Research Projects in Vision and Ophthalmology

Click here for the List of Patents and Publications

Click here for the Portfolio of the medical devices

 

Our research covers three main fields: instrumentation design, experimental study, and theoretical investigation. The following is a brief description of some current projects.

Automatic eyedroplet dispenser

Patients having dry eyes experience much pain and may eventually go blind. It is estimated that between 9 to 15 million Americans suffer from this disease. Currently, therapy is tedious and costly. We have developed a new instrument, mounted on a patient's eyeglass frame, which automatically ejects droplets at an adjustable pace into the patient's eyes. The functions of the device are monitored by a built-in microcontroller which is battery powered. The efficiency of this device and the study of new therapeutic methods are in progress.

 

Automatic eyedroplet dispenser designed by Professor Vo Van Toi and commercialized by the Technological Ophthalmic Instruments Inc.

Inside view of the Automatic eyedroplet dispenser. The microcomputer monitors the device functions in programmable, automatic or manual mode.

 

Noninvasive method to evaluate visual fatigue

Workers who use video display units (VDU) often experience visual fatigue. How to quantify visual fatigue is still a controversial topic. It is known that the technique of measuring the sensitivity of the eyes using sinusoidal waveform flickering light is a powerful tool for evaluating human visual function. Currently, we are designing a new and practical visual stimulator, to be made commercially available, using the delta modulation method and single chip microcomputer. Experiments are planned using this instrument to establish the visual functions of VDU users to test for visual fatigue.

 

Blink Rate Recorder

It was reported that blinking is associated with the state of the eye as well as the state of the mind. We have developed a portable device which automatically records the blink rate in a non-invasive way and without coming in contact with the subject eyes, obstructing the subject’s view, or interfering with the subject’s activities. The device is self-contained and battery powered and consists of an infrared sensor mounted on an eyeglass frame. Data are recorded for up to 24 hours and then down loaded into a personal computer, and processed for further analysis or plotting. This device is an important tool for our research on the relationship between blinking and visual fatigue, dry eye, and the mechanism of blinking.

 

 

 

This is a prototype of the Blink Rate Recorder. It records the blink rate in a non-invasive way and without coming in contact with the subject eyes, obstructing the subject’s view, or interfering with the subject’s activities.

 

A chart generated by our Blink Rate Recorder which indicates the blink rate fluctuation of a subject while he was not using the computer (from 0 to 60 minutes) and while he was using it (from 60 to 120 minutes). The average blink rate when using a computer was considerably reduced.

 

Relieving visual fatigue of visual-display-terminal operators

Studies have shown that VDT operators blink three times less frequently than non-VDT operators, therefore they may experience dry eyes which results in visual fatigue. We hypothesize that: (1) the reduction of visual fatigue will improve the VDT operators’ comfort, (2) visual fatigue conditions can be monitored and measured, and (3) visual fatigue is produced by eye dryness which may be relieved by administering eye drops or by increasing the blinking rate. The proposed techniques consist of stimulating, in a non-invasive way, the blinking rate of VDT users and of supplying additional tears to their eyes automatically. This work could have a significant impact on people who are engaged in various professions involving repetitive eye strain, for instance, air traffic controllers. It should benefit the search for an adequate working environment and provide methods for a better understanding of the visual fatigue mechanism.

 

 

Using a computer for long hours may cause visual fatigue. To test our new way to relieve this visual impairment, Biology student Xuan Mai Vo, wears our Blink Rate Recorder to monitor the blinking and used the Automatic Eyedrop Dispenser to constantly keep her eyes moist.

 

Psychophysical method for measuring retinal blood flow

Looking at a bright, homogeneous blue field one can perceive the white blood cells (leukocytes) moving in one's own retinal vessels. This is known as the blue-field entoptic phenomenon. Knowing the density and speed of these leukocytes, one can investigate, in vivo, the subject's retinal blood flow and therefore may be able to develop a diagnostic method for glaucoma, ocular hypertension and diabetes. We have successfully developed a method to measure these characteristics in a reliable way. We also have developed a portable and efficient entoptoscope using a single chip microcomputer and electro-optic materials such as LCD and PLZT. A laptop computer can be used to monitor this instrument and process the obtained experimental data. This device also allows measuring the size of the fovea avascular zone, the area on the retina which contains no blood vessels.

 

We have developed the blue-field entoptoscope which allows for in vivo and non-invasive measurements of the retinal blood flow in the human eye. It can also be used to measure the size of the fovea avascular zone. A laptop computer can be used to monitor this device and the experimental protocols and to process the obtained data. This device is used to investigate eye diseases such as glaucoma and diabetic retinopathy.

 

Laser Doppler technique for measuring eye fundus blood flow

A direct and objective method of measuring the retinal blood flow is based on the Doppler technique which consists of passing a laser beam into the subject's eye, targeting it on moving red blood cells inside a retinal blood vessel and recording the scattered light emitted from the eye. Measurements on animals have been successful. We are developing a device using an eye-tracker to compensate eye motions. This device will be useful for the study of human fundus blood flow.

 

Perception of raggedness of dot-matrix characters

The raggedness of characters or patterns formed by dot matrix printing techniques is unaesthetic and sometimes disturbing to the reader. Optimization of the number of dots is still a subject of discussion due to a fundamental lack of comprehension on the part of the designer concerning human visual perception of this kind of stimulus. Using the concept of Fourier analysis, we are simulating the scalloped edge of the characters as a patterned stimulus modulated sinusoidally in an attempt to relate this problem to the human eye's sinusoidal vernier acuity. This investigation is important to the designers of characters that are generated by ink jet, laser, and needle printers.

 

High rate pattern visual stimulator

The pattern visual stimulation technique is a common tool used by physiologists, biologists, psychologists and ophthalmologists in the investigation of the human visual system. A great number of investigations that are devoted to stimulation at a low rate have been reported. We designed an electro-mechanical visual stimulator to generate pattern stimuli which was modulated up to 220 reversals/sec. and found that human pattern reversal VEPs are not, as previously thought, limited to low frequencies. These results open the door to other physiological and clinical investigations.

 

Miniature eyedrop monitor

Success in the development of new drugs for the treatment of glaucoma, ocular hypertension and eye infections requires investigators to know how patients use them. We are developing a prototype which records the time and date when a patient inserts the prescribed eyedrops. The data can be later read by a computer.

Artificial increase of intraocular pressure

Glaucoma and ocular hypertension are the two most severe eye diseases. Glaucoma is the leading cause of blindness in the United States, and its cause is still speculative. Accurate and early diagnosis and the comprehension of the mechanisms of these diseases, are important. It has been reported that psychophysical flicker sensitivity, ERG, PERG and VEP responses, and retinal blood flow are affected by these diseases and by high intraocular pressure (IOP). In the study of the effect of the IOP that is increased artificially we discovered a phenomenon called "curtain phenomenon" which may be an important element in this study.

Effect of LSD on flicker-fusion sensitivities

LSD and similar agents may alter visual perceptions continuously and permanently in certain users resulting in a condition called hallucinogen persisting perceptual disorder (HPPD). We have found that the flicker sensitivities at lower frequencies vary markedly. At 5 Hz the sensitivities of a control group were more than 3 times those of LSD subjects without HPPD, and 5 times those of LSD subjects with HPPD. Decreased sensitivity to flicker is consistent with the hypothesis that HPPD is associated with disinhibition of visual information processing.

 

Professor Vo Van Toi helps monitor the use of his visual stimulator "Papillometer" as graduate student Barbara Dumery tests her visual flicker-fusion sensitivity.

 

Mathematical modeling of the human visual system responses to flicker stimulation

The main purpose of this project is to establish a mathematical model which relates experimental data that we obtained in psychophysics, electrophysiology, and laser fundus reflectometry to physiological facts. This model would describe the mechanism of the human color vision system.