Eyeonic, an Australian-owned cloud-based artificial intelligence-powered platform to detect glaucoma, continues to build its international presence, with more than 40,000 tests performed since its commercialisation in 2023.

The platform, which provides clinically reliable visual field testing on any computer or tablet without specialised hardware, has achieved regulatory approval in multiple jurisdictions across the world, including Australia and New Zealand. Consequently, it is now actively used in 14 countries worldwide and has been translated into 25 languages.

Founded in 2019 by Associate Professor Simon Skalicky, a glaucoma-subspecialist ophthalmologist and clinical researcher, the technology is designed to improve the usability, affordability, and accessibility of glaucoma diagnosis and monitoring.

Ultimately, the aim is to improve diagnostic rates, the convenience of testing, and the uptake of perimetry globally. And according to Chief Executive Officer Janis Anastassiou, Eyeonic is making solid inroads.

GLAUCOMA SCREENING

In Australia, approximately 50% of glaucoma cases are undetected, and this number can rise to above 90% in some parts of the world.1 Yet early detection is one of the most important prognostic factors for glaucoma and will undoubtedly save sight. Ms Anastassiou said thanks to artificial intelligence (AI) and digital technology, the Eyeonic platform is proving its ability to aid in early glaucoma detection worldwide.

“Here in Australia, Eyeonic is partnering with the pharmacy-based health screening platform Sciana,” she explained. “Starting as a pilot program, our collaboration provides online perimetry to screen for glaucoma using laptops in Australian pharmacies.”

If visual field defects are detected, an appropriate referral to an optometrist is instigated, and if glaucoma is confirmed, the patient is referred to an available ophthalmologist.

The project is supported by Glaucoma Australia, and if the pilot is successful, it will be rolled out more widely.

FASTER TEST TIMES

With a growing number of online perimetry solutions now available, the race is on to speed up testing times while retaining accuracy. Ms Anastassiou said the Eyeonic team has been working to do exactly this. “Our platform is now faster than most conventional perimetric machines and several other enhancements have improved the already robust metrics to detect and monitor visual field changes, both in clinic and at home. We’ve also improved the web application’s ease of use for patients, clinicians, and healthcare organisations,” she told mivision.

Eyeonic home monitoring data, published in the Journal of Glaucoma in October 2025,2 found strong repeatability, agreement with clinic results, and high patient satisfaction. Fifty-five patients performed visual field testing on their own devices at home. The paper demonstrated the feasibility of home visual field testing that can be performed on any device. Ongoing studies are underway, combining home visual field with home tonometry as tools in virtual tele-glaucoma monitoring.

MONGOLIA OUTREACH

Eyeonic is also enabling glaucoma screening in less accessible areas, such as Mongolia, where 50% of the three-million population lives in regional and remote areas. Accessing clinical services involves a 1,000 km trip for many, often through rugged and frozen terrain. Patients with glaucoma, or those suspected of glaucoma, often need to make such a journey for glaucoma detection or monitoring.

To improve accessibility and equity, Eyeonic has partnered with the charity Sight For All, which is currently sponsoring an in-country ophthalmology glaucoma fellowship in Mongolia. Funded by the Australian Department of Foreign Affairs and Trade (DFAT) and endorsed by the Australian embassy in Mongolia, Eyeonic has provided online perimetry for more than 20 regional centres throughout the country. The outcomes of the implementation are currently being evaluated by a PhD candidate based at Adelaide University.

TESTING CHILDREN

Visual field testing in children is critical yet challenging. Sometimes due to unfamiliarity, poor comprehension, and/or discomfort in a testing environment, paediatric patients are either not tested, or when tested, the results are erratic. Online perimetry has shown to be better tolerated, as it is perceived to be “like a game” for many children. A study out of Ichilov Medical Centre, Tel Aviv, Israel, involving 15 children using Eyeonic online perimetry, is currently being completed. Findings to date demonstrate good acceptance and accurate perimetry results among children, both with testing in clinic, and follow-up testing at home.

A child performing the Eyeonic visual field test.

DRIVING AND PILOT LICENSING ASSESSMENT

Perimetry testing is a critical component of driving licence assessment. Traditionally, around the world, it has been performed with a widefield binocular suprathreshold strategy. Eyeonic has developed such a strategy and critically evaluated it against the Esterman protocol. The results, published in the Journal of Glaucoma in December 2025, showed strong agreement with the Esterman, and high accuracy and repeatability for the Eyeonic test.3 The ability to perform licensing assessments online has many potential advantages, both in Australia and globally, among them the potential to digitalise, streamline, and standardise licensing protocols. A similar monocular protocol has been created for pilot licensing assessment.

STARTUP TURNED CORPORATE INNOVATOR

With advances in technology, the Eyeonic platform continues to evolve, and Ms Anastassiou said the development team’s continued efforts are yielding results.

“Patients and clinicians are reporting increasingly high levels of satisfaction when using the online visual field test, which costs a fraction of a perimetry machine,” she told mivision.

“We’re proud of the company we have built, and the online product we deliver. Our achievements to date were vindicated when, in October 2025, we were named a finalist in the Australian Financial Review BOSS Most Innovative Companies Awards. The awards shone a spotlight on more than 300 companies, showcasing solutions that highlight Australia’s standing in innovation. Our nomination was based on advances in code delivery and testing, AI, cybersecurity practices, and business procedures.”

The Eyeonic executive team from right: Chris Batrouney (Board member), Martin Goodrich (Board Chair), Janis Anastassiou (CEO), Simon Skalicky (Founder, Board member), Alex Verrico (CTO), Paul Kirschner (Board advisor).

References available at mivision.com.au.