“New” Product Release Update
Introducing D-EYE 2.0 ImageSelectTM
Allows examiner to convert high definition videos into single images, edit, store and
immediately share with other specialists for further patient assessment.
ImageSelect TM is an enhanced application upgrade of the D-EYE 2.0 application. The upgrade adds new and essential features to simplify clinician based ophthalmoscopy screenings. The upgrade is free for all current users is available from the Apple iTunes Store.
Key Application features are:
•ImageSelectTM creates the ability for the examiner to select specific frames from 30 second recorded videos and save as individual images to the patient record. With the lens properly aligned and 1 cm from the pupil, the acquisition protocol followed is to: pan the
retina, starting from the posterior pole and then moving to the upper, nasal, inferior, and nasal peripheral retina to the equator.
• Broadening the field of view (FOV), colour high definition videos of the retina encompassing the posterior pole, including the macula, optic disc, and peripheral retina are obtained and can be converted to single images after the video is completed.
• Edit Images: ImageSelectTM allows the user to pre-set and post edit photo settings to adjust or enhance images. Customizable settings adjust for color and pigmentation of the patients’ eye delivering clear and sharp final exam images of the patient.
Click here for short explanation: https://www.youtube.com/watch?v=ptaQ2xc3WgA
Click here for video of an undilated eye: https://youtu.be/W1MvP60A6ZE
“New”: “Save and Share”
The ImageSelectTM save and share feature is a streamlined process for saving exams that can be stored externally from the smartphone and shared with other medical specialists for further patient assessment. This “share and save “process includes:
• A LAN share feature has been developed to move the onboard application based HIPAA compliant patient file to a local network for
Windows PCs and Macs. This type of operation allows users to share data with Patient Information (PHI)
• A (confidential) PDF report including specific medical information and the exam results can be generated from the application and sent via the LAN connection.
• A quicker alternative sharing process: Images and videos with no patient information can also be sent via email, instant messaging,
social media and Apple AirDropTM so multiple colleagues can assist with further assessment of the exam “instantly”.
The addition of ImageSelectTM to the D-EYE Retinal Imaging Platform brings the important ophthalmoscopy protocol back to the forefront of an initial patient physical exam safely and securely allowing for immediate consultation by all attending phycians and for long term pathology observation.
D-EYE and the D-EYE 2.0 Application can be used with the iPhone 5, 5S, SE, 6, 6S, 6+, 6S+ and i7. New Application Integration of the new iPhone 7+ camera technology is under development
D-EYE – How it works: The patent pending D-EYE lens uses the light source and camera of smartphones to perform direct ophthalmoscopy when examining patients.
D-EYE is currently being used by Ophthalmologists, Optometrists, Neurologists, Paediatricians, Endocrinologists, Hospitalists, Primary Care and Emergency Medical Physicians, Nurse Practitioners to name a few of many specialists who have discovered how easy it is to perform an ophthalmoscopy.
For more information, please visit www.d-eyecare.com.
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Comparison Study of Fundoscopic Exam of Pediatric Patients
Using the D-EYE™ Method and Conventional Indirect Ophthalmoscopic Methods
Fundoscopic imaging using the D-EYE™ smartphone-based retinal imaging system reliably
detects the presence of fundus abnormalities and has good reliability in assessing c/d ratios.
PADOVA, Italy and Truckee, Calif. — July 19, 2017— D-EYE™, a leading developer of advanced devices for mass health screenings and data analytics is pleased to share the publication of a study comparing the D-EYE Retinal Imaging System™ with conventional indirect ophthalmoscopic methods.
“We are very pleased by the clinical research effort Dr Suh and his collaborative team have done with the D-EYE Retinal Imaging System stated Spencer Lee, D-EYE Vice President of Marketing and Sales. “D-EYE is slowly creating the re-birth of the important direct ophthalmoscopy examination. All new medical devices require a trial run towards clinical acceptability. This smartphone-based mobile
telemedicine system will help reduce missed clinical diagnosis not easily found with the traditional ophthalmoscope. Dr. Suh and team captured some amazing examples of the fundus images D-EYE can see.”
As indicated in the July 2017 issue of the Open Journal of Ophthalmology, published by Scientific Research Publishing (SCRIP), a study was performed by a team of researchers from the University of Nebraska Medical Center and Children’s Hospital and Medical Center to determine the utility in a clinical setting to detect and document ocular pathology in the pediatric population using the D-EYE Retinal Imaging System™.
Methods: Patients ages 3-18 years old underwent dilated fundus examinations by masked examiners using the video function of the D-EYE application while indirect ophthalmology was performed by a pediatric ophthalmologist. The examiners independently analyzed the D-EYE videos for the presence or absence of abnormalities, cup-to- disc (c/d) ratios and optic nerve size and color. The D-EYE video
findings were compared to indirect ophthalmoscopy findings.
Results: The study included 172 eyes from 87 patients. In comparing D-EYE to indirect ophthalmoscopy for detecting fundus abnormalities, the sensitivity was 0.72, specificity was 0.97, positive likelihood ratio (LR) was 27.8, and negative LR was 0.29. he agreement rate between the D-EYE video graders for the c/d ratio within a value of 0.1 was 97.0%. Multiple, distinct abnormalities were discovered using the D-EYE device, including nystagmus, optic nerve hypoplasia, optic disc edema, peripapillary atrophy, disc pallor, and optic disc drusen.
Conclusion: Fundoscopic imaging using the D-EYE™ smartphone lens reliably detects the presence of fundus abnormalities and has good reliability in assessing c/d ratios. The video capability is useful in patients with nystagmus or those who are poorly compliant with the examination and allowed for effective teaching by the pediatric ophthalmologist.
“The D-EYE system is a promising alternative to conventional fundus-viewing methods, Dr. Donny Suh, lead researcher of the Omaha team stated. “By utilizing the advanced technology of smartphone cameras with D-EYE, the fundoscopic exam can feasibly be attained efficiently and effectively throughout clinics worldwide with the telemedicine potential to create greater collaboration between non-ophthmologists and ophthmologists. Sharing exam results with patients and parents aid in a better understanding of their disease.
Figure 1.
(A) D-EYE image of a normal optic disc. (B) D-EYE image of an optic nerve coloboma. (C) D-EYE image of a 0.5 c/d ratio. (D) D-EYE image of an optic disc in a patient with a congenital cataract and nystagmus. (E) D-EYE image of optic nerve hypoplasia and peripapillary atrophy. (F) D-EYE image of a patient with Wyburn-Mason Syndrome. (G) D-EYE image of a patient with an optic nerve pit. (H) D-EYE image of optic disc pallor. (I) D-EYE image in a patient with a congenital cataract
The full study is available from: http://www.scirp.org/journal/ojoph/
How to cite this paper: Dickson, D., Fouzdar-Jain, S., MacDonald, C., Song, H., Agraz, D., Morgan, L. and Suh, D. (2017) Comparison Study of Funduscopic Exam of Pediatric Patients Using the D-EYE Method and Conventional Indirect Ophthalmoscopic Methods. Open Journal of Ophthalmology, 7, 145-152. https://doi.org/10.4236/ojoph.2017.73020
Received: May 17, 2017
Accepted: July 7, 2017
Published: July 10, 2017
Copyright © 2017 by authors and Scientific Research Publishing Inc. This work is licensed under the Creative
Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/
Authors: Drew Dickson1, Samiksha Fouzdar-Jain2, Collin MacDonald1, Helen Song1, Daniel Agraz1, Linda Morgan2*, Donny Suh1,2
1.University of Nebraska Medical Center, Omaha, Nebraska, USA
2.Children’s Hospital and Medical Center, Omaha, Nebraska, USA
About U. Nebraska Medical Center
Disciplined, strategic and visionary. UNMC leaders are committed to advancing the quality of life in Nebraska and beyond. This diverse group, which represents all corners of the United States and the world, ensures that UNMC’s research, education and patient care rank among the best. Through collaboration and strategic goals, challenges are faced and conquered. Together, their experiences and no-nonsense, can-do approach means a more vibrant academic health science center and a stronger economy for all Nebraskans.
About Children’s Hospital and Medical Center
Children’s Hospital & Medical Center has a rich history based on community involvement and service to children. The original Children’s Memorial Hospital was founded in 1948 by Dr. C.W.M Poynter, Dean of the University Medical Center, and Henry Doorly, Publisher of the Omaha World-Herald, with a vision that no child in need of medical care would be turned away due to the inability to pay. Our Mission: To improve the life of every child - through dedication to exceptional clinical care, research, education and advocacy. Our vision: To be a global leader for children’s health.
About D-EYE
Founded in 2014, with offices in Padova, Italy and Truckee, CA. Developed in conjunction with Incubator M31 Italia, Srl and technology company Si14, Spa, the company’s first product is the revolutionary D-EYE Smartphone-based Retinal Imaging System™ focusing on eye care. The system works in harmony with smartphones, allowing medical professionals to examine patients’ retina for various health issues. Combined with the company’s development of platform-as- a-service (Paas) systems, telehealth applications can be developed for the aggregation of health screening data from mass screenings anywhere in the world. For more information on the D-EYE smartphone-based retinal imaging system, visit www.d-eyecare.com and https://www.facebook.com/deyecare?ref=hl