indicate a systematic way to measure, assess and control cross-correlation error. Conclusions drawn from this research point the way forward for stereo analysis of the optic disc and highlight a number of areas which will require further research. The development of a fully automated system for diagnostic evaluation of the optic disc topography is discussed in the light of the results obtained during this research
