Preparing a 12-week clinical feasibility and usability pilot study in collaboration with the American Macular Degeneration Foundation (AMDF)

Precision Digital Surveillance for Macular Health & Retinal Resilience.

MacuCoach™ is a voice-first patient-support companion app for older adults living with age-related macular degeneration. Designed with intuitive voice and high-contrast ergonomics, MacuCoach translates evidence-based clinical guidance from AREDS2 trials into low-friction daily routines, evaluating the impact of daily voice-first coaching on AREDS2 supplement compliance and dietary carotenoid intake.

Clinical Feasibility Study Objectives:

The study will evaluate feasibility, usability, engagement, health-literacy support, and adherence to daily eye-healthy habits among older adults diagnosed with dry age-related macular degeneration.

Four Core Daily Habit Pillars for Macular Health

Pillar 1

Eye-Healthy Mediterranean Nutrition

Carotenoid tracking emphasizing dietary lutein, zeaxanthin, dark leafy greens, and antioxidant-rich Mediterranean meals to support dietary carotenoid intake, retinal resilience, and macular health.

Pillar 2

Cardiovascular Physical Activity

Cardiovascular daily movement and step tracking that promote choroidal blood perfusion, systemic oxygenation, and microvascular retinal health.

Pillar 3

Digital Vision Checks

Proprietary digital vision checks based on standard Amsler Grid self-testing protocols for monocular visual distortion self-monitoring.

Pillar 4

Lifestyle & Habit Formation

translates evidence-based clinical guidance from AREDS2 trials into low-friction daily routines, evaluating the impact of daily voice-first coaching on AREDS2 supplement compliance and dietary carotenoid intake.

Ultra-Realistic Voice Companion

Empathetic, Human-Like Senior Voice Guidance

Powered by Google Cloud Neural2 and Journey speech synthesis models configured at a relaxed 0.95x cadence for seniors with low vision, providing warm, conversational check-ins without screen fatigue.

Comprehensive Behavioral Scoring

The Daily 10.0-Point Macular Shield

A structured, evidence-grounded scoring mechanism that tracks AREDS2 supplements, Mediterranean nutrition, daily cardiovascular activity, hydration, restorative sleep, UV protection, and home Amsler vision checks.

Standard Monocular Amsler Grid Self-Testing

Routine home distortion self-surveillance designed to flag new metamorphopsia, central scotomas, or wavy lines between scheduled ophthalmology exams.

Longitudinal Clinical PDF Summaries

Export comprehensive 30-day adherence, vision check stability charts, and AREDS2 intake records directly to your retina specialist or optometrist.

Enterprise Cloud & Multimodal AI Stack

Technology Architecture & Cloud Infrastructure

Built using Gemini multimodal models, Google Cloud Speech-to-Text and Text-to-Speech, Cloud Run, Firestore, Cloud Storage, and Vercel.

Google Cloud Infrastructure

Scalable, HIPAA-aligned serverless hosting running on Google Cloud Run and Firebase Firestore with AES-256 encrypted local data vaults.

Gemini Multimodal Intelligence

Powered by Gemini models configured through Google AI Studio for dietary carotenoid recognition, nutrition fact scanning, and gentle senior guidance.

Google Cloud Text-to-Speech

Ultra-realistic, warm human speech synthesis using Google Cloud Neural2 and Journey voice models configured at a relaxed 0.95x pace for older adults.

Leadership, Governance & Corporate Identity

Founder & CEO: Dr. Mahmood Piraee, PhD, PharmD. Dr. Piraee has dedicated his career to biopharmaceutical science, preventative digital therapeutics, and senior clinical engagement.

LinkedIn: https://www.linkedin.com/in/mahmood-piraee-phd-pharmd-6b3a9117/

MacuCoach™ is a flagship digital health platform developed by Arex AI, a product of Groupe Arex IA Inc.

Numéro d'entreprise du Québec (NEQ) : 1182501131

Corporate Portal: https://arexai.ca | Contact: mpiraee@arexai.ca