About

Built for the
modern cataract surgeon

IOLDx Clinical is an evidence-based IOL consultation platform that brings together multi-formula power calculation, FDA-sourced defocus curves, AI biometry import, and patient vision simulation in a single clinical workflow.

Mission

Premium IOL adoption requires confident, evidence-based conversations between surgeons and patients. IOLDx Clinical exists to make that conversation faster, more accurate, and better grounded in published clinical data โ€” so surgeons can focus on the patient, not the spreadsheet.

The platform is designed for use at the slit lamp, in the consultation room, or during surgical planning. It runs entirely in the browser with no installation required.

What It Does

Multi-Formula IOL Calculation

SRK/T, Hoffer Q, Holladay 1, and Haigis computed simultaneously. Formula spread flagging for outlier detection.

FDA SSED Defocus Curves

Defocus curve data sourced from FDA Summary of Safety and Effectiveness Data (SSED) submissions for 9 IOLs, with peer-reviewed data for the remainder.

AI Biometry Import

Photograph any IOLMaster, Lenstar, or Argos printout. Claude Vision API extracts axial length, keratometry, ACD, and lens thickness automatically.

Toric IOL Planning

Vector-based toric planning with SIA correction (Alpins method), 5 IOL brand options, rotation sensitivity analysis, and axis alignment diagram.

Patient Vision Simulation

Physics-based visual simulation showing predicted post-op quality at distance, intermediate, and near for any IOL. Six real-world scenes including night driving.

Outcomes Tracking

Save consultations and record postoperative refractions. Track predicted vs. actual SE over time. Export as CSV for research or quality audits. (Beta)

Clinical Basis

All IOL defocus curve data is sourced from publicly available FDA SSED submissions (PMA database) or peer-reviewed ophthalmic literature. No proprietary or unpublished manufacturer data is used. IOLs using peer-reviewed or generated curves are clearly labeled in the interface.

Formula implementations follow published descriptions. Barrett Universal II follows the methodology described in Barrett (1993) and subsequent validation studies. Hill-RBF follows the published algorithm (v2.0+). All other formulas follow their original published descriptions.

Not a medical device. IOLDx Clinical is clinical decision support software (CDS) under the FDA's 2019 CDS Guidance and the 21st Century Cures Act. It is not FDA-cleared and does not replace clinical judgment or validated surgical planning systems. All outputs must be verified by the treating surgeon before surgery.

Technical Architecture

IOLDx Clinical is a web application deployed on AWS CloudFront and S3. The IOL Planner uses Flutter Web for the interactive calculation interface. The Toric Planner, Vision Simulator, and all supporting pages are static HTML/JavaScript โ€” fully accessible to search engines and screen readers.

No patient data is transmitted to external servers. Biometric inputs are processed entirely in the browser. Biometer scan images for the AI import feature are processed via a privacy-protected AWS Lambda proxy using Anthropic's Claude Vision API and are not retained.

Enterprise & Integration

IOLDx Clinical is designed for forward-compatibility with existing ophthalmic surgical platforms. The architecture supports direct embedding into practice management systems, and a REST API layer for ARGOS/Lenstar CSV import and HL7 FHIR export is on the development roadmap.

For enterprise deployment, institutional licensing, or integration discussions, contact: support@precisioniol.com

Try IOLDx Clinical

No login required. Works in any modern browser.

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