[HN Gopher] Xpanceo smart contact lenses hands-on
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       Xpanceo smart contact lenses hands-on
        
       Author : LorenDB
       Score  : 34 points
       Date   : 2024-10-31 11:44 UTC (2 days ago)
        
 (HTM) web link (skarredghost.com)
 (TXT) w3m dump (skarredghost.com)
        
       | wkat4242 wrote:
       | Wow. I wonder how they manage to focus the display. After all
       | it's a totally different focal distance than the real world which
       | I imagine you want to see as well.
        
         | squidgedcricket wrote:
         | If the display appears at infinite focal depth it might be
         | better for eyes than traditional screens that require focusing
         | on something close.
        
           | arghwhat wrote:
           | There is not a distance that is good or bad to focus at.
           | 
           | Having little variance in focus distance throughout the day
           | (long or short) can be bad, while focusing to either end of
           | your visual limits can be tiring.
        
             | wkat4242 wrote:
             | That's not what I mean. I mean the display inside the lens
             | would require a radically different focal distance (it's
             | less than a millimetre from the lens) than the world
             | outside (where you would view between 20cm and infinity). I
             | don't really see how they could consolidate that within one
             | lens.
        
               | lutorm wrote:
               | It's actually impossible to focus on an image within the
               | lens, sort of by definition. It said the display is
               | holographic, which I guess means that it will diffract
               | light to create the _appearance_ of an image at infinity,
               | while not actually making an image in the traditional
               | optics sense.
        
       | lutorm wrote:
       | That's cool and all but I'd settle for the long-promised
       | customized contact lenses that take out the particular high-order
       | aberrations of my eyes.
        
         | pseudocomposer wrote:
         | Have you considered PRK/LASIK/SMILE?
        
           | lutorm wrote:
           | I'm considering RLE (which apparently can at least correct
           | spherical aberration), they apparently don't really do laser
           | treatments on people my age (50+). However, I'm not sold on
           | the risk vs reward proposition of surgically altering my eyes
           | so if I could get superhuman vision with contacts that would
           | be attractive.
        
             | Topfi wrote:
             | The reason laser eye surgeries such as PRK and LASIK are
             | not recommended for people aged 40 and up, at least if your
             | ophthalmologist is ethical and honest, are Presbyopia and
             | later on Cataracts. The former, because applying correction
             | to a lens and muscles that are starting to lack
             | accommodative ability is likely still going to necessitate
             | glasses, at least for reading. In fact, this can mean that
             | a previously myopic eye post-surgery in someone suffering
             | from Presbyopia will now need glasses for reading when some
             | people with light Myopia and Presbyopia can read without
             | glasses.
             | 
             | Beyond Presbyopia, there are cataracts, which do affect
             | almost everyone at some stage in their later life and whose
             | solution is Cataracts surgery, which is essentially pretty
             | much identical to refractive lens exchange (RLE), both in
             | the way the procedure is carried out and how they address
             | vision problems.
             | 
             | The main difference is mainly that RLE is generally an
             | expensive elective for younger people, and cataract surgery
             | is more commonly covered by insurance, though this of
             | course depends on your local healthcare system. Also, there
             | are very significant differences in the lenses one can use,
             | as well as whether and how much these can accommodate at
             | different vocal lengths, with the best often being very
             | expensive options. Monofocal (read one/fixed focus) are
             | generally the standard and most commonly covered by
             | (public) insurance, though there are also options which can
             | work across a wider range.
             | 
             | Multifocal and accomadating lenses are available both in
             | RLE and Cataracts, again because the procedure is the same,
             | so anyone trying to sell older people on RLE without
             | informing them about Cataracts is likely maximizing
             | profits. Unfortunately, there are some rather unethical
             | doctors charging for RLE on people eligible for cataract
             | surgery, often leading to these people paying thousands for
             | a less advanced (in sever cases monofocal) lens. This is
             | especially targic as had these people gone for Cataract
             | surgery, they could have safed money or gone for a higher-
             | end option.
             | 
             | Any good ophthalmologist will inform you about that. Then,
             | you are still free to make the choice that, knowing
             | everything, you don't want to wait to become eligible for
             | Cataract surgery. At that point RLE can be a good, albeit
             | expensive, option that will save you from needing Cataract
             | surgery later in life. If you are a very wealthy 40-60 year
             | old, getting RLE with the best lenses on the market is thus
             | fair game.
             | 
             | Cataracts/RLE surgery is an incredibly safe procedure, and
             | a good ophthalmologist knocks them out in less than 10
             | minutes, a great one easily gets below five and
             | complications are beyond rare.
             | 
             | Because you are getting into an age range where Cataracts
             | could start becoming a concern, any laser eye procedure
             | doesn't make sense, as once you are eligible for Cataracts,
             | you could almost certainly get literally the same you would
             | receive with RLE, though at a far more subsidized price
             | (again, depending on your health care system, private
             | insurance, etc.).
             | 
             | I had Trans-PRK at age 25, and, despite a few days of
             | rather painful healing of the upper layers of the
             | epithelium (it has the most nerve endings in our body after
             | all), I'd do it again in a heartbeat. I can see slightly
             | better than 20/20 and can use even the furthest corners of
             | my eyes reliably, something not fully possible without
             | discomfort with hard contacts. Once Presbyopia truly sets
             | in, I'll make a decision based on how it progresses, what
             | lenses are on the market by then and whether I can justify
             | it financially, but that's going to not be for a few
             | decades.
             | 
             | Also, don't worry, the discomfort during post PRK healing
             | is not the case with Cataract surgery (or LASIK for that
             | matter), as they only necessitate a small incision (or flap
             | in the case of LASIK) that heals differently. SMILE also
             | uses a small incision, but honestly, purely personally I
             | made the decision to go with Trans-PRK over SMILE and LASIK
             | despite knowing the pain, simply because of the data.
             | 
             | Essentially, once you can, consider Cataract surgery with
             | your doctor and consider using the best lens you can
             | afford. And, if you are able and have someone in the right
             | age range with vision problems in your family whom you
             | truly love, consider gifting them surgery. They will
             | benefit for at least 20 years till Presbyopia slowly sets
             | in and they will thank you for it every day.
        
       | karaterobot wrote:
       | With a 30deg FOV, and an apparent resolution of... two... and
       | with the _prototype_ not expected until 2026, I 'm categorizing
       | this as nothing yet. Which is just as well, as I'm not looking
       | forward to the glassy-eyed future where everybody just
       | doomscrolls directly into their eyes all day.
        
         | cchance wrote:
         | I'm confused wasn't the FOV 180, but he couldnt use it cause he
         | couldnt put it in his eye, so he was looking from a few inches
         | away so it was ~20deg fov cause.... it wasnt in his eye lol
        
           | atahanacar wrote:
           | >the lens has a 30deg FOV, but I can tell you that the
           | perceived one was less. One of the reasons is that these
           | lenses are made to show full FOV when they are worn on the
           | eye, but of course, I could not do this test, so my perceived
           | FOV with the lens close to the eye was probably just in the
           | range 10-20deg.
        
       | seltzered_ wrote:
       | see also Verily (closed) contact lens glucose project:
       | https://news.ycombinator.com/item?id=18474038
        
       | kaonwarb wrote:
       | I'll wait to take any of this seriously until AR glasses are
       | broadly in consumers'hands. Power in particular is orders of
       | magnitude easier to solve in that form factor.
        
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       (page generated 2024-11-02 23:01 UTC)