Live data from Hacker News

Launch HN: Quadrant Eye (YC W21) – Tackling online eye exams and at-home eyecare

news.ycombinator.com

91–94 of 94 posts

Re: Launch HN: Quadrant Eye (YC W21) – Tackling online eye exams and at-home eyecare

#91
post #69

Earlier quoted context omitted.

Cool! I can see there's a lot of creativity that goes into replicating in-person vision tests with a reasonably valid unsupervised version on people's home equipment. I hope you have success replicating as many of them as possible. It's interesting to think of the adversarial element in #5 where vision test results are used to qualify for something. In this case a completely unsupervised test is really easy to cheat…

Yeah, in the absence of in-person supervision, there are a lot of safety measures that need to be implemented. For example, making sure that people are at the correct testing distance (via a number of potential feedback mechanisms that we're testing) and making sure that people can't zoom in on the optotypes to cheat. The psychology of how people relate to their vision -- especially the independence that good vision…

Adding a few things from the engineering side of things! :)

1. We're currently exploring doing a distance check via the webcam using triangulation and face detection to tell folks how far from the camera they are.

2. The average monitor won't add much noise - if we're going by in person eye exams as the gold standard - there's actually a lot of variance between various doctor's offices (lighting, use of a projector/mirror to simulate distance vs placing the chart on the wall).

There's an interesting angle to doing eye exams digitally where we may be able to be more accurate than in in person exam (based on institutional research studies - not something we've yet personally explored).

5. Really interesting and valid point - making these types of questions more interactive is definitely on our roadmap.

6. Clinical trials will help vet any methods we build to show how they compare to existing practices

Re: Launch HN: Quadrant Eye (YC W21) – Tackling online eye exams and at-home eyecare

#92
post #78

Earlier quoted context omitted.

I'm not an American, but I've had eye tests in both Canada and Israel. Just how expensive are these? In Canada they're free - covered by health care (Glaucoma). Regular eye tests in Canada cost ~$49 (clearly, Queen Street). In Israel they cost 22 NIS, about $6.

For some more comparisons, the UK has free eye-tests for certain groups (children and at-risk) [1], but it costs around £20-25 (~$28-$35 at current exchange rate). [1] https://www.nhs.uk/nhs-services/opticians/free-nhs-eye-tests... [2] https://www.specsavers.co.uk/help-and-faqs/how-much-is-an-ey...

Additionally for the UK, if you do work using a computer (which I imagine most people on HN do), your employer is legally required to pay for an eye test if you request it.

https://www.hse.gov.uk/msd/dse/eye-tests.htm

Re: Launch HN: Quadrant Eye (YC W21) – Tackling online eye exams and at-home eyecare

#93
post #78

Earlier quoted context omitted.

I'm not an American, but I've had eye tests in both Canada and Israel. Just how expensive are these? In Canada they're free - covered by health care (Glaucoma). Regular eye tests in Canada cost ~$49 (clearly, Queen Street). In Israel they cost 22 NIS, about $6.

That is INCREDIBLE. When someone is paying for a full eye exam out of pocket in the US, it can cost anywhere from $69 to $150 USD.

For something that's preventative? Why would it cost a lot for preventative treatment that reduces overall health care spending?

Re: Launch HN: Quadrant Eye (YC W21) – Tackling online eye exams and at-home eyecare

#94
post #93

Earlier quoted context omitted.

That is INCREDIBLE. When someone is paying for a full eye exam out of pocket in the US, it can cost anywhere from $69 to $150 USD.

For something that's preventative? Why would it cost a lot for preventative treatment that reduces overall health care spending?

One could argue that a $79 annual exam is more affordable than paying $200 every month for an injection to manage endstage, out-of-control diabetic eye disease.

That being said, I think annual exams are unnecessary for certain population subsegments (e.g. young healthy folks under 40 years old, have good vision, have no personal or family history of eye disease, have no risk factors for developing eye disease ie poorly controlled diabetes;) for those people who NEED annual eye exams (e.g. those with mild nonproliferative diabetic eye disease,) these should be free. But for those without insurance, this is not the case.

Post reply on HN