Systems and methods for ophthalmic digital diagnostics via telemedicine

A method comprising:

• transmitting, from a cloud environment over the Internet and to a client device, a graphical perimetry test that interrogates 0-100 degrees of a patient visual field of a patient, wherein the graphical perimetry test comprises an animated element which enhances patient concentration and maintains gaze direction of the patient, wherein the animated element is presented on the client device in a continuously dynamic manner for at least a part of the graphical perimetry test;
• receiving, from the client device, respective patient input in response to the graphical perimetry test;
• and
• detecting a respective time response associated with the respective patient input, the respective time response comprises a time between when the patient is presented with the graphical perimetry test and when the patient provides the respective patient input.

A system comprising:

• a processor;
• and
• a computer-readable storage device storing instructions which, when executed by the processor, cause the processor to perform operations comprising:
• transmitting, to a client device and over the Internet, a graphical perimetry test that interrogates 0-100 degrees of a patient visual field of a patient, the patient being positioned at the client device and not in a medical office, wherein the graphical perimetry test comprises an animated element which enhances patient concentration and maintains gaze direction of the patient, wherein the animated element comprises a continuously changing to maintain the patient concentration;
• transmitting, to the client device, respective graphical stimuli at various periphery locations as part of the graphical perimetry test;
• receiving, from the client device, respective patient input in response to the respective graphical stimuli;
• and
• generating, based on the respective patient input, a contrast-sensitivity map of a visual function for the patient.

A method comprising:

• transmitting, from a cloud environment over the Internet and to a client device, a linear Vernier perimetry test that interrogates 0 to 20 degrees of a patient visual field of a patient;
• receiving, from the client device, respective patient input in response to the linear Vernier perimetry test, wherein the linear Vernier perimetry test comprises one or more of:
• (1) one linear element or between two and 5 linear elements, inclusive;
• (2) variable contrast and color in the linear elements;
• (3) each linear element is 0.1 mm to 5 mm thick, inclusive;
• (4) linear separation between the linear elements is 0.1 mm at a minimum to 5 mm at a maximum;
• (5) a sequential display or animated presentation provided within an interrogated visual field of the linear Vernier perimetry test;
• (6) a recording of the respective patient input to detected abnormalities;
• (7) a registration of a location and an extent/size of any defects by determining coordinates of abnormal linear scan elements;
• and (8) a monitoring of a central retinal disease progression using Vernier scans over time and a registering of a size and a location change in the abnormal linear elements;
• and
• detecting, based on the respective patient input, a defect comprising one or more of scotomas and metamorphopsias.