1. Indirect Ophthalmoscope Simulator

2. Realistic Training of Retinal Examinations
– without risk and independent from patient flow.

3. Realistic Handling Head-mounted display with virtual light source
Different lenses
Virtual patients with a wide range of pathologies
Light source and lens have to be exactly aligned in front of the virtual patient – just as with a real indirect ophthalmoscope.

4. Lifelike Experience Due to Augmented Reality
The user sees his real surroundings in 3D through the head-mounted display.
An image of the virtual patient is mapped onto the black model head.
A virtual retina image is projected onto the lens.
The user sees a mixture of real-life scenes and photo-realistic virtual images of patient, lens, and retina.

5. Intuitive User Interface
The self-explaining control elements for light adjustment, lens selection, and the patient‘s viewing direction are easily controlled per touch screen.
The graphical user interface reflects the sub-steps of a retinal examination:
Ophthalmoscopy
Findings
Diagnoses

6. Didactical Concept for Structured Learning
A curriculum of four tiers facilitates independent and structured learning. It was developed with ophthalmologists, lecturers, and learners.
The cases are created by VRmagic in collaboration with universities, hospitals, and professional associations.
Each tier comprises several courses with a multitude of cases each.
Tier A
Examination Skills
Tier B
Anatomical Structures
Tier C
Basic Findings and Diagnoses
Tier D
Clinical Cases

7. Tier A: Examination Skills
Tier A trains the handling of an indirect ophthalmoscope by means of abstract cases.
Different icons are arranged on the retina. Trainees have to find the icons and document them on a fundus scheme.
The complete retina surface has to be examined.

8. Tier B: Anatomical Structures
Tier B offers a variety of patients of different age and ethnicity with healthy retinas.
Trainees get an overview of anatomical structures in the posterior eye segment.
Structures have to be found and classified in a classification scheme.

9. Tier C: Basic Findings and Diagnoses
Tier C provides an introduction into findings and diagnoses.
Trainees examine patients with known pathologies such as AMD or diabetes.
The symptoms of the pathologies have to be found and classified.

10. Tier D: Clinical Cases
Based on real patient cases, Tier D teaches advanced diagnostic skills:
Real patient history
Retinas modeled on the basis of real fundus images
Case-related additional diagnostics.
Multiple-choice questions regarding pathologies and possible therapies
Specification of findings and diagnoses
Real fundus images and videos

11. Objective and Comparable Evaluation of Performance
The quality of each examination is evaluated objectively. Many different parameters are evaluated, for example:
Actual retina surface examined by the trainee with graphic presentation
Light exposure
Correct, wrong, or missing findings and diagnoses.

12. The First Simulator for Indirect Ophthalmoscopy!
Realistic Handling
Quality assurance through objective evaluation of the examination
Evidence-based and self-reliant learning
Large case database containing a wide range of clinically relevant pathologies
No risk to patients.

13. Indirect Ophthalmoscope Simulator