Visualization of medical images on a virtual reality (VR) head-mounted display (HMD) requires binocular fusion of a stereoscopic pair of graphical views. However, current image quality assessment on VR HMDs for medical applications has been primarily limited to time-consuming monocular optical bench measurement on a single eyepiece. As an alternative to optical bench measurement to quantify the image quality on VR HMDs, we developed a WebXR test platform to perform contrast perceptual experiments that can be used for binocular image quality assessment. We obtained monocular and binocular contrast sensitivity responses (CSRs) from participants on a Meta Quest 2 VR HMD using varied interpupillary distance (IPD) configurations. The perceptual result shows that contrast perception on VR HMDs is primarily affected by optical aberration of the VR HMD. As a result, monocular CSR degrades at a high spatial frequency greater than 4 cycles per degree when gazing at the periphery of the display field of view, especially for mismatched IPD settings consistent with optical bench measurements. On the contrary, binocular contrast perception is dominated by the monocular view with superior image quality measured by the contrast. We developed a test platform to investigate monocular and binocular contrast perception by performing perceptual experiments. The test method can be used to evaluate monocular and/or binocular image quality on VR HMDs for potential medical applications without extensive optical bench measurements.
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