In nonballistic regime, optical scattering impedes high-resolution imaging through/inside complex media, such as milky liquid, fog, multimode fiber, and biological tissues, where confocal and multiphoton modalities fail. The significant tissue inhomogeneity-induced distortions need to be overcome and a technique referred as optical wavefront shaping (WFS), first proposed in 2007, has been becoming a promising solution, allowing for flexible and powerful light control. Understanding the principle and development of WFS may inspire exciting innovations for effective optical manipulation, imaging, stimulation, and therapy at depths in tissue or tissue-like complex media. We aim to provide insights about what limits the WFS towards biomedical applications, and how recent efforts advance the performance of WFS among different trade-offs. By differentiating the two implementation directions in the field, i.e., precompensation WFS and optical phase conjugation (OPC), improvement strategies are summarized and discussed. For biomedical applications, improving the speed of WFS is most essential in both directions, and a system-compatible wavefront modulator driven by fast apparatus is desired. In addition to that, algorithm efficiency and adaptability to perturbations/noise is of concern in precompensation WFS, while for OPC significant improvements rely heavily on integrating physical mechanisms and delicate system design for faster response and higher energy gain. Substantial improvements in WFS implementations, from the aspects of physics, engineering, and computing, have inspired many novel and exciting optical applications that used to be optically inaccessible. It is envisioned that continuous efforts in the field can further advance WFS towards biomedical applications and guide our vision into deep biological tissues.
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