3/4/2014
The Players
SmartPhones in Optometry
Alan N Glazier, O D, FAAO
Andrew Morgenstern, OD, FAAO
• Android – Open source mobile OS developed ny the
Open Handset Alliance led by Google. Based on Linux
2.6 kernel
• iOS – Apple’s proprietary mobile OS, iPhone, iPod
Touch, iPad. Derived from OS X, very UNIX like
• Symbian – acquired by Nokia 2008
• Windows Phone 7 – Microsoft – Kin, discontinued 6
weeks after initial launch
• Blackberry OS – RIM (Research in Motion), proprietary
OS
The Smartphone Platform
What is Android
• With the iPhone being the first to the
marketplace it sets the configuration of the
Smartphone Platform
• Android is an open source operating
system, created by Google specifically for
use on mobile devices (cell phones and
tablets)
• Linux based (2.6 kernel)
• Can be programmed in C/C++ but most
app development is done in Java (Java
access to C Libraries via JNI (Java Native
Interface))
• Supports Bluetooth, Wi-Fi, and 3G and 4G
networking
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3G/4G connectivity
WiFi connectivity
Bluetooth connectivity
accelerometer w/compass
ambient light sensor
proximity sensor
GPS
gyroscope
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What is iOS
What is the iOS again?
• Apple’s mobile OS for phones (iPhone),
tablets (iPad), handhelds (iPod),
• based on BSD Unix
• Application programming done in
Objective C
• Supports Bluetooth, Wi-Fi, and 3G and 4G
networking
• iOS (previously iPhone OS) in a nutshell is a
mobile operating system developed and
distributed by Apple Inc. for several product lines
currently available.
• Since its release in 2007 (initially for the iPhone
alone), it has been extended to other Apple
technologies including the popular iPad as well
as Apple T.V, with plans for implementing iOS on
other various devices in the future.
History of the iOS
Various Button
Displays
General iOS Home Page
Interface
Swiping gesture (VERY
important with iOS
interaction!)
And some more ways of
interacting with the
interface…sliders /
switches
• iOS 1.0 – The iPhone
was Born
• iOS 2.0 – App Store &
Apps
• iOS 3.0 – Features
• iOS 3.2 – iPad
• iOS 4.0 - Multitasking
• iOS 5.0 – Siri, iMessage
& more
• iOS 6.0 – Good Bye
Google
• iOS 1.0 - Released: June
2007
• Until iOS, smartphones
either didn't have a
touchscreen or used a
resistive touchscreen and
a stylus
• iOS 1.0 introduced a new
computing paradigm that
broke from smartphone
tradition: hiding the
filesystem from the user
• MobileMe – Apple Cloud
Base Services
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Bluetooth
• Open wireless technology
– Developed by Ericsson (1994)
– Originally supposed to replace wired RS-232
– Short distance via low power, short distance
radio
– Allows creation of personal area networks
• Mostly to connect wireless peripheral devices to a
host computer (mice, headsets, microphones,
keyboards…)
– Can also be used to communicate between
two host computers wirelessly (replace serial
cables)
Wi-Fi
• Used to brand certified products that belong
to a class of wireless local area network
based on IEEE Standard 802.11
• Currently there are 3 versions of 802.11 in
common use:
3G ( 3rd Generation Network)
• Must allow simultaneous use of speech
and data servicesand provide peak data
rate of 200 kbits/sec
– B, about 150 feet indoors, 300 ft outdoors
– G, 54 Mbits about 150 feet indoors, 300 ft
outdoors
– N, 600 Mbits, about 1.5 miles in open air, uses
MIMO (multiple input and output antennas)
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4G
Operating Systems
• Provides a comprehensive and secure IP
based solution for IP based telephony,
ultra broadband internet, gaming services
and streamed multimedia.
• Peak data rate of 100 Mbit for high
mobility devices and 1 Gbit for low mobility
devices.
• designed primarily for touchscreen mobile
devices such as smartphones and tablet
computers
Open Handset Alliance
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consortium of 84[1] firms to develop open standards for mobile devices. Member
firms include Google, HTC, Sony,Dell, Intel, Motorola, Qualcomm, Texas
Instruments, Samsung Electronics, LG Electronics, T-Mobile, Sprint
Corporation, Nvidia, and Wind River Systems.[2]
OHA members are contractually forbidden from producing devices that are based off
incompatible forks of Android.[4][5]
SmartPhone Wars
• ongoing business battle
by smartphone manufacturers
including Sony, Google, Apple
Inc., Samsung, Microsoft, Nokia,Motorola,
and HTC, among others
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Android
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Google acquired Android Inc. on August 17, 2005
Android was unveiled in 2007
along with the founding of the Open Handset Alliance—a consortium of hardware,
software, and telecommunication companies devoted to advancing open
standards for mobile devices
first publicly available smartphone running Android, the HTC Dream, was released on
October 22, 2008.[15]
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user interface of Android is based on direct manipulation, using touch inputs that
loosely correspond to real-world actions, like swiping, tapping, pinching and reverse
pinching to manipulate on-screen objects
Internal hardware such as accelerometers, gyroscopes and proximity sensors are
used by some applications to respond to additional user actions, for example
adjusting the screen from portrait to landscape depending on how the device is
oriented
Android allows users to customize their home screens with shortcuts to applications
and widgets, which allow users to display live content, such as emails and weather
information,
Android Apps
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Android's source code is released by Google
software to be freely modified and distributed by device manufacturers, wireless
carriers and enthusiast developers.
Android has the largest number of applications ("apps"), available for download
in Google Play store which has had over 1 million apps published,
A developer survey conducted in April–May 2013 found that Android is the most used
platform amon
Android's open nature has encouraged a large community of developers and
enthusiasts to use the open-source code as a foundation for community-driven
projects, which add new features for advanced usersg developers: it is used by 71%
of the mobile developers population.
As of May 2012, Android became the most popular mobile OS, having the largest
installed base, and is a market leader in most countries
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Google Play or the Amazon Appstore,
Play Store application allows users to browse, download and update apps published
by Google and third-party developers, and is pre-installed on devices that comply with
Google's compatibility requirements
Various applications like ophthalmology glossary, advanced eye charts, Skyscape,
Wills eye manual, color blindness test, glaucoma calculator, ophthalmological
societies, PubMed Mobile Pro, eye quiz, medical terminology flash cards, ICD9 /
ICD10 medical code search, Taber's medical dictionary, etc. are available for Android
phones.[17] Since fall of 2011, the EHB is available for Android devices, free of
charge.
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Cloud Storage
• Social Media
• i Cloud is the storage device for iOS
– Tweetcaster for droid
– LinkedIn for droid
– Google +
– YouTube
– Vine
– Instagram
– Examples
– What does it hold?
• Cloud storage for drive - Android
– Drive
Maps
• Apple Maps
– Difficulty
– Current Status
– No Google maps on iOS devices
• Google “Maps” for mobile
– “Search” for mobile
– Develop mobile friendly website on Android
platform
Advertising, Sales, Coupons
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Admob
Google “Advertising, Sales, Shopping and Coupons
– List, Keyword and Tag Products
Google “Offers”
– Groupon competitor
– Your competition might be there/why you need to be
– Offers “Pushed” to mobile devices
Google “Shopper”
– Mobile
– Mostly Apps –
– Develop offering or apps
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Binocular Vision and Vision
Therapy Apps
Social Check-in
• Google Partner Location Based
Networking Sites
– Yelp
– Yahoo
– Gowalla
– Foursquare
Social Media
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Facebook
Twitter
Instagram
Vine
Jelly
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vision therapy app for the iPad
G-Labs Vision Therapy App | The 2013 Mobileys Finalist
http://bit.ly/mobileys G-Labs Vision Therapy App is a finalist in The Mobileys
competition, to vot
Parks 3 Step
Patient Communication
• Eyeminder on iOS for $2.99
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Medical Apps
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Epocrates
iMedsXL - The Medication
Reference
FDAble LLC, $3.99
Eponyms
Pascal Pfiffner, $1.99
Medical Lab Tests
Medicon Apps, $2.99
iPhone Testing Tools
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While these tools will not replace office-based testing under ideal conditions, they can
be particularly useful, especially in the setting of inpatient consults and emergency
room visits.
near vision cards,
color vision plates,
a pupil gauge and ruler,
a pen light,
a fluorescein light,
pediatric fixation targets,
Amsler grids, a
Worth 4 Dot test and accommodation targets,
red desaturation tests, and an
OKN drum simulator [Fig. ​[Fig.1a1a and ​andb].b].
Vision Testing Apps
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iChart 2000, do all my near point ,binocular, color vision testing , as well as Amsler
grid
about an hour ago · Like
Jason Savochka ICD9 Codes.
iExaminer
Intuitive Medical
Technologies, free
iPhone Testing Tools
• Eye Handbook” (EHB) is one of the most
comprehensive ophthalmology
applications available (free application)
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Optics Apps
• Optics Clinical Calculator
• Evan Schoenberg, $4.99
Patient Companion
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Calgary Vision Centre, $0.99
The Calgary Vision Centre Patient's Companion is a revolutionary app designed to
streamline Calgary Vision Centre's appointment booking process, allowing our
patient's (new and established) to not only book their annual eye examination, but to
also triage any medical problems with the eye.
Coding Apps
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various apps on ophthalmic coding that allow the user to search various CPT and ICD
codes
STAT ICD-9,
ICD 9 (With - 2012 Codes)
T V N, $0.99
(via an iPhone developer I follow).
http://www.visitcoding.com/
Neurology Apps
• Neurology Suite
• Börm Bruckmeier Publishing, free
• Neuro-Ophthalmology of Texas (Droid)
deals with diagnostically challenging
cases. Dr. Rosa Tang
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Ophthalmology Reference &
Education
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Ophthalmology i-pocketcards
Börm Bruckmeier Publishing, $4.99
Eye Handbook
Cloud Nine
Development
skyscape with Wills eye manual
Ophthalmology (Droid)
Focus Ophthalmology (Droid)
Ophthalmic Terms & Guidelines (Droid)
TLA Ophthalmolgy - Common (and uncommon) three-letter-acronyms used in the
ophthalmology medical field. (Droid)
Education
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Forums and Education
• ODwire.org
• End of Time
• Studios, free
AAO eBooks (Droid)
• Access your purchased eBooks online, or download them for offline use
• Search and browse across all AAO eBook titles
• Customize your learning with easy highlighting, note-taking and bookmarking
• Quickly find relevant images and videos
• Participate in activities that provide opportunities for earning continued medical
education (CME) credits (select titles only, see individual publications for more
information)
Ophthalmology Core Journals (Droid)
RSS-reader with journals indexed as "Ophthalmology" in The Abridged Index Medicus (AIM) or Core Clinical
Journals preinstalled. Contents is based on journal-feeds and can vary in the amount of content . Most of the
journals provides complete abstracts, while others only provides headlines.Features
- Social network sharing: Facebook, Twitter, Friend Stream, Wordpress
- Bluetooth, E-mail and SMS sharing
- Open abstract page in default webbrowser
Patient Education
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LUMA Vision Simulator
Eyemaginations Inc
Eyedecide for iOS to show patients anatomy
“Eye Handbook”, (EHB)
IKONION
IKONION (IKONION Digitale Medien GmbH) available on the iPhone,
downloaded by patients wanting more information about their disease process.
It provides patients with a brief description of eye diseases along with high-resolution
pictures, videos, and animations which facilitate a better understanding of common
eye conditions like cataract.
These images can be used by physicians in the office to explain patients about
various ophthalmic conditions.[8
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Physician Education
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resources include a list of diagnoses not to miss,
color-coded diagram of retinal drawings,
questionnaires for commonly encountered ophthalmic diseases,
summary of benchmark randomized control trials in ophthalmology,
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such as Collaborative Initial Glaucoma Treatment Study (CIGTS),[9]
Normal Tension Glaucoma Study (NTGS),[10]
Advanced Glaucoma Intervention Study (AGIS),[11]
Early Manifest Glaucoma Trial (EMGT),[12] and
Ocular Hypertension Treatment Study (OHTS).[13]
Clinical trial information “Clinical Trials” (StopWatch Media Inc., Philadelphia, PA,
USA) utilizes databases by the National Library of Medicine and National Institutes of
Health to list over 86,000 clinical trials registered with the US government.
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advanced search options, including
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Physician Ed
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type trial (observational, interventional, or expanded access), l
ocation,
clinical trial phase,
enrolment status.
Education
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Lens Opacities Classification System IIIThe LOCS III contains an expanded set of
standards that were selected from the Longitudinal Study of Cataract slide library at
the Center for Clinical Cataract Research, Boston, Mass. It consists of six slit-lamp
images for grading nuclear color (NC) and nuclear opalescence (NO), five
retroillumination images for grading cortical cataract (C), and five retroillumination
images for grading posterior subcapsular (P) cataract.
PubMed on tap
PubMed on Tap (Serhiy Duminskyy© 2009, References on Tap) is an application on
iPhone,
allows to search PubMed while on the go. =
Full text of references (based on subscriber status) is accessible through a built-in
web interface.
PDF files can be downloaded, saved in a personal, fully searchable library, and
emailed directly using the iPhone's built-in email service.
The personal library can be formatted so that it can be easily imported into reference
management applications such as EndNote, Reference Manager, or Bookends.
Skyscape Medical Resource app (Skyscape, Inc.)
free medical information and decision support resources for medical professionals.
including Wills Eye Manual, Mass Eye and Ear Illustrated Manual of Ophthalmology,
Evidence Based Medicine Guidelines – Ophthalmology, and Cochrane Reviews in
Eyes and Vision. Skyscape's patented SmartLink technology combines all resources
into an intelligent whole by cross-referencing freely among them, which helps in the
greatest degree of decision support at the point of care.
Optometric Education
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Optometric Management (Droid)
Optometry Students.com (Droid)
Optometry (Flash card ) (Droid)
Optometry Glossary (Droid)
Optometry’s Meeting (Droid)
Optometry Portal (Droid)
OE Tracker App (Droid)
HUNDREDS of others
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Contact Lens
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EyeDock
Todd M Zarwell OD, free
Created by optometrist Todd M
CL Calcs
Todd M Zarwell OD, $7.99
Contact Lens Reminder, $0.99, + app, no
reviews yet (iOS)
Organization Apps
• optics, AOA,
Color Vision
• App
Calculators
• glaucoma risk calculator,
• back vertex distance calculator,
• IOL calculator
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Diagnostic Hardware
• iPhone with panoptic
Photography
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Newer smartphones have camera resolutions up to 8-megapixel.
a smartphone is often used to document external pictures of the attention, slit-lamp
photos of
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Image Management
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The EyeRoute Ophthalmic Image Management System (Anka Systems Inc./Topcon
Medical Systems Inc. McLean, VA)
the capacity to combine images and reports from over a hundred different
manufacturing systems including Topcon into a uniform, single digital database which
is also secure.
It allows the user to not only view but also compare and transmit patient images
smoothly.
web browser based system that provides the user with quick access to patient-related
information from any location and at any time with the help of the iPhone.
capable of integration with most of the EMR systems in use and is designed to help in
the conversion to a paperless environment. EyeRoute is fully standard compliant,
flexible, and scalable.
Patient images which are stored in EyeRoute may be accessed easily with the help of
the EyeRoute®Mobile's touch screen. These images may be sorted by modality and
date of visit, and may be viewed, zoomed, or enhanced. The user will also be able to
add text annotations and make use of the audio dictation option provided. When a
patient image has been reviewed, this information may be shared with other users
who have access to EyeRoute.[15]
anterior phase,
fundus biomicroscopy,
indirect ophthalmoscopy findings
Recording of anterior and posterior segment surgeries
Comprehensive Apps
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The EHB
most comprehensive iPhone application available on iTunes and Android Stores,
can be downloaded for free.
all the above-mentioned tools,
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eye atlas,
link to meetings
various societies, and ophthalmic instruments information.
Several references to ophthalmic genetics, ophthalmic acronyms and eponyms, differential diagnosis and
classifications, ophthalmic dictionary, and mnemonics are also available.
Various coding systems including ICD-9, E and M, and CPT codes can be accessed
Important journals with access to their websites and contents are available on EHB.
Treatment section of EHB has ophthalmic medications, preparation of the fortified antibiotics, and laser
settings for ophthalmic procedures.
Free download of lectures, flash cards and patient and physician educational movies are available. Through
its collaboration with the American Academy of Ophthalmology, educational videos,
. Access to the O.N.E. Network (ophthalmic News and Education Network) is also available. An interface to
the EyeWiki has also been enabled.
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Comprehensive
• Ophthalmology e-Partner (android)
Widgets
• Droid Widgets
– Assistive light
– Calendar
– Snote
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