Pediatric Eye Exam Robot

Using caregiver research to shape a robot’s character and interaction design.

Sam the Ranger robotic eye exam character

Problem

Eye scans require children to stay still, and movement means repeating the exam.

Solution

A character-led experience that prepares children for the scan and keeps them engaged through it.

Project Type
  • Product
  • UX Research
  • Digital + Physical Design
Team
  • 3 Product Designers (including me)
  • 2 Digital Fabrication Designers
  • 5 Engineers
  • 2 Medical Collaborators
Timeline
Nov 2024 – Dec 2025
Tools
  • Figma
  • Higgsfield
  • R and Python
  • Procreate

Background

Optical Coherence Tomography

Optical coherence tomography (OCT) is an eye scan that requires children to keep their eyes on a target while the scanner moves close to their face. If they look away or move, the scan may be repeated, straining the child, caregiver, and clinical team.

Pediatric OCT robot arm prototype demo
The robotic OCT arm viewed from above
The robotic arm from above.
Pupil cameras tracking each eye during an OCT scan
Pupil cameras tracking the left, right, and downward eye position.
Resulting face detection locating the eyes from the camera feeds
Resulting face detection.

Research

Identifying the Problem

When I joined, the engineering team had already built a robotic arm that scans from multiple angles and postures. I focused on the experience around it.

We conducted a service safari at Kellogg Eye Center, walking through the full visit in pairs from the waiting room to the scan. Clinical staff walked us through each step, including what happens when a scan needs to be repeated.

Waiting room at Kellogg Eye Center
The waiting area at Kellogg Eye Center, where visits often included 30–60 minute waits, longer than the scan itself.
A team member undergoing a traditional OCT scan at Kellogg Eye Center alongside clinical staff
A team member undergoes a traditional OCT scan alongside clinical staff.

The walkthrough gave us an initial hypothesis about where the experience could break down.

Two speech bubbles, one from a child and caregiver about long waits, one from clinical staff about repeated scans, followed by the design question: how might we make the OCT experience easier for children to understand and participate in.

Research

Secondary Research

We ran a literature review and comparative evaluation of children’s media, medical preparation, and child–robot interaction to understand how an unfamiliar clinical experience could become easier to approach. We identified 2 core design criteria:

01 Prepare Before First Contact

Knowing what to expect can reduce uncertainty.

How? Introduce the robot before the visit.

02 Give Children an Active Role

Participation can help children stay engaged during a task that requires stillness.

How? Give the child a mission.

Ideation

Personas

Children do not experience the OCT visit in the same way. Differences in age, attention span, temperament, and familiarity with medical equipment can change what helps a child cooperate.

We synthesized two representative profiles from the literature, clinical walkthrough, and team discussion. They were not individual patient profiles. We used them to test whether a character or interaction idea could support different needs within the same procedure.

Persona: Age 6, Scared
Persona: Age 10, Bored
Representative personas from the research phase.

Ideation

Journey Maps

The personas described different needs. We mapped their journeys to locate where those needs appeared across the visit, from waiting to scan completion. Rather than measuring emotional change, the maps were hypothesis-driven tools for identifying opportunities for pre-exposure, reassurance, and engagement.

The younger profile needed support before and during the first close interaction. The older profile needed a reason to remain engaged during the scan itself. This suggested a broader character system could eventually support different interaction styles, beginning with Sam as the first direction to develop.

Age 6, comfort first

Journey Map: Age 6

Age 10, mission first

Journey Map: Age 10
Journey maps for two representative child profiles.

Ideation

Character Directions

We diverged across the design team, developing 10 character concepts across animal, spy, medical, robot, and space themes. I proposed Optic, one of the four concepts that advanced. We then converged through a team-based concept review, weighing each direction against comfort and engagement and against feasibility with robotics, digital fabrication, and clinical collaborators. Materials couldn't add weight to the robot's joints, and surfaces had to withstand repeated cleaning with medical wipes.

Concept exploration board showing early pediatric OCT character directions
Concept exploration on Miro
Sam the Ranger character board Optic character board A-Eye character board Cheeze character board
Selected directions

The four selected concepts became character boards and the basis for the pre-exposure demos used in the caregiver study. I wrote the content and copy for Optic, while illustrations were done by teammates.

Ideation

Pre-Exposure Prototypes

To evaluate each character as an experience rather than a static board, the team created 4 low-fidelity pre-exposure videos using 3D-printed robot forms and simple props. I storyboarded the overall interaction of a child with Sam. The team used it as a shared template for all 4 characters, adjusting the dialogue and character details for each.

Each video showed how a character could introduce the scan and give a child a role in the experience. We used these prototypes as stimuli in the caregiver evaluation.

Sam the Ranger pre-exposure video storyboard

Final Solution

User Surveys

We conducted a mixed-method caregiver evaluation with 30 caregivers, combining quantitative ratings, qualitative feedback, and pairwise comparisons. Each participant reviewed two randomly assigned character videos. I led the quantitative analysis, applying the Bradley–Terry model to estimate preference across matchups.

After analyzing 1,200+ responses, we discovered that:

70%

Preferred character-guided interaction over the traditional exam.

80%

Rated Sam very or extremely effective at engaging children.

60%+

Sam led every pairwise comparison.

Caregivers also pointed to specific features, music, verbal communication, animal noises, and soft textures, as what made a character feel effective.

Comparison of the four pediatric OCT character directions

Final Solution

Research Outcome

I co-authored two Association for Research in Vision and Ophthalmology (ARVO) 2026 conference abstracts published in Investigative Ophthalmology & Visual Science. Covering the robotic character prototype and caregiver perspectives on pediatric OCT characters, I led the quantitative analysis sections.

Final Solution

Future Exploration - AI

I wanted to further explore how to make an idea evolve from a character concept into a scalable interaction system.

Sam the Ranger facing a seated patient
Sam the Ranger faces a seated patient.
Before: Sam's hat and camera housing without the ranger costume
Detail of Sam’s hat and camera housing, wrapped in the ranger costume.

I mapped the storyboard into a service blueprint for a broader experience easier to review and extend to future character directions.

Sam the Ranger service blueprint: journey phases (Pre-Exposure, First Contact, Calibration, The Game, Success & Goodbye) mapped across child actions, Sam's front-stage dialogue, and the system's back-stage mechanism for each phase.
Sam the Ranger service blueprint, exported from Figma

I was curious on how I can use generative AI as a tool for rapid prototyping in a field where physical iteration is slow. I prompted a concept film to visualize the interaction before committing to another physical build. Using Higgsfield, I generated keyframe images of the robot in the clinic environment, converted them into short video clips, and edited the sequence in Canva.

Reflection

Post-Project Reflection

Constraints

Learning an unfamiliar domain

I knew little about medical devices or robotics going in. Working with engineers and clinicians meant learning enough, fast, to make design decisions they could trust.

Explaining across disciplines

Design decisions had to be framed as constraints and trade-offs other fields could act on, not just visuals to approve.

Room for Improvement

Testing earlier

Validation came late. I'd want to get a rough prototype in front of real testing sooner instead of refining internally first.

Next Steps

From concept to physical robot

Carrying this from a concept film into an actual behavior on the robot itself.