THE "EYE" PHONE - EXPLORING THE ART OF PHONEOSCOPY
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Which camera phone ? 

 Any camera phone which has a light can be used to examine and document the eye....

........ however some camera phones are better than others.

Questions to ask when choosing a phone for phoneoscopy, in order of importance:

1) Distance between the light and the lens?
2) How close is the lens to the edge of the phone?
3) Will your phones software allow the light to be on continuously whilst using the camera app? (all iPhones).

4) Can you alter the intensity of the light?
5) How wide angle is the lens?
6) What is the minimum focal distance of the lens?
7) How well does the camera perform in low light ? 
8) Does the camera have image stabilisation?
9) Lens quality.
10) Resolution of the camera sensor- how many megapixels can it record?

The "best" iPhones for retinal phoneoscopy are:

Any iPhone 4 and above can be used to make excellent images of the fundus and anterior segment however this is my current (Mar 2019)  list.The plus series (6,6s,7 and 8) all take excellent images however the position of the lenses make coaxial illumination and direct retinal examination more challenging. This does however make macro photography easier as the LED being further away from the lens allows it o be used at the same time as a macro lens which can be used to get near coaxial illumination of  corneal and lens lesions. 
Equine/large animals:
1st place = iPhoneXS
2nd place= iPhone X
3rd place = iPhone XS max
4th place= iPhone SE 

5th place = iPhone XR
6th place =  iPhone 6s
7th place = iPhone 8
8th place= iPhone 7


​Small animals:
1st place = iPhone XS
2nd place = iPhone X
3rd place = iPhone XS max

4th place = iPhone 4S
5th place = iPhone SE
6th place = iPhone 6s

7th place= iPhone 8
​8th place = iPhone 7

​Distance between the light and the lens. (LL distance).

 This is the critical factor when performing direct phoneoscopy. 

What we are aiming for is constant illumination as close to the visual axis as possible. The shorter this distance is the more prone photographs of people in low light level are to having the "red eye" artifact, This artifact is the effect we are aiming to exploit in phoneoscopy however phone manufactures will be aiming to minimise this effect by , in general, moving the light away from the camera's visual axis.

The phones with the shortest light to lens (LL) distance I have found to date are the iPhone 4 & the 4s, with only 6 mm between the axis of the lens and the light. All subsequent iterations of the iPhone  have the light further away from the lens making direct phoneoscopy more challenging unless the pupil is fully dilated despite the advancements in camera technology in each new version.

light to lens  distance :

alcatel pop4                 10 mm

iPhone4                        6mm
iphone 4s                     6mm

ipod touch 5                 10 mm
iphone 5s                      9.25 mm
iPhone 6
iphone 6s                      9.5 mm

iphone 6 plus               12 mm
iPhone SE                      9.25 mm
iPhone 7                        11.75mm
iPhone 7plus                 20mm (wide) & 11.5mm (tele)
iPhone 8                        12.5mm                       
iPhone 8 plus                22.75mm (wide) & 12.5 mm (tele)
​iPhone X                        6.5mm (wide) & 6.5 mm (tele)


The winners : iPhone 4, 4S and X

Position of camera.

For close direct phoneoscopy the lens needs to be as close to the corner of the phone as possible to allow the camera to be positioned at the optimal distance from the eye. This distance varies between cameras but is always close (<10mm).

All  of the iphones with single rear cameras and all of the ipod touch generations have their camera lens positioned in the upper left corner of the phone making them ideal for positioning the phone camera. 

The camera position varies with other manufactures with many favouring a central position which makes using these phones for direct phoneoscopy more difficult.

​

iPhone4                       
iphone 4s                     

ipod touch 5               
iphone 5s                     
iPhone 6                      
iPhone 6 plus              

iphone 6s                          
iphone 6 plus              
iPhone SE                     8.25mm
iPhone 7                       8.5mm 
iPhone 7plus     ​           8.75mm (wide) & 16.3mm (tele) 
iPhone 8                       10.5 mm         
iPhone 8 plus               10.25mm (wide) & 19.5mm (tele)
​iPhone X                        22.5mm (tele) & 11.5mm (wide)                         ​      
​winners: 4, 4S and iPod touch
Picture
Left to right: iPhone 4s, iPod touch 5th gen, iPhone 5s, iPhone 6s and the Alcatel Pop4.  NB the central position of the alcatel's camera.

Aperture & optical image stabilisation

Aperture determines the amount of light hitting the sensor. For phoneoscopy purposes this means the larger the aperture (the smaller the f number) the better. All iPhones from the 7 series onwards have a very helpful large aperture on their wide angle cameras of f1.8.  

Large aperture means:
1) lower "shutter" speeds are needed so camera shake less of an issue
2) lower illumination intensity is needed to obtain good fundic images meaning fundoscopy is better tolerated in the conscious patient and the need for mydriasis is lessened.
3) depth of field is also reduced however this effect is rarely a negative influence on fundic photography as it is mitigated by the wide angle lens and we are, usually, imaging in a flat plane.

Optical image stabilisation(OIS) allows the camera to move within the camera body to dampen small movements of the phone meaning that camera shake cause less image blur. This allows lower camera "shutter" speeds to be used further increasing the light sensitivity of the camera. OIS was introduced on the iPhone 6plus camera.
iPhone4                         f2.8
iphone 4s                      f2.4

ipod touch 5                 f 2.4
iphone 5s                      f2.2
iPhone 6                       f​2.2 
iPhone 6 plus               
f2.2 & optical image stabilisation. 
iphone 6s                     f2.2                    

iphone 6 plus              f2.2 & optical image stabilisation.
iPhone SE                     f2.2
iPhone 7                       f1.8 & optical image stabilisation.
iPhone 7plus                f1.8 (wide angle lens)  f​2.8 telephoto lens & optical image stabilisation.
iPhone 8                       f1.8 & optical image stabilisation.
iPhone 8 plus              f1.8 (wide angle lens)  f2.8 (telephoto lens) & optical image stabilisation.
​iPhone X                       f1.8 (wide angle lens)  f2.4 (telephoto lens) & optical image stabilisation.

The winners: iPhone 7 and up 

Focal length equivalent (to 35mm camera)

iPhone4                         28mm
iphone 4s                      28mm

ipod touch 5                 
iphone 5s                      
iPhone 6                      
iPhone 6 plus               

iphone 6s                    
iphone 6 plus            
iPhone SE                     
iPhone 7                      
iPhone 7plus                
iPhone 8                       
iPhone 8 plus             28mm (wide) & 56mm (tele)
​iPhone X          


Pixels & pixel resolution

iPhone4                         5 Megapixel
iphone 4s                      8 Megapixel (1.4 micron)

ipod touch 5                 8 Megapixel
iphone 5s                      8 Megapixel
iPhone 6                        12 Megapixel
iphone 6s                      12 Megapixel

iphone 6 plus                12 Megapixel
iPhone SE                       12 Megapixel  
iPhone 7                         12 Megapixel
iPhone 7plus                 12 Megapixel
iPhone 8                         12 Megapixel 
iPhone 8 plus                12 Megapixel
​iPhone X                         12 Megapixel


The winners: iPhone 6 and up 

Phone size

The optimal phone size will depend on a number of factors:

1) the size of your hands
Bigger phones can be tricky to hold close to the eye especially when you come to pressing the screen or the volume button to take an image.

2) the size of your thumbs
Smaller phones can make typing much more tricky - if you've big thumbs you're going to find entering text and altering camera settings more difficult.

3) your eye sight:
Sorry guys but past 40 (gosh that sounds young now!) you're going to have to accept that presbyopia is on it's way, the bigger the display the easier this will make your transition in to middle age.

4) the size of your patient:
The equine eye is very forgiving and even the largest iPhone is easy to use to obtain direct retinal images however with small animal patients the smaller the phone the better, currently this makes the iPhone SE the best option for small animals.

I currently use the iPhone 7plus - the screen size is amazing (especially as I am now past 40) but I do need some digital gymnastics to hold the phone and obtain an image.  Fpr our clinicians I've given them the iPhone SE as this is the most versatile of the modern iPhones. 
Picture

iPhone camera specs:

iPod touch (5th gen)

Camera
  • 8MP camera
  • Autofocus
  • ƒ/2.4 aperture
  • Five-element lens
  • Hybrid IR filter
  • Backside illumination
  • Auto image stabilisation
  • Auto HDR for Photos
  • Improved face detection
  • Exposure control
  • Panorama (up to 43MP)
  • Burst mode
  • Tap to focus
  • Photo geotagging over Wi-Fi
  • Timer mode
Video Recording
  • 1080p HD video recording (30 fps)
  • Tap to focus while recording
  • Slo-mo video (120 fps)
  • Time-lapse video
  • Cinematic video stabilisation
  • Improved face detection
  • 3x zoom
  • Video geotagging over Wi-Fi

​iPhone 4

Camera, photos, and video
  • Video recording, HD (720p) up to 30 frames per second with audio
  • 5-megapixel still camera
  • VGA-quality photos and video at up to 30 frames per second with the front camera
  • Tap to focus video or still images
  • LED flash
  • Photo and video geotagging

28mm equivalent focal length

https://arstechnica.com/gadgets/2010/06/sizing-up-the-iphone-4-for-shutterbugs/

iPhone 4s

Camera, Photos, and Video
  • 8-megapixel camera
  • Autofocus
  • Tap to focus
  • Face detection in still images
  • LED flash
  • Video recording, HD (1080p) up to 30 frames per second with audio
  • Video stabilization
  • Front camera with VGA-quality photos and video at up to 30 frames per second
  • Photo and video geotagging

iPhone 5

iPhone 5s

iSight Camera
  • 8 megapixels with 1.5µ pixels
  • ƒ/2.2 aperture
  • Sapphire crystal lens cover
  • True Tone flash
  • Backside illumination sensor
  • Five-element lens
  • Hybrid IR filter
  • Autofocus
  • Tap to focus
  • Exposure control
  • Auto HDR for photos
  • Face detection
  • Panorama
  • Auto image stabilization
  • Burst mode
  • Photo geotagging
Video Recording
  • 1080p HD video recording (30 fps)
  • True Tone flash
  • Slo-mo video (120 fps)
  • Time-lapse video
  • Video stabilization
  • Take still photos while recording video
  • Face detection
  • 3x zoom
  • Video geotagging

iPhone SE

Camera
  • 12‑megapixel camera
  • ƒ/2.2 aperture
  • Five-element lens
  • 5x digital zoom
  • Live Photos with stabilisation
  • Local tone mapping
  • Face detection
  • True Tone flash
  • Sapphire crystal lens cover
  • Backside illumination sensor
  • Hybrid IR filter
  • Autofocus with Focus Pixels
  • Tap to focus with Focus Pixels
  • Exposure control
  • Noise reduction
  • Auto HDR for photos
  • Panorama (up to 63 megapixels)
  • Auto image stabilisation
  • Burst mode
  • Timer mode
  • Photo geotagging

Video Recording
  • 4K video recording at 30 fps
  • 1080p HD video recording at 30 fps or 60 fps
  • 720p HD video recording at 30 fps
  • 3x digital zoom
  • True Tone flash
  • Cinematic video stabilisation (1080p and 720p)
  • Continuous autofocus video
  • Face detection
  • Noise reduction
  • Slo‑mo video support for 1080p at 120 fps and 720p at 240 fps
  • Time‑lapse video with stabilisation
  • Take 8-megapixel still photos while recording 4K video
  • Playback zoom
  • Video geotagging

iPhone 6 & 6 plus

iSight Camera
  • 8-megapixel iSight camera with 1.5µ pixels
  • Autofocus with Focus Pixels
  • ƒ/2.2 aperture
  • Optical image stabilization (iPhone 6 Plus only)
  • True Tone flash
  • Five-element lens
  • Hybrid IR filter
  • Backside illumination sensor
  • Sapphire crystal lens cover
  • Auto image stabilization
  • Auto HDR for photos
  • Face detection
  • Exposure control
  • Panorama (up to 43 megapixels)
  • Burst mode
  • Tap to focus
  • Photo geotagging
  • Timer mode
Video Recording
  • 1080p HD video recording (30 fps or 60 fps)
  • True Tone flash
  • Slo-mo video (120 fps or 240 fps)
  • Time-lapse video with stabilization
  • Cinematic video stabilization
  • Continuous autofocus video
  • Take still photos while recording video
  • Improved face detection
  • 3x zoom
  • Video geotagging

iPhone 6s & iPhone 6s Plus

iPhone 6s & iPhone 6s Plus
  • 12-megapixel camera
  • Live Photos with stabilization
  • Autofocus with Focus Pixels
  • Optical image stabilization (iPhone 6s Plus only)
  • True Tone flash
  • Panorama (up to 63 megapixels)
  • Auto HDR for photos
  • Exposure control
  • Burst mode
  • Timer mode
  • ƒ/2.2 aperture
  • Five-element lens
  • 5x digital zoom
  • Hybrid IR filter
  • Backside illumination sensor
  • Sapphire crystal lens cover
  • Auto image stabilization
  • Local tone mapping
  • Noise reduction
  • Face detection
  • Photo geotagging
  • 4K video recording at 30 fps
  • 1080p HD video recording at 30 fps or 60 fps
  • 720p HD video recording at 30 fps
  • Optical image stabilization for video (iPhone 6s Plus only)
  • True Tone flash
  • Slo-mo video support for 1080p at 120 fps and 720p at 240 fps
  • Time-lapse video with stabilization
  • Cinematic video stabilization (1080p and 720p)
  • Continuous autofocus video
  • Noise reduction
  • Take 8-megapixel still photos while recording 4K video
  • Playback zoom
  • 3x digital zoom
  • Face detection
  • Video geotagging

iPhone 7 & iPhone 7 Plus


iPhone 7
  • 12mp camera
  • f/1.8 aperture
  • Digital zoom up 5x

 iPhone 7 Plus
  • 12MP wide-angle and telephoto cameras
  • Wide-angle: f/1.8 aperture
  • Telephoto: f/2.8 aperture
  • Optical zoom at 2x, digital zoom up to 10x
Both models
  • Optical image stabilization
  • Six‑element lens
  • Quad-LED True Tone flash
  • Panorama (up to 63 megapixels)
  • Sapphire crystal lens cover
  • Backside illumination sensor
  • Hybrid IR filter
  • Autofocus with Focus Pixels
  • Tap to focus with Focus Pixels
  • Live Photos with stabilization
  • Wide color capture for photos and Live Photos
  • Improved local tone mapping
  • Body and face detection
  • Exposure control
  • Noise reduction
  • Auto HDR for photos
  • Auto image stabilization
  • Burst mode
  • Timer mode
  • Photo geotagging
https://newatlas.com/every-iphone-specs-comparison/

iPhone 8 & 8 plus

Camera
  • 12MP camera
  • 12MP wide-angle and telephoto cameras
 
  • ƒ/1.8 aperture

Wide-angle: ƒ/1.8 aperture
Telephoto: ƒ/2.8 aperture

  • Digital zoom up to 5x

Optical zoom; digital zoom up to 10x
 
--
Portrait mode
 
--
Portrait Lighting (beta)
Both models:
  • Optical image stabilisation
  • Six-element lens
  • Quad-LED True Tone flash with slow sync
  • Panorama (up to 63MP)
  • Sapphire crystal lens cover
  • Backside illumination sensor
  • Hybrid IR filter
  • Autofocus with Focus Pixels
  • Tap to focus with Focus Pixels
  • Live Photos with stabilisation
  • Wide colour capture for photos and Live Photos
  • Improved local tone mapping
  • Body and face detection
  • Exposure control
  • Noise reduction
  • Auto HDR for photos
  • Auto image stabilisation
  • Burst mode
  • Timer mode
  • Photo geotagging
  • Image formats captured: HEIF and JPEG

Video Recording
  • 4K video recording at 24 fps, 30 fps or 60 fps
  • 1080p HD video recording at 30 fps or 60 fps
  • 720p HD video recording at 30 fps
  • Optical image stabilisation for video
  • Optical zoom; 6x digital zoom (iPhone 8 Plus only)
  • Quad-LED True Tone flash
  • Slo‑mo video support for 1080p at 120 fps or 240 fps
  • Time‑lapse video with stabilisation
  • Cinematic video stabilisation (1080p and 720p)
  • Continuous autofocus video
  • Body and face detection
  • Noise reduction
  • Take 8MP still photos while recording 4K video
  • Playback zoom
  • Video geotagging
  • Video formats recorded: HEVC and H.264

iPhone X

Camera
  • 12MP wide-angle and telephoto cameras
  • Wide-angle: ƒ/1.8 aperture
  • Telephoto: ƒ/2.4 aperture
  • Optical zoom; digital zoom up to 10x
  • Portrait mode
  • Portrait Lighting (beta)
  • Dual optical image stabilisation
  • Six-element lens
  • Quad-LED True Tone flash with slow sync
  • Panorama (up to 63MP)
  • Sapphire crystal lens cover
  • Backside illumination sensor
  • Hybrid IR filter
  • Autofocus with Focus Pixels
  • Tap to focus with Focus Pixels
  • Live Photos with stabilisation
  • Wide colour capture for photos and Live Photos
  • Improved local tone mapping
  • Body and face detection
  • Exposure control
  • Noise reduction
  • Auto HDR for photos
  • Auto image stabilisation
  • Burst mode
  • Timer mode
  • Photo geotagging
  • Image formats captured: HEIF and JPEG

Video Recording
  • 4K video recording at 24 fps, 30 fps or 60 fps
  • 1080p HD video recording at 30 fps or 60 fps
  • 720p HD video recording at 30 fps
  • Optical image stabilisation for video
  • Optical zoom; 6x digital zoom
  • Quad-LED True Tone flash
  • Slo‑mo video support for 1080p at 120 fps or 240 fps
  • Time‑lapse video with stabilisation
  • Cinematic video stabilisation (1080p and 720p)
  • Continuous autofocus video
  • Body and face detection
  • Noise reduction
  • Take 8MP still photos while recording 4K video
  • Playback zoom
  • Video geotagging
  • Video formats recorded: HEVC and H.264
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