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A mobile vision testing application based on dynamic distance determination from the human corneal limbus.
Neal A Patel1, Perry N Alagappan1, Chuanbo Pan1
1Stanford University, USA.
Health Informatics Journal
|September 30, 2020
Summary
This mobile app accurately measures the distance to the human cornea using image processing for visual acuity tests. It enables convenient remote monitoring of eye conditions like retinal diseases.
Area of Science:
- Ophthalmology
- Biomedical Engineering
- Computer Vision
Background:
- Accurate visual acuity assessment is crucial for diagnosing and monitoring eye conditions.
- Current methods for visual acuity testing can be time-consuming and require specialized equipment.
- There is a need for accessible, at-home solutions for regular eye health monitoring.
Purpose of the Study:
- To develop and validate a mobile application for precise measurement of the distance between an optical sensor and the human corneal limbus.
- To enable accurate visual acuity assessment using a smartphone-based system.
- To facilitate remote monitoring of chronic retinal diseases.
Main Methods:
- Utilized digital image processing and randomized circle detection algorithms to identify the cornea.
- Implemented a reference scaling measurement for accurate sensor-to-user distance calculation.
- Validated the application using static images from diverse ethnic groups and live image streams.
Main Results:
- Achieved an average absolute corneal radius error of 6.36% on static images.
- Demonstrated an average absolute distance error of less than 1% on live image streams.
- Successfully scaled letter sizes for a Snellen Chart-based visual acuity assessment.
Conclusions:
- The mobile application provides an accurate and reliable method for measuring corneal distance.
- This technology offers a convenient and accessible tool for visual acuity assessment and remote eye health monitoring.
- The system has the potential to improve patient management for chronic retinal diseases.

