Method and system for diagnosing and treating health-threatening diseases - Patents.com
A wearable health examination system with an augmented reality display and light detection device allows for on-the-go diagnosis and treatment, addressing the limitations of conventional ophthalmic devices by providing convenient and accurate health assessments.
Patent Information
- Application Number
- JP2024070673
- Authority / Receiving Office
- JP · JP
- Patent Type
- Patents
- Current Assignee / Owner
- Priority Date
- 2015-03-16
- Filing Date
- 2024-04-24
- Publication Date
- 2024-12-13
- Estimated Expiration
- 2036-03-16
AI Technical Summary
Conventional ophthalmic devices are large, bulky, and expensive, requiring patients to visit a doctor's office for diagnosis or treatment, which can lead to delayed care and uncomfortable positioning, increasing the risk of misdiagnosis and patient error.
A user-wearable health examination system comprising a frame with an augmented reality display, light detection device, and processing unit that allows for health condition analysis, enabling on-the-go diagnosis and treatment.
Enables convenient, comfortable, and accurate health assessments and treatments outside a clinical setting, reducing the risk of delayed care and improving patient compliance.
Smart Images

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Abstract
Description
[Technical Field]
[0001] (Related Applications) This nonprovisional patent application claims priority under 35 U.S.C. §119(e) to U.S. Provisional Patent Application No. 62 / 133,870, entitled "METHODS AND SYSTEM FOR DIAGNOSING AND TREATING HEALTH AILMENTS," filed March 16, 2015. The contents of the aforementioned patent application, as well as U.S. Patent Application No. 14 / 555,585, entitled "VIRTUAL AND AUGMENTED REALITY SYSTEMS AND METHODS," and U.S. Provisional Patent Application No. 62 / 005,834, entitled "METHODS AND SYSTEM FOR CREATING FOCAL PLANES IN VIRTUAL AND AUGMENTED REALITY," are expressly incorporated herein by reference for all purposes.
[0002] The present disclosure relates to various methods and systems for diagnosing, monitoring, and treating health-threatening diseases and illnesses, including eye diseases and other diseases and illnesses. [Background technology]
[0003] Ophthalmic instruments and treatments are routinely used by clinicians to diagnose and treat eye-related diseases. An example of a conventional ophthalmic device is shown in FIG. 1. As shown, the patient is seated in a specific seating position for the entire treatment period, and treatment can be administered continuously to any location for a period ranging from a few seconds to a few minutes. This seating has been considered necessary to properly align the patient's eye with the ophthalmic device to perform measurements and / or ophthalmic treatments on the patient's eye. Summary of the Invention [Problem to be solved by the invention]
[0004] Unfortunately, ophthalmic devices tend to be large, bulky, and expensive devices that are typically used exclusively in doctor's offices. Therefore, patients must schedule an appointment with an optometrist and visit the doctor for diagnosis or treatment. This can be a deterrent for many patients, and in some cases, a long delay in visiting the doctor's office can occur until the condition worsens, necessitating more drastic therapy or treatment when the condition could have been more easily cured had the patient been diagnosed or treated in a timely manner. Furthermore, the large, bulky nature of most ophthalmic devices forces patients to sit in uncomfortable positions for long periods of time, which in turn can actually increase the risk of misdiagnosis and patient error.
[0005] Therefore, there is a need for a health system that addresses one or more of the above challenges. [Means for solving the problem]
[0006] The preferred embodiments described herein possess unique features, no single one of which is essential to or solely responsible for the desirable attributes of those features. Without limiting the scope of the claims, some of the advantageous features will be summarized below.
[0007] Inventive aspects of the subject matter described herein can be realized in a user-wearable health assessment system, the user-wearable health assessment system including a frame, an augmented reality display attached to the frame, a light detection device attached to the frame, and a processing device configured to perform a health status analysis of the user based on light detected by the light detection device. The frame is configured to be worn by a user. The augmented reality display is configured to guide an image to an eye of the user. The light detection device is configured to detect light reflected by the eye of the user.
[0008] Another inventive aspect of the subject matter described herein can be realized in a user-wearable health assessment system, the user-wearable health assessment system including: a frame; an augmented reality display attached to the frame; a sound emitting device configured to emit sound waves toward the user; a sound detecting device attached to the frame and configured to detect sound waves reflected from the user; and a processing device configured to perform a health status analysis of the user based on information detected by the sound detecting device. The frame is configured to be worn by the user. The augmented reality display is configured to guide an image to the user's eyes.
[0009] Yet another inventive aspect of the subject matter described herein can be embodied in a user-wearable therapeutic health system, the user-wearable therapeutic health system comprising: a frame configured to be worn by a user; an augmented reality display attached to the frame; and a processing device configured to instruct the augmented reality display to implement a health therapy protocol for the user. The augmented reality display is further configured to guide an image to an eye of the user.
[0010] Inventive aspects of the subject matter described herein may be realized in a user-wearable health assessment system comprising a frame configured to be worn by a clinician, an augmented reality display attached to the frame and configured to guide images to the clinician's eye, an outward-facing imaging device configured to image the patient's eye, and a processing device configured to perform a health analysis of the patient based on images of the eye captured by the imaging device.
[0011] Further preferred embodiments are provided below. Note that various health analysis and / or health treatment structures can be co-located within the same health system. Furthermore, as disclosed herein, the same features can be applied to facilitate health analysis and / or health treatment. For example, as disclosed herein, structures used to deliver medication can also be utilized for various diagnoses. Thus, health systems according to some embodiments can include various combinations of structural features disclosed herein, including combinations of features disclosed under different headings. Furthermore, health systems can be configured to perform various combinations of health analysis and health treatment disclosed herein, including combinations of health analysis and health treatment disclosed under different headings. Thus, a wide variety of preferred embodiments can be defined below. Myopia / Hyperopia / Astigmatism 1. A wearable ophthalmic device comprising: a head-mounted display system; a light source configured to direct light into an eye of a person to form an image within the eye; a waveguide stack including one or more waveguides, each waveguide of the one or more waveguides configured to project the light onto one of one or more focal planes; A wearable ophthalmic device in which the image is modified based on the optical prescription of the eye by wavefront correction. 2. The device of embodiment 1, wherein the waveguide stack further comprises one or more lenses. 3. The device of embodiment 1, wherein the head-mounted display system includes an augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of the person wearing the head-mounted system. 4. The device of embodiment 1, wherein the optical prescription comprises a prescription for myopia. 5. The device of embodiment 1, wherein the optical prescription comprises a farsightedness prescription. 6. The device of embodiment 1, wherein the optical prescription includes a prescription for astigmatism. 7. A wearable ophthalmic device comprising: an augmented reality head-mounted display system configured to transmit light from the ground to the eyes of a person wearing the head-mounted system; a light source configured to direct light into an eye of a person to form an image within the eye; and an adaptive optic configured to apply wavefront correction to the image based on an optical prescription of the eye. 8. The device of embodiment 7, wherein the adaptive optics comprises a variable focus element. 9. The device of embodiment 8, wherein the variable focus element comprises a thin film mirror. 10.Furthermore: one or more electrodes connected to the thin film mirror; 10. The device of embodiment 9, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror based on the shape of the cornea of the eye. 11. The device of embodiment 7, wherein the optical prescription comprises a prescription for myopia. 12. The device of embodiment 7, wherein the optical prescription comprises a farsightedness prescription. 13. The device of embodiment 7, wherein the optical prescription includes a prescription for astigmatism. 14. A wearable ophthalmic device comprising: a head-mounted ophthalmic system; a light source configured to direct light into the person's eye to form an image within the eye; and an adaptive optics element configured to apply wavefront correction to the image based on an optical prescription of the eye, the adaptive optics including a thin film mirror. 15.Furthermore: one or more electrodes connected to the thin film mirror; 15. The device of embodiment 14, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror based on the shape of the cornea of the eye. 16. The device of embodiment 14, wherein the optical prescription comprises a prescription for myopia. 17. The device of embodiment 14, wherein the optical prescription comprises a farsightedness prescription. 18. The device of embodiment 14, wherein the optical prescription includes a prescription for astigmatism. 19. A wearable ophthalmic device comprising: a head-mounted display system; a light source configured to direct light into the person's eye to form an image within the eye; A wearable ophthalmic device in which the image is modified based on the optical prescription of the eye by wavefront correction. 20. The device of embodiment 19, wherein the optical prescription comprises a prescription for myopia. 21. The device of embodiment 19, wherein the optical prescription comprises a prescription for farsightedness. 22. The device of embodiment 19, wherein the optical prescription includes an astigmatism prescription. 23. A wearable augmented reality ophthalmic device comprising: a head-mounted display system; an augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a person wearing the head-mounted system; a light source configured to project light into the person's eye to form an image within the eye, the image being modified based on the eye's optical prescription by wavefront correction. 24. The device of embodiment 23, wherein the optical prescription comprises a prescription for myopia. 25. The device of embodiment 23, wherein the optical prescription includes a hyperopic prescription. 26. The device of embodiment 23, wherein the optical prescription includes a prescription for astigmatism. 27. A method for improving a visual impairment in a person wearing a head-mounted display system, comprising: identifying an optical prescription for the person; generating an image using a display of the head mounted display system; applying wavefront correction to the image based on the prescription to generate a corrected image; and displaying the corrected image to the person wearing the head-mounted display. 28. The method of embodiment 27, wherein identifying the person's optical prescription includes receiving input from the person specifying the prescription. 29. The method of embodiment 27, wherein identifying the person's optical prescription includes presenting the person with different wavefront corrections. 30. The method of embodiment 29, further comprising receiving input from the person specifying the preferred correction. 31. The method of embodiment 27, wherein the wavefront correction is performed by adjusting adaptive optics of the head-mounted display. 32. The method of embodiment 31, wherein the adaptive optics system includes a variable focus element. 33. The method of embodiment 31, wherein the adaptive optics system comprises a deformable optical element. 34. The method of embodiment 38, wherein the deformable optical element comprises a deformable mirror. 35. The method of embodiment 27, wherein the wavefront correction is performed by a waveguide stack including multiple waveguides configured to form different focal planes. 36. The method of embodiment 35, wherein the wavefront correction is performed by guiding the image through a composite waveguide that combines waveguides that impart the desired refractive index (optical power) to perform the wavefront correction. 37. The method of embodiment 27, further comprising displaying different image contents at different depth planes. 38. The method of embodiment 37, wherein displaying different image contents at different depth planes includes imparting different refractive indices to the different image contents by displaying the different image contents through different waveguides of a waveguide stack. 39. The method of embodiment 38, wherein different image contents are propagated in different numbers of waveguides, thereby imparting different refractive indices to the different image contents. 40. The method of embodiment 39, wherein the waveguide comprises a static optical element having a refractive index. 41. The method of embodiment 27, wherein the wavefront correction is performed by guiding the image through at least one waveguide. 42. The method of embodiment 41, wherein the at least one waveguide comprises a dynamic optical element having a variable refractive index. 43. The method of embodiment 27, wherein the optical correction is set to correct myopia. 44. The method of embodiment 27, wherein the optical correction is set to correct hyperopia. 45. The method of embodiment 27, wherein the optical correction is set to correct astigmatism. 46. The method of embodiment 27, wherein applying the wavefront correction includes accessing processing electronics. 47. The method of embodiment 27, wherein the wavefront correction is applied to a virtual reality image. 48. The method of embodiment 27, wherein the wavefront correction is applied to an augmented reality image. 49. The method of embodiment 27, wherein the wavefront correction is applied to the image of the display and is applied when imaging the head-mounted display and objects in front of the person wearing the head-mounted display. 50. A wearable ophthalmic device comprising: A wearable ophthalmic device comprising a light source and a wearable optical system, wherein the wearable optical system directs light to an eye of a person wearing the wearable optical system to form an image within the eye, and the wearable optical system is configured to provide a prescription refractive correction to the image based on an optical prescription of the person's eye. 51. The device of embodiment 50, further comprising a user interface operation configured to receive input from the person specifying the person's optical prescription. 52. The device of embodiment 50, configured to present different wavefront corrections to the person to identify the person's optical prescription. 53. The device of embodiment 52, further comprising a user interface configured to receive input from the person specifying the preferred correction. 54. The device of embodiment 50, wherein the wearable optical system includes adaptive optics within the wearable optical system, and the adaptive optics is configured to be adjusted to perform the correction. 55. The device of embodiment 54, wherein the adaptive optics system includes a variable focus element. 56. The device of embodiment 54, wherein the adaptive optics system includes a deformable optical element. 57. The device of embodiment 56, wherein the deformable optical element comprises a deformable mirror. 58. The device of embodiment 50, wherein the wearable optical system comprises a waveguide stack including a plurality of waveguides configured to form different focal planes, and the waveguide stack is configured to provide prescription correction. 59. The device described in embodiment 58, wherein the waveguide stack includes a composite waveguide that combines waveguides that impart a desired refractive index to perform the prescription correction, and the prescription correction is performed by guiding the light to pass through the composite waveguide. 60. The device of embodiment 50, wherein the wearable optical system includes different depth planes, and the wearable optical system is configured to display different image content on the different depth planes. 61. The device of embodiment 60, wherein the wearable optical system comprises a waveguide stack including a plurality of waveguides, and wherein displaying different image contents at different depth planes comprises imparting different refractive indices to the different image contents by displaying the different image contents through different waveguides of the waveguide stack. 62. The device of embodiment 61, wherein different image contents propagate through different numbers of waveguides, thereby imparting different refractive indices to the different image contents. 63. The device of embodiment 58, wherein the waveguide comprises a static optical element having a refractive index. 64. The device described in embodiment 50, wherein the wearable optical system includes at least one waveguide and the prescription correction is performed by guiding the light through the at least one waveguide. 65. The device of embodiment 64, wherein the at least one waveguide comprises a dynamic optical element having a variable refractive index. 66. The device described in embodiment 50, wherein the prescription correction is set to correct myopia. 67. The device described in embodiment 50, wherein the prescription correction is set to correct hyperopia. 68. The device described in embodiment 50, wherein the prescription correction is set to correct astigmatism. 69. The device of embodiment 50, further comprising processing electronics configured to be accessed to perform the prescription correction. 70. The device of embodiment 69, further comprising a sensor for measuring the person's head posture. 71. The device of embodiment 70, wherein the sensor includes a gyro sensor. 72. The device of embodiment 70, wherein the wearable optical system is configured to change the focus of the image based on the head position. 73. The device of embodiment 69, wherein the wearable optical system includes a variable focus element configured to change the focus of the image to perform the correction. 74. The device of embodiment 69, further comprising an eye tracking system configured to identify a convergence point of the person. 75. The device of embodiment 74, wherein the wearable optical system is configured to change the focus of the image based on the identified convergence point. 76. A device as described in any of embodiments 50, wherein the device comprises a virtual reality device configured to perform the prescription correction on virtual reality image content. 77. A device as described in any of embodiments 50, wherein the device comprises an augmented reality system configured to perform the prescription correction on augmented reality image content. 78. The device of embodiment 77, wherein the wearable optical system is configured to apply the prescription correction to an image formed with light from the light source and an image formed based on the device and objects in front of the person wearing the wearable optical system. 79. The method of embodiment 27, wherein identifying the optical prescription for the person includes identifying multiple optical prescriptions for multiple time intervals, each optical prescription corresponding to one time interval. 80. The method of embodiment 79, wherein the wavefront correction is dynamically adjusted based on each optical prescription. 81. The device described in embodiment 52, configured to identify multiple optical prescriptions at multiple time intervals, each optical prescription corresponding to one time interval, and dynamically adjust the refractive correction based on each optical prescription. 82. The device of embodiment 7, wherein the augmented reality head-mounted display system comprises a display lens configured to transmit light from the world to the eyes of a person wearing the head-mounted system, and the adaptive optical element is positioned between the display lens and the source of the light from the world. 83. The device of embodiment 7, wherein the augmented reality head-mounted display system comprises a display lens configured to transmit light from the ground to the eyes of a person wearing the head-mounted system, and the adaptive optical element is positioned between the display lens and the user's eyes. 84. The device of embodiment 7, wherein the adaptive optical element is positioned between the light source and the user's eye. 85. The device of embodiment 7, wherein the adaptive optics element is integrated into the light source. 86. A device as described in any of embodiments 50, wherein the device comprises an augmented reality system configured to transmit light from in front of the person to the person's eyes, and the device is further configured to perform the prescription correction for ambient light. 87. The device of embodiment 58, wherein the wearable optical system includes adaptive optics within the wearable optical system, and the adaptive optics is configured to be adjusted to perform the correction. 88. The adaptive optics system comprises: a position between the light source and the waveguide stack; a position between at least one of the plurality of waveguides and another of the plurality of waveguides; a position between the waveguide stack and the person's eyes; and a position between the waveguide stack and a source of ambient light from the front of the device; 88. The device of embodiment 87, wherein the device is positioned in at least one of the following positions: 89. The device of embodiment 87, wherein the adaptive optics system is integrated into at least one of the waveguide stack and the light source. 90.Furthermore: transmitting ambient light from the ground in front of the person and the ground in front of the head-mounted display device; applying wavefront correction to the ambient light based on the prescription; 28. The method of embodiment 27, comprising displaying the corrected ambient light to the person, wherein the corrected ambient light is displayed with the image corrected.
[0012] The numbered additional embodiments in the section below entitled "Additional Numbered Embodiments" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "Additional Numbered Embodiments" immediately followed the numbered embodiments herein. Presbyopia 1. A wearable ophthalmic device for improving presbyopia, comprising: a head-mounted ophthalmic system; a sensor configured to determine a gaze pose of a person; a light source configured to direct light into the person's eye to form an image within the eye; 1. A wearable ophthalmic device comprising: an adaptive optics element through which light is projected, the adaptive optics element configured to change the focus of the image based on the gaze posture of the person. 2. The device of embodiment 1, wherein the gaze posture is determined based on the person's head position. 3. The device of embodiment 1, further comprising a gyro sensor for determining the person's head position. 4. The device of embodiment 1, wherein the gaze posture of the person is determined by tracking the position of the eyes. 5. A wearable ophthalmic device comprising: A wearable ophthalmic device comprising: a light source; and a wearable optical system configured to direct light to an eye of a person wearing the wearable optical system to form an image within the eye, and the wearable optical system configured to correct presbyopia based on an optical prescription for the person's eye. 6. The device of embodiment 5, further comprising a user interface operation configured to receive input from the person specifying the person's optical prescription. 7. The device of embodiment 5, configured to present different wavefront corrections to the person to identify the person's optical prescription. 8. The device of embodiment 7, further comprising a user interface configured to receive input from the person specifying the preferred correction. 9. The device of embodiment 5, wherein the wearable optical system includes adaptive optics within the wearable optical system, and the adaptive optics is configured to be adjusted to perform the correction. 10. The device of embodiment 9, wherein the adaptive optics system comprises a variable focus element. 11. The device of embodiment 9, wherein the adaptive optics system comprises a deformable optical element. 12. The device of embodiment 11, wherein the deformable optical element comprises a deformable mirror. 13. The device of embodiment 5, wherein the wearable optical system comprises a waveguide stack including multiple waveguides configured to form different focal planes, and the waveguide stack is configured to provide prescription correction. 14. The device of embodiment 13, wherein the waveguide stack includes a composite waveguide that combines waveguides that impart a desired refractive index to perform the prescription correction, and the prescription correction is performed by guiding the light through the composite waveguide. 15. The device of embodiment 5, wherein the wearable optical system sets different depth planes, and the wearable optical system is configured to display different image content at the different depth planes. 16. The device of embodiment 15, wherein the wearable optical system comprises a waveguide stack including a plurality of waveguides, and wherein displaying different image contents at different depth planes comprises displaying the different image contents through different waveguides of the waveguide stack, thereby imparting different refractive indices to the different image contents. 17. The device of embodiment 16, wherein different image contents propagate in different numbers of waveguides, thereby imparting different refractive indices to the different image contents. 18. The device of embodiment 13, wherein the waveguide comprises a static optical element having a refractive index. 19. The device of embodiment 5, wherein the wearable optical system includes at least one waveguide and the prescription correction is performed by guiding the light through the at least one waveguide. 20. The device of embodiment 19, wherein the at least one waveguide comprises a dynamic optical element having a variable refractive index. 21. The device of embodiment 5, further comprising processing electronics configured to be accessed to perform said prescription correction. 22. The device of embodiment 21, further comprising a sensor for measuring the person's head pose. 23. The device of embodiment 22, wherein the sensor includes a gyro sensor. 24. The device of embodiment 22, wherein the wearable optical system is configured to change the focus of the image based on the head position. 25. The device of embodiment 21, wherein the wearable optical system includes a variable focus element configured to change the focus of the image to effect the correction. 26. The device of embodiment 21, further comprising an eye-tracking system configured to identify a person's convergence point. 27. The device of embodiment 26, wherein the wearable optical system is configured to change the focus of the image based on the identified convergence point. 28. The device of embodiment 5, wherein the device comprises a virtual reality device configured to perform the prescription correction on virtual reality image content. 29. The device of embodiment 5, wherein the device comprises an augmented reality system configured to perform the prescription correction on augmented reality image content. 30. The device of embodiment 29, wherein the wearable optical system is configured to apply the prescription correction to an image formed with light from the light source and an image formed based on the device and objects in front of the person wearing the wearable optical system. 31. The device of embodiment 5, further comprising electronic equipment configured to determine the gaze of the person based on the movement of one or more of the person's eyes. 32. The device of embodiment 31, wherein the wearable optical system is configured to change the focus of the image based on the determined gaze. 33. The device of embodiment 31, wherein downward movement of one or more of the person's eyes indicates that the person is focusing at a near-field focal depth. 34. The device of embodiment 33, wherein the wearable optical system is configured to increase the refractive index of a portion of the wearable optical system based on the optical prescription of the person's eye. 35. The device of embodiment 16, further comprising electronic equipment configured to determine the gaze of the person based on the movement of one or more of the person's left and right eyes. 36. The device of embodiment 1, wherein the sensor comprises an eye tracking system configured to identify the convergence point of the person's eyes. 37. The device of embodiment 4, wherein a convergence angle is measured based on the position of the eyes, and the focus is changed based on the convergence angle. 38. The device of embodiment 31, wherein downward movement of one or more of the person's eyes indicates an increase in the convergence angle between the eyes, and the increase in the convergence angle between the eyes indicates that the person is focusing at a near field depth of focus. 39. The device of embodiment 5, further comprising a biofeedback system configured to determine the wavefront correction by monitoring one or more characteristics of the eye while observing the image. 40. The device of embodiment 40, wherein the biofeedback system receives input from at least one of a phoropter, an autorefractor, and an eye-tracking system. 41. The device of embodiment 40, wherein the eye characteristic is at least one of: a change in the convergence point of the eye, a change in the person's head position, and a change in the pupil size of the eye. 42. The device of embodiment 5, further comprising electronics configured to determine the gaze of the person by detecting eye light.
[0013] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Strabismus / Amblyopia 1. A wearable augmented reality device configured to be used by a wearer with eyes that cannot converge to a single point of convergence, comprising: an augmented reality head-mounted ophthalmic system comprising a wearable augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a wearer wearing the head-mounted system; a light source configured to project light onto the wearer's eye to form an image within the eye; an eye-tracking system configured to determine the gaze of the eye; A wearable augmented reality device that modifies the image to add compensatory prism correction to match the convergence points of the eyes. 2. A wearable virtual reality device configured to be used by a wearer having eyes that cannot converge to a single point of convergence, comprising: a virtual reality head-mounted ophthalmic system comprising a wearable virtual reality display platform including a display for displaying images to the wearer's eye; a light source configured to project light onto the wearer's eye to form an image within the eye; an eye-tracking system configured to determine the gaze of the eye; A wearable virtual reality device that modifies the image to add compensatory prism correction to match the convergence points of the eyes. 3. A wearable augmented reality device configured to be used by a wearer with eyes that cannot converge to a single point of convergence, comprising: an augmented reality head-mounted ophthalmic system comprising a wearable augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a wearer wearing the head-mounted system; a light source configured to project light onto the wearer's eye to form an image within the eye; an eye-tracking system configured to determine the gaze of the eye; and an adaptive optics element configured to apply compensatory prism correction to match the convergence points of the eyes. 4. The device of embodiment 3, wherein the adaptive optics comprises a variable focus element. 5. The device of embodiment 4, wherein the variable focus element comprises a thin film mirror. 6.Furthermore: one or more electrodes connected to the thin film mirror; 6. The device of embodiment 5, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror based on the shape of the cornea of the eye. 7. A wearable virtual reality device configured to be used by a wearer having eyes that cannot converge to a single point of convergence, comprising: a virtual reality head-mounted ophthalmic system comprising a wearable virtual reality display platform including a display for displaying images to the wearer's eye; a light source configured to project light onto the wearer's eye to form an image within the eye; an eye-tracking system configured to determine the gaze of the eye; and an adaptive optics element configured to apply compensatory prism correction to match the convergence points of the eyes. 8. The device of embodiment 7, wherein the adaptive optics comprises a variable focus element. 9. The device of embodiment 8, wherein the variable focus element comprises a thin film mirror. 10.Furthermore: one or more electrodes connected to the thin film mirror; 10. The device of embodiment 9, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror based on the shape of the cornea of the eye. 11. A wearable display device configured to be used by a wearer having eyes that cannot converge to a single point of convergence, the display device comprising: a wearable head-mounted ophthalmic system; a light source configured to direct light to the wearer's eye to form an image within the eye, the light source comprising a fiber scanning display; and an eye-tracking system configured to determine the gaze of the eye; 1. A wearable display device, wherein the light source is configured to apply compensatory prism correction to match the convergence points of the eyes. 12. A wearable display device configured to be used by a wearer having eyes that cannot converge to a single point of convergence, the display device comprising: a wearable head-mounted ophthalmic system; a light source configured to direct light to the wearer's eye to form an image within the eye; a waveguide stack including a plurality of waveguides, the different waveguides being configured to project light from different depth planes; an eye-tracking system configured to determine the gaze of the eye; A wearable display device that modifies the image and applies compensatory prism correction to match the convergence points of the eyes. 13. The device of embodiment 12, wherein the waveguide stack further comprises one or more lenses. 14. The device of embodiment 12, wherein the head-mounted ophthalmic system comprises an augmented reality display platform and the head-mounted ophthalmic system is configured to transmit light from the ground to the eyes of the wearer wearing the head-mounted ophthalmic system. 15. A wearable augmented reality device configured to be used by a wearer whose eyes are unable to converge to a single point of convergence, the device: an augmented reality head-mounted ophthalmic system comprising an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eye of the wearer wearing the head-mounted ophthalmic system; a light source configured to direct light to the wearer's eye to form an image within the eye; an eye-tracking system configured to determine the gaze of the eye; The wearable augmented reality device is configured to retrain the eyes to gradually align their convergence points. 16. The device of embodiment 15, wherein the wearable augmented reality device is configured to retrain by occluding one eye. 17. The device of embodiment 15, wherein the wearable augmented reality device is configured to retrain by reducing the intensity of light incident on one eye. 18. The device of embodiment 15, wherein the wearable augmented reality device is configured to retrain by defocusing light directed to one eye. 19. A wearable virtual reality device configured to be used by a wearer having eyes that cannot converge to a single point of convergence, the device comprising: a virtual reality head-mounted ophthalmic system comprising a virtual reality display platform including a display for displaying images to the wearer's eyes; a light source configured to direct light to the wearer's eye to form an image within the eye; an eye-tracking system configured to determine the gaze of the eye; The wearable virtual reality device is configured to retrain the eyes to gradually align their convergence points. 20. The device of embodiment 19, wherein the wearable virtual reality device is configured to retrain by occluding one eye. 21. The device of embodiment 19, wherein the wearable virtual reality device is configured to retrain by reducing the intensity of light incident on one eye. 22. The device of embodiment 19, wherein the wearable virtual reality device is configured to retrain by defocusing light directed to one eye. 23. A wearable display device configured to be used by a wearer having eyes that cannot converge to a single point of convergence, the device comprising: an augmented reality head-mounted ophthalmic system comprising an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eye of the wearer wearing the head-mounted ophthalmic system; a light source configured to direct light to the wearer's eye to form an image within the eye; an adaptive optics element configured to modify the image; an eye-tracking system configured to determine the gaze of the eye; The wearable display device is configured to retrain the eyes to gradually align their convergence points. 24. The device of embodiment 23, wherein the adaptive optical element comprises a variable focus element. 25. The device of embodiment 24, wherein the variable focus element comprises a thin film mirror. 26.Furthermore: one or more electrodes connected to the thin film mirror; 26. The device of embodiment 25, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror based on the shape of the cornea of the eye. 27. A wearable display device configured to be used by a wearer with eyes that cannot converge to a single point of convergence, the device comprising: a head-mounted ophthalmic system; a light source configured to direct light to the wearer's eye to form an image within the eye; an adaptive optics element configured to modify the image; an eye-tracking system configured to determine the gaze of the eye; The wearable display device is configured to retrain the eyes to gradually align their convergence points. 28. The device of embodiment 27, wherein the adaptive optical element comprises a variable focus element. 29. The device of embodiment 28, wherein the variable focus element comprises a thin film mirror. 30.Furthermore: one or more electrodes connected to the thin film mirror; 30. The device of embodiment 29, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror based on the shape of the cornea of the eye. 31. A wearable display device configured to be used by a wearer with eyes that cannot converge to a single point of convergence, the device comprising: a head-mounted ophthalmic system; a light source configured to direct light to the wearer's eye to form an image within the eye, the light source comprising a fiber scanning display; and an eye-tracking system configured to determine the gaze of the eye; The wearable display device is configured to retrain the eyes to gradually align their convergence points. 32. A wearable display device configured to be used by a wearer with eyes that cannot converge to a single point of convergence, the device comprising: a head-mounted ophthalmic system; a light source configured to direct light to the wearer's eye to form an image within the eye; a waveguide stack including a plurality of waveguides, the different waveguides being configured to project light from different depth planes; an eye-tracking system configured to determine the gaze of the eye; The wearable display device is configured to retrain the eyes to gradually align their convergence points. 33. The device of embodiment 32, wherein the waveguide stack further comprises one or more lenses. 34. The device of embodiment 32, wherein the head-mounted ophthalmic system comprises an augmented reality display platform and the head-mounted ophthalmic system is configured to transmit light from the ground to the eyes of the wearer wearing the head-mounted display system.
[0014] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Higher-order aberrations 1. A wearable augmented reality device configured for use by a person, the device comprising: an augmented reality head-mounted ophthalmic system comprising an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of the person wearing the head-mounted system; a wearable augmented reality device comprising: at least one light source and wearable optics configured to project light into the person's eye to form an image within the eye, wherein the at least one light source and wearable optics are configured to provide refractive correction for high-order refractive errors. 2. The device of embodiment 1, wherein the at least one light source comprises a fiber scanning display. 3. The device of embodiment 1, further comprising a user interface operation configured to receive input specifying an optical prescription for the person. 4. The device of embodiment 1, wherein the wearable optical system includes adaptive optics within the wearable optical system, and the adaptive optics is configured to be adjusted to perform the refractive correction. 5. The device of embodiment 4, wherein the adaptive optics system comprises a variable focus element. 6. The device of embodiment 4, wherein the adaptive optics system comprises a deformable optical element. 7. The device of embodiment 6, wherein the deformable optical element comprises a deformable mirror. 8. The device of embodiment 1, wherein the wearable optical system comprises a waveguide stack including multiple waveguides configured to form different focal planes. 9. The device of embodiment 1, wherein the wearable optical system includes different depth planes, and the wearable optical system is configured to display different image content on the different depth planes. 10. The device of embodiment 9, wherein the wearable optical system comprises a waveguide stack including a plurality of waveguides, and wherein displaying different image contents at different depth planes comprises displaying the different image contents through different waveguides of the waveguide stack, thereby imparting different refractive indices to the different image contents. 11. The device of embodiment 10, wherein different image contents propagate through different numbers of waveguides, thereby imparting different refractive indices to the different image contents. 12. The device of embodiment 8, wherein the waveguide comprises a static optical element having a refractive index. 13. The device of embodiment 1, wherein the wearable optical system comprises at least one waveguide. 14. The device of embodiment 13, wherein the at least one waveguide comprises a dynamic optical element having a variable refractive index. 15. The device of embodiment 1, further comprising processing electronics configured to be accessed to perform said refractive correction. 16. The device of embodiment 1, wherein the wearable optical system is configured to apply the refractive correction to an image formed based on light from the light source and to an image formed based on objects in front of the device and the person wearing the wearable optical system. 17. A wearable virtual reality device configured to be used by a person, the device comprising: a virtual reality head-mounted ophthalmic system comprising a virtual reality display platform including a display for displaying an image to the person's eye; a wearable virtual reality device comprising at least one light source and wearable optics configured to project light into the person's eye to form an image within the eye, wherein the at least one light source and wearable optics are configured to provide refractive correction for high-order refractive errors. 18. The device of embodiment 1, further comprising a receiver circuit configured to receive input from a remote source specifying an optical prescription for the person. 19. The device of embodiment 1, further comprising a receiver configured to receive an optical prescription stored in the memory circuit from a memory external to the wearable augmented reality device, wherein the wearable augmented reality device performs refractive correction based on the received optical prescription. 20. The device of embodiment 17, further comprising an outward-facing camera configured to capture an image of light formed by an object in front of the device, wherein the image displayed to the person's eye includes the captured image. 21. The device of embodiment 3, wherein the user interface operation unit is configured to receive the input from at least one of the person, a third party, and a doctor. 22. The device of embodiment 15, wherein the wearable optical system is configured to perform refractive correction in real time as the light forming the image is projected onto the person's eye.
[0015] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. chromatic aberration 1. A wearable augmented reality device configured for use by a person, the device comprising: an augmented reality head-mounted ophthalmic system comprising a wearable augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of the person wearing the head-mounted system; The wearable augmented reality device, wherein the augmented reality display is configured to project a first color component of the image onto a first depth plane and a second color component of the image onto a second depth plane different from the first depth plane to compensate for longitudinal chromatic aberration of the person's eye. 2. The device described in embodiment 1, wherein the augmented reality display is configured to project a third color component of the image onto a third depth plane different from the first and second depth planes to compensate for longitudinal chromatic aberration of the person's eye. 3. The device of embodiment 1, wherein the first color component is red. 4. The device of embodiment 1, wherein the second color component is green. 5. The device of embodiment 2, wherein the third color component is blue. 6. The device of embodiment 1, further comprising a user interface for receiving a prescription for the longitudinal chromatic aberration. 7. The device of embodiment 1, wherein the augmented reality head-mounted ophthalmic system is configured to perform eye examination by automatically changing the focus of the image to incrementally change the optical prescription. 8. The device of embodiment 7, wherein the augmented reality head-mounted ophthalmic system is configured to perform eye examination by automatically changing the focus of a first color component of the image to incrementally change the optical prescription. 9. The device of embodiment 8, wherein the augmented reality head-mounted ophthalmic system is configured to perform eye examination by automatically changing the focus of the monochromatic image of the second color component to incrementally change the optical prescription. 10. The device of embodiment 9, wherein the augmented reality head-mounted ophthalmic system is configured to perform eye examination by automatically changing the focus of a monochrome image of a third color component of the image to incrementally change the optical prescription. 11. The device of embodiment 10, wherein the image includes text. 12. The device of embodiment 10, wherein the image comprises a graphic symbol, photograph, or drawing. 13. The device of embodiment 7, further comprising a user interface configured to receive input from the wearer regarding the image. 14. The device of embodiment 7, wherein the augmented reality head-mounted ophthalmic system is configured to assess whether the person can comfortably view the image and, if not, gradually increase the prescription amount in a positive or negative direction by changing the focus. 15. The device of embodiment 7, wherein the augmented reality head-mounted ophthalmic system is configured to assess whether the person can comfortably view the image and, if so, determine the prescription amount for the person. 16. The device of embodiment 1, wherein the wearable augmented reality display platform includes a fiber scanning device. 17. The device of embodiment 1, wherein the wearable augmented reality device system is configured to be able to vary the angles at which different colored light is projected based on lateral chromatic aberration. 18. The device of embodiment 1, wherein the optical system includes an adaptive optics element configured to project the light. 19. The device of embodiment 18, wherein the adaptive optical element comprises a variable focus element. 20. The device of embodiment 1, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light from different depth planes. 21. The device of embodiment 20, wherein the waveguide stack further comprises one or more lenses. 22. A wearable augmented reality device configured for use by a person, the device comprising: an augmented reality head-mounted ophthalmic system including a wearable augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to an eye of a person wearing the head-mounted system, the augmented reality display platform including an optical system configured to project an image to the eye; a wearable augmented reality device, wherein the 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 from the first angle to compensate for lateral chromatic aberration of the person's eye. 23. The device of embodiment 22, further comprising a user interface for receiving a prescription for the lateral chromatic aberration image. 24. The device of embodiment 22, wherein the augmented reality head-mounted ophthalmic system is configured to perform eye examination by automatically changing the angle of the image to incrementally change the optical prescription. 25. A wearable virtual reality device configured for use by a person, the device comprising: a virtual reality head-mounted ophthalmic system including a wearable virtual reality display platform, the virtual reality display platform including an optical system configured to project an image onto the person's eye; A wearable virtual reality device, wherein the virtual reality display is configured to project a first color image onto a first depth plane and a second color image onto a second depth plane different from the first depth plane to compensate for longitudinal chromatic aberration of the person's eye. 26. A wearable virtual reality device configured to be used by a person, the device comprising: a virtual reality head-mounted ophthalmic system including a wearable virtual reality display platform, the virtual reality platform including an optical system configured to project an image onto the person's eye; A wearable virtual reality device, wherein the 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 from the first angle to compensate for lateral chromatic aberration of the person's eye. 27. A device as described in any of embodiments 1, further comprising one or more outward-facing cameras configured to acquire images, wherein the images projected onto the eye include the acquired images. 28. The device of embodiment 17, wherein the image formed by the light of different colors can be displaced along the focal plane of the optical system by changing the angle at which the light of different colors is projected. 29. The device of embodiment 17, wherein the optical system includes adaptive 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. 30. A wearable device configured to be used by a person, the device comprising: a head-mounted ophthalmic system, the head-mounted ophthalmic system comprising: a display platform including an optical system configured to project an image onto the eye; A wearable device comprising: a processing device circuit configured to drive the optical system based on an image correction program, the image correction program configured to compensate for chromatic aberration imparted to the image by an optical surface. 31. The device of embodiment 30, wherein the head-mounted ophthalmic system further includes a memory operably connected to the processing device circuitry and configured to store the image modification program. 32. The device of embodiment 30, wherein the image correction program is set based on the person's optical prescription and the optical surface includes the surface of the eye. 33. The device of embodiment 30, wherein the image correction program is set based on chromatic aberration caused by the optical system in the image, and the optical surface includes a surface of the optical system. 34. The device of embodiment 30, wherein the optical system includes a variable focus element, and the image correction program is configured to cause the variable focus element to selectively project a first color component of the image onto a first depth plane and selectively project a second color component of the image onto a second depth plane different from the first depth plane, thereby compensating for longitudinal chromatic aberration. 35. A wearable device configured to be used by a person, the device comprising: a head-mounted ophthalmic system, the head-mounted ophthalmic system comprising: a memory circuit configured to store the image; a display platform including an optical system configured to project the image to the person's eye; a processing device circuit operably connected to the memory circuit and configured to modify the image to compensate for chromatic aberration of the person's eye. 36. The device of embodiment 35, wherein the processing device is configured to apply an image modification program based on the person's optical prescription. 37. A wearable device configured to be used by a person, the device comprising: a head-mounted ophthalmic system including a display platform, the display platform including an optical system configured to project an image onto the person's eye; The wearable device is configured such that the display platform projects a first color component of the image at a first brightness and a second color component of the image at a second brightness different from the first brightness to compensate for chromatic aberration of the person's eye. 38. The device of embodiment 37, wherein the chromatic aberration of the person's eye causes the first color component to be imaged in front of the retina of the eye, and the first brightness is greater than the second brightness. 39. The device of embodiment 37, wherein the chromatic aberration of the person's eye causes the first color component to be imaged behind the retina of the eye, and the first brightness is lower than the second brightness. 40. The device of embodiment 7, further comprising a biofeedback system configured to provide input to the augmented reality head-mounted ophthalmic system, wherein the incremental change in the optical prescription is determined based on the input. 41. The device of embodiment 7, further comprising a biofeedback system configured to objectively monitor one or more characteristics of the eye, and wherein the optical prescription is based on the monitored one or more characteristics. 42. The device of embodiment 41, wherein the biofeedback system receives input from at least one of a horopter, an autorefractor, and an eye-tracking system. 43. The device of embodiment 41, wherein the one or more characteristics of the eye are at least one of: a change in the convergence point of the eye, a change in the head position of the person, and a change in the pupil size of the eye. 44. The device of embodiment 24, further comprising a biofeedback system configured to objectively monitor one or more characteristics of the eye, and wherein the prescription is determined based on the monitored one or more characteristics of the eye. 45. The device of embodiment 32, further comprising a biofeedback system configured to objectively monitor one or more characteristics of the eye, and wherein the optical prescription is determined based on the monitored one or more characteristics of the eye.
[0016] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Phoropter 1. A wearable augmented reality device configured for use by a bilateral wearer, the device comprising: an augmented reality head-mounted ophthalmic system including a wearable augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of the person wearing the head-mounted system; The augmented reality head-mounted ophthalmic system is a wearable augmented reality device configured to automatically change the focus of the image to perform eye examinations by incrementally changing optical prescriptions. 2. The device of embodiment 1, wherein the wearable augmented reality display platform includes a fiber scanning display. 3. A device described in any one of embodiments 1 to 2, wherein the optical system includes an adaptive optics element configured to project the light. 4. The device of embodiment 3, wherein the adaptive optics comprises a variable focus element. 5. A device according to any of the preceding embodiments, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light from different depth planes. 6. The device of embodiment 5, wherein the waveguide stack further comprises one or more lenses. 7. A device described in any of embodiments 1 to 6, wherein the augmented reality head-mounted ophthalmic system is configured to project various images of different sizes and / or brightness. 8. The device of embodiment 7, wherein the image includes text. 9. A device as described in any of embodiments 1 to 8, further comprising a user interface configured to receive input from the wearer regarding the image. 10. A device described in any of embodiments 1 to 9, wherein the augmented reality head-mounted ophthalmic system is configured to assess whether the patient can observe the image with normal vision and incrementally change the prescription amount in a positive or negative direction by changing focus based on the assessment. 11. A device as described in any of embodiments 1 to 10, wherein the augmented reality head-mounted ophthalmic system is configured to assess whether the patient can observe the image with normal vision and determine the prescribed amount for the wearer based on the assessment. 12. A device as described in any of embodiments 1 to 11, wherein the augmented reality head-mounted ophthalmic system is configured to automatically make adjustments to the prescription based on physical changes in the eye. 13. The device of embodiment 12, wherein the augmented reality head-mounted ophthalmic system is configured to track eye movements and allow adjustments to be made automatically by the ophthalmic system. 14. A device described in any of embodiments 1 to 12, further comprising a fiber light source, wherein the augmented reality head-mounted ophthalmic system changes the focus of the image by changing the fiber length or fiber position. 15. A device described in any of embodiments 1 to 12, further comprising a microelectromechanical system (MEMS) device, wherein the augmented reality head-mounted ophthalmic system changes the focus of the image by changing the MEMS device. 16. The device of any one of embodiments 1 to 15, wherein the eye test includes a visual acuity test, a luminous intensity test, and / or a glare sensitivity test. 17. A device described in any one of embodiments 1 to 16, wherein the augmented reality head-mounted ophthalmic system is configured to automatically determine the focus quality of the projected image. 18. The device of embodiment 17, wherein the focus quality of the projected image is determined by analyzing the accommodation, convergence, and / or pupil size of the wearer's eyes. 19. A device described in any of embodiments 1 to 18, wherein the augmented reality head-mounted ophthalmic system is configured to measure the accommodation reflex by measuring accommodation, convergence, and / or pupil size. 20. A wearable virtual reality device configured for use by a wearer having both eyes, the device comprising: a virtual reality head-mounted ophthalmic system including a wearable virtual reality display platform configured to project an image onto the eye, the wearable augmented reality display platform including a fiber scanning display; The virtual reality head-mounted ophthalmic system is a wearable virtual reality device configured to automatically change the focus of the image to perform eye examinations by incrementally changing the optical prescription. 21. A wearable virtual reality device configured for use by a wearer having both eyes, the device comprising: a virtual reality head-mounted ophthalmic system including a wearable virtual reality display platform, wherein an optical system of the virtual reality display platform is configured to project an image onto the eye; and a wearable augmented reality display platform comprising a waveguide stack including a plurality of waveguides, wherein different waveguides are configured to project light from different depth planes; The virtual reality head-mounted ophthalmic system is a wearable virtual reality device configured to automatically change the focus of the image to perform eye examinations by incrementally changing the optical prescription.
[0017] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Red reflex 1. A wearable augmented reality device configured for use by a wearer, said device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to an eye of the wearer wearing the head-mounted system, the eye including a retina and a cornea; a light source configured to project light onto the wearer's eye, at least a portion of the light being reflected by at least a portion of the eye to produce a reflection; a camera configured to capture images of the reflection, the device configured to perform diagnostic tests on the wearer's eye to detect abnormalities in the eye. 2. A wearable virtual reality device configured for use by a wearer, said device comprising: a virtual reality head-mounted ophthalmic system comprising a virtual reality display platform including a display for displaying an image to an eye of the wearer, the eye including a retina and a cornea; a light source configured to project light onto the wearer's eye, at least a portion of the light being reflected by at least a portion of the eye to produce a reflection; a camera configured to capture images of the reflection, the device configured to perform diagnostic tests on the wearer's eye to detect abnormalities in the eye. 3. The device of embodiment 1 or 2, wherein the light source is configured to direct the light to the eye along a line normal to the line of sight of the eye. 4. The device of embodiment 1 or 2, wherein the light source is configured to direct the light to the eye at a first angle at a first time point and at a different second angle at a second time point. 5. The device of embodiment 1 or 2, wherein the light source is configured to direct the light to a first portion of the wearer's eye at a first time and to direct the light to a different second portion of the wearer's eye at a second time. 6. The device of embodiment 1 or 2, wherein the light source is configured to project light onto two eyes of the wearer, each of the two eyes including a retina and a cornea. 7. The device of embodiment 1 or 2, further comprising a second light source configured to project light onto a second eye of the wearer, the second eye including a second retina and a second cornea, and at least a portion of the light being reflected by at least a portion of the second eye to produce a reflection. 8. The device of any one of embodiments 1 to 6, wherein the light source comprises a display. 9. The device of embodiment 8, wherein the display comprises a fiber scanning display. 10. A device as described in embodiment 1 or 2, wherein the camera includes an eye-tracking camera. 11. A device as described in embodiment 1 or 2, further comprising an eye tracking camera. 12. The device of embodiment 1 or 2, wherein the eye abnormality comprises glaucoma, cataract, eye tumor, retinoblastoma, retinal detachment, ocular aberration, or corneal scarring. 13. A device described in any one of embodiments 1 to 12, wherein the light source is configured to project light onto the wearer's left and right eyes. 14. A device described in any one of embodiments 1 to 13, wherein the camera is configured to capture images of the reflection to perform a red reflex test of the wearer's left and right eyes. 15. The device of embodiment 13 or 14, wherein the abnormality of the eye comprises eye misalignment, strabismus, or ocular asymmetry. 16. The device of embodiment 1 or 2, further comprising an adaptive optics element. 17. The device of embodiment 16, wherein the adaptive optical element comprises a variable focus element. 18. The device of embodiment 16 or 17, wherein the adaptive optical element is configured to direct the light to the eye at a first angle at a first time point and at a different second angle at a second time point. 19. A device as described in embodiment 16 or 17, wherein the adaptive optical element is configured to project the light onto a first portion of the wearer's eye at a first time and project the light onto a different second portion of the wearer's eye at a second time. 20. A device as described in any of embodiments 1 to 19, further comprising a waveguide stack including multiple waveguides, different waveguides configured to project light as if it were projected from different depth planes. 21. The device of embodiment 20, wherein the waveguide stack further comprises one or more lenses. 22. A device as described in embodiment 20 or 21, wherein the waveguide stack is configured to provide fixation targets for the wearer at different depth planes. 23. A device described in any of embodiments 19 to 21, wherein the waveguide stack is configured to change the depth plane of the fixation target, thereby causing the wearer's eye to accommodate. 24. A device described in any of embodiments 19 to 23, wherein the fixation target is located away from the center of the wearer's visual field. 25. The device of embodiment 1 or 2, wherein at least one of the waveguides is configured to capture the image of the reflection. 26. The device of embodiment 25, wherein the multiple waveguides are configured to capture multiple images of the reflection at different depth planes. 27. The device of embodiment 26, wherein at least one of the waveguides comprises an optical element having a refractive index, the refractive index corresponding to a depth plane located between 8 inches (20.32 cm) and 4 feet (121.92 cm) from the eye. 28. A device as described in embodiment 1 or 2, wherein the display platform is configured to provide a first fixation target at a first position at a first time point and a second fixation target at a different second position at a second time point when the eye moves. 29. A device described in any one of embodiments 1 to 28, wherein the camera includes a light pipe. 30. A device according to any preceding embodiment, wherein the light source comprises a light pipe. 31. The device of any preceding embodiment, wherein the light comprises visible light. 32. The device of embodiment 31, wherein the light comprises white light. 33. The device of embodiment 32, further comprising at least one mechanical filter configured to limit the spectrum of reflected light detected by the camera. 34. The device of embodiment 32, wherein the device is configured to digitally filter an image captured by the camera to remove light in at least one wavelength range from the image. 35. A device according to any preceding embodiment, wherein the light comprises infrared light. 36. A device described in any of embodiments 1 to 33, wherein the at least a portion of the light is reflected from the retina and the diagnostic test includes a red reflex test. 37. A device described in any of embodiments 1 to 313, wherein the at least a portion of the light is reflected from the cornea and the diagnostic test comprises a Hirschberg corneal reflex test. 38. A device according to any preceding embodiment, wherein the device is further configured to compare the results of the diagnostic test with a database of normal or abnormal results.
[0018] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. intraocular pressure 1. A wearable augmented reality device configured for use by a wearer, said device comprising: an augmented reality head-mounted ophthalmic system including a wearable augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to an eye of the wearer wearing the head-mounted system, the eye including a cornea, the augmented reality head-mounted ophthalmic system configured to apply a force to the cornea of the eye; A wearable augmented reality device comprising: a sensor configured to measure the applanation degree (indentation rate) of the cornea to measure intraocular pressure of the eye. 2. A wearable virtual reality device configured for use by a wearer, said device comprising: a virtual reality head-mounted ophthalmic system comprising a wearable virtual reality display platform including a display for displaying an image to an eye of the wearer, the eye including a cornea, the virtual reality head-mounted ophthalmic system configured to apply a force to the cornea of the eye; A wearable virtual reality device comprising: a sensor configured to measure the applanation degree (indentation rate) of the cornea to measure intraocular pressure of the eye. 3. The device of embodiment 1 or 2, wherein the head-mounted ophthalmic system is configured to deliver pulses of air to flatten the cornea. 4. The device of embodiment 1 or 2, wherein the head-mounted ophthalmic system is configured to apply a mechanical force to the cornea of the eye via the wearer's eyelid. 5. The device of embodiment 4, wherein the head-mounted ophthalmic system includes a transducer. 6. A device described in any one of embodiments 1 to 4, wherein the sensor utilizes an ultrasonic distance image generation method. 7. A device according to any one of embodiments 1 to 4, wherein the sensor utilizes a photoacoustic imaging method. 8. A device described in any one of embodiments 1 to 4, wherein the sensor includes an imaging head. 9. The device of embodiment 8, wherein the imaging head comprises a 3D interferometric imaging head. 10. A device according to any of the preceding embodiments, further comprising a light source configured to project a light beam onto the wearer's eye. 11. A device described in any of embodiments 1 to 9, further comprising a fiber scanning display configured to project a light beam into the wearer's eye. 12. The device of embodiment 10, further comprising an adaptive optics element. 13. The device of embodiment 12, wherein the adaptive optical element is configured to project the light. 14. The device of embodiment 13, wherein the adaptive optical element comprises a variable focus element. 15. A device according to any preceding embodiment, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light from different depth planes. 16. The device of embodiment 15, wherein the waveguide stack further comprises one or more lenses. 17. A wearable augmented reality device configured for use by a wearer, the device comprising: an augmented reality head-mounted ophthalmic system including a wearable augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of the wearer wearing the head-mounted system; a light source configured to project light onto the wearer's eye; a light monitoring device configured to measure reflected light; The augmented reality head-mounted ophthalmic system is a wearable augmented reality device configured to measure intraocular pressure based on the measurement reflected light. 18. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system comprising a wearable virtual reality display platform including a display for displaying images to the wearer's eyes; a light source configured to project light onto the wearer's eye; a light monitoring device configured to measure reflected light; The virtual reality head-mounted ophthalmic system is a wearable virtual reality device configured to measure intraocular pressure based on the measurement reflected light. 19. A device as described in embodiment 17 or 18, wherein the light source comprises a fiber scanning display configured to project a light beam into the wearer's eye. 20. The device of embodiment 19, wherein the fiber length of the fiber scanning display is variable. 21. The device of embodiment 19, wherein the optical monitoring device comprises the fiber scanning display. 22. The device of embodiment 17 or 17, wherein the optical monitoring device comprises the fiber scanning display or optical detection device. 23. The device of embodiment 17 or 18, wherein the wavelength of the light projected onto the eye can be varied. 24. The device of embodiment 17 or 18, further comprising an adaptive optical element configured to project the light onto the wearer's eye. 25. The device of embodiment 24, wherein the adaptive optical element comprises a variable focus element. 26. The device of embodiment 17 or 18, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light from different depth planes. 27. The device of embodiment 26, wherein the waveguide stack further comprises one or more lenses. 28. A device described in any one of embodiments 17 to 27, wherein the light monitoring device is configured to measure backscattered light. 29. A device described in any of embodiments 17 to 27, wherein the optical monitoring device is configured to detect one or more Purkinje images of the wearer's eye. 30. The device of embodiment 29, wherein the head-mounted ophthalmic system is configured to measure intraocular pressure based at least in part on the shape or position of the one or more Purkinje images. 31. The device of embodiment 29 or 30, wherein the one or more Purkinje images include an ocular light. 32. A device described in any of embodiments 1 to 31, wherein the ophthalmic system is further configured to detect the onset of ocular hypertension based at least in part on the measured intraocular pressure. 33. A device described in any of embodiments 1 to 31, wherein the ophthalmic system is further configured to measure ocular pulses based at least in part on a comparison of multiple intraocular pressures ascertained based on measurements taken at regular time intervals.
[0019] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Pinhole Occluder 1. A wearable augmented reality device configured for use by a person, the display device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to at least one eye of a person wearing the head-mounted system; a light source configured to project light onto the person's eye to form an image within the eye; a user interface configured to receive input from the person; The wearable augmented reality device is configured to occlude a specific portion of the person's eye and to receive input from the person via the user interface regarding the wearer's visual function. 2. The device of embodiment 1, wherein the wearable augmented reality device is configured to occlude a central region. 3. The device of embodiment 1, wherein the wearable augmented reality device is configured to occlude the surrounding area. 4. The device of embodiment 1, wherein the wearable augmented reality device is configured to digitally occlude the specific area of the person's eye. 5. The device of embodiment 1, wherein the wearable augmented reality device is configured to manually occlude the specific area of the person's eye. 6. A wearable virtual reality device configured for use by a person, the display device comprising: a head-mounted display including a virtual reality display platform; a light source configured to project light onto the person's eye to form an image within the eye; a user interface configured to receive input from the person; The wearable virtual reality device is configured to occlude a specific portion of the person's eye and to receive input from the person via the user interface regarding the wearer's visual function. 7. The device of embodiment 6, wherein the wearable augmented reality device is configured to occlude a central region. 8. The device of embodiment 6, wherein the wearable augmented reality device is configured to occlude the surrounding area. 9. The device of embodiment 6, wherein an image is presented to the person and the wearable virtual reality device is configured to receive input regarding the image from the person via the user interface. 10. A wearable display device configured for use by a person, the display device comprising: a head-mounted ophthalmic system; a light source configured to direct light into the person's eye to form an image within the eye; a user interface configured to receive input from the person; and an adaptive optics element configured to project the image onto a specific portion of the person's eye; The wearable display device is configured to occlude a specific portion of the person's eye and to receive input from the person via the user interface regarding the wearer's visual function. 11. The device of embodiment 10, wherein the adaptive optical element comprises a variable focus element. 12. The device of embodiment 11, wherein the variable focus element comprises a thin film mirror. 13.Furthermore: one or more electrodes connected to the thin film mirror; 13. The device of embodiment 12, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror based on the shape of the cornea of the eye. 14. A wearable display device configured for use by a person, the display device comprising: a head-mounted ophthalmic system; a light source configured to direct light into an eye of a person to form an image within the eye, the light source comprising a fiber scanning display; a user interface configured to receive input from the person; The wearable display device is configured to occlude a specific portion of the person's eye and to receive input from the person via the user interface regarding the wearer's visual function. 15. A wearable display device configured for use by a person, the display device comprising: a head-mounted ophthalmic system; a light source configured to direct light into one eye of the person to form an image within the eye; a waveguide stack including a plurality of waveguides, the different waveguides being configured to project light onto different focal planes; a user interface configured to receive input from the person; The wearable display device is configured to occlude a specific portion of the person's eye and to receive input from the person via the user interface regarding the wearer's visual function. 16. The device of embodiment 15, wherein the waveguide stack further comprises one or more lenses. 17. The device of embodiment 15, wherein the head-mounted display system comprises an augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a person wearing the head-mounted system. 18. A wearable augmented reality device configured to be used by a person, the display device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a person wearing the head-mounted system; a light source configured to project light onto the person's eye to form an image within the eye; The wearable augmented reality device is configured to occlude a particular portion of the person's eye. 19. The device of embodiment 18, wherein the wearable augmented reality device is configured to occlude a central region. 20. The device of embodiment 18, wherein the wearable augmented reality device is configured to occlude the surrounding area. 21. The device of embodiment 18, wherein the wearable augmented reality device is configured to digitally occlude the specific portion of the person's eye. 22. The device of embodiment 18, wherein the wearable augmented reality device is configured to manually occlude the specific portion of the person's eye. 23. The device of embodiment 1, wherein the wearable augmented reality device is configured to block a portion of the light corresponding to the particular portion of the person's eye. 24. The device of embodiment 2, wherein the central region is obscured to improve the person's vision of the image, where the person has a visual impairment in their eye. 25. The device of embodiment 18, wherein the wearable augmented reality device is configured to occlude specific portions of the person's eyes based on the person's optical prescription. 26. The device of embodiment 18, wherein the wearable augmented reality device is configured to block specific portions of the person's eyes by blocking peripheral portions of the light that form the image. 27. The device of embodiment 18, wherein the wearable augmented reality device is configured to adjust the density of ambient light from the ground around the person. 28. The device of embodiment 18, wherein the wearable augmented reality device is configured to occlude the specific portion of the eye based on input from the ground around the person. 29. A device as described in embodiment 28, wherein the input from the surroundings includes at least one of a change in gaze posture, a change in ambient light from the surroundings, and a change in focus. 30. The device of embodiment 21, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project the light onto different focal planes, and digitally shielding specific portions of the eye includes selectively projecting light onto different focal planes, the specific portions of the eye corresponding to the selected focal planes. 31. The device of embodiment 18, wherein the wearable augmented reality device is configured to change the color of a portion of the image that corresponds to the particular portion of the eye. 32. The device of embodiment 18, wherein the wearable augmented reality device is configured to change the brightness of a portion of the image that corresponds to the particular portion of the eye. 33. The device of embodiment 9, further comprising a camera configured to receive a reflected image based on an image presented to the person, the reflected image passing through the specific portion of the person's eye and reflected by the retina of the eye, the received input being based on a comparison of the reflected image with a predicted reflected image, the predicted reflected image being predicted based on a healthy eye. 34. The device of embodiment 14, wherein an image is presented to the person and the wearable virtual reality device is configured to receive input regarding the image from the person via the user interface. 35. The device of embodiment 34, further comprising a camera configured to receive a reflected image based on an image presented to the person, the reflected image passing through the specific portion of the person's eye and reflected by the retina of the eye, the received input being based on a comparison of the reflected image with a predicted reflected image, and the predicted reflected image being predicted based on a healthy eye. 36. The device of embodiment 21, wherein the wearable augmented reality device is configured to change the focus of a portion of the image that corresponds to the particular portion of the eye. 37. The device of embodiment 21, wherein the wearable augmented reality device is configured to change the contrast of a portion of the image corresponding to the particular portion of the eye relative to another portion of the image. 38. A wearable virtual reality device configured to be used by a person, the display device comprising: a virtual reality head-mounted ophthalmic system including a virtual reality display platform; a light source configured to project light onto the person's eye to form an image within the eye; A wearable virtual reality device, wherein the wearable virtual reality device is configured to occlude a particular portion of the person's eye.
[0020] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Initial W4LT Test 1. A wearable augmented reality device configured for use by a bilateral wearer, the device comprising: an augmented reality head-mounted ophthalmic system including a wearable augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a wearer wearing the head-mounted system; a first and second display included in the augmented reality display platform corresponding to the left and right eyes, respectively; The augmented reality head-mounted ophthalmic system is a wearable augmented reality device configured to project separate first and second images onto the left and right eyes, respectively, to identify vision defects. 2. The device of embodiment 1, wherein the augmented reality head-mounted ophthalmic system is configured to assess the wearer's binocular diopters and single diopters of both eyes. 3. The device of embodiment 1, wherein the augmented reality head-mounted ophthalmic system is configured to perform a Worth Four Light Test or a Worth Four Dot Test. 4. The device of embodiment 1, wherein the image comprises colored dots. 5. The device of embodiment 1, wherein the augmented reality head-mounted ophthalmic system is configured to detect eye occlusion of either the right or left eye. 6. The device of embodiment 1, wherein the augmented reality head-mounted ophthalmic system is configured to receive input from the wearer and analyze the received input to identify the wearer's vision defect. 7. The device of embodiment 1, wherein the augmented reality head-mounted ophthalmic system is configured to project the separate first and second images from different depth planes. 8. A device as described in any of embodiments 1 to 7, further comprising a fiber scanning display configured to project light into the wearer's eye. 9. The device of any of embodiments 1 to 8, further comprising an adaptive optics element configured to project the separate first and second images. 10. The device of embodiment 9, wherein the adaptive optics comprises a variable focus element. 11. A device according to any of the preceding embodiments, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light from different depth planes. 12. The device of embodiment 11, wherein the waveguide stack further comprises one or more lenses. 13. A device described in any one of embodiments 1 to 12, wherein the augmented reality head-mounted ophthalmic system is configured to automatically identify the wearer's visual impairment by analyzing the individual first and second images focused on corresponding retinas of the wearer. 14. A wearable virtual reality device configured for use by a wearer having left and right eyes, the device comprising: a virtual reality head-mounted ophthalmic system comprising a wearable virtual reality display platform including a display for displaying images to the wearer's eyes; first and second displays included in the virtual reality display platform corresponding to the left and right eyes, respectively; The virtual reality head-mounted ophthalmic system is a wearable virtual reality device configured to project separate first and second images onto the left and right eyes, respectively, to identify vision defects. 15. The device of embodiment 14, wherein the virtual reality head-mounted ophthalmic system is configured to assess the wearer's binocular diopters and single diopters of both eyes. 16. The device of embodiment 14, wherein the virtual reality head-mounted ophthalmic system is configured to perform a Worth Four Light Test or a Worth Four Dot Test. 17. The device of embodiment 14, wherein the image comprises colored dots. 18. The device of embodiment 14, wherein the virtual reality head-mounted ophthalmic system is configured to detect eye occlusion of either the right eye or the left eye. 19. The device of embodiment 14, wherein the virtual reality head-mounted ophthalmic system is configured to receive input from the wearer, analyze the received input, and identify the wearer's vision defect. 20. The device of embodiment 14, wherein the virtual reality head-mounted ophthalmic system is configured to project the separate first and second images from different depth planes. 21. A device described in any of embodiments 14 to 20, further comprising a fiber scanning display configured to project light into the wearer's eye. 22. The device of any of embodiments 14 to 21, further comprising an adaptive optics element configured to project the separate first and second images. 23. The device of embodiment 22, wherein the adaptive optical element comprises a variable focus element. 24. A device according to any of embodiments 14 to 23, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light from different focal planes. 25. The device of embodiment 24, wherein the waveguide stack further comprises one or more lenses. 26. A device described in any of embodiments 14 to 25, wherein the augmented reality head-mounted ophthalmic system is configured to automatically identify the wearer's visual impairment by analyzing the individual first and second images focused on corresponding retinas of the wearer.
[0021] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Retinoscopy 1. A wearable augmented reality device configured for use by a wearer, said device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to an eye of a wearer wearing the head-mounted system, the eye having a retina; at least one light source configured to project light onto the wearer's eye to form an image within the eye, the at least one light source sweeping light across a retina of the wearer's eye to create a retinal reflection; a sensor configured to measure the response of the retina to the swept light so that the augmented reality head-mounted ophthalmic system can measure the refractive error of the eye by performing retinoscopy. 2. The device of embodiment 1, wherein the image can be dynamically altered to perform dynamic retinoscopy. 3. A device according to any one of the preceding embodiments, wherein the at least one light source comprises a fiber scanning display. 4. A device according to any one of the preceding embodiments, wherein the at least one light source comprises a fiber scanning display and a light generating source. 5. A device described in any of embodiments 1 to 4, further comprising an adaptive optics element configured to project the image onto a target site in the wearer's eye. 6. The device of embodiment 5, wherein the adaptive optics comprises a variable focus element. 7. The device of embodiment 6, wherein the variable focus element comprises a thin film mirror. 8.Furthermore: one or more electrodes connected to the thin film mirror; 8. The device of embodiment 7, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror based on the shape of the cornea of the eye. 9. The device of any of embodiments 1 to 8, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light from different depth planes. 10. The device of embodiment 9, wherein the waveguide stack further comprises one or more lenses. 11. A device described in any of embodiments 1 to 10, wherein the wearable augmented reality device is configured to determine whether the measured refractive error has improved in response to a change in refractive index. 12. The device of embodiment 11, wherein the wearable augmented reality device is configured to modify the applied refractive index to reduce the measured refractive error. 13. A wearable augmented reality device configured for use by a wearer, the device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to an eye of a wearer wearing the head-mounted system; The augmented reality head-mounted ophthalmic system is a wearable augmented reality device configured to measure refractive error of the eye by performing retinoscopy. 14. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system comprising a virtual reality display platform including a display for displaying an image to an eye of the wearer, the eye having a retina; at least one light source configured to project light onto the wearer's eye to form an image within the eye, the at least one light source sweeping light across a retina of the wearer's eye to create a retinal reflection; a sensor configured to measure the response of the retina to the swept light so that the virtual reality head-mounted ophthalmic system can measure the refractive error of the eye by performing retinoscopy. 15. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system comprising a virtual reality display platform including a display for displaying an image to an eye of the wearer, the eye having a retina; The virtual reality head-mounted ophthalmic system is a wearable virtual reality device configured to perform retinoscopy to measure refractive error of the eye.
[0022] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Slit lamp (slit lamp microscope) 1. A wearable augmented reality device configured for use by a wearer, said device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a wearer wearing the head-mounted system; a light source configured to project illumination light onto the wearer's eye to illuminate the front or back of the eye, the light source being configured such that a dimension of the cross-sectional beam shape along a superior-inferior direction of the eye is greater than a dimension of the cross-sectional beam shape along a nasal-temporal direction of the eye; an imaging system configured to capture images of the illuminated portion of the wearer's eye and perform a slit lamp examination to determine the health of the eye. 2. The device of embodiment 1, wherein the illumination light from the light source is incident on a predetermined location on the surface of the eye at a predetermined angle relative to the normal to the surface of the eye at that location. 3. The device described in embodiment 2, wherein the illumination light from the light source is incident on a predetermined position on the surface of the eye at an angle ranging from approximately ±10 degrees to approximately ±90 degrees relative to the normal direction of the surface of the eye at that position. 4. The device of embodiment 2, wherein the illumination light from the light source is incident along a visual axis that intersects the eyeball and passes through the pupil position. 5. The device of embodiment 1, wherein the illumination light from the light source has a predetermined width along the temporal-nasal axis of the wearer's eye, the width being in the range of about 25 microns to about 1.0 mm. 6. The device of embodiment 1, wherein the imaging system includes a camera configured to track the wearer's eye. 7. The device of embodiment 1, wherein the device is further configured to determine the health status of the eye by matching a known pattern with the image captured by the imaging system. 8. The device of embodiment 1, wherein the device is further configured to compare the image captured by the imaging system with an image already acquired of the eye. 9. The device of embodiment 1, wherein the light source comprises a fiber scanning device. 10. The device of embodiment 1, further comprising an adaptive optical element configured to project the illumination light onto a specific portion of the wearer's eye. 11. The device of embodiment 10, wherein the adaptive optical element comprises a variable focus element. 12. The device of embodiment 11, wherein the variable focus element comprises a thin film mirror. 13.Furthermore: one or more electrodes connected to the thin film mirror; 13. The device of embodiment 12, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror. 14. The device of embodiment 10, wherein the adaptive optical element is configured to change the angle of incidence of the illumination light on the particular portion of the wearer's eye. 15. The device of embodiment 10, wherein the adaptive optical element is configured to vary the width of the illumination light. 16. The device of embodiment 10, wherein the adaptive optical element is configured to change the depth in the wearer's eye at which the illumination light is focused. 17. A device according to any of the preceding embodiments, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light from different focal planes. 18. The device of embodiment 17, wherein the waveguide stack further comprises one or more lenses. 19. The device of embodiment 1, wherein the illumination light comprises a thin sheet of light. 20. A wearable augmented reality device configured for use by a wearer, the device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a wearer wearing the head-mounted system; a scanning fiber device configured to project light onto the wearer's eye to illuminate the eye and thereby perform a slit lamp examination of the eye; a camera configured to capture an image of the illuminated portion of the wearer's eye to determine the health of the eye. 21. The device of embodiment 20, wherein the scanning fiber device is configured to project illumination light onto the wearer's eye. 22. The device of embodiment 20, wherein the illumination light has a predetermined width along the nasal-temporal direction of the wearer's eye, the width being in the range of about 25 microns to about 1.0 mm. 23. The device of embodiment 20, wherein the illumination light has a rectangular cross-sectional shape. 24. The device of embodiment 23, wherein the dimension of the rectangular cross-sectional shape along the superior-inferior direction of the eye is greater than the dimension of the rectangular cross-sectional beam shape along the nasal-temporal direction of the eye. 25. The device of embodiment 20, wherein the scanning fiber device is configured to project light into the wearer's eye at a non-perpendicular angle relative to the surface of the eye at the point of incidence. 26. The device of embodiment 20, wherein the device is further configured to determine the health status of the eye by matching a known pattern with the image captured by the camera. 27. The device of embodiment 20, wherein the device is further configured to compare the image captured by the imaging system with images already acquired of the eye. 28. A device described in any of the embodiments, wherein the device is configured to detect changes in the wearer's eye at least twice a year. 29. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system comprising a virtual reality display platform including a display for displaying images to the wearer's eyes; a light source configured to project illumination light onto the wearer's eye to illuminate the anterior or posterior portion of the eye, the light source being configured such that a dimension of the cross-sectional beam shape along a superior-inferior direction of the eye is greater than a dimension of the cross-sectional beam shape along a nasal-temporal direction of the eye; an imaging system configured to capture images of the illuminated portion of the wearer's eye and perform a slit lamp examination to determine the health of the eye. 30. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system comprising a virtual reality display platform including a display for displaying images to the wearer's eyes; a scanning fiber device configured to project light onto the wearer's eye to illuminate the eye and thereby perform a slit lamp examination of the eye; a camera configured to acquire an image of the illuminated portion of the wearer's eye to determine the health of the eye. 31. A wearable augmented reality device configured for use by a wearer, the device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a wearer wearing the head-mounted system; a light source configured to project a thin sheet of light onto the wearer's eye to illuminate the front or back of the eye; a camera configured to take images of the illuminated portion of the wearer's eye and perform a slit lamp examination to determine the health of the eye. 32. The device of embodiment 21, wherein the sheet of light from the light source is incident on a predetermined location on the surface of the eye at a predetermined angle relative to the normal to the surface of the eye at said location. 33. The device of embodiment 21, wherein the thin sheet of light from the light source has a predetermined width along the temporal-nasal axis of the wearer's eye, the width being in the range of about 25 microns to about 1.0 mm. 34. The device of embodiment 21, wherein the camera is further configured to track the wearer's eyes. 35. The device of embodiment 31, wherein the device is further configured to determine the health status of the eye by matching a known pattern with the image captured by the imaging system. 36. The device of embodiment 31, wherein the device is further configured to compare the image captured by the imaging system with an image already acquired of the eye. 37. The device of embodiment 31, wherein the light source comprises a fiber scanning device. 38. The device of embodiment 31, further comprising an adaptive optics element configured to project the thin sheet of light onto a specific portion of the wearer's eye. 39. The device of embodiment 38, wherein the adaptive optical element comprises a variable focus element. 40. The device of embodiment 39, wherein the variable focus element comprises a thin film mirror. 41.Furthermore: one or more electrodes connected to the thin film mirror; 32. The device of embodiment 31, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror. 42. A device according to any of the above embodiments, wherein the camera comprises a visible light camera. 43. A device according to any of the above embodiments, wherein the camera includes an infrared camera. 44. A device according to any of the above embodiments, wherein the device is configured to detect changes in the wearer's eye at least twice a year. 45. A device according to any of the above embodiments, further comprising a frame, the display being supported by the frame. 46. The device of embodiment 45, wherein the light source is disposed on the frame. 47. A device as described in embodiments 45 to 46, wherein the imaging system is disposed on the frame. 48. A device according to any one of embodiments 45 to 47, wherein the frame comprises one or more ear stems.
[0023] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Color blindness 1. A wearable augmented reality device configured for use by a wearer, said device comprising: an augmented reality head-mounted ophthalmic system comprising a wearable augmented reality display platform including a display, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to an eye of a wearer wearing the head-mounted system, the wearable augmented reality display platform comprising a display including at least one light source; 1. A wearable augmented reality device, wherein the wearable augmented reality device is configured to perform a color vision test to test the wearer for color vision deficiencies in detecting specific colors. 2. A wearable virtual reality device configured for use by a wearer, said device comprising: a virtual reality head-mounted ophthalmic system comprising a wearable virtual reality display platform including a display, the wearable virtual reality display platform including a display including at least one light source; A wearable virtual reality device configured to perform a color vision test to test the wearer for color vision deficiencies in detecting specific colors. 3. The device of embodiment 1 or 2, wherein the head-mounted ophthalmic system is configured such that the display displays an image of an Ishihara color plate. 4. The device of embodiment 1 or 2, wherein the head-mounted ophthalmic system is configured such that the display displays a virtual image of an Ishihara color plate. 5. A device described in any one of embodiments 1 to 4, wherein the head-mounted ophthalmic system is configured to receive user input regarding the color plate or color vision image. 6. A device described in any one of embodiments 1 to 5, wherein the head-mounted ophthalmic system is configured to determine whether the wearer has an abnormality based on the color vision test. 7. The device of embodiment 1 or 2, wherein the head-mounted ophthalmic system is configured to perform an anomaloscope examination, the head-mounted ophthalmic system is configured to project a control color light onto a first portion of the retina and a variable color light onto a second portion of the retina, and the variable color is controllable by the wearer. 8. A device as described in any one of embodiments 1 to 7, wherein the at least one light source includes a fiber scanning display configured to project light into the wearer's eye. 9. A device as described in any one of embodiments 1 to 7, wherein the at least one light source includes a plurality of fiber scanning displays configured to project different colored light onto the wearer's eye. 10. A device according to any of the preceding embodiments, wherein the head-mounted ophthalmic system is configured to display a background to enhance visibility of the color vision test. 11. The device of embodiment 10, wherein the background is displayed using one or more spatial light modulators configured to selectively attenuate light. 12. A device according to any of the preceding embodiments, further comprising an adaptive optics element. 13. The device of embodiment 12, wherein the adaptive optical element comprises a variable focus element. 14. A device according to any of the preceding embodiments, wherein the display comprises a waveguide stack including a plurality of waveguides, the waveguide stack configured to project light from different depth planes. 15. The device of embodiment 14, wherein the display is configured to project Ishihara color plates into multiple depth planes. 16. The device of embodiment 14, wherein the display is configured to project anomaloscope images into multiple depth planes. 17. The device of embodiment 14, wherein the waveguide stack further comprises one or more lenses. 18. A wearable augmented reality device configured for use by a wearer, the device comprising: an augmented reality head-mounted ophthalmic system comprising: a wearable augmented reality display platform; and at least one outward-facing camera configured to capture light from the ground, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to an eye of a wearer wearing the head-mounted system, the wearable augmented reality display platform comprising a display including at least one light source, the eye including a retina; The wearable augmented reality device is configured to selectively modulate the light from the ground based on a color detection failure of the wearer. 19. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system comprising: a wearable virtual reality display platform; and at least one outward-facing camera configured to image light from the ground and project said light from the ground into an eye of a wearer wearing said head-mounted system, said virtual reality head-mounted display platform including at least one light source, said eye including a retina; The wearable virtual reality device is configured to selectively modulate the light from the ground that is projected onto the eye based on the wearer's color detection failure. 20. A wearable virtual reality device as described in embodiment 18 or 19, wherein the outward-facing camera is configured to detect when the light from the ground contains a color for which the wearer has color vision deficiency. 21. The device of embodiment 20, wherein the selective modulation projects light from the light source to increase the amplitude of the light, including colors in which the wearer has color vision deficiency, in predetermined areas of the display. 22. The device of embodiment 20, wherein the selective modulation changes the color of light in predetermined areas of the display. 23. The device of embodiment 22, wherein changing the color of light in a predetermined area of the display comprises using an optical filter to remove spectral overlap between multiple photopigments. 24. A wearable augmented reality device configured for use by a wearer, the device comprising: an augmented reality head-mounted ophthalmic system including a wearable augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to image light from the ground and transmit the light from the ground to an eye of a wearer wearing the head-mounted system, the wearable augmented reality display platform including a display including at least one light source; The wearable augmented reality device is configured to selectively modulate the light projected from the display based on a color detection failure of the wearer. 25. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system including a wearable virtual reality display platform, the virtual reality head-mounted display platform including a display including at least one light source; The wearable virtual reality device is configured to selectively modulate the light projected from the display to the eye based on the wearer's color detection failure. 26. A device as described in embodiment 24 or 25, wherein the selective modulation involves projecting light from the light source to increase the amplitude of the light, including colors in which the wearer has color vision deficiency, in predetermined areas of the display. 27. The device of embodiment 24 or 25, wherein the selective modulation changes the color of light in predetermined areas of the display. 28. The device of embodiment 24 or 25, wherein the selective modulation enhances the color of light projected from at least a portion of the display. 29. The device of embodiment 24, wherein the selective modulation reduces the visibility of at least a portion of the light from the ground by causing destructive interference.
[0024] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Ophthalmoscope / ophthalmoscope 1. A wearable augmented reality device configured for use by a wearer, said device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to an eye of a wearer wearing the head-mounted system; The augmented reality head-mounted ophthalmic system is a wearable augmented reality device configured to monitor the wearer's eye health and detect abnormalities or other health problems in the eye by capturing and analyzing images of an illuminated portion of the wearer's eye. 2. The device of embodiment 1, further comprising a fiber scanning display configured to project a specifically focused beam of light onto at least one portion of the wearer's eye. 3. The device of embodiment 1, further comprising an eye-tracking camera that captures the image of the illuminated portion of the wearer's eye. 4. The device of embodiment 2, wherein the fiber scanning display is configured to capture the image of the illuminated portion of the wearer's eye. 5. The device of embodiment 1, further comprising a specialized camera that captures the image of the illuminated portion of the wearer's eye. 6. A device described in any one of embodiments 1 to 5, further comprising an electronic hardware processing unit configured to analyze the captured image to detect eye abnormalities or health problems. 7. The device of embodiment 6, wherein the electronic processing device is configured to detect the ocular abnormality by matching a known pattern with the image. 8. The device of embodiment 6, wherein the electronic processing device is pre-loaded with patterns of health problems. 9. The device of any one of embodiments 1 to 8, wherein the electronic hardware processing device is located remotely from the augmented reality head-mounted ophthalmic system. 10. The device of any one of the preceding embodiments, further comprising an adaptive optics element. 11. The device of embodiment 11, wherein the adaptive optics is configured to project light onto a specific portion of the wearer's eye. 12. The device of embodiment 11, wherein the adaptive optics comprises a variable focus element. 13. A device according to any of the preceding embodiments, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light to originate from different focal planes. 14. The device of embodiment 13, wherein the waveguide stack further comprises one or more lenses. 15. The device of embodiment 1, wherein the fiber scanning display is configured to project a light beam onto the fundus of the wearer's eye. 16. The device of embodiment 1, wherein the projected light beam comprises white light. 17. The device of embodiment 1, wherein the projected light beam comprises colored light. 18. The device of embodiment 17, wherein the projected light beam has a wavelength in the red, green, or blue region of the visible light spectrum. 19. The device of embodiment 1, wherein the projected light beam is light in the wavelength range of the infrared light spectrum. 20. The device of embodiment 1, wherein the projected light beams are configured to be imaged at different depths in the wearer's eye. 21. The device of embodiment 1, wherein the augmented reality head-mounted ophthalmic system is configured to capture an image of at least a portion of the fundus of the wearer's eye. 22. The device of embodiment 21, wherein the augmented reality head-mounted ophthalmic system is configured to capture an image of at least a portion of the wearer's retina. 23. The device of embodiment 1, wherein the augmented reality head-mounted ophthalmic system is configured to capture images of the wearer's eye at different depths. 24. A wearable augmented reality device configured for use by a wearer, the device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a wearer wearing the head-mounted system; a light source configured to project a light beam onto at least one portion of the wearer's eye; a camera configured to capture and analyze images of an illuminated portion of the wearer's eye to monitor the wearer's eye health and detect abnormalities or other health issues in the eye. 25. The device of embodiment 24, wherein the light source comprises a fiber scanning device. 26. The device of embodiment 24, wherein the camera includes an eye-tracking camera. 27. The device of embodiment 24, wherein the camera includes the fiber scanning device. 28. The device of embodiment 24, further comprising an electronic hardware processing device configured to analyze the captured images to monitor the wearer's eye health or detect abnormalities in the eye. 29. The device of embodiment 28, wherein the electronic hardware processing device is configured to analyze the captured image by matching known patterns, colors, shapes, or sizes with the captured image. 30. The device of embodiment 29, wherein the electronic hardware processing device is pre-loaded with patterns of health problems. 31. The device of embodiment 28, wherein the electronic hardware processing device is configured to compare the captured image with one or more images stored in an information store accessible to the electronic hardware processing device. 32. The device of embodiment 24, further comprising an adaptive optical element. 33. The device of embodiment 32, wherein the adaptive optical element is configured to project light onto a specific portion of the wearer's eye. 34. The device of embodiment 32, wherein the adaptive optical element comprises a variable focus element. 35. The device of any of embodiments 24 to 34, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light to originate from different focal planes. 36. The device of embodiment 35, wherein the waveguide stack further comprises one or more lenses. 37. The device of embodiment 24, wherein the light source is configured to project a light beam onto the fundus of the wearer's eye. 38. The device of embodiment 24, wherein the projected light beam comprises white light. 39. The device of embodiment 24, wherein the projected light beam comprises colored light. 40. The device of embodiment 39, wherein the projected light beam has a wavelength in the red, green, or blue region of the visible light spectrum. 41. The device of embodiment 24, wherein the projected light beam comprises wavelengths in a predetermined range of the infrared light spectrum. 42. The device of embodiment 24, wherein the projected light beams are configured to be imaged at different depths in the wearer's eye. 43. The device of embodiment 24, wherein the camera is configured to capture an image of at least a portion of the fundus of the wearer's eye. 44. The device of embodiment 24, wherein the camera is configured to capture images of the wearer's eye at different depths. 45. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system comprising a virtual reality display platform including a display for displaying images to the wearer's eyes; a fiber scanning display configured to project a focused beam of light onto at least a portion of the wearer's eye; The virtual reality head-mounted ophthalmic system is a wearable virtual reality device configured to monitor the wearer's eye health and detect abnormalities or other health problems in the eye by capturing and analyzing images of an illuminated portion of the wearer's eye. 46. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system comprising a virtual reality display platform including a display for displaying images to the wearer's eyes; a light source configured to project a focused beam of light onto at least one portion of the wearer's eye; an imaging system configured to monitor the wearer's eye health and detect abnormalities or other health problems in the eye by capturing and analyzing images of an illuminated portion of the wearer's eye. 47. A device according to any of the previous embodiments, wherein the portion of the eye from which an image is taken by the device comprises the fundus. 48. A device according to any of the previous embodiments, wherein the portion of the eye from which an image is taken by the device includes the retina.
[0025] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Confocal microscopy / SLO 1. A wearable augmented reality device configured for use by a wearer, said device comprising: 1. A wearable augmented reality device comprising: an augmented reality head-mounted ophthalmic system including a wearable augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eye of a wearer wearing the head-mounted system, the augmented reality head-mounted ophthalmic system including a confocal microscope configured to image the eye. 2. The device of embodiment 1, wherein the confocal microscope comprises a light source. 3. The device of embodiment 2, wherein the light source comprises a point light source. 4. The device of embodiment 3, wherein the light source further comprises an aperture to form a point light source. 5. A device described in any of embodiments 2 to 4, wherein the light source is configured to project light rays of different wavelengths at different times. 6. The device of embodiment 5, wherein the wavelengths include visible light wavelengths. 7. The device of embodiment 5, wherein the wavelengths include infrared wavelengths. 8. A device described in any one of embodiments 1 to 7, wherein the confocal microscope is configured such that the angle at which light is projected by a light source onto the eye can be varied based on the portion of the eye between the eyes being imaged. 9. A device described in any of embodiments 1 to 8, wherein the confocal microscope comprises at least one pinhole opening configured to transmit light reflected by the eye. 10. The device of embodiment 9, wherein the confocal microscope comprises at least one imaging optical element having a refractive index that focuses light reflected by the eye. 11. The device of embodiment 10, wherein the pinhole aperture is positioned in the optical path between the imaging optics and the light detection device. 12. A device described in any of embodiments 9 to 11, wherein the pinhole opening is positioned at the focus of the light reflected from the eye. 13. A device described in any of embodiments 9 to 11, wherein the pinhole aperture is positioned at the focal point of the imaging optics. 14. A device according to any preceding embodiment, wherein the confocal microscope comprises a light detection device. 15. A device described in any one of embodiments 1 to 14, wherein the confocal microscope comprises a fiber scanning device. 16. The device of embodiment 15, wherein the fiber scanning device is configured to project a light beam. 17. A device described in any of embodiments 15 to 16, wherein the fiber scanning device is configured to receive light reflected by the eye. 18. The device of embodiment 17, wherein the fiber scanning device includes a light detection device. 19. A device described in any one of embodiments 1 to 18, wherein the optical system comprises an adaptive optics element configured to project the light. 20. The device of embodiment 19, wherein the adaptive optical element comprises a variable focus element. 21. A device according to any preceding embodiment, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light from different depth planes. 22. The device of embodiment 21, wherein the waveguide stack further comprises one or more lenses. 23. A wearable virtual reality device configured for use by a wearer, the device comprising: A wearable virtual reality device comprising a virtual reality head-mounted ophthalmic system having a wearable virtual reality display platform configured to project an image onto the wearer's eye, the virtual reality head-mounted ophthalmic system comprising a confocal microscope configured to image the eye. 24. A device described in any one of embodiments 1 and 3 to 23, wherein the confocal microscope comprises a scanning laser ophthalmoscope including a light source including a laser. 25. The device of any of the above embodiments, further comprising a fluid delivery system configured to supply a fluorescent dye. 26. A device according to any of the preceding embodiments, configured for real-time visualization of an image projected onto the retina of the eye.
[0026] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Two-Photon Microscopy 1. A wearable augmented reality device configured for use by a wearer, said device comprising: 1. A wearable augmented reality device comprising: an augmented reality head-mounted ophthalmic system including a wearable augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eye of a wearer wearing the head-mounted system, the augmented reality head-mounted ophthalmic system comprising a two-photon absorption microscope configured to image the eye by performing two-photon absorption to produce fluorescence. 2. The device of embodiment 1, wherein the two-photon absorption microscope comprises a light source. 3. The device of embodiment 2, wherein the light source comprises a laser. 4. The device of embodiment 3, wherein the laser comprises a picosecond laser configured to output picosecond pulses. 5. The device of embodiment 3, wherein the laser comprises a femtosecond laser configured to output femtosecond pulses. 6. The device of embodiment 3, wherein the laser comprises a mode-locked laser. 7. The device of embodiment 3, wherein the laser comprises a fiber laser. 8. The device of embodiment 2, wherein the light source is configured to output infrared wavelengths. 9. The device of embodiment 8, wherein the light source is configured to output infrared light having a wavelength of 700 to 1000 nm. 10. A device according to any of the preceding embodiments, further comprising an optical element having a refractive index configured to focus the light onto the eye. 11. A device described in any one of embodiments 1 to 10, wherein the two-photon absorption microscope is configured to vary the angle at which light is projected by a light source onto the eye based on the portion of the eye being imaged. 12. A device described in any of embodiments 1 to 11, further comprising a scanner configured to scan a light beam onto the eye. 13. A device according to any preceding embodiment, wherein the two-photon absorption microscope comprises a light detection device. 14. A device according to any preceding embodiment, wherein the two-photon absorption microscope comprises a fiber scanning device. 15. The device of embodiment 14, wherein the fiber scanning device is configured to project a light beam. 16. A device described in any of embodiments 14 to 15, wherein the fiber scanning device is configured to receive light reflected by the eye. 17. The device of embodiment 16, wherein the fiber scanning device includes a light detection device. 18. The device of any of embodiments 1 to 17, further comprising an adaptive optics element configured to project the light. 19. The device of embodiment 18, wherein the adaptive optical element comprises a variable focus element. 20. A device according to any of the preceding embodiments, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light from different depth planes. 21. The device of embodiment 20, wherein the waveguide stack further comprises one or more lenses. 22. A wearable augmented reality device configured for use by a wearer, the device comprising: 1. A wearable augmented reality device comprising: an augmented reality head-mounted ophthalmic system including a wearable augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eye of a wearer wearing the head-mounted system, the augmented reality head-mounted ophthalmic system comprising a multiphoton absorption microscope configured to image the eye by performing multiphoton absorption to produce fluorescence. 23. A wearable virtual reality device configured for use by a wearer, the device comprising: A wearable virtual reality device comprising a virtual reality head-mounted ophthalmic system including a wearable virtual reality display platform configured to project an image onto the wearer's eye, the virtual reality head-mounted ophthalmic system comprising a two-photon absorption microscope configured to image the eye. 24. A wearable virtual reality device configured for use by a wearer, the device comprising: A wearable virtual reality device comprising a virtual reality head-mounted ophthalmic system including a wearable virtual reality display platform configured to project an image onto the wearer's eye, the virtual reality head-mounted ophthalmic system comprising a multiphoton absorption microscope configured to image the eye.
[0027] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Autorefractor 1. A wearable augmented reality device configured for use by a wearer, said device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to an eye of a wearer wearing the head-mounted system, the eye having a retina; The augmented reality head-mounted ophthalmic system is a wearable augmented reality device configured to capture images of the retina and determine the wearer's optical prescription by determining when one or more images formed by the fiber scanning display are focused on the retina. 2. The device of embodiment 1, further comprising a fiber scanning display configured to display one or more images at various depths. 3. The device of embodiment 2, further comprising an adaptive optics element configured to display one or more images at different depths. 4. The device of embodiment 3, wherein the adaptive optics comprises a variable focus element. 5. The device of embodiment 4, wherein the variable focus element comprises a thin film mirror. 6.Furthermore: one or more electrodes connected to the thin film mirror; 6. The device of embodiment 5, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror. 7. The device of any of embodiments 1 to 6, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light from different focal planes. 8. The device of embodiment 7, wherein the waveguide stack further comprises one or more lenses. 9. A wearable virtual reality device configured for use by a wearer, said device comprising: a virtual reality head-mounted ophthalmic system comprising a virtual reality display platform including a display for displaying an image to an eye of the wearer, the eye having a retina; a fiber scanning display configured to display one or more images at various depths; The virtual reality head-mounted ophthalmic system is a wearable virtual reality device configured to capture images of the retina and determine the wearer's optical prescription by determining when one or more images formed by the fiber scanning display are focused on the retina.
[0028] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. OCT 1. A wearable augmented reality device configured for use by a wearer, said device comprising: 1. A wearable augmented reality device comprising: an augmented reality head-mounted ophthalmic system including a wearable augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eye of a wearer wearing the head-mounted system, the augmented reality display comprising an optical coherence tomography system configured to image the eye. 2. The device of embodiment 1, wherein the optical coherence tomography system is configured to project light beams of various wavelengths. 3. The device of embodiment 2, wherein the wavelengths include visible light wavelengths. 4. The device of embodiment 2, wherein the wavelengths include infrared wavelengths. 5. A device described in any one of embodiments 1 to 4, wherein the wearable augmented reality display platform comprises a 3D scanning head including a fiber scanning device. 6. The device of embodiment 5, wherein the fiber scanning device is configured to project a light beam onto the eye. 7. The device of embodiment 5, wherein the fiber scanning device is configured to receive light from the eye. 8. A device described in any of embodiments 1 to 7, further comprising an eye tracking system configured to measure eye movements and remove noise from the optical coherence tomography image. 9. A device according to any of embodiments 1 to 7, further comprising an ERG (electroretinogram). 10. A device described in any one of embodiments 1 to 9, wherein the optical coherence tomography system is configured to vary the angle at which light is projected from the light source based on the interocular region being imaged. 11. A device described in any of embodiments 1 to 10, further comprising one or more inward-facing cameras configured to receive light from the eye. 12. The device of embodiment 11, wherein the one or more inward-facing cameras comprise at least one CMOS sensor. 13. A device according to any of the preceding embodiments, further comprising a plurality of light detection devices arranged in different parts of the system. 14. The device of embodiment 12, wherein the optical detection device can be positioned around the rim of the head-mounted ophthalmic system. 15. The device of embodiment 12, wherein the optical detection device can be positioned around the periphery of a frame of the head-mounted ophthalmic system. 16. A device described in any one of embodiments 1 to 14, wherein the optical system includes an adaptive optics element configured to project light. 17. The device of embodiment 15, wherein the adaptive optical element comprises a variable focus element. 18. A device according to any of the preceding embodiments, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light from different depth planes. 19. The device of embodiment 17, wherein the waveguide stack further comprises one or more lenses. 20. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system comprising a wearable virtual reality display platform configured to project an image onto an eye of the wearer, the virtual reality display comprising an optical coherence tomography system configured to image the eye; A wearable virtual reality device, wherein the wearable virtual reality display platform comprises a fiber scanning device. 21. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system comprising a wearable augmented reality display platform configured to project an image onto an eye of the wearer, the virtual reality display comprising an optical coherence tomography system configured to image the eye; A wearable virtual reality device, wherein the wearable virtual reality display platform comprises a waveguide stack including a plurality of waveguides, different waveguides configured to project light from different depth planes.
[0029] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Aberrometer 1. A wearable augmented reality device configured for use by a wearer, said device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to an eye of a wearer wearing the head-mounted system, the eye having a cornea, a lens, and a retina; at least one light source and wearable optical system configured to generate a wavefront, project the wavefront onto the wearer's eye, transmit the wavefront through the cornea and lens of the eye, and reflect the wavefront back off the retina of the eye; an aberrometer configured to measure the wavefront transmitted through the eye to determine an abnormality in the eye. 2. The device of embodiment 1, wherein the at least one light source comprises a fiber scanning display. 3. The device of embodiment 1, wherein the at least one light source is configured to generate a desired wavefront. 4. The device of embodiment 1, wherein the at least one light source is configured to generate wavefronts of different wavelengths. 5. The device of embodiment 4, wherein the at least one light source is configured to generate a visible light wavefront that is projected onto the eye. 6. The device of embodiment 4, wherein the at least one light source is configured to generate a non-visible light wavefront that is projected onto the eye. 7. The device of embodiment 1, wherein the wearable optical system includes adaptive optics configured to adjust and perform the correction. 8. The device of embodiment 7, wherein the adaptive optics system comprises a variable focus element. 9. The device of embodiment 7, wherein the adaptive optics system comprises a deformable optical element. 10. The device of embodiment 9, wherein the deformable optical element comprises a deformable mirror. 11. The device of embodiment 1, wherein the wearable optical system comprises a waveguide stack including multiple waveguides configured to form different focal planes. 12. The device of embodiment 11, wherein the waveguide stack is configured to generate a desired wavefront. 13. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system comprising a virtual reality display platform including a display for displaying an image to an eye of the wearer, the eye having a cornea, a lens, and a retina; at least one light source and wearable optical system configured to generate a wavefront, project the wavefront onto the wearer's eye, transmit the wavefront through the cornea and lens of the eye, and reflect the wavefront back off the retina of the eye; an aberrometer configured to measure the wavefront transmitted through the eye to determine an abnormality in the eye.
[0030] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Ultrasound 1. A wearable augmented reality device configured for use by a wearer, said device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform including a display configured to form an image viewable by the wearer, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to an eye of a wearer wearing the head-mounted system; A wearable augmented reality device comprising: an ultrasound generating unit that is integral with the augmented reality head-mounted ophthalmic system and includes an ultrasound transducer that generates an ultrasound image by transmitting ultrasound to the user's eye. 2. The device of embodiment 1, wherein the wearable augmented reality system is configured to detect abnormalities in the eye or monitor the eye health of the user based on the generated ultrasound image. 3. The device of embodiment 2, further comprising a processing device configured with a pattern matching algorithm for detecting ocular abnormalities. 4. The device of embodiment 1, wherein the ultrasound generator is configured to emit ultrasound waves based on a protocol of the user. 5. The device of embodiment 1, further comprising an adaptive optical element configured to project the image onto a specific portion of the wearer's eye. 6. The device of embodiment 5, wherein the adaptive optics comprises a variable focus element. 7. The device of embodiment 6, wherein the variable focus element comprises a thin film mirror. 8.Furthermore: one or more electrodes connected to the thin film mirror; 8. The device of embodiment 7, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror. 9. The device of embodiment 1, further comprising a light source for forming the image within the wearer's eye, the light source including a fiber scanning display. 10. The device of embodiment 1, wherein the display comprises a waveguide stack including a plurality of waveguides, different waveguides configured to project light onto different focal planes. 11. The device of embodiment 10, wherein the waveguide stack further comprises one or more lenses. 12. A device described in any of embodiments 1 to 11, wherein the ultrasound generating unit comprises a probe configured to transmit ultrasound energy to the eye and receive ultrasound energy from the eye. 13. A wearable augmented reality device configured for use by a wearer, the device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform including a display configured to form an image viewable by the wearer, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to an eye of a wearer wearing the head-mounted system; an ultrasound generating unit including an ultrasound transducer connected to the augmented reality head-mounted ophthalmic system, the ultrasound generating unit being capable of generating an ultrasound image by transmitting ultrasound to the user's eye to detect abnormalities in the eye; The wearable augmented reality device is configured to measure a response of the user's eye to the ultrasound to detect an ocular abnormality. 14. The device of embodiment 13, wherein the abnormality comprises retinal detachment. 15. The device of embodiment 13, further comprising an adaptive optical element configured to project the image onto a specific portion of the wearer's eye. 16. The device of embodiment 13, wherein the adaptive optical element comprises a variable focus element. 17. The device of embodiment 16, wherein the variable focus element comprises a thin film mirror. 18.Furthermore: one or more electrodes connected to the thin film mirror; 18. The device of embodiment 17, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror. 19. The device of embodiment 13, further comprising a light source for forming the image within the wearer's eye, the light source including a fiber scanning display. 20. The device of embodiment 13, wherein the display comprises a waveguide stack including a plurality of waveguides, different waveguides configured to project light onto different focal planes. 21. The device of embodiment 20, wherein the waveguide stack further comprises one or more lenses. 22. A device as described in embodiments 13 to 21, wherein the ultrasound generating unit comprises a probe configured to transmit ultrasound energy to the eye and receive ultrasound energy from the eye. 23. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system including a virtual reality display platform including a display for displaying images to the wearer's eyes; A wearable virtual reality device comprising: an ultrasound generating unit connected to the virtual reality head-mounted ophthalmic system and including an ultrasound transducer that generates an ultrasound image by transmitting ultrasound waves to the user's eye. 24. The device of embodiment 21, configured to detect an abnormality in the eye based on the generated ultrasound image. 25. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system including a virtual reality display platform including a display for displaying images to the wearer's eyes; an ultrasound generating unit including an ultrasound transducer connected to the virtual reality head-mounted ophthalmic system, capable of transmitting ultrasound waves to the user's eye to generate an ultrasound image and detect abnormalities in the eye; The wearable virtual reality device is configured to measure a response of the user's eye to the ultrasound. 26. The device of embodiment 22, configured to detect an ocular abnormality based on the measured response. 27. A device according to any of the above embodiments, wherein the device is configured to perform auscultation. 28. A device according to any of the above embodiments, wherein the device is configured to transmit ultrasound energy to the eye in the audible frequency range or receive ultrasound energy from the eye in the audible frequency range.
[0031] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Electrooculography (EOG), Electroencephalography (EEG), Electroretinography (ERG) 1. A wearable augmented reality device configured for use by a wearer, said device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform including a display, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to an eye of a wearer wearing the head-mounted system; a plurality of electrodes configured to be placed around the eye; The wearable augmented reality device is configured to measure and compare a resting electrical potential of the retina. 2. The device of embodiment 1, wherein the electrode comprises an electro-oculography (EOG) sensor. 3. The device of embodiment 2, further comprising an electroencephalography (EEG) sensor. 4. The device of embodiment 1, further comprising a camera configured for fluorescence imaging of the eye. 5. The device of embodiment 1, further comprising an adaptive optical element configured to project the image onto a specific portion of the wearer's eye. 6. The device of embodiment 6, wherein the adaptive optics comprises a variable focus element. 7. The device of embodiment 7, wherein the variable focus element comprises a thin film mirror. 8.Furthermore: one or more electrodes connected to the thin film mirror; 9. The device of embodiment 8, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror based on the shape of the cornea of the eye. 9. The device of embodiment 1, wherein the light source comprises a fiber scanning display. 10. The device of embodiment 1, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light onto different focal planes. 11. The device of embodiment 11, wherein the waveguide stack further comprises one or more lenses. 12. A wearable augmented reality device configured for use by a wearer, the device comprising: an augmented reality head-mounted ophthalmic system comprising an augmented reality display platform including a display, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to an eye of a wearer wearing the head-mounted system; a plurality of electroencephalography (EEG) sensors configured to generate a map of brain activity; 1. A wearable augmented reality device, wherein the wearable augmented reality device is configured to detect abnormal brain activity or patterns of the wearer. 13. The device of embodiment 12, further comprising an adaptive optical element configured to project the image onto a specific portion of the wearer's eye. 14. The device of embodiment 13, wherein the adaptive optical element comprises a variable focus element. 15. The device of embodiment 14, wherein the variable focus element comprises a thin film mirror. 16.Furthermore: one or more electrodes connected to the thin film mirror; 16. The device of embodiment 15, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror based on the shape of the cornea of the eye. 17. The device of embodiment 12, wherein the light source comprises a fiber scanning display. 18. The device of embodiment 12, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light onto different focal planes. 19. The device of embodiment 18, wherein the waveguide stack further comprises one or more lenses. 20. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system including a virtual reality display platform including a display for displaying images to the wearer's eyes; a plurality of electrodes configured to be placed around the eye; The wearable virtual reality device is configured to measure and compare the retinal resting potential. 21. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system comprising a virtual reality display platform including a display for displaying images to the wearer's eyes; a plurality of electroencephalography (EEG) sensors configured to generate a map of brain activity; A wearable virtual reality device configured to detect abnormal brain activity or patterns of the wearer. 22. The device of embodiment 1, wherein the electrodes are positioned on the augmented reality head-mounted ophthalmic system around the wearer's eyes. 23. A device as described in embodiment 1 or 20, wherein the electrode comprises an electroretinogram (ERG) sensor.
[0032] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. light therapy 1. A wearable augmented reality device configured for use by a wearer, said device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a wearer wearing the head-mounted system; a light source configured to project light onto the wearer's eye to form an image within the eye; The wearable augmented reality device is configured to detect an amount of light of one or more wavelengths directed toward the eye and to modify an amount of light of the one or more wavelengths that reaches the eye based on the detected amount. 2. The device of embodiment 1, wherein the head-mounted system is configured to actively reduce the amount of light of one or more wavelengths reaching the eye. 3. The device of embodiment 2, wherein the head-mounted system is configured to actively reduce the amount of light of one or more wavelengths by reducing the amount of light of one or more wavelengths projected from the light source to the eye. 4. The head-mounted system comprises: providing instructions to cause the light source to output the amount of light at the one or more wavelengths; 4. The device of embodiment 3, configured to subsequently reduce the amount of light of the one or more wavelengths output from the light source by modifying the instruction. 5. The head-mounted system comprises: configured to block at least a portion of the ground observed by the wearer to reduce the amount of light of one or more wavelengths reaching the eye from the ground; 3. The device of embodiment 2, wherein the size and location of the portion of the ground observed by the wearer that is obstructed is determined based on the detected amount of light at the one or more wavelengths. 6. The device of embodiment 1, further comprising one or more sensors configured to detect the amount of light of the one or more wavelengths incident on the head-mounted system. 7. The device of embodiment 6, wherein the one or more sensors are cameras attached to the head-mounted system. 8. The device of embodiment 6, wherein the one or more sensors are configured to detect overexposure to light of a specific color, and the head-mounted system is configured to reduce the amount of light of the specific color reaching the eye. 9. The device of embodiment 1, wherein the wearable augmented reality device is configured to selectively reduce blue light reaching the eye. 10. The device of embodiment 1, wherein the wearable augmented reality device is configured to vary the amount of light of the one or more wavelengths reaching the eye based on the detected amount and based on the time of day. 11. The device of embodiment 1, wherein the wearable augmented reality device is configured to vary the amount of light of the one or more wavelengths reaching the eye based on the detected amount and based on a calendar date. 12. The device of embodiment 1, wherein the wearable augmented reality device is configured to modify the amount of light of the one or more wavelengths reaching the eye based on the detected amount and based on the current season and the wearer's location. 13. The device of embodiment 1, further comprising an adaptive optics element configured to project the image onto a specific portion of the wearer's eye. 14. The device of embodiment 13, wherein the adaptive optical element comprises a variable focus element. 15. The device of embodiment 14, wherein the variable focus element comprises a thin film mirror. 16.Furthermore: one or more electrodes connected to the thin film mirror; 16. The device of embodiment 15, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror. 17. The device of embodiment 14, wherein the light source comprises a fiber scanning display. 18. The device of embodiment 1, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light onto different focal planes. 19. The device of embodiment 18, wherein the waveguide stack further comprises one or more lenses. 20. A wearable augmented reality device configured for use by a wearer, the device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a wearer wearing the head-mounted system; a light source configured to project light onto the wearer's eye to form an image within the eye; The wearable augmented reality device is configured to selectively administer light of a portion of a light spectrum incident on the wearer's eye. 21. The device of embodiment 20, further comprising one or more sensors configured to perform detection when exposed to light in a portion of the light spectrum, wherein the wearable augmented reality device is configured to selectively intensify the light by performing detection when exposed to the light. 22. The device of embodiment 20, further comprising one or more sensors configured to detect a condition in which blue light is underexposed. 23. The device of embodiment 22, wherein the wearable augmented reality device is configured to selectively project blue light. 24. The device of embodiment 20, wherein the light has a wavelength range corresponding to sunlight. 25. The device of embodiment 20, wherein the light has a wavelength range corresponding to full spectrum light. 26. The device of embodiment 20, further comprising a second light source configured to provide light that is selectively projected onto the wearer's eye. 27. A wearable augmented reality device configured for use by a wearer, the device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a wearer wearing the head-mounted system; a light source configured to project light onto the wearer's eye to form an image within the eye; The wearable augmented reality device is configured to selectively project light of a predetermined range of wavelengths incident on the wearer's eye based on a treatment protocol. 28. The device of embodiment 27, wherein the treatment protocol comprises periodically applying a prescribed amount of light. 29. The device of embodiment 27, wherein the treatment protocol involves continuous application of a prescribed amount of light. 30. The device of embodiment 27, wherein the wearable augmented reality device is configured to change the predetermined wavelength range based on the time of day. 31. The device of embodiment 27, wherein the wearable augmented reality device is configured to change the predetermined wavelength range based on a calendar date. 32. The device of embodiment 27, wherein the wearable augmented reality device is configured to change the predetermined wavelength range based on the current season and / or the wearer's location. 33. The device of embodiment 27, wherein the wearable augmented reality device is configured to selectively project a predetermined band of spectral light onto the wearer's eyes. 34. The device of embodiment 33, wherein the wearable augmented reality device is configured to determine the treatment protocol based on one or more of: the physiological state of the wearer, the mood of the wearer, and the ambient environment around the wearer. 35. The device of embodiment 33, wherein the wearable augmented reality device is configured to determine the treatment protocol based on input by the wearer. 36. The device of embodiment 33, wherein the wearable augmented reality device is configured to determine the treatment protocol based on the wearer's symptoms of depression or other abnormalities of the wearer. 37. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system including a virtual reality display platform; a light source configured to project light onto the wearer's eye to form an image within the eye; A wearable virtual reality device configured to selectively filter out light of specific colors. 38. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system including a virtual reality display platform; a light source configured to project light onto the wearer's eye to form an image within the eye; The wearable virtual reality device is configured to detect under-exposure to light within a predetermined spectral band and selectively project spectral light within the predetermined band onto the wearer's eyes. 39. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system including a virtual reality display platform; a light source configured to project light onto the wearer's eye to form an image within the eye; The wearable virtual reality device is configured to selectively project predetermined bands of spectral light to the wearer's eyes based on a treatment protocol.
[0033] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Macular Degeneration 1. A wearable augmented reality device configured for use by a wearer, the display device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a wearer wearing the head-mounted system; a light source configured to project light onto the wearer's eye to form an image within the eye; a user interface configured to receive input from a user; The wearable augmented reality device is configured to project the image onto a specific portion of the wearer's eye and detect a response related to the image to determine a health state of that portion of the eye. 2. A wearable virtual reality device configured for use by a wearer, the display device comprising: a head-mounted display including a virtual reality display platform; a light source configured to project light onto the wearer's eye to form an image within the eye; a user interface configured to receive input from a user; The wearable virtual reality device is configured to project the image onto a specific portion of the wearer's eye and detect a response related to the image to determine the health of that portion of the eye. 3. A wearable display device configured for use by a wearer, the display device comprising: a head-mounted ophthalmic system; a light source configured to direct light to the wearer's eye to form an image within the eye; a user interface configured to receive input from a user; an adaptive optic configured to receive light directed to the eye from the light source; A wearable display device, wherein the wearable virtual reality device is configured to detect a response related to the image to determine a health state of the portion of the eye. 4. The device of embodiment 3, wherein the adaptive optics comprises a variable focus element. 5. The device of embodiment 4, wherein the variable focus element comprises a thin film mirror. 6.Furthermore: one or more electrodes connected to the thin film mirror; 6. The device of embodiment 5, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror. 7. A wearable display device configured for use by a wearer, the display device comprising: a head-mounted display system; a light source configured to direct light to the wearer's eye to form an image within the eye; a user interface configured to receive input from a user; The wearable display device is configured to project the image onto a specific portion of the wearer's eye and detect a response related to the image to determine a health state of that portion of the eye. 8. A wearable display device configured for use by a wearer, the display device comprising: a head-mounted display system; a light source configured to direct light into one eye of the wearer to form an image within the eye; a waveguide stack including a plurality of waveguides; a user interface configured to receive input from a user; The wearable display device is configured to project the image onto a specific portion of the wearer's eye and detect a response related to the image to determine a health state of that portion of the eye. 9. The device of embodiment 8, wherein the waveguide stack further comprises one or more lenses. 10. The device of embodiment 8, wherein the head-mounted display system comprises an augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a wearer wearing the head-mounted system. 11. A device described in any of embodiments 1 to 10, wherein the wearable device is configured to project the image onto another portion of the wearer's eye and detect a response related to the image to determine the health of that portion of the eye. 12. A device described in any of embodiments 1 to 10, wherein the wearable device is configured to project a first image and a second image onto the same portion of the wearer's eye, detect a response for each image, and compare the first response with the second response to determine the health of that portion of the eye. 13. The device of embodiment 12, wherein at least one hue appearing in the first image is different from at least one hue appearing in the second image. 14. The device of embodiment 13, wherein the wearable augmented reality device is configured to identify areas of reduced color sensitivity based on the portion of the eye being examined. 15. The device of embodiment 11, wherein the wearable augmented reality device is configured to determine the location of macular degeneration based on the area of the eye being examined. 16. The device of embodiment 15, wherein determining the location of macular degeneration is further performed by imaging the retina of the wearer's eye. 17. The device of embodiment 11, wherein the wearable augmented reality device is configured to identify abnormalities in the wearer's eye based on the area of the eye being examined. 18. The device of embodiment 11, wherein the determination of the health state of the portion of the eye is performed in real time. 19. The device of embodiment 11, wherein the wearable augmented reality device is further configured to store data regarding the projected image and the detection response, and the determination of the health status of the portion of the eye is made at a later point in time based on the stored data. 20. The device of embodiment 19, wherein the wearable augmented reality device is further configured to transmit the stored data, and the determination of the health status of the portion of the eye is made at a remote location based on the transmitted data. 21. A device according to any one of embodiments 1 to 10, wherein detecting a response includes receiving input from the user via the user interface. 22. A device according to any one of embodiments 1 to 10, wherein detecting a response comprises detecting eye movements of the wearer. 23. The device of embodiment 22, wherein the movement of the wearer's eye is a spontaneous response to the image. 24. The device of embodiment 23, wherein the movement of the wearer's eyes is an involuntary response to the image. 25. A device according to any of the preceding embodiments, further comprising a display for forming the image within the wearer's eye. 26. The device of embodiment 25, wherein the display comprises a fiber scanning display. 27. The device of embodiment 25 or 26, wherein the display further comprises a waveguide stack. 28. The device of embodiment 25, 26, or 27, wherein the display is configured to form images in multiple depth planes. 29. A wearable augmented reality device configured for use by a wearer, wherein the display device: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a wearer wearing the head-mounted system; a light source configured to project light onto the wearer's eye to form an image within the eye; A wearable augmented reality device, wherein the wearable device is configured to selectively project pixels of an image onto healthy cells. 30. A wearable display device configured for use by a wearer, the display device comprising: a head-mounted display system; a light source configured to direct light to the wearer's eye to form an image within the eye, the light source including a fiber scanning display; A wearable display device, wherein the light source is configured to selectively project pixels of an image onto healthy cells. 31. A wearable display device configured for use by a wearer, the display device comprising: a head-mounted display system; a light source configured to direct light into one eye of the wearer to form an image within the eye; a waveguide stack including a plurality of waveguides; The wearable display device is configured to selectively project pixels of an image onto healthy cells. 32. The device of embodiment 31, wherein the waveguide stack further comprises one or more lenses. 33. The device of embodiment 31, wherein the head-mounted display system comprises an augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a wearer wearing the head-mounted system. 34. A device described in any of embodiments 29 to 33, wherein the wearable device is configured to selectively project pixels of an image onto peripheral healthy cells of the retina. 35. A device described in any of embodiments 29 to 33, wherein the wearable device is configured to selectively project a portion of the image onto healthy cells. 36. A device described in any of embodiments 29 to 33, wherein the wearable device is configured to modify the light projected onto the eye. 37. The device of embodiment 36, wherein the wearable device is configured to enlarge or brighten pixels of an image projected onto the damaged area of the eye. 38. A wearable virtual reality device configured for use by a wearer, wherein the display device: a head-mounted display including a virtual reality display platform; a light source configured to project light onto the wearer's eye to form an image within the eye; A wearable virtual reality device, wherein the wearable device is configured to selectively project pixels of an image onto healthy cells. 39. The device of embodiment 38, wherein the wearable device is configured to selectively project pixels of an image onto peripheral healthy cells of the retina. 40. The device of embodiment 38, wherein the wearable device is configured to selectively project a portion of the image onto healthy cells. 41. A wearable virtual reality device configured for use by a wearer, wherein the display device: a head-mounted display including a virtual reality display platform; a light source configured to project light onto the wearer's eye to form an image within the eye; A wearable virtual reality device, wherein the wearable device is configured to modify light projected onto the damaged area of the eye. 42. The device of embodiment 41, wherein the wearable device is configured to magnify pixels of an image projected onto the damaged area of the eye. 43. The device of embodiment 41, wherein the wearable device is configured to increase or decrease the brightness of pixels of an image projected onto the damaged area of the eye. 44. The device of embodiment 41, wherein the wearable device is configured to increase or decrease the contrast of pixels of an image projected onto the damaged area of the eye. 45. The device of embodiment 41, wherein the wearable device is configured to change the hue of pixels of an image projected onto the damaged area of the eye. 46. The device of embodiment 41, wherein the wearable device is configured to modify the projected light to correspond to specific wavelengths determined to have reduced sensitivity when projected onto the damaged area of the eye. 47. The device of embodiment 46, wherein the wearable device is configured to magnify the pixels of an image projected onto the damaged area of the eye. 48. The device of embodiment 46, wherein the wearable device is configured to increase the brightness of pixels of an image projected onto the damaged area of the eye. 49. The device of embodiment 46, wherein the wearable device is configured to increase the contrast of pixels in an image projected onto the damaged area of the eye. 50. A wearable display device configured for use by a wearer, the display device comprising: a head-mounted ophthalmic system; a light source configured to direct light to the wearer's eye to form an image within the eye; an adaptive optics element configured to receive light from the light source; The wearable display device is configured to selectively project pixels of an image onto healthy cells. 51. The device of embodiment 50, wherein the adaptive optical element comprises a variable focus element. 52. The device of embodiment 50, wherein the variable focus element comprises a thin film mirror. 53.Further: one or more electrodes connected to the thin film mirror; 53. The device of embodiment 52, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror. 54. A device described in any of embodiments 1 to 28, wherein the wearable device is configured to selectively project pixels of an image onto healthy cells. 55. The device of embodiment 53, wherein the wearable device is configured to selectively project pixels of an image onto peripheral healthy cells of the retina. 56. The device of embodiment 53, wherein the light source is configured to selectively project a portion of the image onto healthy cells. 57. A device described in any one of embodiments 1 to 23, wherein the wearable device is configured to modify the light projected onto the eye. 58. The device of embodiment 56, wherein the wearable device is configured to magnify pixels of an image projected onto the damaged area of the eye. 59. The device of embodiment 56, wherein the wearable device is configured to increase the contrast of pixels in an image projected onto the damaged area of the eye. 60. The device of embodiment 56, wherein the wearable device is configured to modify the projected light to correspond to specific wavelengths determined to have reduced sensitivity when projected onto the damaged area of the eye. 61. The device of embodiment 59, wherein the wearable device is configured to magnify the pixels of an image projected onto the damaged area of the eye. 62. The device of embodiment 59, wherein the wearable device is configured to increase the brightness of pixels of an image projected onto the damaged area of the eye. 63. The device of embodiment 59, wherein the wearable device is configured to increase the contrast of pixels in an image projected onto the damaged area of the eye. 64. The device of embodiment 28, wherein the multiple depth planes are at least 10 centimeters apart. 65. A device described in embodiment 28 or 63, wherein the multiple depth planes include at least three depth planes. 66. The device of embodiment 37, wherein the wearable device is configured to increase or decrease the spatial frequency of a periodic image projected onto the damaged area of the eye.
[0034] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Contrast Test 1. A wearable augmented reality device configured for use by a wearer, the display device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a wearer wearing the head-mounted system; a light source configured to project light onto the wearer's eye to form an image within the eye; a user interface configured to receive input from a user; The wearable augmented reality device is configured to project the image to the wearer and detect a response related to the image to determine the wearer's contrast sensitivity. 2. A wearable virtual reality device configured for use by a wearer, the display device comprising: a head-mounted display including a virtual reality display platform; a light source configured to project light onto the wearer's eye to form an image within the eye; a user interface configured to receive input from a user; The wearable virtual reality device is configured to project the image to the wearer and detect a response related to the image to determine the wearer's contrast sensitivity. 3. A device as described in embodiment 1 or 2, wherein the image comprises a plurality of regions having different degrees of contrast. 4. The device of embodiment 3, wherein the image comprises a sine-wave grating. 5. The device of embodiment 3, wherein the image includes multiple letters or numbers projected at different degrees of contrast. 6. The device of embodiment 5, wherein the image comprises a Pelli-Robson chart. 7. The device of embodiment 5, wherein the wearable device is configured to detect a response from the wearer indicating that a letter, number, or shape is visible to the wearer. 8. The device of embodiment 1 or 2, wherein the light source is configured to project multiple images sequentially onto the wearer. 9. The device of embodiment 8, wherein each image of the plurality of images differs in contrast from at least one other image of the plurality of images. 10. The device of embodiment 9, wherein the wearable device is configured to detect a response from the wearer indicative of the wearer being able to distinguish contrast shapes within the image. 11. A device as described in embodiment 1 or 2, wherein the light source is configured to decrease the contrast of the image over time. 12. The device of embodiment 11, wherein the wearable device is configured to detect a response from the wearer indicative of when the wearer is unable to distinguish contrast features in the image. 13. A device according to any of the preceding embodiments, further comprising a display for forming the image within the wearer's eye. 14. The device of embodiment 13, wherein the display comprises a fiber scanning display. 15. The device of embodiment 13 or 14, wherein the display further comprises a waveguide stack. 16. A device described in any of embodiments 10 to 12, wherein the display is configured to form images in multiple depth planes. 17. A device described in any of embodiments 1 to 16, wherein the wearable device is configured to perform multiple contrast sensitivity measurements and compare the results.
[0035] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. field of view 1. A wearable augmented reality device configured for use by a wearer, the display device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a wearer wearing the head-mounted system; a light source configured to project light onto the wearer's eye to form a moving image within the eye; a user interface configured to receive input from a user; The wearable augmented reality device is configured to project the image to a specific portion of the periphery of the wearer's visual field and detect a response related to the image to determine the health of that portion of the visual field. 2. A wearable virtual reality device configured for use by a wearer, the display device comprising: a head-mounted display including a virtual reality display platform; a light source configured to project light onto the wearer's eye to form a moving image within the eye; a user interface configured to receive input from a user; The wearable virtual reality device is configured to project the image to a specific portion of the periphery of the wearer's field of vision and detect a response related to the image to determine the health of that portion of the field of vision. 3. A device as described in embodiment 1 or 2, wherein the moving image moves from the periphery of the wearer's field of vision towards the center of the wearer's field of vision. 4. The device of embodiment 3, wherein the wearable device is configured to detect a response from the wearer indicating when the image becomes visible to the wearer. 5. The device of embodiment 3, wherein the wearable device is configured to detect a response from the wearer related to characteristics observed in the image. 6. The device of embodiment 3, wherein the light source is further configured to project an image of an object approaching the wearer's eye. 7. The device of any of embodiments 1 to 6, further comprising a display that forms the image within the wearer's eye. 8. The device of embodiment 7, wherein the display comprises a fiber scanning display. 9. The device of embodiment 7 or 8, wherein the display further comprises a waveguide stack. 10. A device described in any of embodiments 7 to 9, wherein the display is configured to form images in multiple depth planes. 11. A device described in any of embodiments 1 to 10, wherein the device is configured to provide visual, sound, or tactile information to the wearer by detecting a risk of visual field impairment for the wearer.
[0036] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Laser treatment 1. A wearable augmented reality device configured for use by a wearer, said device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to the eyes of a wearer wearing the head-mounted system; a laser configured to perform laser treatment on the wearer's eye. 2. The device of embodiment 1, wherein the device is configured to direct laser light of a predetermined intensity, wavelength, and duration into the eye to repair ocular tissue. 3. The device of embodiment 1, wherein the laser is configured to inhibit the growth of or occlude abnormal blood vessels. 4. The device of embodiment 3, wherein the laser is configured to administer full laser photocoagulation. 5. The device of embodiment 3, wherein the laser is configured to treat wet age-related macular degeneration. 6. The device of embodiment 1, further comprising a module configured to inject a photosensitizer into the eye, wherein the laser is configured to activate the photosensitizer. 7. The device of embodiment 1, wherein the wearable augmented reality device is configured to determine an area exposed to light by the laser. 8. The device of embodiment 7, wherein the wearable augmented reality device is configured to determine the exposed area by imaging the retina and surrounding tissue of the eye and determining the onset of choroidal neovascularization. 9. The device of embodiment 1, wherein the augmented reality head-mounted ophthalmic system is configured to provide instructions to the wearer prior to exposing the wearer to light from the laser. 10. The device of embodiment 9, wherein the augmented reality head-mounted ophthalmic system is configured to display the image to the wearer as part of the laser treatment. 11. The device of embodiment 10, wherein the augmented reality head-mounted ophthalmic system is configured to display instructions to the wearer before exposing the wearer to light from the laser. 12. The device of embodiment 9, wherein the augmented reality head-mounted ophthalmic system is configured to orient the wearer's eyes in a desired direction while exposing the wearer to light from the laser, and the augmented reality head-mounted ophthalmic system is configured to orient the eyes by displaying an object to the wearer's eyes and focusing the eyes on the object. 13. The device of embodiment 9, wherein the augmented reality head-mounted ophthalmic system is configured to display moving images as part of the laser treatment. 14. The device of embodiment 9, wherein the augmented reality head-mounted ophthalmic system is configured to provide instructions to the wearer after exposing the wearer to light from the laser. 15. The device of embodiment 14, wherein the instructions include instructions to perform one or more of the following: closing the eyelids for a set period of time and blinking a set number of times. 16. The device of embodiment 1, wherein the laser is mounted to a frame of the ophthalmic system. 17. The device of embodiment 1, further comprising an adaptive optics element configured to project an image onto a specific portion of the wearer's eye. 18. The device of embodiment 17, wherein the adaptive optical element comprises a variable focus element. 19. The device of embodiment 18, wherein the variable focus element comprises a thin film mirror. 20.Furthermore: one or more electrodes connected to the thin film mirror; 20. The device of embodiment 19, comprising: a control system configured to selectively control the one or more electrodes to change the shape of the thin film mirror. 21. The device of embodiment 1, further comprising a fiber scanning display that outputs light to form an image within the wearer's eye. 22. The device of embodiment 1, further comprising a waveguide stack including a plurality of waveguides, different waveguides configured to project light onto different focal planes. 23. The device of embodiment 22, wherein the waveguide stack further comprises one or more lenses. 24. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system comprising a virtual reality display platform including a display for displaying images to the wearer's eyes; a laser configured to selectively administer laser treatment to the wearer's eye. 25. The device of embodiment 24, wherein the virtual reality head-mounted ophthalmic system is configured to prevent light from the ground in front of the head-mounted ophthalmic system from passing through to the eyes of a wearer wearing the head-mounted system, light from the ground that, if passed through the eyes, would cause an image of the ground to be formed in the wearer's eyes.
[0037] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Drug administration 1. A wearable augmented reality device configured for use by a wearer, said device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to an eye of a wearer wearing the head-mounted system; The augmented reality head-mounted ophthalmic system is a wearable augmented reality device configured to administer medication to the wearer's eye. 2. The device of embodiment 1, wherein the virtual reality head-mounted ophthalmic system is configured to administer the medication to the wearer's eye based on a treatment protocol. 3. The device of embodiment 1, wherein the virtual reality head-mounted ophthalmic system is configured to issue a warning to the wearer while administering the medication. 4. The device of embodiment 1, wherein the virtual reality head-mounted ophthalmic system is configured to alert the wearer to keep their eyes open while administering the medication. 5. The device of embodiment 1, wherein the virtual reality head-mounted ophthalmic system is configured to alert the wearer and focus the eyes on a visual target while administering the medication. 6. The device of embodiment 1, wherein the virtual reality head-mounted ophthalmic system is configured to administer the drug as part of light therapy or laser therapy. 7. The device of embodiment 6, wherein the agent is photosensitive to wavelengths of light used in phototherapy or laser treatment. 8. A wearable augmented reality device configured for use by a wearer, said device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to an eye of a wearer wearing the head-mounted system; The augmented reality head-mounted ophthalmic system is a wearable augmented reality device configured to deliver a liquid to the wearer's eye. 9. The device of embodiment 8, wherein the virtual reality head-mounted ophthalmic system is configured to deliver a sprayed or misted liquid to the eye. 10. The device of embodiment 8, wherein the virtual reality head-mounted ophthalmic system is configured to instill droplets of the liquid into the eye. 11. The device of embodiment 8, wherein the virtual reality head-mounted ophthalmic system is configured to supply the liquid flow to the eye. 12. The device of embodiment 8, wherein the virtual reality head-mounted ophthalmic system is configured to deliver saline to the wearer's eye. 13. The device of embodiment 12, wherein the virtual reality head-mounted ophthalmic system is configured to detect that the eye is dry and to deliver saline when the eye is dry. 14. The device of embodiment 12, wherein the virtual reality head-mounted ophthalmic system is configured to detect redness or bloodshot eyes and deliver saline solution upon detecting redness or bloodshot eyes. 15. The device of embodiment 8, wherein the virtual reality head-mounted ophthalmic system further comprises one or more sensors that measure one or more of the wearer's body temperature, the length of time since the most recent administration of a liquid or powder medication to the eye, the humidity of the ambient atmosphere, the presence of foreign objects on the eye, the presence of chemical irritants in the eye, and / or pollen or particulate counts. 16. The device of embodiment 15, wherein the virtual reality head-mounted ophthalmic system is configured to deliver the liquid to the eye based on one or more measurements of the one or more sensors exceeding a threshold value. 17. The device of embodiment 15, wherein the virtual reality head-mounted ophthalmic system is configured to deliver a sufficient amount of liquid to cleanse the eye. 18. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system comprising a virtual reality display platform including a display for displaying images to the wearer's eyes; The virtual reality head-mounted ophthalmic system is a wearable virtual reality device configured to administer medication to the wearer's eye. 19. The device of embodiment 18, wherein the virtual reality head-mounted ophthalmic system is configured to prevent light from the ground in front of the head-mounted ophthalmic system from passing through to the eyes of the wearer wearing the head-mounted ophthalmic system, light from the ground that, if passed through the eyes, would cause an image of the ground to be formed within the wearer's eyes. 20. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system comprising a virtual reality display platform including a display for displaying images to the wearer's eyes; The virtual reality head-mounted ophthalmic system is a wearable virtual reality device configured to deliver saline to the wearer's eye. 21. The device described in embodiment 20, wherein the virtual reality head-mounted ophthalmic system is configured to prevent light from the ground in front of the head-mounted ophthalmic system from passing through to the eyes of the wearer wearing the head-mounted ophthalmic system, light from the ground that, if passed through the eyes, would cause an image of the ground to be formed in the wearer's eyes.
[0038] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Other Treatment Platforms 1. A wearable augmented reality device configured for use by a wearer, said device comprising: an augmented reality head-mounted ophthalmic system including an augmented reality display platform, the augmented reality head-mounted ophthalmic system configured to transmit light from the ground to an eye of a wearer wearing the head-mounted system; The augmented reality head-mounted ophthalmic system is a wearable augmented reality device configured to perform a treatment other than light therapy on the wearer. 2. The device of embodiment 1, wherein the augmented reality head-mounted ophthalmic system is configured to perform vibration therapy. 3. The device of embodiment 2, wherein the augmented reality head-mounted ophthalmic system is configured to massage the wearer's face or head. 4. The device of embodiment 3, wherein the augmented reality head-mounted ophthalmic system further comprises an actuator having a contact surface configured to touch the wearer during massage. 5. The device of embodiment 5, wherein the actuator is selected from the group consisting of a piezoelectric actuator, an eccentric cam, an eccentric rotating mass (ERM) vibration motor, and a linear resonant actuator (LNA). 6. The device of embodiment 2, wherein the augmented reality head-mounted ophthalmic system further comprises a speaker configured to perform ultrasound therapy. 7. The device of embodiment 6, wherein the augmented reality head-mounted ophthalmic system is configured to produce binaural beats. 8. The device of embodiment 6, wherein the augmented reality head-mounted ophthalmic system is configured to direct sound waves to the eye. 9. The device of embodiment 1, wherein the augmented reality head-mounted ophthalmic system is configured to administer hyperthermic therapy to the wearer. 10. The device of embodiment 9, wherein the augmented reality head-mounted ophthalmic system further comprises a cooler. 11. The device of embodiment 9, wherein the augmented reality head-mounted ophthalmic system is configured to blow cool air cooled by the cooler to the wearer. 12. The device of embodiment 9, wherein the augmented reality head-mounted ophthalmic system further comprises a heater. 13. The device of embodiment 9, wherein the augmented reality head-mounted ophthalmic system is configured to blow heated air heated by the heater onto the eye. 14. The device of embodiment 1, further comprising an EEG sensor, wherein the augmented reality head-mounted ophthalmic system is configured to implement the treatment based on the physiological state of the wearer measured by the EEG sensor. 15. The device of embodiment 1, wherein the augmented reality head-mounted ophthalmic system is configured to issue alerts to the wearer while performing the treatment. 16. The device of embodiment 15, wherein the augmented reality head-mounted ophthalmic system is configured to alert the wearer to keep their eyes open while administering treatment. 17. The device of embodiment 15, wherein the augmented reality head-mounted ophthalmic system is configured to alert the wearer and focus the eye on a visual target while performing treatment. 18. The device of embodiment 15, wherein the augmented reality head-mounted ophthalmic system is configured to direct air into the eye during treatment. 19. A wearable virtual reality device configured for use by a wearer, the device comprising: a virtual reality head-mounted ophthalmic system comprising a virtual reality display platform including a display for displaying images to the wearer's eyes; The virtual reality head-mounted ophthalmic system is a wearable virtual reality device configured to deliver treatment other than light therapy to the wearer's eye. 20. The device of embodiment 19, wherein the virtual reality head-mounted ophthalmic system is configured to prevent light from the ground in front of the head-mounted system from passing through to the eyes of the wearer wearing the head-mounted system, light from the ground that, if passed through the eyes, would cause an image of the ground to be formed in the wearer's eyes.
[0039] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Outward-facing camera 1. A wearable display system, the display system comprising: A head-mounted display, at least one outward-facing camera configured to capture images of the ground around a wearer of the head-mounted display; A wearable display system, wherein the display system is configured to process the terrestrial image and project a re-rendered image from the head-mounted display to the wearer's eyes. 2. The wearable display system of embodiment 1, wherein the display system is configured to re-render the terrestrial image based at least in part on the known eye state of the wearer. 3. The wearable display system of embodiment 1, wherein the display system is configured to re-render the terrestrial image by changing the hue of at least a portion of the image. 4. The wearable display system of embodiment 3, wherein the display system is configured to re-render the terrestrial image by shifting the color of at least a portion of the image. 5. The wearable display system of embodiment 1, wherein the display system is configured to re-render the terrestrial image by changing the brightness of at least a portion of the image. 6. The wearable display system of embodiment 1, wherein the display system is configured to re-render the terrestrial image by modifying a portion of the image based on the distribution of healthy and unhealthy cells in the wearer's retina. 7. The wearable display system of embodiment 1, wherein the display system is configured to re-render the terrestrial image by modifying the wavefront of at least a portion of the image. 8. The wearable display system of embodiment 1, wherein the display system is configured to re-render the image of the ground by magnifying at least a portion of the image. 9. The wearable display system of embodiment 1, wherein the display system is configured to re-render the terrestrial image by changing the saturation of at least a portion of the image. 10. The wearable display system of embodiment 1, wherein the display system is configured to re-render the terrestrial image by modifying the spatial frequency of at least a portion of the image. 11. The wearable display system of embodiment 1, wherein the head-mounted display comprises a virtual reality display. 12. The wearable display system of embodiment 1, wherein the head-mounted display includes an augmented reality display device configured to transmit light from the ground to the wearer's eyes. 13. The wearable display system of any one of embodiments 1 to 12, wherein the head-mounted display comprises a light field display.
[0040] The numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" are repeated, appended to, and concatenated to the list of numbered embodiments herein, as if the list of numbered additional embodiments in the section below entitled "ADDITIONAL NUMBERED EMBODIMENTS" immediately followed the numbered embodiments herein. Additional Numbered Embodiments
[0041] These additional embodiments will be added to the list of embodiments provided in different sections above, including, but not limited to, the sections entitled: Myopia / Hyperopia / Astigmatism; Presbyopia; Strabismus / Amblyopia; Higher Order Aberrations; Chromatic Aberrations; Horopter; Red Reflex; Intraocular Pressure; Pinhole Occluder; Initial W4LT Testing; Retinoscopy; Slit Lamp; Color Blindness, Ophthalmoscope / Funduscopy; Confocal Microscopy / SLO; Two-Photon Microscopy; Autorefractor; OCT; Aberrometer; Ultrasound; Electro-Oculography (EOG), Electroencephalography (EEG), Electroretinography (ERG); Phototherapy; Macular Degeneration; Contrast Testing; Visual Field; Laser Therapy; Drug Delivery; Other Therapeutic Platforms; and Extroverted Cameras.
[0042] These additional embodiments are repeated and joined to the list of embodiments provided in each section of the different sections above, as if the list immediately following below were continuing the list of embodiments in that particular section. Furthermore, the additional embodiments numbered below should be understood to apply to all claims of the present application, and references to "device of any of the above embodiments" should be understood to include additional references to all claims of the following claims in order to grasp the subject matter encompassed by these embodiments. 1. A device according to any of the preceding embodiments, wherein the device comprises a light field display. 2. A device according to any of the preceding embodiments, wherein the device is configured to project images onto the wearer's eyes from different depth planes. 3. A device according to any of the above embodiments, wherein the device comprises a plurality of optical elements having refractive indices to project images from different depth planes. 4. A device according to any of the preceding embodiments, wherein the device comprises a plurality of lenses with refractive indices to project images from different depth planes. 5. A device as described in any of the above embodiments, wherein the device is configured to use time multiplexing to project images from different depth planes and cause them to enter the eye, so that images corresponding to different depth planes are projected at different times. 6. A device according to any of the above embodiments, wherein the device is configured to project at least one light beam in a scanning pattern onto the wearer's eye. 7. A device according to any of the above embodiments, wherein the device is configured to form an image by projecting at least one light beam in a scanning pattern onto the wearer's eye. 8. A device according to any of the preceding embodiments, wherein the display device is configured to project at least one light beam having a lateral dimension of 1 to 25 microns onto the wearer's eye. 9. A device according to any of the preceding embodiments, further comprising a transmissive adaptive optics element. 10. A device according to any of the preceding embodiments, further comprising a transmissive adaptive optical element, the transmissive adaptive optical element comprising a phase-modulating adaptive optical lens or a spatial light modulator. 11. A device according to any of the preceding embodiments, further comprising a transmissive adaptive optics element including a deformable lens. 12. A device according to any of the preceding embodiments, further comprising a transmissive adaptive optics element comprising a deformable lens, including a deformable elastic lens. 13. A device according to any of the preceding embodiments, wherein the device is configured to track data relating to a user acquired by the device over a predetermined period of time. 14. A device as described in any of the above embodiments, wherein the device is further configured to clarify the results of a previous examination, eye exam, or surgery performed by the device when providing output light to the user or when providing control light that reaches the user. 15. A device according to any of the above embodiments, wherein the device is further configured to modify the output light provided to the user, or the control light provided to reach the user, based at least in part on the results of one or more previous tests, eye exams, or surgeries performed by the device. 16. A device according to any of the above embodiments, wherein the examination, eye exam, or surgery performed by the device is initialized and a new examination, eye exam, or surgery is initiated based at least in part on the results of a previous examination, eye exam, or surgery performed by the device. 17. A device according to any of the preceding embodiments, wherein the device comprises a gaming console. 18. A device according to any of the preceding embodiments, wherein the device comprises an entertainment device. 19. The device of any of the preceding embodiments, wherein the device comprises a personal display device. 20. A device according to any of the preceding embodiments, wherein the device comprises a computational display device. 21. A device according to any of the preceding embodiments, wherein the device is configured to perform an examination, eye exam, or surgery while presenting a movie. 22. A device according to any of the preceding embodiments, wherein the device is configured to perform an examination, eye exam, or surgery while the wearer is playing a video game. 23. A device according to any of the above embodiments, wherein the device is configured to obtain test results based at least in part on measurements of the wearer's eyes while presenting a movie. 24. A device according to any of the above embodiments, wherein the device is configured to obtain test results based at least in part on measurements of the wearer's eyes while playing a video game. 25. A device as described in any of the above embodiments, wherein the device is configured to project a movie such that portions of the movie are projected from various depth planes, and to perform an examination, eye exam, or surgery on the wearer's eye based on measurements of the eye when observing portions of the movie projected from the various depth planes. 26. A device as described in any of the above embodiments, wherein the device is configured to present a video game such that portions of the video game are presented from various depth planes, and to perform an examination, eye examination, or surgery on the wearer's eye based on measurements of the eye while playing the video game presented from the various depth planes. 27. A device according to any of the above embodiments, wherein the device is a medical system configured for use by an optometrist, clinician, or doctor. 28. A device according to any of the above embodiments, wherein the examination, eye exam, or procedure is performed in an optometrist's, clinician's, or doctor's office, or in a hospital, clinic, or medical institution. 29. A device according to any of the above embodiments, wherein the device is primarily configured as an ophthalmic system configured to perform ophthalmic consultations or to perform ophthalmic treatments. 30. A device according to any of the above embodiments, wherein the device is primarily configured as an ophthalmic system configured to determine refractive error or to perform eye examinations. 31. A device according to any of the previous embodiments, wherein the examination, eye exam, or surgery is performed by the device multiple times per year. 32. A device according to any of the previous embodiments, wherein the examination, eye exam, or surgery is performed by the device multiple times per week. 33. A device according to any of the previous embodiments, wherein the examination, eye exam, or surgery is performed by the device multiple times per day. 34. A device according to any of the above embodiments, wherein the examination, eye exam, or surgery is performed by the device at the discretion of the wearer. 35. A device according to any of the above embodiments, wherein the examination, eye exam, or surgery is dynamically planned or recommended based at least in part on results obtained by monitoring the wearer's eye behavior with the device. 36. A device according to any of the above embodiments, wherein the scheduled time for an examination, eye exam, or surgery is changed based at least in part on the results of monitoring the wearer's eye behavior with the device. 37. A device according to any of the above embodiments, wherein the device is configured to issue a warning that the device will be performing an examination, eye exam, or surgery on the wearer. 38. A device according to any of the above embodiments, wherein the device is configured to alert the wearer that the device has completed an examination, eye exam, or surgery. 39. A device according to any of the above embodiments, wherein the device is configured to issue a warning to the wearer if the wearer's eye behavior falls outside a target range of behavior. 40. A device according to any of the above embodiments, wherein the device is configured to issue a warning recommending testing if the eye behavior characteristic falls outside a target behavior range. 41. A device according to any of the above embodiments, wherein the device is configured to issue a warning including information regarding characteristics of the eye's behavior that fall outside a target range of behavior. 42. A device according to any of the above embodiments, wherein the device is configured to issue a warning, including an audible or visual notification, that is presented to the wearer indicating that testing is recommended. 43. A device as described in any of the above embodiments, wherein the device is configured to provide an alert, including an audible or visual notification, presented to the wearer indicating if any behavioral characteristic falls outside a target behavioral range. 44. The device comprises: obtaining information about the environment surrounding the glasses; measuring a biological characteristic of the wearer; 10. A device according to any preceding embodiment, configured to determine a relationship between the information and the measured biological characteristic. 45. The device described in embodiment 44, wherein the device is configured to acquire the information about the surrounding environment by using an outward-facing camera to acquire images of objects in an environment external to the glasses; and the device is configured to determine a relationship between the objects in the acquired images and the measured biological characteristics. 46. A device as described in embodiment 45, wherein the object in the acquired image includes food. 47. A device described in any of embodiments 44 to 46, wherein the biological characteristics include at least one of heart rate or blood pressure trend. 48. A device according to any of embodiments 44 to 47, wherein the relationship is stored to maintain a historical record of the determined relationship. 49. A device described in any of embodiments 44 to 48, wherein the device is configured to obtain the information regarding the surrounding environment by determining the wearer's position; and the information characterizes one or more conditions of the surrounding environment at the position. 50. A device as described in any of embodiments 44 to 49, wherein the device is configured to obtain the information about the surrounding environment by accessing a remote data repository. 51. A device described in any of embodiments 44 to 50, wherein the information describes one or more of pollen counts, pollution, demographics, environmental toxins, indoor climate, air quality conditions, lifestyle statistics, and proximity to medical facilities. [Brief explanation of the drawings]
[0043] The drawings illustrate some examples of embodiments disclosed herein and do not limit the invention. It should be noted that the drawings are not drawn to scale and that components of similar structure or function are represented throughout the drawings by like reference numerals.
[0044] [Figure 1] 1 illustrates a conventional ophthalmic surgical instrument used in a clinician's office. [Figure 2] 1 shows a cross section of a human eye. [Figure 3A] 1 illustrates various configurations of a preferred ophthalmic device. [Figure 3B] 1 illustrates various configurations of a preferred ophthalmic device. [Figure 3C] 1 illustrates various configurations of a preferred ophthalmic device. [Figure 3D] 1 illustrates various configurations of a preferred ophthalmic device. [Figure 4A] 1 illustrates various ophthalmic and cephalometric measurements that are taken to configure an ophthalmic device for a particular user. [Figure 4B] 1 illustrates various ophthalmic and cephalometric measurements that are taken to configure an ophthalmic device for a particular user. [Figure 4C] 1 illustrates various ophthalmic and cephalometric measurements that are taken to configure an ophthalmic device for a particular user. [Figure 4D] 1 illustrates various ophthalmic and cephalometric measurements that are taken to configure an ophthalmic device for a particular user. [Figure 5] 1 shows a schematic diagram of various components of an ophthalmic device according to some embodiments. [Figure 6] 1 illustrates a preferred process flow for changing the focus of a health system according to some embodiments. [Figure 7A] 1 shows a schematic cross-sectional view of a user's eye that is myopic. [Figure 7B] 1 shows a schematic cross-sectional view of a user's eye that is myopic. [Figure 8A] 1 shows a schematic cross-sectional view of a user's eye that is farsighted. [Figure 8B] 1 shows a schematic cross-sectional view of a user's eye that is farsighted. [Figure 9A] 1 shows a schematic cross-sectional view of a user's eye with astigmatism. [Figure 9B] 1 shows a schematic cross-sectional view of a user's eye with astigmatism. [Figure 10A] 1 illustrates a preferred process flow for correcting vision impairment according to some embodiments. [Figure 10B] 1 illustrates an example of a structure for modifying an optical prescription according to some embodiments. [Figure 10C] 1 illustrates an example of a structure for modifying an optical prescription according to some embodiments. [Figure 10D] 1 illustrates an example of a structure for modifying an optical prescription according to some embodiments. [Figure 10E] 1 illustrates an example of a structure for modifying an optical prescription according to some embodiments. [Figure 11] 1 illustrates a preferred process flow for correcting presbyopia according to some embodiments. [Figure 12] A preferred method of treating convergence insufficiency, such as that caused by strabismus and / or amblyopia, is shown by occluding the wearer's eyes. [Figure 13]1 illustrates a preferred process flow for detecting macular edema according to some embodiments. [Figure 14] 1 illustrates an example of a wearable augmented reality device configured to function as a horopter or refractometer. [Figure 15] 1 illustrates a preferred method for determining the optical prescription of a wearer of an augmented reality or virtual reality device configured for use as a virtual horopter. [Figure 16A] 1 shows a schematic diagram of a preferred configuration of a system for measuring intraocular pressure in an eye. [Figure 16B] 1 illustrates a preferred process flow for a system for measuring intraocular pressure according to some embodiments. [Figure 17A] 1 illustrates a preferred pinhole occluder embodiment according to some embodiments. [Figure 17B] 1 illustrates a preferred pinhole occluder embodiment according to some embodiments. [Figure 17C] 1 illustrates a preferred pinhole occluder embodiment according to some embodiments. [Figure 17D] 1 illustrates a preferred process flow for testing with a preferred eye occlusion according to some embodiments. [Figure 17E] 1 illustrates a preferred pinhole occluder including preferred multiple viewing holes according to some embodiments. [Figure 17F] 1 illustrates a preferred process flow for correcting vision impairments using a pinhole occluder according to some embodiments. [Figure 18] The Worth Four Light Test or Worth Four Dot Test is the preferred method for assessing the wearer's diopter for single vision with both eyes. [Figure 19] 1 illustrates a preferred method for measuring and detecting refractive error of a wearer of an augmented reality device configured to perform retinoscopy. [Figure 20A]1 illustrates a patient-worn ophthalmic device configured as a slit lamp diagnostic device. [Figure 20B] 1 illustrates a preferred process flow for performing a slit lamp examination. [Figure 21A] 1 shows a schematic diagram of various color plates. [Figure 21B] 1 shows a schematic diagram of a preferred system for creating a black background in an augmented reality system. [Figure 22A] 1 shows a schematic representation of augmented reality / virtual reality glasses configured as an ophthalmoscope / fundus scope. [Figure 22B] 1 illustrates a preferred process flow for using a health system as an ophthalmoscope according to some embodiments. [Figure 22C] 1 is a partial schematic diagram of an embodiment configured to image intraocular structures at various depths as well as illuminate intraocular structures at various depths; [Figure 23A] 1 shows a schematic of a setup for performing an optical coherence tomography (OCT) examination. [Figure 23A-1] 1 is a partial schematic diagram of an example of augmented reality / virtual reality glasses comprising a fiber scanning device and multiple waveguides configured to perform an optical coherence tomography (OCT) examination. [Figure 23B] 1 illustrates a schematic diagram of augmented reality / virtual reality glasses comprising a plurality of light-sensing devices configured to receive light reflected / backscattered by the eye. [Figure 23C] 1 illustrates a preferred process flow and system configuration for using a health system as an OCT system according to some embodiments. [Figure 24A] 1 is a schematic diagram of augmented reality / virtual reality glasses comprising one or more ultrasound probes and one or more ultrasound transmitters and receivers. [Figure 24B] 1 illustrates a preferred process flow for using ultrasound through an ophthalmic device according to some embodiments. [Figure 24C]1A and 1B illustrate schematic diagrams of augmented reality / virtual reality glasses configured to perform confocal microscopy, scanning laser ophthalmoscopy, or two-photon microscopy. [Figure 24D-1] 1 is a partial schematic diagram of an embodiment of augmented reality / virtual reality glasses comprising a fiber scanning device and multiple waveguides configured to perform confocal microscopy, scanning laser ophthalmoscopy, or two-photon microscopy. FIG. [Figure 24D-2] 1 is a partial schematic diagram of an embodiment of eyeglasses comprising a light source, one or more imaging devices, a beam splitter, a system exhibiting lens effects, and a scanning mirror. [Figure 24E] 1 illustrates a preferred process flow and system configuration for using augmented reality / virtual reality glasses as a confocal microscope. [Figure 24F] 1 is a schematic diagram of augmented reality / virtual reality glasses with electrodes placed around the user's eyes. [Figure 25] 1 is a schematic diagram of a preferred configuration of the wellness system. [Figure 26A] 1 illustrates a preferred embodiment of an augmented and / or virtual reality system configured as an autorefractor. [Figure 26B] 1 illustrates a preferred embodiment of an augmented and / or virtual reality system configured as an autorefractor. [Figure 26C] 1 illustrates a preferred embodiment of an augmented and / or virtual reality system configured as an autorefractor. [Figure 26D] 1 illustrates a preferred embodiment of an augmented and / or virtual reality system configured as an autorefractor. [Figure 26E] 1 illustrates a preferred embodiment of an augmented and / or virtual reality system configured as an autorefractor. [Figure 26F] 1 illustrates a preferred embodiment of an augmented and / or virtual reality system configured as an autorefractor. [Figure 26G] 1 illustrates a preferred embodiment of an augmented and / or virtual reality system configured as an autorefractor. [Figure 27]1 illustrates a preferred embodiment of an augmented reality / virtual reality system configured as a wavefront aberrometer. [Figure 28A] 1 shows a schematic diagram of an example of a scanning fiber. [Figure 28B] 1 shows a schematic diagram of an example display using scanning fibers. [Figure 28C] 1A and 1B show schematic diagrams of preferred spiral patterns formed by moving scanning fibers in a fiber scanning display. [Figure 29A] 1 shows a schematic representation of a preferred embodiment of a system with transmissive adaptive optics; [Figure 29B] 1 shows a schematic representation of a preferred embodiment of a system with reflective adaptive optics; DETAILED DESCRIPTION OF THE INVENTION
[0045] Various embodiments of the present invention relate to methods, systems, and articles of manufacture that implement a user-wearable health assessment system that can be used to provide health-related diagnosis, monitoring, and treatment to a user. Various objects, features, and advantages of the present invention are set forth in the detailed description, drawings, and claims.
[0046] Various embodiments will be described in detail with reference to the drawings, which are provided as illustrative examples of the present invention to enable those skilled in the art to practice the present invention. In particular, the following figures and examples are not intended to limit the scope of the present invention. When particular elements of the present invention are implemented in part or in whole using known components (or methods or processes), only those parts of such known components (or methods or processes) necessary for understanding the present invention will be described, and detailed descriptions of other parts of such known components (or methods or processes) will be omitted so as not to obscure the present invention. Furthermore, various embodiments encompass both current and future-known equivalents of components referenced by way of example herein.
[0047] Disclosed are methods and systems for diagnosing and / or treating a patient's health-threatening condition using a user-wearable health diagnostic system, e.g., a user-wearable ophthalmic device, that interacts with the user's eye. In one or more embodiments, the device may be a head-mounted system capable of administering one or more diagnostic or treatment regimens. In some other embodiments, the device may be stationary (e.g., installed in a doctor's office). In one or more embodiments, the device may be an augmented reality system that advantageously combines a number of augmented reality (AR) and / or virtual reality (VR) technologies for health management or ophthalmic treatment purposes. In some other embodiments, the device may be worn by a clinician for diagnosis and / or simulation and training. While various embodiments described below describe a new paradigm for health systems in conjunction with AR systems, it should be understood that the treatment methods disclosed herein can be used independently of any existing and / or known AR systems. Accordingly, the examples described below are illustrative only and should not be read as limited to AR systems.
[0048] As described above, embodiments of the present invention present a new paradigm in which a user-wearable health diagnostic or healthcare treatment system (abbreviated herein as a health system), e.g., an ophthalmic device, is worn by a patient and can be programmed with one or more applications specific to various healthcare-related conditions, e.g., eye-related conditions. In some embodiments, diagnosis and / or treatment may be performed by optical structures, mechanical structures, processing algorithms, or any combination of the above. In some other embodiments, the patient-worn health system may be equipped with sensing and / or stimulation capabilities to enhance treatment or diagnosis. In some embodiments, a head-mounted augmented reality system may be used to perform various healthcare-related measurements, assessments, diagnoses, or treatments, e.g., ophthalmic measurements, assessments, diagnoses, or treatments.
[0049] When a head-mounted augmented reality display system interacts with a user's eyes, many applications can be envisioned for ophthalmology-related diagnosis and treatment. Furthermore, many other applications in non-visual diagnosis and treatment can be envisioned as well. Accordingly, the disclosure presented herein is not limited to ophthalmic diagnosis, monitoring, and treatment. The embodiments disclosed herein can also be applied to diagnose, monitor, and treat other areas of a user's health, including, but not limited to, the user's cardiovascular and neurological health.
[0050] Many embodiments of the health system are described in relation to various eye-related diseases and disorders. Before describing the various embodiments of the health system in detail, a brief description of the biological mechanisms of the human eye will be provided below to provide an understanding of common disease situations that may affect a patient.
[0051] Referring to Figure 2, a simplified cross-section of the human eye is shown, featuring the cornea (42), iris (44), lens—or "crystalline lens" (46), sclera (48), choroid layer (50), macula (52), retina (54), and optic nerve tract (56) leading to the brain. The macula is the center of the retina and is used for seeing moderately fine features; at the center of the macula is the portion of the retina labeled the "fovea," which is used for seeing the finest features and contains more photoreceptors (approximately 120 cone photoreceptors per diopter) than any other part of the retina. The human visual system is not a passive sensor system; it is configured to actively scan the environment. Much like using a flatbed scanner to capture an image or using your finger to read Braille from paper, the eye's photoreceptors activate in response to changes in stimuli rather than constantly responding to a constant stimulus.
[0052] Thus, motion is required to present photoreceptor information to the brain (such as the movement of a linear scanner array across a piece of paper in a flatbed scanner, or the movement of a finger across Braille words imprinted on paper). Indeed, experiments using substances such as cobra venom, which are used to paralyze eye muscles, have shown that human subjects experience blindness when viewing a static scene with their eyes in an open-eyed position while their eyes are paralyzed by snake venom. In other words, in the absence of a changing stimulus, the photoreceptors provide no input to the brain, and thus blindness is experienced. This is thought to be at least in part due to the fact that normal human eyes have been observed to sway back and forth, or wobble, while also moving side to side in a phenomenon called "microsaccades."
[0053] As explained above, the retina's fovea contains the largest density of photoreceptors, and humans typically perceive high-resolution visualization across the entire visual field. However, because humans typically only have a small high-resolution center, humans mechanically move their eyes repeatedly, permanently storing high-resolution information captured most recently at the fovea. In a fairly similar manner, the eye's focal length control mechanism (the ciliary muscle is operatively coupled to the lens such that ciliary relaxation flattens the lens at more distant focal lengths; ciliary contraction relaxes the ciliary connective fibers, allowing the lens to adopt a rounder geometric shape corresponding to closer focal lengths) periodically deflects back and forth by approximately 1 / 4 to 1 / 2 diopter, periodically inducing a small phenomenon called "refractive blur" both near and far from the target focal length; this is utilized by the brain's focus control circuitry as a periodic negative feedback that constantly corrects course and helps keep the retinal image of a fixed object in near focus.
[0054] The brain's visual center also receives valuable perceptual information based on the relative movement of the eyes and their components. The convergence movement of the two eyes relative to one another (i.e., moving the pupils toward or away from one another to converge and fixate on an object) is closely linked to the focusing action of the eye's lenses (or "accommodation"). Under normal conditions, changing the focus of the eye's lenses, or accommodating them to focus on objects at different distances, automatically results in a corresponding change in convergence to the same distance, according to a relationship known as the "accommodation-vergence reflex." Similarly, changes in convergence result in corresponding changes in accommodation under normal conditions. As with most conventional stereoscopic AR or VR configurations, affecting this reflex is known to cause eye muscle fatigue, headaches, or other forms of discomfort to users.
[0055] Head movement, which accommodates the eyes, also has a significant impact on object visualization. Humans move their heads to visualize their ground; humans often enter a fairly steady state of changing head position and head orientation relative to an object of interest. Furthermore, most people choose to move their heads when it is necessary to move their gaze more than about 20 degrees off-center to focus on a particular object (i.e., people typically do not like to see things "out of the corner of their eye"). Humans also typically move or shift their heads within a certain range in relation to sound to improve the capture of sound signals and take advantage of the shape of their ears relative to their heads. The human visual system can derive powerful depth cues from information called "head motion parallax," which describes the relative motion of objects located at different distances as a function of head movement and eye convergence distance (i.e., when a person moves their head from side to side to gaze at an object, items located at a distance from the object move in the same direction as the head; items located in front of the object move in the opposite direction; these are very salient cues for objects spatially located in the environment relative to the person - perhaps as powerful as stereopsis). Head movement is, of course, also used to orient objects above ground.
[0056] Furthermore, head and eye movements work together in what's known as the "vestibulo-ocular reflex," which stabilizes the image information on the retina during head rotation, keeping object images roughly centered on the retina. As the head rotates, the eyes reflexively and proportionally rotate in opposite directions, maintaining a stable gaze on the object. As a result of this complementary relationship, many people are able to read a book while shaking their head back and forth. (Interestingly, the same is typically not true if the head remains nearly stationary and the book moves back and forth at the same rate—the person likely cannot read a moving book; the vestibulo-ocular reflex is a coordination of head and eye movements and is typically not utilized in conjunction with hand movements.) This paradigm is crucial for patient-worn health systems because it allows a user's head movements to be relatively directly correlated with eye movements, and the system is preferably prepared to operate with this relationship intact. Therefore, when designing a patient-worn or stationary display-based health system, the characteristics, and in some cases the limitations, of the human eye are taken into account to provide meaningful virtual reality content that works with the eye's natural mechanisms rather than causing stress. Furthermore, in the context of health-related applications of augmented reality display systems, this can provide various advantages, as disclosed herein. As described above, the health system display can be implemented independently of an augmented reality (AR) system, although many of the following embodiments are described solely for illustrative purposes in conjunction with an AR system.
[0057] 3A-3D, some general component options are illustrated. While the embodiments of Figures 3A-3D show head-mounted displays, it will be appreciated that in some embodiments, the same components may also be incorporated into stationary health systems.
[0058] As shown in FIG. 3A , a user (60) is shown wearing a patient-worn ophthalmic device, which includes a frame (64) structure connected to a display system (62) positioned in front of the user's eye. Depending on the health system application, the frame 64 may be connected to multiple ophthalmic-specific measurement subsystems. Some embodiments may be configured for one or more ophthalmic applications, while other embodiments may be general-purpose AR systems that can also be applied to ophthalmic applications. In any event, the following sections describe possible components of a health system or AR system used in ophthalmic equipment and / or eye treatment.
[0059] In one or more embodiments, the health system is worn by a patient or user. In some other embodiments, the health system may be worn by another person, such as a doctor or clinician, who may use the health system to administer a series of diagnostic tests and / or treatment protocols to a patient other than the person wearing the health system. It should be understood that any of the following applications may also be used by a person wearing the health system to administer diagnostic tests and / or treatment protocols to a patient.
[0060] A speaker 66 may be connected to the frame 64 in the configuration shown and may be positioned adjacent to the user's ear canal (in one embodiment, another speaker, not shown, may be positioned adjacent the user's other ear canal to provide stereo / shaped sound control). A microphone 55 may also be connected to the frame to detect sounds from the user or the world. In some embodiments, another microphone (not shown) may be provided, for example, connected to the frame 64 on the right hand side of the user. In one or more embodiments, the wellness system can have a display 62 operably connected 68, for example, via wired leads or a wireless connection, to a local processing and data module 70, which is mounted to the frame 64 in a variety of configurations, such as being affixed to the frame 64, affixed to a helmet or hat 80 as shown in the embodiment of FIG. 3B, embedded in headphones, removably attached to the torso 82 of the user 60 in a backpack-style configuration as shown in the embodiment of FIG. 3C, or removably attached to the hips 84 of the user 60 in a belt-type configuration as shown in the embodiment of FIG. 3D.
[0061] The local processing and data module 70 may include a power-efficient processing unit or controller and digital memory, such as flash memory, both of which may be utilized to facilitate processing, caching, and storage of data a) collected from sensors, such as imagers (such as cameras), microphones, inertial measurement units, accelerometers, compasses, GPS units, radios, and / or gyros, which may be operably connected to the frame 64, and / or b) after such processing or retrieval, acquired and / or processed using a remote processing module 72 and / or a remote data repository 74, and possibly passed to the display system 62. The local processing and data module 70 may be operably connected (76, 78) to the remote processing module 72 and remote data repository 74, for example, via a wired or wireless communication link, and these remote modules 72, 74 may be operably connected to each other and utilized as resources for the local processing and data module 70.
[0062] In some embodiments, the remote processing module (72) may comprise one or more relatively sophisticated processing devices or controllers configured to analyze and process the data and / or image information. In some embodiments, the remote data repository (74) may comprise relatively large digital data storage devices available in a "cloud" resource configuration via the Internet or other network configuration. In some embodiments, all data is stored and all calculations are performed on the local processing and data modules, allowing any remote module to be used completely autonomously.
[0063] Advantageously, a health system similar to the system described in FIGS. 3A-3D (or an AR system with ophthalmic applications) can have unique access to a user's eyes and head. When the health system interacts with a user's eyes to enable the user to perceive 3D virtual content and, in many embodiments, tracks various biometrics associated with the user's eyes (e.g., eye convergence, eye movement, retinal structure, anterior and posterior eye shape, eye movement patterns, etc.), the resulting tracking data can be advantageously used in health-related applications, as described in more detail herein. This unprecedented access to a user's eyes can be utilized in a variety of health management applications. Depending on the type of health-impairing condition, the health system can image, detect (including measure), and / or stimulate the user's eyes to diagnose and / or treat the condition.
[0064] In one or more embodiments, the augmented reality display system can be used as a patient-worn or user-worn ophthalmic device. Ophthalmic equipment can be used by clinicians to perform medical procedures and / or examine a user's eyes by viewing the inside of a patient's eye. Traditionally, ophthalmic devices have been large, bulky, stationary devices that often require the patient to travel to a doctor's office, where the clinician or doctor performs eye-related tests on the patient. Typically, the patient is restrained by the ophthalmic instrument (e.g., by resting their chin on the chin rest of the ophthalmic device, pushing their head forward, etc.) until the clinician completes a series of tests. As such, current approaches have many limitations.
[0065] In addition to using heavy and bulky devices for testing, conventional approaches require physician supervision, require patients to repeatedly return to the clinician's office for further testing / progress analysis, and require patients to assume uncomfortable or constrained positions for long periods of time. Furthermore, if the patient only rests on the ophthalmic device for a short period of time, the amount of data that the clinician can collect to diagnose or treat the patient is limited. Furthermore, conventional approaches do not take into account user behavior and dynamic changes in the user's posture. Many tests performed using conventional approaches generally require the user to be restrained in a specific, stationary position. However, when a user undergoes a visual field test and has a limited range of gaze, the user moves their head and eyes, generating noise and potentially resulting in inaccurate test results.
[0066] In one or more embodiments, a head-mounted healthcare (e.g., ophthalmic) device similar to the devices shown in FIGS. 3A-3D may be used by a patient to track data, identify and cure one or more eye-related diseases, and / or facilitate the prevention of other health problems. In one or more embodiments, an AR display system may be used as a head-mounted healthcare (e.g., ophthalmic) device. It will be appreciated that many of the embodiments described below may be implemented as head-mounted embodiments, while other embodiments may be implemented as stationary devices. Furthermore, some embodiments may implement systems and methods using AR technology to diagnose, monitor, and / or treat under medical supervision (e.g., for medical safety issues, regulatory issues, etc.), while other embodiments may be implemented as described herein to perform self-diagnosis and / or monitoring using a head-mounted healthcare or AR device, or as part of a treatment protocol for a particular disease. For purposes of illustration, this disclosure will focus primarily on head-mounted health management devices, e.g., wellness systems, and in particular AR devices, but it should be understood that the same principles can be applied to non-head-mounted embodiments.
[0067] In one or more embodiments, the AR display device can be used as a patient-worn health management device, such as a patient-worn health system. The device can typically be worn on a specific user's head, with the optics aligned with the user's eyes. These configuration steps can be used to help ensure an optimal augmented reality experience for the user without causing physiological side effects such as headaches, nausea, discomfort, etc. Thus, in one or more embodiments, the patient-worn health system is configured (physically and digitally) for each individual user, and a set of programs can be specifically calibrated for that user. In other scenarios, a wide variety of users can comfortably use a loose-fitting AR device. For example, in some embodiments, the patient-worn health system recognizes one or more of the following: the distance between the user's eyes, the distance between the head-mounted display and the user's eyes, the curvature of the user's forehead, the distance to the ears, or the height of the bridge of the nose for proper fit. All of these measurements can be used to provide the correct head-mounted display system for a specific user. In some other embodiments, such measurements are not necessary to perform the optometry function.
[0068] For example, with reference to FIGS. 4A-4D, the health system can be customized for each user. As shown in FIG. 4A, in one or more embodiments, the user's head shape 402 can be taken into consideration when donning the head-mounted patient-worn health system. Similarly, as shown in FIG. 4B, the ophthalmic optics 404 (e.g., optics, optical structure, etc.) can be rotated or adjusted for user comfort in both horizontal and vertical directions, or can be rotated for user comfort. In one or more embodiments, as shown in FIG. 4C, the head rotation reference point set relative to the user's head can be adjusted based on the user's head structure. Similarly, as shown in FIG. 4D, the interpupillary distance (IPD) (i.e., the distance between the user's eyes) can be corrected.
[0069] In the context of a patient-worn health system, this form of head-mounted device can be advantageous because the system already has a set of measurements of the user's anthropometric characteristics (e.g., size, interocular distance, etc.) and other data that can be used to treat and diagnose the patient.
[0070] In addition to various measurements and calibrations performed on the user, the patient-worn health system can be configured to track a range of biometric data about the user to identify the patient and enable secure communication. For example, the system can perform iris recognition and / or retinal matching to identify the patient, track eye movement tracking, eye movement patterns, blink patterns, eye convergence movements, fatigue parameters, eye color changes, focal length changes, and many other parameters that can be used to provide the user with an optical augmented reality experience. For AR devices used in healthcare applications, it will be appreciated that some of the features described above may be part of widely available AR devices, while other features may be incorporated into specific healthcare-related applications.
[0071] Referring now to Figure 5, various components of an exemplary patient-worn health management display device will be described. It should be understood that other embodiments may have additional or fewer components, depending on the application (e.g., a particular diagnostic tool) for which the system is used. However, Figure 5 provides a basic overview of some of the various components and types of biometric data that can be collected and stored using a patient-worn health system or AR device. Figure 5 illustrates a simplified head-worn health system 62 on the right side in block diagram form.
[0072] Referring to FIG. 5, one embodiment of a suitable user display device 62 is shown, comprising a display lens 64 that can be mounted on the user's head or eyes via a housing, or mounted in a frame 108 corresponding to the frame 64 (FIGS. 3A-3D). The display lens 106 is positioned in front of the user's eyes 20 via the housing 108 and can comprise one or more transparent mirrors configured to bounce the projected light 38 back to the eyes 20 to facilitate beam shaping while allowing transmission of at least some rays of light from the local environment. As shown, two wide-field machine vision cameras 16 are connected to the housing 108 to capture images of the user's surrounding environment; in one embodiment, these cameras 16 are dual-capture visible / non-visible (e.g., infrared) cameras.
[0073] Continuing with reference to FIG. 5, a pair of light projection modules are shown comprising viewing mirrors and optics configured to project light (38) into the eyes (20) and wavefront shaping (i.e., for depth adjustment) by a scanning laser. The illustrated embodiment also includes two miniature infrared cameras (24) paired with infrared light sources (26, such as light-emitting diodes (LEDs)) configured to track the user's eyes (20) to support rendering and user input. The system (62) further features a sensor assembly (39) that includes X-, Y-, and Z-axis accelerometer functionality, as well as magnetic compass and X-, Y-, and Z-axis gyro functionality, thereby providing data at a relatively high frequency, such as preferably 200 Hz. The illustrated system also includes a head pose processing unit (36), such as an ASIC (application specific integrated circuit), FPGA (field programmable gate array), and / or ARM processing unit (advanced reduced instruction set machine), which can be configured to calculate real-time or near real-time user head pose from the wide field of view image information output from the imaging device (16).
[0074] Also shown is a processing unit (32) configured to perform digital and / or analog processing to derive attitude based on gyro, compass, and / or accelerometer data from the sensor assembly (39). The illustrated embodiment also features a GPS (37, global positioning satellite) subsystem that assists with attitude and positioning analysis. The GPS can also provide remote (e.g., cloud-based) information about the user's environment. This information can be used for diagnostic purposes. For example, if a user is in an area with high concentrations of pollen in the ambient atmosphere, this information can be useful for diagnosing and / or treating certain illnesses. Alternatively, in another example, information about specific airborne air pollution levels can be advantageously used when considering treatment options for a particular user. Other types of information (e.g., pollen counts, pollution, demographics, environmental toxins, indoor climate and air quality conditions, lifestyle statistics, proximity to medical facilities, etc.) can similarly be used for one or more applications.
[0075] The illustrated embodiment may also include a rendering engine 34, which may feature hardware that executes a software program configured to render information about the user's location to facilitate the operation of the scanner and imaging of the inside of the user's eyes, thereby allowing the user to view the ground. The rendering engine 34 is operably connected (105, 94, 100 / 102, 104; i.e., via wired or wireless connections) to the sensor pose processor 32, image pose processor 36, eye tracking camera 24, and projection subsystem 18 so that the rendered light can be projected using the scanning laser device 18 in a manner similar to a retinal scanning display. The wavefront of the projected light beam 38 is curved or focused to match the desired focal length of the projected light.
[0076] A camera 24 (e.g., a miniature infrared camera) can be used to track the eyes to support rendering and user input (if the user is trying to determine the depth at which they are focused; as described below, eye convergence can be used to estimate the depth of focus). A GPS 37, gyro, compass, and accelerometer 39 can be used to provide a coarse estimate and / or fast pose estimation. The camera 16 images and pose, along with data from associated cloud computing resources, can be used to create a ground map of the scene and share the user's view with others and / or virtual or augmented reality communities and / or medical institutions. In one or more embodiments, the camera 16 can be used to analyze the food, drugs, nutrients, and toxins a user ingests as part of a comprehensive healthcare and / or wellness or healthcare monitoring system.
[0077] Continuing with reference to FIG. 5, the display device 62 may include a medication delivery module 21 for delivering medication to a user. The medication delivery module 21 may include one or more outlets 22 and at least one medication container 23, which may be a reservoir that contains and releases medication through the outlet 22. The outlet 22 may be connected to the container 23 via one or more flow paths 22a that may deliver medication (e.g., a liquid or gas) from the container 23 to the outlet 22. In some embodiments, the outlet 22 may simply be an opening in the frame 108, or may be a nozzle attached to or integral with the frame 108. In some embodiments, the nozzle may be a sprayer. In some embodiments, the flow paths 22a are formed by openings in the frame 108 and / or tubing.
[0078] In one or more embodiments, the display device can include a light emitting module (27) that selectively projects light onto the wearer, such as when treating the wearer's eyes according to a treatment protocol. The light emitting module (27) can include a light source, including a light emitter that emits polychromatic polarized light, a laser, a light emitting diode, a fluorescent lamp, a dichroic lamp, a full-spectrum light source, or the like. In some embodiments, one light emitting module (27) can be provided for each eye. In some other embodiments, the display device can include multiple light emitting modules (27), with each eye having at least one light emitting module configured to direct light to that eye.
[0079] While most of the hardware of the display system 62, the features of which are illustrated in Figure 5, is shown directly connected to the display 106 and the housing 108 adjacent the user's eye 20, the illustrated hardware components may be mounted on or housed within other components, such as a belt-mounted member, as shown in Figure 3D. Additionally, as described herein, multiple sensors and other functional modules are illustrated grouped together for clarity of illustration and description. However, it will be understood that some embodiments may include only one or only a portion of these sensors and / or modules.
[0080] In one embodiment, all of the components of system 62 featured in Figure 5 are directly connected to display housing 108, with the exception of image pose processor 36, sensor pose processor 32, and rendering engine 34, and communication between these latter three components and the remainder of the system may be via wireless communication, such as ultra-wideband communication, or via wired communication. The illustrated housing 108 is preferably mountable and wearable on the head of a user. The system may also feature speakers (e.g., speaker 66, Figures 3A-3D), such as speakers insertable into the user's ears and utilized to project sound to the user.
[0081] With regard to projecting light 38 into the user's eye 20, in some embodiments, a camera 24 can be used to measure where the center of the user's eye 20 is geometrically approached, which typically corresponds to the focal position or "depth of focus" of the eye 20. The three-dimensional surface of all points approached by the eye is called the "horopter." The focal distance can have a finite number of different depths or can vary infinitely. Light projected from the convergence distance appears focused on the subject's eye 20, with light in front of or behind the convergence distance being blurred.
[0082] Furthermore, without being bound by theory, it has been found that spatially coherent light with a beam diameter of less than approximately 0.7 millimeters is accurately resolved by the human eye, regardless of where the eye is focused. Given this understanding, to create the proper illusion of depth of focus, the camera 24 can track eye convergence, and the rendering engine 34 and projection subsystem 18 can be utilized to focus all objects on or near the horopter, while all other objects can be blurred to varying degrees (i.e., using intentional blur). Preferably, the system 62 renders to the user at a frame rate of approximately 60 frames per second or greater. As described above, the camera 24 can preferably be utilized to perform eye tracking, and software can be configured to detect convergence geometry as well as focus cues to serve as user input. Preferably, such a display system is configured with brightness and contrast suitable for daytime or nighttime use.
[0083] In some embodiments, the display system preferably has a latency of less than about 20 milliseconds when aligning a viewed object, an angular alignment accuracy of less than about 0.1 degrees, and an angular resolution of about 1 arcminute, which, without being bound by theory, are believed to be close to the limits of the human eye. The display system 62 may be integrated with a location system that may include a GPS element, optical tracking, a compass, an accelerometer, and / or other data sources to aid in position and orientation knowledge; the location information may be used to facilitate accurate rendering of the relevant ground when a user views it (e.g., such information may allow a user, through eye wear, to easily recognize where they are located relative to the real ground). Having described the general components of some embodiments of a user-wearable health assessment system, e.g., an ophthalmic system, additional components and / or features related to health care and diagnosis are described below. It should be understood that some of the features described below are common to various embodiments of user-wearable health assessment systems or many embodiments of AR systems used for health, while other features require additional components or fewer components to perform health assessments and treatments.
[0084] In some embodiments, a user-wearable health assessment system is configured to display one or more virtual images based on the user's eye focus. Unlike conventional 3D display methods that force a user to focus on where an image is projected, in some embodiments, a user-wearable health assessment system is configured to automatically change the focus of the projected virtual content to allow the user to more comfortably view one or more images presented to the user. For example, if the user's eye's current focus is 1 m, the image is projected to match the user's focus. Alternatively, if the user shifts focus to 3 m, the image is projected to match the new focus. In this way, rather than forcing the user to adjust to a predetermined focus, the user-wearable health assessment system or AR display system of some embodiments allows the user's eyes to function in a more natural manner.
[0085] Such user-wearable health assessment systems can eliminate or reduce the occurrence of eye strain, headaches, and other physiological symptoms commonly observed with virtual reality devices. To achieve this, various embodiments of patient-wearable health systems are configured to project virtual images at various focal lengths via one or more variable focus elements (VFEs). In one or more embodiments, 3D perception can be achieved with a multi-plane focus system that projects images onto a fixed focal plane away from the user. Other embodiments use a variable focal plane that moves the focal plane back and forth in the z-direction to match the user's current focus state.
[0086] In both multi-plane and variable-plane focus systems, the patient-wearable health system can use eye tracking to determine the convergence of the user's eyes, determine the user's current focus, and project an image at the determined focus. In other embodiments, the user-wearable health examination system includes a light modulator that projects light beams of various focuses across the retina in a raster pattern at various diopters via a fiber scanner or other light source. The health system's display's ability to project images at various focal lengths not only facilitates adjustments for the patient to view objects in 3D, but can also be used to correct ocular abnormalities in the patient, as described in more detail below. In some other embodiments, the spatial light modulator can project images to the user through various optical components. For example, as described further below, the spatial light modulator can project images onto one or more waveguides, which then transmit the images to the user.
[0087] Referring now to Figure 6, an exemplary process flow for projecting one or more virtual images based on a user's accommodation reflex will be briefly described. At 602, the system can determine the convergence of the user's eyes via an eye-tracking system. At 604, the system can estimate the current focus of the user's eyes based on the determined convergence. It should be understood that other embodiments of the AR system (or wellness system) do not necessarily utilize eye tracking, but can instead display images sequentially at a rapid rate to provide a 3D perception. As such, the process flow of Figure 6 should not be considered limiting and is presented for illustrative purposes only.
[0088] If the health system uses a multiple depth plane display system (i.e., light is projected onto multiple fixed depth planes), the system can determine 608 a focal plane that is closest to the estimated focus based on eye convergence and accommodation. It will be appreciated that accommodation can be measured, for example, by using an autorefractor or other device compatible with the display system. At 610, the health system can project at least a portion of the image onto the determined focal plane.
[0089] If the wellness system utilizes a variable depth plane display system (i.e., one or more focal planes onto which virtual content is projected can be moved back and forth in the z-direction), then at 612 the focus of the system is changed via the VFE to match the estimated focus. At 614, the wellness system can project at least a portion of the image onto the focal plane. Similarly, other embodiments of the wellness system can use other 3D image generation methods to provide a comfortable, adjustable, and reflective projection of virtual objects to the user.
[0090] In some embodiments, the image is displayed by projecting light associated with the virtual image into the user's eye, although any wavelength of light may similarly be projected into the user's eye. In addition to visible light, infrared light or other forms of light may similarly be projected using the patient-wearable health system. This form of patient-wearable health system may similarly be used to treat health conditions, as described below.
[0091] Additionally, while various embodiments are described in which light is projected into the user's eye, it should be understood that in one or more embodiments, the health system can also receive light emitted from the user's eye. In one or more embodiments, the light source of the health system can be a fiber scanning device (FSD) that projects light into the user's eye in various patterns (e.g., raster scan, spiral scan, Lissajous scan, etc.). Similarly, other light sources (e.g., OLED, DLP, LCD, etc.) can be used in other embodiments of the health system. In addition to projecting light, the FSD can also receive emitted light in one or more embodiments. The same fiber that projects light can also be used to receive light. In this mode, the health system can function as a multidimensional depth scanner that multiplexes the modulated light waves it outputs with the light waves it detects or captures. In some embodiments, the fiber scanner can be used in conjunction with or in place of a camera 24 (FIG. 5), for example, to track or image the user's eye. In one or more embodiments, rather than the FSD being configured to receive light, the health system may have a separate light receiving element that receives light emitted from the user's eye and collects data related to the emitted light. As such, in one or more embodiments, this emitted light and corresponding data may be analyzed to diagnose or treat abnormalities, as described below.
[0092] Various details of the fiber scanning display device will now be described with reference to Figures 28A-28C. Referring to Figure 28A, a gradient index lens or "GRIN" lens 354 is shown fused to the end face of a single mode optical fiber. An actuator 350 (such as a piezoelectric actuator) is coupled to the fiber 352 and can be used to scan the fiber tip.
[0093] 28B, the multicore fiber 362 can be scanned (e.g., by a piezoelectric actuator 368) to generate a series of beamlets with multiple angles of incidence and intersection points, which can be relayed to the eye 58 via a waveguide (370). Thus, in one embodiment, a collimated light field image can be injected into the waveguide, and the light field representation can be converted to be directly visible to the human eye, without the need for any additional refocusing optics.
[0094] Display systems have been built in the past that use eye tracking or gaze tracking as input and conserve computational resources by simply providing high-resolution rendering corresponding to where the person is currently looking, while lower-resolution rendering is applied to the rest of the retina; the position of the high-resolution portion relative to the lower-resolution portion can dynamically follow the tracking gaze position in such a configuration, which can be described as a "foveated display."
[0095] An improved version of this configuration can include a scanning fiber display with a pattern spacing that can dynamically follow the gaze of a tracked eye. For example, as shown in Fig. 28C, when a typical scanning fiber display operates in a spiral pattern (the leftmost portion 510 of the image in Fig. 28C shows the spiral motion pattern of a scanning multi-core fiber 514; the rightmost portion 512 of the image in Fig. 28C shows the spiral motion pattern of a scanning single fiber 516 for comparison), the constant pattern pitch provides uniform display resolution.
[0096] It will be appreciated that in addition to displaying an image or functioning as an imaging device, the display system can provide illumination for imaging the eye or tissues surrounding the eye. In one or more embodiments, the health system includes an optical scanning or detection module, enabling the device to scan the front and interior of the eye using known visible and non-visible light spectrum technologies, including visible light imaging devices, photorefraction, optical coherence tomography (OCT), and light field microscopy (LFM). In one or more embodiments, the ophthalmic system can further include a light field imaging module that simultaneously captures multiple images of the eye at different focal lengths. It will be appreciated that the display, e.g., the FSD, can be advantageously configured to simultaneously emit multiple frequencies of light from the display. For example, the FSD can include a single-core fiber or a multi-core fiber, which advantageously can simultaneously emit multiple frequencies of light.
[0097] In healthcare and diagnostic contexts, the type, frequency, color, placement, etc., of one or more images presented to a user can be advantageously manipulated to diagnose and treat one or more disorders. For example, certain diseases require strengthening one eye relative to the other. To this end, a treatment protocol can be envisioned to "train" the weaker eye, for example, by providing stronger stimulation to the weaker eye relative to the stronger eye. Alternatively, in another example, certain portions of the retina may have reduced sensitivity due to macular degeneration; to address this, the image can be modulated or reformatted and projected to the periphery of the retina to correct the user's visual impairment. In this manner, as described in more detail below, the health system's ability to modulate multiple parameters associated with virtual image projection can be used to diagnose and / or treat certain health abnormalities.
[0098] Furthermore, using the various principles outlined above, health systems can be designed to perform diagnoses using a stimulus-response measurement analysis process. Devices such as these devices can be used by a clinician, or in other embodiments, certain diseases can be simply "diagnosed" by the patient or recognized by the patient as symptoms (e.g., eye muscle fatigue, dry eyes, high blood pressure, onset of stroke, or seizure). This facilitates the user taking greater active control over their health and preventing the onset of disease by proactively treating the disease at the onset of specific symptoms. Such diagnoses can be performed by analyzing simultaneously acquired data related to one or more tracked biometric parameters and historical data related to environmental changes. In one or more embodiments, the health system can also be configured to provide information clues to alert the user and / or a doctor or others or to facilitate other response measures.
[0099] It should be understood that the health system can be configured to be autonomous (i.e., provide results directly to a user or other person or entity without input or control by a clinician or other person) or semi-autonomous (with some degree of input or control by a clinician or other person). In other embodiments, the health system can be fully controlled by a clinician or other person, for example, in a networked or remote (cloud-based) manner (e.g., with software control of the health system diagnosing, monitoring, or treating the user), or with the health system worn by a doctor to examine the patient.
[0100] 5, in one or more embodiments, the wellness system may be designed with multiple additional health-related sensors. The wellness system may include a number of sensors (e.g., accelerometers, gyroscopes, temperature sensors, pressure sensors, light sensors, non-invasive blood glucose sensors, ETCO2, EEG, and / or other physiological sensors) that monitor one or more physiological responses of the user.
[0101] As described herein, in one or more embodiments, the health system includes an eye tracking module that can be configured to determine the convergence of a user's eyes to determine proper normal focusing when projecting one or more virtual images, and can be further configured to track one or more eye-related parameters (e.g., eye position, eye movement, eye patterns, etc.). This data can be used for several health-related diagnostic and treatment applications, as described below.
[0102] As will be apparent from the description herein, the health system can be used for diagnosis, monitoring, and treatment, which may include diagnosis, monitoring, and treatment related to the eye. In such eye-related applications, the health system can be referred to as an ophthalmic system. As will also be apparent from the description herein, the user (or wearer) of the device can be referred to as a patient when diagnosis, monitoring, and treatment are performed by the device on the user. In some other embodiments, the user can be a clinician, and the patient can be a third party who is diagnosed or treated by the user. It will also be understood that diagnosis and monitoring can be generally referred to as health status analysis. Myopia / Hyperopia / Astigmatism
[0103] Having described various components of an ophthalmic system in the context of medical diagnosis and treatment, the following describes an embodiment in which an ophthalmic system is used to treat common eye-related ailments. It should be understood that the following embodiments are exemplary only and should not be taken in a limiting sense. For example, the embodiments described herein may be applied to systems other than ophthalmic systems.
[0104] Vision defects such as myopia (e.g., nearsightedness), hyperopia (e.g., hyperopia), astigmatism, etc. are quite common in the general population. Often, these defects are corrected with corrective lenses. In one or more embodiments, a user's vision defects can be naturally corrected by modulating the optics of an ophthalmic system. In one or more embodiments, the ophthalmic system can be configured to automatically or interactively determine the user's optical prescription (e.g., during a setup procedure or thereafter) and incorporate the optical prescription into the optical ancillary components of the ophthalmic system. The optical prescription can be determined during initialization of the ophthalmic system, during system calibration, as part of an ophthalmic prescription configurator program (e.g., for a horopter described herein or for other vision tests), or at any time during use of the ophthalmic system. Biometric data can be used to identify the user and their associated optical prescription. In various embodiments, the wavefront of light projected onto the user's eye can be modified based on the determined prescription. In other embodiments, alternatively or in combination, the wavefront of ambient light in front of the user, e.g., light from the ground in front of the user, passing through the ophthalmic system to the user's eye, is modified to provide optical correction. Thus, the user's optical prescription and modifications thereto can be used to modify the user's input light field in real time, and the optical prescription and modifications thereto can be configured to correct one or more optical defects or aberrations. One non-limiting advantage of the embodiments described herein is that the ophthalmic system can be configured to dynamically correct vision defects as the user's vision changes over time, e.g., 2, 3, 4, 6, or more times per year, without the need to replace or replace components within the system. Rather than replacing or replacing, components can be dynamically reconfigured electronically in real time based on changes in the user's vision (e.g., based on the optical prescription) while the ophthalmic device is in use.
[0105] For example, in the case of myopia, light associated with one or more objects is not imaged onto the retina, but rather in front of the retina, as shown in Figure 7A. This causes the objects to appear out of focus. Referring now to Figure 7B, a concave lens can be used to correct the defect, changing the nature of the incoming light and causing it to be imaged onto the retina.
[0106] In one or more embodiments, once a user's optical prescription is determined, the user's optical prescription can be modified by generating a desired output spherical wavefront curvature (e.g., a negative output spherical wavefront curvature) by encoding it into the optics of an ophthalmic system. For example, the phrase "encode into the optics" refers to applying a predetermined voltage to electrodes of an adaptive optics system (e.g., in embodiments using adaptive optics), where the voltage is applied to the electrodes and the voltage applied to the electrodes is determined based on the desired corrected wavefront to correct a refractive error of the eye. Alternatively, in waveguide stack embodiments, the phrase "encode into the optics" refers to selectively designating predetermined waveguides to direct light to the correct depth of focus corresponding to a particular portion of the eye to generate a corrected wavefront, thereby correcting a refractive error of the eye. In some embodiments, encoding a negative output spherical wavefront into the optics of an ophthalmic system corrects a user's low-order aberrations (e.g., defocus), for example, to correct myopia. In an augmented reality display system, such correction can be applied to ambient light from the ground, e.g., in front of the user, in a manner similar to eyeglasses. Alternatively, in some embodiments, either in combination or separately, correction can be applied by correcting the image projected from the ophthalmic system's display (e.g., from the ophthalmic system's processing unit) onto the user's eye with an appropriate negative spherical wavefront. In this way, the phase of the projected image can be corrected so that it appears in focus and can be corrected based on an optical prescription.
[0107] In the case of hyperopia, light associated with one or more objects is not imaged onto the retina, but rather behind it, as shown in Figure 8A. This causes the objects to appear out of focus. Referring now to Figure 8B, a convex lens can be used to correct the defect.
[0108] In one or more embodiments, once the optical prescription is determined, a corrective spherical wavefront (e.g., a positive output spherical wavefront) can be generated by encoding it into the optics of the ophthalmic system. In some embodiments, encoding a positive output spherical wavefront into the optics of the ophthalmic system corrects the user's low-order aberrations (e.g., defocus), for example, to correct hyperopia. Such correction can be applied to ambient light from the ground surrounding the user, for example, ambient light in front of the user. Alternatively, as described above, the processor can apply the corrected wavefront to correct the image projected from the ophthalmic system based on the determined prescription, so that the projected image appears in focus and is corrected based on the optical prescription. Again, a combination of both encoding and processor-corrected approaches can be used in augmented reality systems.
[0109] Astigmatism is a condition in which light entering the eye is improperly or partially focused on the retina. As illustrated generally in FIG. 9A, the shape of the eye may be deformed (usually caused by an irregularly shaped cornea), causing the resulting image to be out of focus and distorted. For example, the curvature along the principal meridian may be different from the curvature along the perpendicular principal meridian. Referring now to FIG. 9B, an ophthalmic device can correct astigmatism by applying an appropriate compensating wavefront curvature correction, for example, along the appropriate transverse axis of the principal meridian.
[0110] More specifically, in various embodiments, once an appropriate optical prescription is determined, appropriate compensatory wavefront compensation can be encoded into the ophthalmic optics. A wavefront (e.g., a 4D wavefront) incident on the optics of the ophthalmic system can be modified by the optics (e.g., altering the phase of the incident wavefront) to generate a compensatory wavefront that is incident on the user's eye and corrects the ocular imperfection. In other words, the optics of the ophthalmic system (e.g., adaptive optics, as described below) can be configured to change the focus and / or wavefront of light reaching the user's eye based on, for example, the refractive error of the eye, the shape of the user's eye, e.g., the shape of the eye's cornea and / or lens, the length of the user's eye (e.g., the eye's natural light transmission length to the retina), etc. In some embodiments, the compensatory wavefront can modulate the phase of a wavefront incident on the optics of the ophthalmic device.
[0111] In some embodiments, high-order aberrations may be difficult to compensate for with spherical wavefront correction, as described above. Thus, in some embodiments, multiple independently controllable lenses may be controlled by an ophthalmic system to form a compound lens capable of correcting high-order aberrations, as described below. In other embodiments, alternatively or in combination, the ophthalmic system may be configured to retrieve a known aberration pattern based on a user's prescription and apply this pattern to images stored in the ophthalmic system and presented to the user's eye.
[0112] For example, the ophthalmic system may store one or more images that can be retrieved by the ophthalmic system. In some embodiments, these images may be pre-loaded or generated by the ophthalmic system. In some embodiments, these images may be part of a dynamic image (e.g., video). In other embodiments, these images may be provided from another source external to the ophthalmic system (e.g., a remote data repository 72). In other embodiments, alternatively or in combination, these images may be acquired based on ambient light in front of the ophthalmic system, as described herein. The images may be projected to a user by the ophthalmic system and modified by software included in the ophthalmic system. The ophthalmic system may generate and present one or more 2D images to a user's eye, which may be configured to modify the images based on the user's optical prescription before projecting the images. In some embodiments, different image content projected at different focal depths may create a 3D perception for the user, as described below for embodiments of ophthalmic systems including a waveguide stack. In this manner, each image may be a 2D representation of an image at a different focal depth. Each image can be individually modified by software included in the ophthalmic system, for example, the pattern or collection of pixels forming each image can be modified to counteract, cancel or reduce the effects of errors caused by the eye.
[0113] For example, defects in the retina of a user's eye may result in errors in the intensity, shape, magnification, or color seen by the user. In various embodiments, the wavelength or intensity of light in the image projected by the ophthalmic system may be modulated to treat color blindness in the user's eye. For example, the wavelength of light presented to the user may be altered based on a color blindness prescription to correct for color blindness. In some embodiments, modification of the 2D image (e.g., each 2D image may be a 2D representation of an image with a different depth of focus) may be used to correct dead spots or weak spots in the eye. For example, by mapping the eye to identify dead spots / weak spots, the light intensity of the projected image may be increased to correspond to identified areas of the eye or retina with dead spots or weak spots. Thus, in some embodiments, the image may be modified by changing the intensity of one or more portions of the presented image. For example, a fiber scanning display or spatial light modulator included in the ophthalmic system may vary the intensity as the image is generated.
[0114] Another example of correcting an image involves modifying the intensity pattern of the image. For example, if the image viewed by a user is known to exhibit radial distortion (e.g., barrel, pincushion, or mustache distortion), a compensatory distortion can be applied to the image to correct such distortion. The distortion being corrected is either the result of a refractive error in the eye or the result of a refractive error in the eye caused by the optics of the ophthalmic system, and thus will be known from the optical prescription or the ophthalmic system. In this manner, the ophthalmic system can correct the refractive error by modifying the intensity pattern of the projected image. For example, if a user's eye causes pincushion distortion in an image, the ophthalmic system can be configured to modify the intensity pattern of the image projected to the user via the display to introduce a predetermined amount of barrel distortion to cancel or reduce the amount of pincushion distortion in the image on the retina that inverts the pincushion distortion. Similarly, the ophthalmic system can be configured to correct an image where a user's eye causes barrel distortion by adding pincushion distortion to the intensity pattern that makes up the image on the display. In some embodiments, image correction can be performed to correct for fisheye distortion by modifying the image presented by the display by applying inverse angular and inverse amount distortions.
[0115] In various applications, a combination of wavefront correction and modification of the image produced by the ophthalmic system (e.g., modification of the intensity pattern that makes up the image) can be used to compensate for astigmatism or other imperfections in the user's eye.
[0116] In some embodiments, the ophthalmic system may be a patient-worn ophthalmic device, as shown in FIGS. 3A-3D and 5 , where the patient-worn ophthalmic device may be provided to correct vision defects such as myopia, hyperopia, and astigmatism. The ophthalmic device includes a display device (62) including a light source (18) configured to project light (38) that is directed to a user's eye within a display lens (106) of the display device (62). The ophthalmic device may also direct ambient light from the ground, for example, from the ground in front of the user, to the user's eye through the display lens (106). The display device (62) may also include one or more adaptive optics (e.g., a variable focusing element or VFE, an electrically reconfigurable reflective or refractive optical element, etc.). Such adaptive optics may be included in the display lens 106, or may be located between the display lens 106 and the light source 18, or may be located between the display lens 106 and the eye or elsewhere in the eye's optical path. Adaptive optics, or VFE, are optical elements that can be dynamically altered, for example, by applying an electrical signal to the optical element to change the shape of a wavefront incident on the optical element. Adaptive optics may be reflective optical elements, such as deformable mirrors, or transmissive optical elements, such as dynamic lenses (e.g., liquid crystal lenses, electroactive lenses, conventional refractive lenses with movable elements, mechanically deformable lenses, electrowetting lenses, elastic lenses, or fluids with different refractive indices). Altering the shape or other properties of the adaptive optics may alter the wavefront incident on the optical system to provide optical correction, for example, by changing the focus of the wavefront as described herein.
[0117] In various embodiments, the ophthalmic device includes an outward-facing camera configured to capture ambient light from the environment surrounding the user. For example, the ophthalmic device may include one or more wide-field machine vision cameras (16) operably connected to the local processing module (70). These cameras may be configured to capture images of the environment around the user. In one embodiment, the cameras (16) are dual-capture visible / infrared cameras. Images captured by the cameras (16) are stored in the ophthalmic device's digital memory and retrieved for subsequent processing. The images are then retrieved by the ophthalmic device, which may then re-render the captured images to the user by projecting the images via the display device (62).
[0118] In various embodiments, the ophthalmic device can include a biofeedback system configured to determine a user's comfort level when viewing an object or image. For example, if the user's eyes are moving, changing focus, changing pupil size, changing convergence, etc., these can be indicators that the user is unable to comfortably view the object or image. In some embodiments, changes in focus or focus-related behavior can be expressed as erratic and random fluctuations, instability, and / or wobble in the eye's focus or behavior. Instability or wobble in focus or focus-related behavior can be an indication that the user is struggling to focus on the object or image or to adjust the focus so that the object or image is visible. Thus, the biofeedback system can receive input regarding the state or characteristics of the user's eye in real time.
[0119] In various embodiments, the ophthalmic device includes one or more eye-tracking cameras or other cameras or imaging systems that track one or more eyes of a user. For example, some embodiments may utilize a camera (24) (e.g., an infrared camera) paired with a light source (26) (e.g., an infrared light source), where the camera (24) is configured to monitor and track the user's eyes. These cameras and light sources may be operably connected to the local processing module (70). Such cameras and / or imaging systems may monitor eye orientation, eye pupil size, eye convergence, and the corresponding direction of gaze of each eye. As described below in connection with horopter technology, the camera (24) may be configured to determine the focusing of the user's eyes. In some embodiments, the camera (24) may be configured to determine the convergence point of the eyes, as described above with reference to FIGS. 5 and 6.
[0120] In some embodiments, the ophthalmic device includes a gyroscope sensor, an accelerometer, other sensors, or a combination thereof to monitor changes in head position, head pose, or head orientation. In some embodiments, the display device (62) can include a sensor assembly (39), configured to detect movements of the display device (62) caused by the user's head movements and the orientation of the display device (62). A biofeedback system can be configured to receive the detected head movements, and if the frequency and / or magnitude of the movements exceed a threshold, the system can determine that the user is unable to comfortably view the image. For example, constant head movements can indicate a search for a comfortable viewing position for the image. If such symptoms occur a...
Claims
1. a stacked waveguide assembly having a plurality of transmissive beam splitter substrates configured to be worn by a person and to output light into the person's eye to form an image, the plurality of transmissive beam splitter substrates being a plurality of waveguides, at least one of the plurality of transmissive beam splitter substrates being configured to project light that appears to be emitted from a different depth plane than another one of the plurality of transmissive beam splitter substrates; a light source configured to output light for forming an image into the stacked waveguide assembly; a display device including: a sensor configured to determine a direction of gaze of the person; and An adaptive optical element configured to direct light from the surrounding environment and light output from the light source through the adaptive optical element to the person, and to change the focal point of the light from the surrounding environment and the light output from the light source at each eye based on a direction of the person's gaze; A wearable ophthalmic system for presbyopia comprising:
2. The system of claim 1 , wherein the person's gaze direction is determined based on a position of the person's head.
3. The system of claim 2 , further comprising a gyroscope sensor configured to determine a position of the person's head.
4. The system of claim 1 , wherein the direction of the person's gaze is determined by tracking eye position.
5. The system of claim 1 , wherein the stacked waveguide assembly is configured to output light from the light source toward the adaptive optics with a diverging wavefront.
6. 6. The system of claim 5, wherein the waveguide is part of the stacked waveguide, the waveguide having a diffractive optical element providing optical power and configured to output light having a wavefront divergence corresponding to a discrete depth plane associated with each of the waveguides.
7. The system of claim 5 further comprising another adaptive optics element on an opposite side of the stacked waveguide from the adaptive optics element.
8. a light source configured to output light for forming an image; a wearable optical system having an assembly of stacked waveguides including a plurality of transmissive beam splitter substrates, each of the plurality of transmissive beam splitter substrates configured to receive light from the light source and output light having an associated discrete depth plane and a corresponding wavefront divergence; Equipped with A wearable ophthalmic device, wherein the wearable optical system is configured to guide light into an eye of a person wearing the wearable optical system to form an image in the eye, and the wearable optical system is configured to correct presbyopia based on an optical prescription of the eye.
9. 10. The apparatus of claim 8, comprising a user interface operation configured to receive input from the person defining their optical prescription.
10. 10. The apparatus of claim 8, configured to present different wavefront corrections to the person to identify the person's optical prescription.
11. The apparatus of claim 10 , further comprising a user interface configured to receive input from the person defining a preferred optical prescription correction.
12. 11. The apparatus of claim 10, further comprising a biofeedback system configured to determine the corrections to the wavefront based on monitoring one or more characteristics of an eye while viewing the image.
13. 13. The apparatus of claim 12, wherein the biofeedback system receives input from at least one of a horopter, an autorefractor, and an eye-tracking system.
14. The apparatus of claim 12 , wherein the eye characteristic is at least one of a change in an eye's convergence point, a change in the position of the person's head, and a change in eye pupil size.
15. 10. The apparatus of claim 8, wherein the wearable optics comprises adaptive optics within the wearable optics configured to be adjusted to implement an optical prescription correction.
16. The apparatus of claim 15 , wherein the adaptive optics system includes a variable focus element.
17. The apparatus of claim 15 , wherein the adaptive optics system comprises a deformable optical element.
18. The apparatus of claim 17 , wherein the deformable optical element comprises a deformable mirror.
19. The apparatus of claim 8 , wherein the laminated waveguide is configured to provide an optical prescription.
20. 20. The apparatus of claim 19, wherein the stacked waveguide comprises a combination of waveguides configured to provide an optical power that provides an optical prescription correction to light propagating through the combination of waveguides.
21. 21. The apparatus of claim 20, wherein different waveguides of the stacked waveguide have different optical powers.
22. 10. The device of claim 8, wherein the wearable optics is configured to output light having wavefront divergences corresponding to different depth planes, the wearable optics being configured to provide image content corresponding to the different depth planes.
23. 10. The device of claim 8, wherein the wearable optical system comprises at least one waveguide that includes a dynamic optical element having a variable optical power.
24. 10. The apparatus of claim 8, further comprising a sensor for determining an orientation of the person's head, the wearable optics being configured to change the focus of the image based on the orientation of the head.
25. The apparatus of claim 8 , further comprising an eye-tracking system configured to identify a convergence point of the person.
26. 26. The apparatus of claim 25, wherein the wearable optical system is configured to change the focus of light forming the image based on the identified convergence point.
27. 10. The apparatus of claim 8, comprising a virtual reality system configured to provide optical prescription corrections to virtual reality image content.
28. 28. The device of claim 27, wherein the wearable optics is configured to apply optical prescription corrections to light from the light source and light from an ambient environment beyond the wearable optics to form the image.
29. 10. The device of claim 8, further comprising electronics configured to determine a line of sight of the person based on movement of one or more of the person's eyes, and wherein the wearable optical system is configured to alter the focus of light forming the image based on the determined line of sight.
30. 10. The apparatus of claim 8, further comprising electronics configured to determine whether the person is focusing at a near field focal depth based on tracking the person's head, wherein the wearable optics is configured to increase optical power based on an optical prescription for the person's eye and tracking of the person's head.
31. 10. The device of claim 8, further comprising electronics configured to determine a line of sight of the person based on detection of eye light, and wherein the wearable optical system is configured to alter the focus of light forming the image based on the determined line of sight of the person.
32. a laminated waveguide assembly configured to be worn by a person and to output light into an eye of the person to form an image, the laminated waveguide assembly including a plurality of waveguides separated by weak lenses, each of the weak lenses configured to add wavefront divergence to light propagating through the weak lens; a light source configured to output light for forming an image into the stacked waveguide assembly; a display device including: a sensor configured to determine a direction of gaze of the person; and an adaptive optics element configured to direct light through the adaptive optics element to the person and to change the focus of light within the eye based on a direction of the person's gaze; A wearable ophthalmic system for presbyopia comprising:
33. a light source configured to output light for forming an image; a wearable optical system having a stacked waveguide assembly including a plurality of waveguides separated by weak lenses, each of the weak lenses configured to add wavefront divergence to light propagating through the weak lens, the stacked waveguide assembly configured to receive light from the light source and output light having associated discrete depth planes and corresponding wavefront divergences; Equipped with A wearable ophthalmic device, wherein the wearable optical system is configured to guide light into an eye of a person wearing the wearable optical system to form the image in the eye, and the wearable optical system is configured to correct presbyopia based on an optical prescription of the eye.
34. 9. The apparatus of claim 8, wherein each of the transmissive beam splitter substrates has an associated light decoupling diffractive optical element and is configured to output light from the light sources via the associated light decoupling diffractive optical element.
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