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January 1, 20202 min read

An Offline Diopter App for Places Without an OptometristAn Offline Diopter App for Places Without an Optometrist

Eye care access in Indonesia is uneven, and that gap shaped the design of a myopia measurement app.

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Written by

  • SRShirasaka RenIT & Infrastructure · Student Member

In this article

  1. 01Design choices that followed from the context

Access to eye care is not evenly distributed. In parts of Indonesia, patients who need their refractive error checked face a shortage of standard equipment and of the professionals who can operate it. A phoropter paired with a Snellen chart is accurate, but expensive, stationary and tied to a trained optometrist.

A standard eye examination session. Image: Dresden Vision, CC BY-SA 4.0, via Wikimedia Commons.
Fig. 01A standard eye examination session. Image: Dresden Vision, CC BY-SA 4.0, via Wikimedia Commons.

Clinic measurements remain the reference standard, and nothing here changes that. What a research team from Brawijaya University proposed is a stopgap patients can carry. The app estimates diopter level from the distance at which the phone screen starts to blur, using only the front camera and built in sensors.

01/01

Design choices that followed from the context

Earlier phone based eye measurement attempts existed, but most required an internet connection and manual steps patients found complicated. Both problems hit hardest where the need is greatest, so the team designed against them.

  • The measurement runs offline, so a poor connection is not a barrier to using it.
  • The steps are guided, with instructions to close one eye and move the phone to find the blur line.
  • No extra hardware is needed, which keeps the cost of monitoring close to zero.
Clinic equipment that a phone cannot replace. Image: Frank C. Mueller, CC BY-SA 3.0, via Wikimedia Commons.
Fig. 02Clinic equipment that a phone cannot replace. Image: Frank C. Mueller, CC BY-SA 3.0, via Wikimedia Commons.

The study began with interviews about how often participants visited professional eye care and how they coped day to day. Twenty people took part, and ten went on to test the measurement itself, compared against readings taken by a doctor with a phoropter and a Snellen chart.

Source

  1. Brata et al. (2020). A new perspective of refractive error calculation with mobile application. International Journal of Electrical and Computer Engineering (IJECE).

    DOI10.11591/ijece.v10i5.pp4892-4899 (opens in a new tab)

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The average difference between the two methods was 0.256 diopter, comfortably inside the half diopter margin the authors set, and usability scored 80.50 on the System Usability Scale. The app also fails in one place, which the authors report: for normal vision the error rose above one diopter.

That honesty makes the work useful as a model. A tool aimed at underserved users is judged on availability first and accuracy second, and this one is explicit about both. It does not replace the optometrist, but it makes the wait less blind.