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April 2003
Eye to Eye Supplement Compliance : The Hidden Challenge of Glaucoma Management
IN THIS ISSUE

Safer refractive IOLs to boost vision options for ametropes


EGS to publish updated guidelines for diagnosis and management of glaucoma

Topical beta-blockers cause respiratory obstruction for one in every 55 patients

Immediate treatment halves risk of open-angle glaucoma progression, EMGT report reveals

Nothing between them as randomised Canadian SLT/ALT study releases preliminary results

Latanoprost does not cause ocular pathology by inducing ultrastructural iris changes, says study

One-piece ‘floating’ refractive implant could prove a secure new option for the correction of myopia

Battlelines clearly marked out as trabeculectomy and drainage implant surgery go head to head

New visual field testing strategies to banish patient boredom and facilitate earlier detection

Latanoprost remains leader of the drops but proponents of competing drugs line up to bid for alternative

Data drought ends as surge of clinical results explains effects of treatments on the development of glaucoma

Zyoptix system produces encouraging results in US for the correction of myopia

Refractive IOL and laser bioptics broaden possibilities for highly ametropic patients, says specialists

How the eye’s natural adaptive mechanism
can compensate for corneal aberrations

Handheld GPS device helps blind steer safely through the metropolitan jungle

New classification system to assist in diagnosis and treatment of limbal stem cell disease

Lasik on top in ultimate test as daredevil climbers reach Mount Everest’s summit in 29,000ft hike

PHMB-containing antiseptics ‘may offer alternative’ to iodine
perioperative agents, say researchers

High intensity headlights could cause road
accidents by dazzling oncoming drivers

Oral sildenafil causes inconsistent changes in
choroidal vascular congestion, study shows

HALTK’s alternative to PK could be gateway to restoring corneal clarity

Doctors warn against ditching specs Superman-style as fears remain on safety of paediatric Lasik

Povidone-iodine offers inexpensive alternative for paediatric conjunctivitis

Getting to grips with ocular tissue is crucial to PK success in children

New device brings virtual vision to the blind

Toric IOLs improve on previous designs with less rotation and more patient satisfaction

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Handheld GPS device helps blind steer safely through the metropolitan jungle

Dermot McGrath
in Dublin

 
 

A HIGH-tech handheld navigation tool is set to revolutionise travel for the blind and partially sighted by helping them find their way around the urban jungle.
The device, which uses advanced European Space Agency (ESA) satellite technology to locate and guide pedestrians in real time over a wireless internet connection, is being put through its paces is on European streets by volunteers from ONCE, Spain's national organisation for the blind.

The application enables access to precise locations, directions and routing, detailed descriptions of surroundings such as points of interest, and other co-ordinates. It promises, in time, to reinvent travel for visually impaired people, offering them unprecedented levels of independence and confidence in navigating the most complex urban environments.

Current satellite navigation based on the global positioning system (GPS) works well for many location-based services, but lacks the precision blind people require for detailed navigation along city streets.

This is mainly because tall buildings in urban areas — as well as other obstacles like trees — impede the ability of receivers on the ground to track GPS satellites, resulting in a positioning accuracy that is often little better than 30 to 40 metres. To improve the accuracy of GPS positioning to a few metres, Europe is developing the European Geostationary Navigation Overlay Service (EGNOS), which broadcasts augmentation signals through geostationary satellites, enabling receivers on the ground to correct errors in GPS signals.

To surmount the problem of buildings obscuring the EGNOS signal, the European Space Agency created a complementary technology known as SISNeT (Signal-In-Space through the internet) to relay the signal in real time over the internet using wireless networks.

The new handheld system, developed by Spanish company GMV Sistemas, makes use of this technology to improve the accuracy of GPS positions to a few metres, making it sensitive enough to locate obstacles in the street.
GMV Sistemas' personal navigator for the blind, known as TORMES (developed for ONCE), includes a Braille keyboard, a voice synthesiser and a GPS receiver. The latest version comes packed with an ‘always-on’ GPRS wireless internet connection, providing access to the SISNeT services.

All this high-tech gadgetry gives users constant updates about their location and tells them which street they are walking on, which buildings are near them and when they are approaching a junction.
“We think the addition of Sisnet to Tormes is very interesting. It should allow the blind user to navigate using a map, just as a sighted person can,” said Alfredo Catalina, who is overseeing the project at GMV.

The addition of an Internet connection also has the potential to enhance the function of personal navigators in other ways.

“When you are connected to the Internet you can also send messages back. You can ask for directions to a particular place or say that you are lost or have had an accident. By connecting the Internet to the world of navigation with, we are opening up many new possibilities,” said the ESA’s Javier Ventura-Traveset.
Tests on the Tormes system began in early February and will continue for several months.

“We plan to do two tests, one with and one without the EGNOS/SISNeT technology so that we can compare them. Members of ONCE will be helping to define the tests and assess the performance of the technology,” Felix Toran-Marti from the ESA said.
EGNOS is the first element of the European satellite navigation strategy and a major stepping-stone towards Galileo, Europe’s global satellite navigation system for the future.

Consisting of 30 satellites in medium-Earth orbit, plus an associated network of ground stations, Galileo is expected to deliver an independent, civilian-controlled positioning service worldwide with metre-scale accuracy.

The introduction of Tormes follows the United Kingdom launch in late 2002 of another PDA-type device for people with visual difficulties.

The Victor Trekker, designed and manufactured by Canada-based company VisuAid, in association with the Royal National Institute for the Blind (RNIB), also uses a GPS system hooked up to an electronic voice box, which tells users where they are as well as giving them precise directions to their destination.
The developers stress, however, that the device was not intended to replace completely the white cane or guide dog because it cannot detect small obstacles 0.6 to 0.9 metres (2ft to 3ft) in front of people as they walked.

The Victor Trekker is also prone to the problem of erratic GPS coverage in narrow streets with tall buildings, which Tormes is currently trying to overcome.

Javier Ventura-Traveset PhD
EGNOS Principal System Engineer
Email: Javier.Ventura-Traveset@esa.int

Felix Toran-Marti
EGNOS System and Analysis Engineer
Email: Felix.Toran@esa.int

 

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