A New Era of Autonomous Eye Care
A New Era of Autonomous Eye Care
In August 2025, Eyoto will introduce a transformative advancement in ophthalmic diagnostics: Auto-Optometry™. A ground-breaking release available to all new and existing Aetheia systems.
This innovation represents a major leap forward, offering practitioners the ability to conduct fully automated eye examinations at the touch of a button.
Whether they are in the room or working remotely, clinicians will benefit from enhanced efficiency, precision, and consistency. With this upgrade, Aetheia becomes more than a diagnostic device. It becomes a trusted partner in modern clinical care.
This release marks a historic milestone in the global evolution of eye care.
Aetheia is already recognised as the world’s first fully remote controlled digital slit lamp and the gold standard by which all other remote eye care methods are compared, enabling clinicians to conduct live examinations from any location.
Now, it stands alone as the world’s only digital slit lamp capable of autonomously performing comprehensive eye exams. Launching with two core procedures, a full corneal sweep and a gross eye examination, Aetheia captures every moment in crystal clear 4K, offering both clinical rigour and unprecedented efficiency. Each procedure can be performed on a single eye, or automatically across both eyes in sequence, without any further interaction required from the operator. This delivers consistent, high quality results every time.
With the click of a button by a local technician, these procedures are recorded and captured for storage on the patient’s record, or for immediate viewing by a remote eye care professional.
Auto-Optometry™ signals a pivotal moment in the story of optometry and ophthalmology. For the first time, examinations that traditionally required direct manual operation can now be completed with precision, and repeatability through automation. This launch redefines what is possible in patient care, expands access to expert diagnostics on a global scale, and sets a new benchmark for the future of digital eye health.
Aetheia is not just leading the field, it is reshaping it.
- Ensures rapid, real-time adjustment to achieve sharp and consistent imaging
- Minimises operator involvement, reducing training requirements and examination time
- Improves image clarity across varied patient anatomies and eye conditions
- Enhances diagnostic accuracy by maintaining optimal focal depth throughout the procedure
- Supports both live examinations and recorded video capture with consistent visual quality
- Automatically aligns the camera with the visual axis for optimal positioning
- Reduces the risk of alignment errors, improving repeatability and diagnostic precision
- Enables consistent framing of the eye, essential for standardised image capture
- Increases examination speed, especially in high-volume clinical environments
- Supports remote operation by removing the need for manual adjustments during setup
- Supports one-touch operation by the technician, allowing clinical staff to improve their efficiency
- Allows full eye examinations to be initiated with a single click locally, or remotely
- Delivers consistent, high quality results by following standardised protocols
- Offers the option to scan one or both eyes automatically, without further input
- Captures every step in 4K video, enhancing review, documentation, and compliance
How does it work?
Aetheia's automated procedures are designed to offer seamless integration into both in-clinic and remote diagnostic workflows. With a single click of a button, either the technician physically present with the patient or the optometrist operating remotely can initiate the selected procedure, choosing a corneal sweep or a gross eye examination.
This functionality ensures operational efficiency and consistency across diverse clinical environments, particularly beneficial for distributed practices or tele-ophthalmology settings. Once activated, the system automatically aligns, focuses, and begins the examination, eliminating the need for manual adjustments and thereby reducing variability in image acquisition.
The examination process captures both eyes in sequence, using advanced imaging protocols tailored to the selected procedure. Aetheia records the entire process in high-resolution 4K video, preserving every detail for post examination review, documentation, or training purposes.
This high-definition visual record not only enhances diagnostic confidence but also supports compliance with clinical governance and record-keeping standards. The automation ensures minimal disruption to patient flow while maintaining a high standard of care and data quality, regardless of the clinician’s physical location.
Real-life examples:
Auto Focus
The first video demonstrates Aetheia’s auto-focusing capability in real time. Upon initiation, the system intelligently detects the the corneal reflex and rapidly adjusts the focal plane to achieve precise clarity. This ensures optimal imaging without the need for manual intervention, significantly reducing technician or clinician workload and enhancing consistency across examinations.
Automated Pupil Location & Centring
In the second video, Aetheia performs automatic centring on the pupil. The system identifies the the corneal reflex and dynamically adjusts both camera orientation and alignment to centre the eye perfectly within the frame. This process is completed swiftly and accurately, ensuring that subsequent scans are based on a correctly aligned visual axis, which is critical for reproducible clinical results.
Automated Full Corneal Sweep
This fourth video demonstrates a fully automated gross eye examination. The procedure begins with the system aligning itself to the patient's eye position, automatically adjusting the camera angle, illumination, and slit lamp configuration. Within seconds, the Aetheia performs a comprehensive external inspection of the eye, capturing high-definition 4K video that details eyelid position, scleral appearance, conjunctival condition, and corneal clarity.
Automated Gross Eye Examination
The first video demonstrates Aetheia’s auto-focusing capability in real time. Upon initiation, the system intelligently detects the the corneal reflex and rapidly adjusts the focal plane to achieve precise clarity. This ensures optimal imaging without the need for manual intervention, significantly reducing technician or clinician workload and enhancing consistency across examinations.
Corneal Sweep with Device Overview
The final video shows the corneal sweep recording, with an overview of the actual patient at the device while the automated scan is being completed, showing the automated camera and slit lamp movements, and local screen output.
Introducing Eyoto's Auto-Assist™
We are pleased to introduce Auto Assist™: a transformative new feature designed to enhance clinical efficiency and precision.
Auto-Assist™ automatically configures key slit lamp settings including camera angles, lamp brightness, and slit height and width, as well as optimal positioning, all tailored to the specific procedure. By removing the need for manual setup, clinicians can immediately focus on patient examination and treatment, saving valuable time while ensuring consistency and comfort. This innovation supports streamlined workflows for when an auto Optometry™ procedure isn't enough, it reduces setup variability, and promotes greater ease of use across all skill levels within the ophthalmic team.
Auto-Assist™ will:
Instantly position the camera and light source for optimal visualisation, eliminating manual adjustments
Automatically configure slit lamp settings, including height, width, and brightness, based on pre-set clinical protocols
Reduce setup time, allowing clinicians to focus on the examination not the set up
Enhance procedural efficiency by ensuring consistent starting conditions for every patient
Improve ergonomics and workflow for remote clinicians, enabling precise and uninterrupted control
What's Being Released?
Autonomous Procedures
Aetheia’s Auto-Optometry™ introduces a world-first in autonomous procedures, delivering automated eye examinations with no manual input required. This release marks a significant milestone in the evolution of ophthalmic care, giving clinicians access to intelligent, repeatable procedures that enhance workflow efficiency, diagnostic consistency, and patient accessibility.
The following automated procedures are included in this release, and can be conducted for just one eye, or both eyes:
Total procedure time for both eyes: 1 minute 30 seconds
This procedure captures a detailed scan of the entire corneal surface, allowing clinicians to assess clarity, curvature, and the presence of abnormalities such as scars, infiltrates, or oedema.
Total procedure time for both eyes: 2 minutes 10 seconds
This examination provides a wide field overview of the anterior eye, including the lids, lashes, conjunctiva, sclera, cornea, and iris, supporting general ocular health assessments and identifying signs of gross infection, trauma, or pathology.
Auto-Assist™
Launching with seven pre configured examination modes, Auto-Assist™ is designed to streamline clinical workflow and enhance examination precision. Each mode leverages Aetheia’s patent-pending auto-focus and auto-pupil location technologies, ensuring the eye is accurately positioned and brought into perfect, crystal clear focus.
Automatically moves to the selected eye, centres the pupil within the field of view, and focuses precisely on the cornea to provide optimal image clarity.
Directs the light source at an angle tangential to the structure of interest. This avoids direct reflection and enhances the visualisation of subtle anterior segment details, such as corneal infiltrates, fine stromal opacities, and subtle irregularities.
Projects light onto a posterior ocular structure, e.g., iris, lens, or retina, allowing the clinician to observe the anterior segment against this reflected light. This is particularly useful for detecting opacities within the cornea or crystalline lens that obscure the retro illuminated reflex.
Using the reflected red reflex from the fundus as a light source, this technique allows for assessment of crystalline lens transparency and evaluation of iris structural integrity, including the detection of transillumination defects.
Directing a wide beam of light through the limbus, the total internal reflection within the cornea illuminates stromal irregularities such as oedema, microcysts, and scarring, making them more readily apparent.
Provides precise alignment of the illumination and observation systems at equal angles of incidence and reflection. This enables detailed examination of the tear film surface, corneal endothelium, and the anterior surface of contact lenses.
Places a narrow, parallel beam of light at the temporal limbus, allowing the apparent depth of the anterior chamber, the space between the posterior corneal surface and the anterior iris surface, to be estimated by comparing its width to the thickness of the adjacent corneal section. This aids in the initial evaluation of potential angle closure risk.