The Methods of Determining Temporal Direction Based on Asymmetric Information of the Optic Disc for Optimal Fovea Detection

Accurate localization of the fovea in fundus images is essential for diagnosing retinal diseases. Existing methods often require extensive data and complex processes to achieve high accuracy, posing challenges for practical implementation. In this paper, we propose an effective and
efficient approach for fovea detection using simple image processing operations and a geometric approach based on the optic disc’s position. A key contribution of this study is the successful determination of the temporal direction by leveraging readable asymmetries related to the optic
disc and its surroundings. We discuss three methods based on asymmetry conditions, including blood vessel distribution, cup disc inclination, and optic disc location ratio, for detecting the temporal direction. This enables precise determination of the optimal foveal region of interest. Through this optimized fovea region, fovea detection is achieved using straightforward morphological and image
processing operations. Extensive testing on popular datasets (DRIVE, DiaretDB1, and Messidor) demonstrates outstanding accuracy of 99.04% and a rapid execution time of 0.251 s per image. The utilization of asymmetrical conditions for temporal direction detection provides a significant
advantage, offering high accuracy and efficiency while competing with existing methods.