The convenient tool bar opens Immediately after the SimulEyes splash page.
There are three important sections that distinguish SimulEyes 6.0 from all others:
1. Distance Vision Tests 2. Near Vision Tests 3. EyeCyclopedia(Videos and education on eyecare)
Each section is loaded with useful material you will want to have available for complete patient vision examinations.
Keyboard or Hand-held keypad ?? NOTE: While hand heldkeypads initially seem like a handy way to advance acuity lines or letters, a standard keyboard usually ends up being the most versatile and convenient. Hot keys, on a standard keyboard, can more quickly take you quickly to frequently used test fields. Perfect Resolution All of the acuity test images are built on a math format called "Vector Graphics". The reason this format has been selected is because the resolution of the image is always perfect (100%). Vector graphics is mathematical, not a photograph, word document or scanned image. Therefore, as you adjust the image size for room distance, the sharpness of the edges of the letters are always crisp, no matter what size the image is. 1. Distance Vision Tests
With SimulEyes 6.0, it is fast and easy to move from one image to another. For example, moving vertically from one size acuity letters to another requires a single key stroke. Likewise, moving horizontally from one group of acuity letters to another group of the same size also requires only a single key stoke of the space bar. This is particularly useful when the patient becomes familiar with the letters in one acuity size.
Moving from a single letter to a line of letters or back to a single letter is only one click away. Single letters can be useful when testing elderly patients or for those who are slow responders.
Red-Green is as easy as a single key stoke of "5". When you want to squeeze that last +.25 diopter for distance, the Red-Green field is best. You can adjust the acuity size with an up or down arrow key.
For Macular field tests, the Amsler Grid is a standard. It comes in two sizes: distance vision and near vision.
The most accurate macular test is the SimulEyes Macular Field Test. Here contrasting bars move across the field of vision creating kinetic contrast which stimulates the Occipital Cortex typical of a visual evoked response (VER). The patient is able to see clear outlines in their macular degeration.
You or your assistent can quickly find cylinder axis when using the "clock dial".
Vertical / Horizontal as well as oblique lines in other slides are also helpful when refracting for cylinder power.
Binocularity is tested with a variety of familiar images such as Worth Four Dot, Anaglyph, Disassociated prisms and Maddox Rod.
Children vision tests include familiar images.
In Retinoscopy, familiar childrens images are frequently used to hold the childs attention momentarily.
Stereopsis at distance incorporates anaglyph images. Quality anaglyph glasses are included with the software. Additional glasses are available on this website under Accessories.
As a final distance vision test, practical images of highway signs included. When the patient is not sure whether the lens change is enough to warrent new lenses, a practical image can put the patients visual acuity in a more useful perspective. These images range from large text down to barely perceptable, in the fog.
2. Near Vision Tests
Near point tests are far more appropriate for testing many practical visual functions. These tests apply to Eye-Hand coordination activities, industrial vision, sports vision and reading skills.
Lines of varying acuity sizes are designed for testing at typical near point up to the intermediate distance.
Today, computers are widely used in all walks of life. So, testing at a patients intermediate distance, typical of computers, can best be done with an actual computor monitor.
This set of images is also excellent for Low Vision Testing.
Fixation Disparity can help initiate evaluations where binocularity problems are noted.
Binocularity tests are used with anaglyph glasses.
Or, test binocularity with rotary prisms or hand held prisms.
Similar to the famous "3D Fly Test" this image starts the stereopsis series. The hand of the monkey is extended in front of the plane of the image. When the patient reaches to touch the hand of the monkey and stops at two inches in front of the monitor, this is considered to be equal to 400 arc seconds of stereopsis.
EyeCyclopedia is the third section of SimulEyes. Information about many eye diseases and conditions are presented in this groups of slides.
Limited Text Each group of images are designed like a slide series. There is limited text so the doctor provides the naration. In this way it is felt that the patient will be listening to the doctor and not reading slide text.
Website Connection After the doctor discusses the patients condition, the patient can be directed to the doctors website after returning home. At home, the patient can go to the doctors website and open the button labeled EyeCyclopedia to review the text or watch a video of the patients condition discussed during the exam. (see Eyehubdemo.com/eyecyclopedia)
Examples The following is a brief sample of the many different slide series of the conditions listed here. Many of these are animations to better understand the mechanism of the condition.
Adnexa: External eyelid issues plus lacrimal tear flow can be helpful for explaining Dry eye problems or chalazions.
Binocular problems are better explained with the aid of a graphic illustrating the mechanism of the six extraocular muscles.
Various kinds of cataracts are illustrated in a graphic animation to show how they each develop.
The need and the use of a YAG Laser can best be explained with an actual picture of a capsulotomy.
When you are trying to help the patient understand how important it is to better manage their diabetes, this slide series can be very useful.
Various levels of diabetic retinopathy, including hemorrhages and panretinalphotocoagulation (PRP).
Illustrating glare and how it changes vision can be useful.
This can also help when explaining the benefit of anti-reflecting lens coatings (ARC).
The Glaucoma slides include graphic animations plus actual fundus photographs that help the doctor show the patient why testing for glaucoma is important.
The effects of various medications for treatment of glaucoma are illustrated.
From a patients point of view macular degeneration is a fearful anticipation. These slides can not only help educate the patient as to what is actually happening as this disease progresses, but also helps them understand what it is you are looking for in your examination.
When trying to explain the issues behind your concern about a vision disturbance or why you are referring them for a MRI or CAT Scan, reviewing their symptoms in relationship to this illustration can help.
Arterial and Vein occlusions can be devistating to a patients vision. These illustrations can help explain the consequences.
Myopia is one of many images that help the patient understand refractive error and why their vision is blurred. Also, what is happening with the lenses in their glasses.
LASIK is the most popular refractive surgical procedure today. These slides help the doctor explain to the patient how it works.
Actual surgical LASIK slides are included.
Several retinal detachments are illustrated. Repair techniques are shown. These images are to help the patient see the differences between retinal detachments and vitreous detachments.
Subconjunctival hemorrhages are common occurances for most doctors. This illustration is to help educate the patient on how their hemorrhage compares.
Patients are concerned about any abnormalities that occur on their fundus. Illustrations of nevi and turnors can help with the doctors explanations.