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Opto

The Opto App by gLabs

Introducing: Opto

Now available on the App Store!

The G-Labs vision training app for iPad, otherwise known as Opto, is now available as a free download on the App Store! Two exercises are included at no charge for you to get started with Opto. Other exercises (ie. Nielsen Fixations, 3D Pets phantograms, and more) are available as in-app purchases. Please note the indicated required hardware for each exercise. While not all exercises require additional equipment, some require red/cyan glasses, and some require the G-Labs Stereoscope.

Opto Convergence and Divergence

For more information, visit: http://gerull-labs.com/stereocope-exercises

Convergence and divergence exercises build accurate eye alignment and sensory fusion. The Level 1 series in Opto features colorful 3D vergence targets on a neutral smooth-gradient background.

Target vergence demands (in prism diopters) varies for each exercise.

Required hardware: Stereoscope for iPad

Modes: basic, interactive, dynamic

Basic mode: Static image is displayed, with all 6 vergence targets.

IMG 3287

Interactive mode: User must indicate which target appears closest to them. Once tapped, the target will disappear until all 6 targets have been tapped. The order in which the user taps the targets is saved in the report for the reference of the vision care provider. The report also shows the correct order of the targets for comparison.

IMG 3288

Dynamic mode: The separation of one target is controlled by the user with a slider.

IMG 3289

Report:

Like all activities in Opto, a report is generated including the date and duration of the exercise. A patient assessment is also recorded if the user is signed into his/her personal profile.

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The App is calibrated for the Stereoscope set at 0 – this position requires no accommodation or vergence – the image is located at optical infinity (distance fusion). So, what do you do to adjust it for training near fusional skills?

Option 1:

Change the accommodative demand by adding minus lenses to the lens holders in the stereoscope. This will stimulate near focusing.

You can also use a trial frame on the patient and then look through the stereoscope.

Option 2:

Change the Stereoscope position. The arm of the stereoscope is marked in 0.25 D steps.

Please note that when you change the physical distance from the eyes to the target, you also change the vergence demand. The separation of the targets is constant, but by bringing them closer to the eyes, you increase the divergence demand slightly.

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Stereoscope Accommodation and Vergence

Option 3:

Add prism trial lenses to the Stereoscope. Want to extend the vergence range of the exercise? Add Base-in or Base-out prism to the trial lens holder.

Option 4:

Jump Ductions

1. Ask the patient close their eyes, then open and fuse the image as quickly as possible.

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2. Look out of the scope and at the iPad screen – switching focus from optical infinity to 40 cm (far-near).

3. Use pointers in each hand and reach the right pointer to the right side of the ball and the left pointer to the left side of the ball – can you localize the depth of each target?

Converge1

A Comparison of Van Orden Star Drawings

COVD 2015 Poster: Van Orden Training Utilizing the Stereoscope for iPad

BACKGROUND: Millard E. Van Orden developed a stereoscopically drawn visual pattern to gain insight on the patient’s binocular visual behavior pattern. This drawing records the projection in space of corresponding visual areas. When used for training, the patient receives feedback on the reorganization of visual space and stability of eye posture and binocular vision.

PROCEDURES: Van Orden drawings were completed with the Translucent Correct-eye-scope set at 0-0 and the Stereoscope for iPad set at 0 (optical far-point). The optics of the prismatic lens allow for a distance accommodative and vergence demand, but a physical distance of 20 centimeters. Targets included binocular vision space testing, far point – peripheral control, base-in projection stereo training, and base-out projection stereo training. Instructions were the same for both the traditional and digital drawings and followed the Van Orden Technique of Visual Rehabilitation Instruction Manual (Keystone View Company, www.keystoneview.com/download_manuals/6104_van_orden.pdf)

 

Van Orden Star

Dr. Simonson presented a poster at the 2015 COVD Annual meeting.

INNOVATIVE CHARACTERISTICS:

1. Ability to complete testing and training in more postures with the same device (standing or sitting, primary gaze or up/down gaze)

2. Ability to add images to electronic health records for performance documentation.

3. Ability to test visual performance when viewing a digital device (clinically noted to cause more visual complaints).

Link to more information: Van Orden Tracing on the Stereoscope for iPad and OPTO App

Picture2

Picture1

Thank you for submitting your abstract, ” Van Orden Training Utilizing the Stereoscope for iPad”, to the 2015 COVD annual meeting. The review process has concluded, and we are pleased to inform you that your abstract was accepted, to be presented as a poster. It is scheduled to be displayed on Thursday, April 16 and Friday April, 17 2015 on poster board #29.

Dr. Simonson’s Blog

Keep up to date on Boulder Valley Vision Therapy center and current topics in functional vision care.

COVD Conference Poster

2011 COVD Case Report Presentation

2011 COVD Case Report Presentation

2015 COVD Annual Meeting Poster

2015 COVD Annual Meeting Poster

2009 COVD Annual Meeting Case Report

2009 COVD Annual Meeting Case Report

2015 COVD Conference

VAN ORDEN TRAINING UTILIZING THE STEREOSCOPE FOR iPAD

BACKGROUND: Millard E. Van Orden developed a stereoscopically drawn visual pattern to gain insight on the patient’s binocular visual behavior pattern. This drawing records the projection in space of corresponding visual areas. When used for training, the patient receives feedback on the reorganization of visual space and stability of eye posture and binocular vision.

PROCEDURES: Van Orden drawings were completed with the Translucent Correct-eye-scope set at 0-0 and the Stereoscope for iPad set at 0 (optical far-point). The optics of the prismatic lens allow for a distance accommodative and vergence demand, but a physical distance of 20 centimeters. Targets included binocular vision space testing, far point – peripheral control, base-in projection stereo training, and base-out projection stereo training. Instructions were the same for both the traditional and digital drawings and followed the Van Orden Technique of Visual Rehabilitation Instruction Manual (Keystone View Company, www.keystoneview.com/download_manuals/6104_van_orden.pdf)

VO Star Opto 3

INNOVATIVE CHARACTERISTICS:

1. Ability to complete testing and training in more postures with the same device (standing or sitting, primary gaze or up/down gaze)

2. Ability to add images to electronic health records for performance documentation.

3. Ability to test visual performance when viewing a digital device (clinically noted to cause more visual complaints).

Link to more information: Van Orden Tracing on the Stereoscope for iPad and OPTO App

Thank you for submitting your abstract, ” Van Orden Training Utilizing the Stereoscope for iPad”, to the 2015 COVD annual meeting. The review process has concluded, and we are pleased to inform you that your abstract was accepted, to be presented as a poster. It is scheduled to be displayed on Thursday, April 16 and Friday April, 17 2015 on poster board #29.

Dr. Simonson lectured in Mexico at the Consejo Mexicano De Optometria Funcional (COMOF)

The XIX International Academic Congress of Optometry Functional was held in Aguacalientes, Mexico during the first week of September. For more information, please visit: http://optomed.blogspot.com/2012/03/comof-consejo-mexicano-de-optometria.html

1. Course Outline: /user-files/COMOF_2014_Clinical_pearls_for_treating_vertical_deviations_outline.pdf

2. Vision training exercise information: /user-files/Vertical_Strabismus_Pearls.pdf

3. Preguntas/Questions:

optometristas in Estados Unidos? 38,000

optometristas functional? 1,000-4,000 (best guess)

4. List of apps for both iPad and Android: http://www.bouldervt.com/news-and-events/New-News-Item,584678

COMOF 2014 a

http://comof.mx/congreso-academico-2014/