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Magic Leap Patent | Methods And Systems For Performing Retinoscopy

Patent: Methods And Systems For Performing Retinoscopy

Publication Number: 20170000335

Publication Date: 20170105

Applicants: Magic Leap

Abstract

Configurations are disclosed for a health system to be used in various healthcare applications, e.g., for patient diagnostics, monitoring, and/or therapy. The health system may comprise a light generation module to transmit light or an image to a user, one or more sensors to detect a physiological parameter of the user’s body, including their eyes, and processing circuitry to analyze an input received in response to the presented images to determine one or more health conditions or defects.

RELATED APPLICATIONS

[0001] This non-provisional patent application claims priority under 35 U.S.C. 120 from U.S. application Ser. No. 15/072,290 filed on Mar. 16, 2016 titled “METHODS AND SYSTEMS FOR DIAGNOSING AND TREATING HEALTH AILMENTS” which is hereby incorporated by reference in its entirety. U.S. application Ser. No. 15/072,290 claims priority under 35 U.S.C. 119(e) from U.S. Provisional Application Ser. No. 62/133,870 filed on Mar. 16, 2015 titled “METHODS AND SYSTEM FOR DIAGNOSING AND TREATING HEALTH AILMENTS” which is hereby incorporated by reference herein in its entirety.

[0002] The aforementioned patent applications as well as U.S. application Ser. No. 14/555,585 titled “VIRTUAL AND AUGMENTED REALITY SYSTEMS AND METHODS”, and U.S. Prov. Application Ser. No. 62/005,834, titled “METHODS AND SYSTEM FOR CREATING FOCAL PLANES IN VIRTUAL AND AUGMENTED REALITY” are each hereby expressly incorporated by reference herein in their entirety for all purposes. Any and all applications for which a foreign or domestic priority claim is identified in the Application Data Sheet as filed with the present application are hereby incorporated by reference in their entirety under 37 CFR 1.57.

FIELD

[0003] The present disclosure relates to various methods and systems for diagnosing, monitoring, and treating health conditions and ailments, including ophthalmic as well as other conditions and ailments.

BACKGROUND

[0004] Ophthalmic instruments and techniques are routinely used by clinicians to diagnose and treat eye-related ailments. An example of a traditional ophthalmic device is shown in FIG. 1. As illustrated, the patient may be positioned in a specific, seated position for the entire duration of the procedure, which may last anywhere between a few seconds to a few minutes. This positioning has been considered necessary to properly align the patient’s eye with the ophthalmic device, to perform measurements and/or therapeutic procedures on the patient’s eyes.

[0005] Undesirably, ophthalmic devices tend to be large, bulky and expensive devices, and are typically used exclusively in doctor’s offices. Thus, patients may be required to make an appointment with an optometrist and visit the doctor for any diagnoses or treatment to take place. This can be a deterring factor for many patients, who may delay the trip to the doctor’s office for long periods of time, possibly until a condition has worsened. The worsened condition may require even more drastic therapies or procedures to address, when it could have been more easily alleviated had the patient been timely diagnosed or treated. Furthermore, the large and bulky nature of most ophthalmic devices forces patients to be placed in an uncomfortable position for a large amount of time, which in turn may actually increase risks of mis-diagnoses and patient error.

[0006] Accordingly, there is a need for health systems that address one or more of the difficulties above.

SUMMARY

[0007] Example embodiments described herein have innovative features, no single one of which is indispensable or solely responsible for their desirable attributes. Without limiting the scope of the claims, some of the advantageous features will now be summarized.

[0008] An innovative aspect of the subject matter described herein can be implemented in a user-wearable diagnostic health system comprising a frame, an augmented reality display attached to the frame, a light detector attached to the frame and a processor configured to conduct a health analysis of the user based on light detected by the light detector. The frame is configured to mount on the user. The augmented reality display is configured to direct images to an eye of the user. The light detector is configured to detect light reflected from an eye of the user.

[0009] Another innovative aspect of the subject matter described herein can be implemented in a user-wearable diagnostic health system comprising a frame, an augmented reality display attached to the frame, a sound emitter configured to emit sound waves toward the user, a sound detector attached to the frame and configured to detect sound waves reflected from the user, and a processor configured to conduct a health analysis of the user based on information detected by the sound detector. The frame is configured to mount on the user. The augmented reality display is configured to direct images to an eye of the user.

[0010] Yet another innovative aspect of the subject matter described herein can be implemented in a user-wearable therapeutic health system comprising a frame configured to mount on the user, an augmented reality display attached to the frame and a processor configured to direct the augmented reality display to conduct a health therapy protocol on the user. The augmented reality display is further configured to direct images to an eye of the user.

[0011] An innovative aspect of the subject matter described herein can be implemented in a wearable diagnostic health system comprising a frame configured to mount on a clinician, an augmented reality display attached to the frame and configured to direct images to an eye of the clinician, an outward-facing image capture device configured to image an eye of a patient and a processor configured to conduct a health analysis of the patient based on the image of the eye captured by the image capture device.

[0012] Additional example embodiments are provided below. Note that structures for various health analyses and/or therapies may coexist in the same health system. Moreover, as disclosed herein, the same feature may be applied to facilitate multiple health analyses and/or therapies. For example, structures used for delivering medication may also be utilized for various diagnostics, as disclosed herein. Consequently, health systems according to some embodiments may include various combinations of the structural features disclosed herein, including combinations of features disclosed under different headings. In addition, the health system may be configured to perform various combinations of the health analyses and therapies disclosed herein, including those disclosed under different headings. Accordingly, a variety of example embodiments are set for below.

Myopia/Hyperopia/Astigmatism

[0013] 1. A wearable ophthalmic device, comprising: [0014] a head-mounted display system; and [0015] a light source configured to direct light into an eye of a person to form an image in the eye; and [0016] a waveguide stack comprising one or more waveguides, wherein each of the one or more waveguides is configured to project the light at one of the one or more focal planes, [0017] wherein the image is modified by a wavefront correction based on an optical prescription for the eye.

[0018] 2. The device of embodiment 1, wherein the waveguide stack further comprises one or more lenses.

[0019] 3. The device of embodiment 1, wherein the head-mounted display system comprises an augmented reality head-mounted ophthalmic system configured to pass light from the world into the eye of the person wearing the head-mounted system.

[0020] 4. The device of embodiment 1, wherein the optical prescription comprises a prescription for myopia.

[0021] 5. The device of embodiment 1, wherein the optical prescription comprises a prescription for hyperopia.

[0022] 6. The device of embodiment 1, wherein the optical prescription comprises a prescription for astigmatism.

[0023] 7. A wearable ophthalmic device, comprising: [0024] an augmented reality head-mounted display system configured to pass light from the world into an eye of a person wearing the head-mounted system; [0025] a light source configured to direct light into an eye of the person to form an image in the eye; and [0026] an adaptable optics element configured to apply a wavefront correction to the image based on an optical prescription for the eye.

[0027] 8. The device of embodiment 7, wherein the adaptable optics element comprises a variable focus element.

[0028] 9. The device of embodiment 8, wherein the variable focus element comprises a membrane mirror.

[0029] 10. The device of embodiment 9, further comprising: [0030] one or more electrodes coupled to the membrane mirror; and [0031] a control system configured to selectively control the one or more electrodes to modify a shape of the membrane mirror based on a corneal shape of the eye.

[0032] 11. The device of embodiment 7, wherein the optical prescription comprises a prescription for myopia.

[0033] 12. The device of embodiment 7, wherein the optical prescription comprises a prescription for hyperopia.

[0034] 13. The device of embodiment 7, wherein the optical prescription comprises a prescription for astigmatism.

[0035] 14. A wearable ophthalmic device, comprising: [0036] a head-mounted ophthalmic system; [0037] a light source configured to direct light into an eye of a person to form an image in the eye; and [0038] an adaptable optics element configured to apply a wavefront correction to the image based on an optical prescription for the eye, wherein the adaptable optics comprises a membrane mirror.

[0039] 15. The device of embodiment 14, further comprising: [0040] one or more electrodes coupled to the membrane mirror; and [0041] a control system configured to selectively control the one or more electrodes to modify a shape of the membrane mirror based on a corneal shape of the eye.

[0042] 16. The device of embodiment 14, wherein the optical prescription comprises a prescription for myopia.

[0043] 17. The device of embodiment 14, wherein the optical prescription comprises a prescription for hyperopia.

[0044] 18. The device of embodiment 14, wherein the optical prescription comprises a prescription for astigmatism.

[0045] 19. A wearable ophthalmic device, comprising: [0046] a head-mounted display system; and [0047] a light source configured to direct light into an eye of a person to form an image in the eye, the light source comprising a fiber scanning projector, [0048] wherein the image is modified by a wavefront correction based on an optical prescription for the eye.

[0049] 20. The device of embodiment 19, wherein the optical prescription comprises a prescription for myopia.

[0050] 21. The device of embodiment 19, wherein the optical prescription comprises a prescription for hyperopia.

[0051] 22. The device of embodiment 19, wherein the optical prescription comprises a prescription for astigmatism.

[0052] 23. A wearable augmented reality ophthalmic device, comprising: [0053] an augmented reality head-mounted ophthalmic system configured to pass light from the world into an eye of a person wearing the head-mounted system; and [0054] a light source configured to project light into the eye of the person to form an image in the eye, the image being modified by a wavefront correction based on an optical prescription for the eye.

[0055] 24. The device of embodiment 23, wherein the optical prescription comprises a prescription for myopia.

[0056] 25. The device of embodiment 23, wherein the optical prescription comprises a prescription for hyperopia.

[0057] 26. The device of embodiment 23, wherein the optical prescription comprises a prescription for astigmatism.

[0058] 27. A method for addressing vision defects of a person wearing a head mounted display system, comprising: [0059] identifying an optical prescription of said person; [0060] producing an image using a display in the head mounted display system; [0061] applying wavefront correction to said image based on said prescription to yield a corrected image; and [0062] displaying the corrected image to the person wearing the head mounted display.

[0063] 28. The method of embodiment 27, wherein identifying an optical prescription of the person comprises receiving input from the person specifying the prescription.

[0064] 29. The method of embodiment 27, wherein identifying an optical prescription of the person comprises presenting the person with different wavefront corrections.

[0065] 30. The method of embodiment 29, further comprising receiving input from the person specifying the preferred correction.

[0066] 31. The method of embodiment 27, wherein the wavefront correction is implemented by adjusting adaptive optics in the head mounted display.

[0067] 32. The method of embodiment 31, wherein the adaptive optics comprises a variable focus element.

[0068] 33. The method of embodiment 31, wherein the adaptive optics comprises a deformable optical element.

[0069] 34. The method of embodiment 38, wherein the deformable optical element comprises a deformable mirror.

[0070] 35. The method of embodiment 27, wherein the wavefront correction is implemented by using a waveguide stack comprising a plurality of waveguides configured to provide different focal planes.

[0071] 36. The method of embodiment 35, wherein the wavefront correction is implemented by directing said image through the combination of waveguides that provide the desired optical power to provide the wavefront correction.

[0072] 37. The method of embodiment 27, further comprising providing different image content at different depth planes.

[0073] 38. The method of embodiment 37, wherein said providing different image content at different depth planes comprising providing different image content through different waveguides in a waveguide stack thereby providing different optical power to different image content.

[0074] 39. The method of embodiment 38, wherein different image content propagates through a different number of waveguides thereby providing different optical power to different image content.

[0075] 40. The method of embodiment 39, wherein said waveguides include static optical elements having optical power.

[0076] 41. The method of embodiment 27, wherein the wavefront correction is implemented by directing said image through at least one waveguide.

[0077] 42. The method of embodiment 41, wherein said at least one waveguide includes a dynamic optical element having variable optical power.

[0078] 43. The method of embodiment 27, wherein said optical correction is configured to correct for myopia.

[0079] 44. The method of embodiment 27, wherein said optical correction is configured to correct for hyperopia.

[0080] 45. The method of embodiment 27, wherein said optical correction is configured to correct for astigmatism.

[0081] 46. The method of embodiment 27, wherein applying the wavefront correction comprises accessing processing electronics.

[0082] 47. The method of embodiment 27, wherein said wavefront correction is applied to a virtual reality image.

[0083] 48. The method of embodiment 27, wherein said wavefront correction is applied to an augmented reality image.

[0084] 49. The method of embodiment 27, wherein said wavefront correction is applied to said image from said display and in imaging objects in front of said head mounted display and said person wearing said head mounted display.

[0085] 50. A wearable ophthalmic device, comprising: [0086] a light source and wearable optics configured to direct light into the eye of the person wearing said wearable optics to form an image in said eye, said wearable optics configured to provide prescription refractive correction to said image based on an optical prescription for said person’s eye.

[0087] 51. The device of embodiment 50, further comprising user interface controls configured to receive input from the person specifying the person’s optical prescription.

[0088] 52. The device of embodiment 50, configured to present the person with different wavefront corrections to identify an optical prescription of the person.

[0089] 53. The device of embodiment 52, further comprising a user interface configured to receive input from the person specifying the preferred correction.

[0090] 54. The device of embodiment 50, wherein said wearable optics comprise adaptive optics in the wearable optics configured to be adjusted to implement the correction.

[0091] 55. The device of embodiment 54, wherein the adaptive optics comprises a variable focus element.

[0092] 56. The device of embodiment 54, wherein the adaptive optics comprises a deformable optical element.

[0093] 57. The device of embodiment 56, wherein the deformable optical element comprises a deformable mirror.

[0094] 58. The device of embodiment 50, wherein said wearable optics comprise a waveguide stack comprising a plurality of waveguides configured to provide different focal planes, said waveguide stack configured to provide the prescription correction.

[0095] 59. The device of embodiment 58, wherein the waveguide stack comprises a combination of waveguides that provide the desired optical power to provide the prescription correction, said prescription correction being implemented by directing said light through the combination of waveguides.

[0096] 60. The device of embodiment 50, wherein the wearable optic comprise different depth planes, said wearable optics configured to provide different image content at said different depth planes.

[0097] 61. The device of embodiment 60, wherein said wearable optics comprise a waveguide stack comprising a plurality of waveguides, said providing different image content at different depth planes comprising providing different image content through different waveguides in a waveguide stack thereby providing different optical power to different image content.

[0098] 62. The device of embodiment 61, wherein different image content propagates through a different number of waveguides thereby providing different optical power to different image content.

[0099] 63. The device of embodiment 58, wherein said waveguides include static optical elements having optical power.

[0100] 64. The device of embodiment 50, wherein said wearable optics comprises at least one waveguide, wherein the prescription correction is implemented by directing said light through at least one waveguide.

[0101] 65. The device of embodiment 64, wherein said at least one waveguide includes a dynamic optical element having variable optical power.

[0102] 66. The device of embodiment 50, wherein said prescription correction is configured to correct for myopia.

[0103] 67. The device of embodiment 50, wherein said prescription correction is configured to correct for hyperopia.

[0104] 68. The method of embodiment 50, wherein said prescription correction is configured to correct for astigmatism.

[0105] 69. The method of embodiment 50, further comprising processing electronics configured to be accessed to provide the prescription correction.

[0106] 70. The device of embodiment 69, further comprising a sensor to determine orientation of said person’s head.

[0107] 71. The device of embodiment 70, wherein said sensor comprises a gyroscopic sensor.

[0108] 72. The device of embodiment 70, wherein said wearable optics is configured to alter the focus of said image based on said head position.

[0109] 73. The device of embodiment 69, wherein said wearable optics comprises a variable focus element configured to vary a focus of said image to provide said correction.

[0110] 74. The device of embodiment 69, further comprising an eye tracking system configured to determine a person’s convergence point.

[0111] 75. The device of embodiment 74, wherein said wearable optics is configured to alter the focus of said image based on said determined convergence point.

[0112] 76. The device of any of embodiments 50, wherein said device comprises a virtual reality device configured to provide said prescription correction to virtual reality image content.

[0113] 77. The device of any of embodiments 50, wherein said device comprises an augmented reality system configured to provide said prescription correction to augmented reality image content.

[0114] 78. The device of embodiment 77, wherein said wearable optics are configured such that said prescription correction is applied to an image formed from light from said light source and to images formed from objects in front of said device and said person wearing said wearable optics.

[0115] 79. The method of embodiment 27, wherein identifying the optical prescription of the person comprises identifying a plurality of optical prescriptions at a plurality of intervals, wherein each optical prescription corresponds to an interval.

[0116] 80. The method of embodiment 79, wherein the wavefront correction is dynamically adjusted based on the each optical prescription.

[0117] 81. The device of embodiment 52, configured to identify a plurality of optical prescriptions at plurality of intervals, wherein each optical prescription corresponds to an interval, wherein the refractive correction is dynamically adjusted based on each optical prescription.

[0118] 82. The device of embodiment 7, wherein the augmented reality head-mounted display system comprises a display lens configured to pass light from the world into an eye of a person wearing the head-mounted system, and wherein the adaptable optics element is positioned between the display lens and a source of the light from the world.

[0119] 83. The device of embodiment 7, wherein the augmented reality head-mounted display system comprises a display lens configured to pass light from the world into an eye of a person wearing the head-mounted system, and wherein the adaptable optics element is positioned between the display lens and the eye of the user.

[0120] 84. The device of embodiment 7, wherein the adaptable optics element are positioned between the light source and the eye of the user.

[0121] 85. The device of embodiment 7, wherein the adaptable optics element are integrated into the light source.

[0122] 86. The device of any of embodiments 50, wherein said device comprises an augmented reality system configured pass ambient light from in front of the person to the eye of the person to provide, wherein said device is further configured to provide said prescription correction to the ambient light.

[0123] 87. The device of embodiment 58, wherein said wearable optics comprise adaptive optics in the wearable optics configured to be adjusted to implement the correction.

[0124] 88. The device of embodiment 87, wherein the adaptive optics is positioned in at least one of: [0125] between the light source and the waveguide stack; [0126] between at least one of the plurality of waveguides and another one of the plurality of waveguides; [0127] between the waveguide stack and the eye of the person; and [0128] between the waveguide stack and an ambient light source from in front of said device.

[0129] 89. The device of embodiment 87, wherein the adaptive optics is integrated in at least one of the waveguide stack and the light source.

[0130] 90. The method of embodiment 27, further comprising: [0131] passing ambient light from the world in front of the person and in front of the head mounted display device; [0132] applying wavefront correction to said ambient light based on said prescription; [0133] displaying the corrected ambient light to the person, wherein the corrected ambient light is displayed with the corrected image.

[0134] The additional numbered embodiments below in the section titled “ADDITIONAL NUMBERED EMBODIMENTS” are to be repeated, added to, and concatenated to the list of numbered embodiments here as if the list of additional numbered embodiments below in the section titled “ADDITIONAL NUMBERED EMBODIMENTS” immediately followed the list of numbered embodiments here.

Presbyopia

[0135] 1. A wearable ophthalmic device for addressing presbyopia, comprising: [0136] a head-mounted ophthalmic system; [0137] a sensor configured to determine an orientation of a gaze of a person; [0138] a light source configured to direct a light form into an eye of the person to form an image in the eye; and [0139] an adaptive optics element through which the light form is projected, wherein the adaptive optics element is configured to modify a focus of the image based on the orientation of the gaze of the person.

[0140] 2. The device of embodiment 1, wherein the orientation of the gaze of the person is based on a position of a head of the person.

[0141] 3. The device of embodiment 1, further comprising gyroscopic sensors to determine a position of a head of the person.

[0142] 4. The device of embodiment 1, wherein the orientation of the gaze of the person is determined by tracking a position of the eye.

[0143] 5. A wearable ophthalmic device, comprising: [0144] a light source and wearable optics configured to direct light into the eye of the person wearing said wearable optics to form an image in said eye, said wearable optics configured to correct for presbyopia based on an optical prescription for said person’s eye.

[0145] 6. The device of embodiment 5, further comprising user interface controls configured to receive input from the person specifying the person’s optical prescription.

[0146] 7. The device of embodiment 5, configured to present the person with different wavefront corrections to identify an optical prescription of the person.

[0147] 8. The device of embodiment 7, further comprising a user interface configured to receive input from the person specifying the preferred correction.

[0148] 9. The device of embodiment 5, wherein said wearable optics comprise adaptive optics in the wearable optics configured to be adjusted to implement the correction.

[0149] 10. The device of embodiment 9, wherein the adaptive optics comprises a variable focus element.

[0150] 11. The device of embodiment 9, wherein the adaptive optics comprises a deformable optical element.

[0151] 12. The device of embodiment 11, wherein the deformable optical element comprises a deformable mirror.

[0152] 13. The device of embodiment 5, wherein said wearable optics comprise a waveguide stack comprising a plurality of waveguides configured to provide different focal planes, said waveguide stack configured to provide the prescription correction.

[0153] 14. The device of embodiment 13, wherein the waveguide stack comprises a combination of waveguides that provide the desired optical power to provide the prescription correction, said prescription correction being implemented by directing said light through the combination of waveguides.

[0154] 15. The device of embodiment 5, wherein the wearable optics provide different depth planes, said wearable optics configured to provide different image content at said different depth planes.

[0155] 16. The device of embodiment 15, wherein said wearable optics comprise a waveguide stack comprising a plurality of waveguides, said providing different image content at different depth planes comprising providing different image content through different waveguides in a waveguide stack thereby providing different optical power to different image content.

[0156] 17. The device of embodiment 16, wherein different image content propagates through a different number of waveguides thereby providing different optical power to different image content.

[0157] 18. The device of embodiment 13, wherein said waveguides include static optical elements having optical power.

[0158] 19. The device of embodiment 5, wherein said wearable optics comprises at least one waveguide, wherein the prescription correction is implemented by directing said light through at least one waveguide.

[0159] 20. The device of embodiment 19, wherein said at least one waveguide includes a dynamic optical element having variable optical power.

[0160] 21. The device of embodiment 5, further comprising processing electronics configured to be accessed to provide the prescription correction.

[0161] 22. The device of embodiment 21, further comprising a sensor to determine orientation of said person’s head.

[0162] 23. The device of embodiment 22, wherein said sensor comprises a gyroscopic sensor.

[0163] 24. The device of embodiment 22, wherein said wearable optics is configured to alter the focus of said image based on said head position.

[0164] 25. The device of embodiment 21, wherein said wearable optics comprises a variable focus element configured to vary a focus of said image to provide said correction.

[0165] 26. The device of embodiment 21, further comprising an eye tracking system configured to determine a person’s convergence point.

[0166] 27. The device of embodiment 26, wherein said wearable optics is configured to alter the focus of said image based on said determined convergence point.

[0167] 28. The device of embodiment 5, wherein said device comprises a virtual reality device configured to provide said prescription correction to virtual reality image content.

[0168] 29. The device of embodiment 5, wherein said device comprises an augmented reality system configured to provide said prescription correction to augmented reality image content.

[0169] 30. The device of embodiment 29, wherein said wearable optics are configured such that said prescription correction is applied to an image formed from light from said light source and to images formed from objects in front of said device and said person wearing said wearable optics.

[0170] 31. The device of embodiment 5, further comprising electronics configured to determine the person’s gaze based on movement of one or more of the person’s eyes.

[0171] 32. The device of embodiment 31, wherein the said wearable optics is configured to alter the focus of said image based on said determined gaze.

[0172] 33. The device of embodiment 31, wherein a downward movement of one or more of the person’s eyes is indicative of the person focusing at a near-field focal depth.

[0173] 34. The device of embodiment 33, wherein the said wearable optics is configured to increase the optical power of a portion of the said wearable optics based on the optical prescription for said person’s eye.

[0174] 35. The device of embodiment 16, further comprising an electronics configured to determine the person’s gaze based on movement of one or more of the person’s eyes.

[0175] 36. The device of embodiment 1, wherein the sensor comprises an eye-tracking system configured to determine the convergence point of the eye of the person.

[0176] 37. The device of embodiment 4, wherein an angle of convergence is determined based on the position of the eye, wherein the focus is modified based on the angle of convergence.

[0177] 38. The device of embodiment 31, wherein a downward movement of one or more of the person’s eyes is indicative of an increase in an angle of the convergence of the eyes, wherein an increase in the angle of the convergence of the eye is indicative of the person focusing at a near-field focal depth.

[0178] 39. The device of embodiment 5, further comprising a biofeedback system configured to determine the wavefront correction based on monitoring one or more properties of the eye while viewing the image.

[0179] 40. The device of embodiment 40, wherein the biofeedback system receives inputs from at least one of a phoropter, an autorefractor, and an eye tracking system.

[0180] 41. The device of embodiment 40, wherein the properties of the eye is at least one of: changes in a convergence point of the eye, changes in a position of a head of the person, change in a size of a pupil of the eye.

[0181] 42. The device of embodiment 5, further comprising electronics configured to determine the person’s gaze based on glint detection.

[0182] The additional numbered embodiments below in the section titled “ADDITIONAL NUMBERED EMBODIMENTS” are to be repeated, added to, and concatenated to the list of numbered embodiments here as if the list of additional numbered embodiments below in the section titled “ADDITIONAL NUMBERED EMBODIMENTS” immediately followed the list of numbered embodiments here.

Strabismus/Amblyopia

[0183] 1. A wearable augmented reality device configured to be used by a wearer having eyes having an inability to align at a single convergence point, said device comprising: [0184] an augmented reality head-mounted ophthalmic system comprising a wearable augmented reality display platform, said augmented reality head-mounted ophthalmic system configured to pass light from the world into an eye of a wearer wearing the head-mounted system; [0185] a light source configured to project light into the eye of the wearer to form an image in the eye; and [0186] an eye tracking system configured to determine gaze of said eye, [0187] wherein the image is modified to add compensating prism correction to bring the convergence point of both eyes together.

[0188] 2. A wearable virtual reality device configured to be used by a wearer having eyes having an inability to align at a single convergence point, said device comprising: [0189] a virtual reality head-mounted ophthalmic system comprising a wearable virtual reality display platform comprising a display for providing images to an eye of the wearer; [0190] a light source configured to project light into the eye of the wearer to form an image in the eye; and [0191] an eye tracking system configured to determine gaze of said eye, [0192] wherein the image is modified to add compensating prism correction to bring the convergence point of both eyes together.

[0193] 3. A wearable augmented reality device configured to be used by a wearer having eyes having an inability to align at a single convergence point, said device comprising: [0194] an augmented reality head-mounted ophthalmic system comprising a wearable augmented reality display platform, said augmented reality head-mounted ophthalmic system configured to pass light from the world into an eye of a wearer wearing the head-mounted system; [0195] a light source configured to project light into the eye of the wearer to form an image in the eye; [0196] an eye tracking system configured to determine gaze of said eye; and [0197] an adaptable optics element configured to add compensating prism correction to bring the convergence point of both eyes together.

[0198] 4. The device of embodiment 3, wherein the adaptable optics element comprises a variable focus element.

[0199] 5. The device of embodiment 4, wherein the variable focus element comprises a membrane mirror.

[0200] 6. The device of embodiment 5, further comprising: [0201] one or more electrodes coupled to the membrane mirror; and [0202] a control system configured to selectively control the one or more electrodes to modify a shape of the membrane mirror based on a corneal shape of the eye.

[0203] 7. A wearable virtual reality device configured to be used by a wearer having eyes having an inability to align at a single convergence point, said device comprising: [0204] a virtual reality head-mounted ophthalmic system comprising a wearable virtual reality display platform comprising a display for providing images to an eye of the wearer; [0205] a light source configured to project light into the eye of the wearer to form an image in the eye; [0206] an eye tracking system configured to determine gaze of said eye; and [0207] an adaptable optics element configured to add compensating prism correction to bring the convergence point of both eyes together.

[0208] 8. The device of embodiment 7, wherein the adaptable optics element comprises a variable focus element.

[0209] 9. The device of embodiment 8, wherein the variable focus element comprises a membrane mirror.

[0210] 10. The device of embodiment 9, further comprising: [0211] one or more electrodes coupled to the membrane mirror; and [0212] a control system configured to selectively control the one or more electrodes to modify a shape of the membrane mirror based on a corneal shape of the eye.

[0213] 11. A wearable display device configured to be used by a wearer having eyes having an inability to align at a single convergence point, said display device comprising: [0214] a wearable head-mounted ophthalmic system; [0215] a light source configured to direct light into an eye of said wearer to form an image in the eye, the light source comprising a fiber scanning projector; and [0216] an eye tracking system configured to determine gaze of said eye, [0217] wherein the light source is configured to add compensating prism correction to bring the convergence point of both eyes together.

[0218] 12. A wearable display device configured to be used by a wearer having eyes having an inability to align at a single convergence point, said display device comprising: [0219] a wearable head-mounted ophthalmic system; [0220] a light source configured to direct light into an eye of said wearer to form an image in the eye; [0221] a waveguide stack comprising a plurality of waveguides, wherein different waveguides are configured to project light from different depth planes; and [0222] an eye tracking system configured to determine gaze of said eye, [0223] wherein the image is modified to add compensating prism correction to bring the convergence point of both eyes together.

[0224] 13. The device of embodiment 12, wherein the waveguide stack further comprises one or more lenses.

[0225] 14. The device of embodiment 12, wherein the head-mounted ophthalmic system comprises an augmented reality display platform, said head-mounted ophthalmic system configured to pass light from the world into the eye of the wearer wearing the head-mounted display system.

[0226] 15. A wearable augmented reality device configured to be used by a wearer having eyes having an inability to align at a single convergence point, said device comprising: [0227] an augmented reality head-mounted ophthalmic system comprising an augmented reality display platform, said augmented reality head-mounted ophthalmic system configured to pass light from the world into an eye of a wearer wearing the head-mounted system; [0228] a light source configured to direct light into the eye of the wearer to form an image in the eye; and [0229] an eye tracking system configured to determine gaze of said eye, [0230] wherein the wearable augmented reality device is configured to re-train to gradually align the convergence point of both eyes.

[0231] 16. The device of embodiment 15, wherein the wearable augmented reality device is configured to re-train by occluding one eye.

[0232] 17. The device of embodiment 15, wherein the wearable augmented reality device is configured to re-train by reducing intensity of light into one eye.

[0233] 18. The device of embodiment 15, wherein the wearable augmented reality device is configured to re-train by defocusing the light directed into one eye.

[0234] 19. A wearable virtual reality device configured to be used by a wearer having eyes having an inability to align at a single convergence point, said device comprising: [0235] a virtual reality head-mounted ophthalmic system comprising a virtual reality display platform comprising a display for providing images to an eye of the wearer; [0236] a light source configured to direct light into the eye of the wearer to form an image in the eye; and [0237] an eye tracking system configured to determine gaze of said eye, [0238] wherein the wearable virtual reality device is configured to re-train to gradually align the convergence point of both eyes.

[0239] 20. The device of embodiment 19, wherein the wearable virtual reality device is configured to re-train by occluding one eye.

[0240] 21. The device of embodiment 19, wherein the wearable virtual reality device is configured to re-train by reducing intensity of light into one eye.

[0241] 22. The device of embodiment 19, wherein the wearable virtual reality device is configured to re-train by defocusing the light directed into one eye.

[0242] 23. A wearable display device configured to be used by a wearer having eyes having an inability to align at a single convergence point, said device comprising: [0243] an augmented reality head-mounted ophthalmic system comprising an augmented reality display platform, said augmented reality head-mounted ophthalmic system configured to pass light from the world into an eye of a wearer wearing the head-mounted ophthalmic system; [0244] a light source configured to direct light into the eye of the wearer to form an image in the eye; [0245] an adaptable optics element configured to modify said image; and [0246] an eye tracking system configured to determine gaze of said eye, [0247] wherein the wearable display device is configured to re-train to gradually align the convergence point of both eyes.

[0248] 24. The device of embodiment 23, wherein the adaptable optics element comprises a variable focus element.

[0249] 25. The device of embodiment 24, wherein the variable focus element comprises a membrane mirror.

[0250] 26. The device of embodiment 25, further comprising: [0251] one or more electrodes coupled to the membrane mirror; and [0252] a control system configured to selectively control the one or more electrodes to modify a shape of the membrane mirror based on a corneal shape of the eye.

[0253] 27. A wearable display device configured to be used by a wearer having eyes having an inability to align at a single convergence point, said device comprising: [0254] a head-mounted ophthalmic system; [0255] a light source configured to direct light into an eye of the wearer to form an image in the eye; [0256] an adaptable optics element configured to modify said image; and [0257] an eye tracking system configured to determine gaze of said eye, [0258] wherein the wearable display device is configured to re-train to gradually align the convergence point of both eyes.

[0259] 28. The device of embodiment 27, wherein the adaptable optics element comprises a variable focus element.

[0260] 29. The device of embodiment 28, wherein the variable focus element comprises a membrane mirror.

[0261] 30. The device of embodiment 29, further comprising: [0262] one or more electrodes coupled to the membrane mirror; and [0263] a control system configured to selectively control the one or more electrodes to modify a shape of the membrane mirror based on a corneal shape of the eye.

[0264] 31. A wearable display device configured to be used by a wearer having eyes having an inability to align at a single convergence point, said device comprising: [0265] a head-mounted ophthalmic system; [0266] a light source configured to direct light into an eye of the wearer to form an image in the eye, the light source comprising a fiber scanning projector; and [0267] an eye tracking system configured to determine gaze of said eye, [0268] wherein the wearable display device is configured to re-train to gradually align the convergence point of both eyes.

[0269] 32. A wearable display device configured to be used by a wearer having eyes having an inability to align at a single convergence point, said device comprising: [0270] a head-mounted ophthalmic system; [0271] a light source configured to direct light into an eye of the wearer to form an image in the eye; [0272] a waveguide stack comprising a plurality of waveguides, wherein different waveguides are configured to project light from different depth planes; and [0273] an eye tracking system configured to determine gaze of said eye, [0274] wherein the wearable display device is configured to re-train to gradually align the convergence point of both eyes.

[0275] 33. The device of embodiment 32, wherein the waveguide stack further comprises one or more lenses.

[0276] 34. The device of embodiment 32, wherein the head-mounted ophthalmic system comprises an augmented reality display platform, said head-mounted ophthalmic system configured to pass light from the world into the eye of the wearer wearing the head-mounted display system.

[0277] The additional numbered embodiments below in the section titled “ADDITIONAL NUMBERED EMBODIMENTS” are to be repeated, added to, and concatenated to the list of numbered embodiments here as if the list of additional numbered embodiments below in the section titled “ADDITIONAL NUMBERED EMBODIMENTS” immediately followed the list of numbered embodiments here.

Higher Order Aberrations

[0278] 1. A wearable augmented reality device configured to be used by a person, said device comprising: [0279] an augmented reality head-mounted ophthalmic system comprising an augmented reality display platform, said augmented reality head-mounted ophthalmic system configured to pass light from the world into an eye of the person wearing the head-mounted system; and [0280] at least one light source and wearable optics configured to project light into the eye of the person to form an image in the eye, said at least one light source and wearable optics configured to provide refractive correction for higher order refractive errors.

[0281] 2. The device of embodiment 1, wherein said at least one light source comprises a fiber scanning display.

[0282] 3. The device of embodiment 1, further comprising user interface controls configured to receive an input specifying the person’s optical prescription.

[0283] 4. The device of embodiment 1, wherein said wearable optics comprise adaptive optics in the wearable optics configured to be adjusted to implement the refractive correction.

[0284] 5. The device of embodiment 4, wherein the adaptive optics comprises a variable focus element.

[0285] 6. The device of embodiment 4, wherein the adaptive optics comprises a deformable optical element.

[0286] 7. The device of embodiment 6, wherein the deformable optical element comprises a deformable mirror.

[0287] 8. The device of embodiment 1, wherein said wearable optics comprise a waveguide stack comprising a plurality of waveguides configured to provide different focal planes.

[0288] 9. The device of embodiment 1, wherein the wearable optics comprise different depth planes, said wearable optics configured to provide different image content at said different depth planes.

[0289] 10. The device of embodiment 9, wherein said wearable optics comprise a waveguide stack comprising a plurality of waveguides, said providing different image content at different depth planes comprising providing different image content through different waveguides in a waveguide stack thereby providing different optical power to different image content.

[0290] 11. The device of embodiment 10, wherein different image content propagates through a different number of waveguides thereby providing different optical power to different image content.

[0291] 12. The device of embodiment 8, wherein said waveguides include static optical elements having optical power.

[0292] 13. The device of embodiment 1, wherein said wearable optics comprises at least one waveguide.

[0293] 14. The device of embodiment 13, wherein said at least one waveguide includes a dynamic optical element having variable optical power.

[0294] 15. The device of embodiment 1, further comprising processing electronics configured to be accessed to provide the refractive correction.

[0295] 16. The device of embodiment 1, wherein said wearable optics are configured such that said refractive correction is applied to an image formed from light from said light source and to images formed from objects in front of said device and said person wearing said wearable optics.

[0296] 17. A wearable virtual reality device configured to be used by a person, said device comprising: [0297] a virtual reality head-mounted ophthalmic system comprising an virtual reality display platform comprising a display for providing images to the eye of the person; and [0298] at least one light source and wearable optics configured to project light into the eye of the person to form an image in the eye, said at least one light source and wearable optics configured to provide refractive correction for higher order refractive errors.

[0299] 18. The device of embodiment 1, further comprising a receiver circuit configured to receive input from a remote source specifying the person’s optical prescription.

[0300] 19. The device of embodiment 1, further comprising a receiver configured to receive, from a memory circuit external to the wearable augmented reality device, an optical prescription stored on the memory circuit, wherein the wearable augmented reality device provides refractive correction based on the received optical prescription.

[0301] 20. The device of embodiment 17, further comprising an outward facing camera configured to obtain images of light formed from objects in front of said device, wherein the image provided to the eye of the person comprises the obtained images.

[0302] 21. The device of embodiment 3, wherein the user interface controls are configured to receive the input from at least one of the person, a third party, and a doctor.

[0303] 22. The device of embodiment 15, wherein the wearable optics are configured to provide refractive correction in real-time as the light forming the image is projected into the eye of the person.

[0304] The additional numbered embodiments below in the section titled “ADDITIONAL NUMBERED EMBODIMENTS” are to be repeated, added to, and concatenated to the list of numbered embodiments here as if the list of additional numbered embodiments below in the section titled “ADDITIONAL NUMBERED EMBODIMENTS” immediately followed the list of numbered embodiments here.

Chromatic Aberrations

[0305] 1. A wearable augmented reality device configured to be used by a person, said device comprising: [0306] an augmented reality head-mounted ophthalmic system comprising a wearable augmented reality display platform, said augmented reality head-mounted ophthalmic system configured to pass light from the world into an eye of a person wearing the head-mounted system, said augmented reality display platform comprising optics configured to project an image in said eye, [0307] wherein said augmented reality display is configured to project a first color component of the image at a first depth plane and a second color component of the image at a second depth plane different than the first depth plane to compensate for longitudinal chromatic aberration of the person’s eye.

[0308] 2. The device of embodiment 1, wherein said augmented reality display is configured to output a third color component of the image at a third depth plane different than the first and second depth planes to compensate for longitudinal chromatic aberration of the person’s eye.

[0309] 3. The device of embodiment 1, wherein said first color component is red.

[0310] 4. The device of embodiment 1, wherein said second color component is green.

[0311] 5. The device of embodiment 2, wherein said third color component is blue.

[0312] 6. The device of embodiment 1, further comprising a user interface for receiving a prescription for said longitudinal chromatic aberration.

[0313] 7. The device of embodiment 1, wherein said augmented reality head-mounted ophthalmic system is configured to vary the focus of the image automatically to provide incremental change in optical prescription thereby conducting eye exams.

[0314] 8. The device of embodiment 7, wherein said augmented reality head-mounted ophthalmic system is configured to vary the focus of the first color component of the image automatically to provide incremental change in optical prescription thereby conducting eye exams.

[0315] 9. The device of embodiment 8, wherein said augmented reality head-mounted ophthalmic system is configured to vary the focus of a monochromatic image of said second color component automatically to provide incremental change in optical prescription thereby conducting eye exams.

[0316] 10. The device of embodiment 9, wherein said augmented reality head-mounted ophthalmic system is configured to vary the focus of a monochromatic image of a third color component of the image automatically to provide incremental change in optical prescription thereby conducting eye exams.

[0317] 11. The device of embodiment 10, wherein said images comprise letters.

[0318] 12. The device of embodiment 10, wherein said images comprise graphic symbols, pictures, or drawings.

[0319] 13. The device of embodiment 7, further comprising a user interface configured to receive input from the wear regarding the image.

[0320] 14. The device of embodiment 7, wherein said augmented reality head-mounted ophthalmic system is configured to assess whether the person can view the image comfortably and incrementally increase the prescription, positive or negative, by changing focus if not.

[0321] 15. The device of any of embodiments any of embodiment 7, wherein said augmented reality head-mounted ophthalmic system is configured to assess whether the person can view the image comfortably and determine the prescription of the person if so.

[0322] 16. The device of embodiment 1, wherein said wearable augmented reality display platform comprises a fiber scanning device.

[0323] 17. The device of embodiment 1, wherein said wearable augmented reality device system is configured such that the angle at which light of different color is projected may be varied based lateral chromatic aberration.

[0324] 18. The device of embodiment 1, wherein said optics comprises an adaptable optics element configured to project the light.

[0325] 19. The device of embodiment 18, wherein the adaptable optics element comprises a variable focus element.

[0326] 20. The device of any of embodiments any of embodiment 1, further comprising a waveguide stack comprising a plurality of waveguides, wherein different waveguides are configured to project light from different depth planes.

[0327] 21. The device of embodiment 20, wherein the waveguide stack further comprises one or more lenses.

[0328] 22. A wearable augmented reality device configured to be used by a person, said device comprising: [0329] an augmented reality head-mounted ophthalmic system comprising a wearable augmented reality display platform, said augmented reality head-mounted ophthalmic system configured to pass light from the world into an eye of a person wearing the head-mounted system, said augmented reality display platform comprising optics configured to project an image in said eye, [0330] wherein said augmented reality display is configured to project a first color component of the image at a first angle and a second color component of the image at a second angle different than the first angle to compensate for lateral chromatic aberration of the person’s eye.

[0331] 23. The device of embodiment 22, further comprising a user interface for receiving a prescription for said lateral chromatic aberration.

[0332] 24. The device of any of embodiments 22, wherein said augmented reality head-mounted ophthalmic system is configured to vary the angle of the image automatically to provide incremental change in optical prescription thereby conducting eye exams.

[0333] 25. A wearable virtual reality device configured to be used by a person, said device comprising: [0334] a virtual reality head-mounted ophthalmic system comprising a wearable virtual reality display platform, said virtual reality display platform comprising optics configured to project an image in an eye of the person, [0335] wherein said virtual reality display is configured to project a first color image at a first depth plane and a second color image at a second depth plane different than the first depth plane to compensate for longitudinal chromatic aberration of the person’s eye.

[0336] 26. A wearable virtual reality device configured to be used by a person, said device comprising: [0337] a virtual reality head-mounted ophthalmic system comprising a wearable virtual reality display platform, said virtual reality platform comprising optics configured to project an image in an eye of the person, [0338] wherein said virtual reality display is configured to project a first color image at a first angle and a second color image at a second angle different than the first angle to compensate for lateral chromatic aberration of the person’s eye.

[0339] 27. The device of any of embodiments 1, further comprising one or more outwardly facing cameras configured to obtain an image, wherein said image projected into said eye comprises the obtained image.

[0340] 28. The device of embodiment 17, wherein varying said angle at which light of different color is projected displaces an image formed by said light of different color along the focal plane of said optics.

[0341] 29. The device of embodiment 17, wherein said optics comprises an adaptable optics configured to receive an input and vary the angle at which light of the first color component is projected based on lateral chromatic aberration.

[0342] 30. A wearable device configured to be used by a person, said device comprising: [0343] a head-mounted ophthalmic system comprising: [0344] a display platform comprising optics configured to project an image in said eye, and [0345] a processor circuit configured to drive the optics based on an image modification program, wherein said image modification program is configured to compensate for chromatic aberration imparted on to said image by an optical surface.

[0346] 31. The device of embodiment 30, wherein said head-mounted ophthalmic system further comprises a memory circuit operatively connected to the processor circuit and configured to store said image modification program.

[0347] 32. The device of embodiment 30, wherein said image modification program is based on an optical prescription of the person, wherein said optical surface comprises a surface of said eye.

[0348] 33. The device of embodiment 30, wherein said image modification program is based on chromatic aberrations imparted on to said image by said optics, wherein said optical surface comprises a surface of said optics.

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