Customizable Software

Smart System 20/20 visual acuity software is custom written by our own software developers, a unique feature in the industry. By leveraging the latest multimedia technologies and using input from leading practitioners, the 20/20 provides accurate and reliable performance. The robust design allows for easy upgrades for future enhancements and gives the user the flexibility to quickly customize the layout of the remote control, or tablet to accommodate specific needs. The calibration and set-up screens are clear, easy-to-use and adjustable to any exam room environment. Seamless integration with EHR systems allows the use of just one computer in the exam room! Smart System has been issued several patents and others are pending.

Integration with Industry Leaders

Automated Refraction Systems

M&S Technologies has established key business partnerships with several key ophthalmic device manufacturers. This technology integration allows you to seamlessly interface the Smart System 20/20 to the auto-refraction systems of Marco Ophthalmic, Topcon Medical Systems, Reichert Technologies, Huvitz and Visionix. You can fully integrate Visual Acuity, EHR, Patient Education and more, saving you time, increasing throughput and helping you provide quality care to your patients. Easily controlled through the patented interface, testing features of each manufacturer are seamlessly displayed on the Smart System 20/20. Furthermore, the full features of the Smart System 20/20 are available outside the auto-refractor control panel to display tests that are not available through the interface so all the robustness of the Smart System is always available to the user. US Patents 8,167,429 and 8,419,184.

High-Quality Patient Education Videos

Integrate seamlessly with Eyemaginations for patient education and education-based marketing! This feature is programmed and controlled by any one of our input devices. The current direction of health-care will force the industry to do more with less and this is where patient education and education-based marketing play a vital role. Regardless of the patient chair time, patients need to be educated on various types of lenses for glass use or the large number of multi-focal IOL’s available today. Educate your patients and increase revenues.

Technology Integration

M&S Technologies leads the industry in the integration of technologies in the exam room by partnering with other leading companies in the industry. Instrument companies such as Topcon, Marco and Haag-Streit all understand the value of partnering with the industry leader in computer-based LCD projectors. From seamless integration between the Smart System® and automated refraction technology, to integration with Haag-Streit in the “Exam Room of the Future”, M&S continues to lead the industry.

Many of our competitors claim to “interface” but M&S is the only company that has a true partnership with these industry leaders. With the explosion of technology in the practice, do you really want to invest in companies that claim they integrate or do you want to invest in a company that has partnerships where technology is updated, cross-training takes place and information exchanged?

Smart System Tablet Technology

The Smart System Tablet allows users to customize the input device to exactly their needs. Each tablet configuration allows for 6 different tabs of tests with multiple direct access buttons to control every screen of the Smart System 20/20. For example, you can have a tab for Children, which may include LEA symbols, Worth Four Dot, Fixation Animations, etc., and another tab for Contrast Testing which may include our exclusive Letter Contrast test protocol, Sine Wave Gratings and Landolt Rings, and another tab for Patient Education and so on. This customization feature has been developed to increase throughput and patient flow while making your time with the patient more effective.

Glare Testing System (GTS)

GTS is a consistent technology for measuring the impact of glare on a patient’s vision. Carefully calibrated against existing methods of testing, our Glare Testing System (GTS) provides consistency that can’t be found in rechargeable incandescent systems or any other hand held glare source in the market today. You can easily determine glare disability by setting the GTS to display an optotype for “x” period of time, then turn on glare for a predetermined amount if time to replicate real life experiences such as a oncoming vehicle approaching in the evening hours. So when your patient complains that their vision is significantly reduced in bright sunshine or driving at night or simply has trouble seeing after refracting to 20/25, simply turn on the glare function to simulate that effect.


M&S Technologies CustomLink interface provides an innovate way to customize any M&S supplied input device to accommodate the needs of the eye care professional. Automatic system set-up whereby each user can set up Smart System 20/20 exactly the way they prefer. It allows the practice to increase the utilization of the exam room (for example, you no longer need a specialty room for pediatrics; when not being used for Ped’s it can be used by Retina, Refractive, Low Vision, Contact Lens, etc.) by allowing the eye care professional to “sign in” when using that exam room. The user will then be able to specify exactly which tests, videos, charts, etc., they prefer to use in the exam room. Unlimited number of users can control Smart System exactly to their liking.

Electronic Low Vision Testing (eLVT)

Over 2 years in development, the eLVT™ system was co-produced and engineered by Dr. Ian Bailey of UC Berkeley and M&S Technologies. It utilizes the Berkeley Rudimentary Low Vision Test and extends the eETDRS protocol to include tumbling E’s, linear sine gratings and black\white discrimination.


The published Electronic ETDRS and ATS protocols, validated at the JAEB Center in Tampa, Florida, is available on Smart System 20/20 and provides expanded utility within the examination room. Click here to view the Abstract. eETDRS allows for validated visual acuity testing to further increase the utilization of the same room and equipment when participating in clinical trials. The eETDRS has a high-test, re-test reliability compared with standard ETDRS testing. The protocol is driven via easy to use on-screen prompting. This System has advantages over standard ETDRS testing by automatically retaining testing results and eliminating technician bias

Contrast Testing Validated to the Pelli-Robson charts

M&S Technologies has worked closely with the University of Toronto in calibrating letter contrast testing to the industry standards. We are pleased to announce that our letter contrast testing has been validated for testing, research and development purposes according to the industry standard Pelli-Robson charts. This requires precision monitor luminance calibration and gray scales set according to ANSI, ISO and FDA standards.

No other vision testing company providing computerized visual acuity systems provides more science behind the product than M&S Technologies.

Another breakthrough in contrast testing is our new automated protocol for identifying CSF thresholds for your patients. This proprietary algorithm steps through 6, 3 and 1.5 cycles per degree using our linear sine gratings to arrive at the patients CSF threshold. Patient results are then graphed to determine patient position against normative baseline data generated by the Illinois College of Optometry. A quick and easy screening with conclusive results.

Sine Wave Grating Contrast

Standard in Smart System 20/20, our new contrast testing system allows the clinician to screen for contrast function using linear sine gratings. With a simple pre-determined screening protocol it allows efficient testing of the contrast function. Presenting spatial frequencies of 18, 12, 6, 3 and 1.5 Cycles/Degree with Contrast levels from 100% - 0.8% this easy to administer test provides a great method for monitoring CSF, whether to monitor cataracts or assess quality of vision. Screening protocol is about 3 minutes and is can be integrated with Glare Testing.

Landolt Ring & ETDRS Contrast Testing

Both letter and symbol sets are standard on the Smart System 20/20 for contrast sensitivity screening. Following the same procedures as listed above, the 20/20 system gives you flexibility in selection of letter sets that are not found in any other LCD chart projector system.

Another first in the industry, M&S continues to lead the way in innovation, technology and development.

Protocol One™

Create user defined protocols or simple chart sequencing with ease allowing repeatable and consistent vision testing from visit to visit and patient to patient. Create protocols by age group, pathology or separate protocols for each doctor within the practice. Protocol One allows the clinician to step through a customized, pre-selected series of charts and tests with simplicity. Create your own from all available optotypes, including the exclusive LEA symbols, specifying multiple or single lines, any size progression or any combination.