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A novel optical method for noninvasive monitoring of the ocular fundus status is presented. The method could provide an optimal end-point for transpupillary thermotherapy treatment, thus overcoming the severe over- and under-treatment issues currently affecting about 10% of patients. The developed instrument and measurement procedure have been tested on both a mechanical eye model and animal models. The presented results demonstrate the ability of our system to potentially detect variations in both blood flow and optical properties. Much more work will be needed before the developed instrument will be ready for clinical test, nevertheless the proposed method may provide an important improvement in the treatment of several disabling ocular diseases.