Comparative effectiveness between two types of head-mounted magnification modes using a smartphone-based virtual display.

IF 1.6 4区 医学 Q3 OPHTHALMOLOGY Optometry and Vision Science Pub Date : 2024-06-01 Epub Date: 2024-04-12 DOI:10.1097/OPX.0000000000002115
Robert Chun, Ashley Deemer, Kyoko Fujiwara, James Deremeik, Christopher K Bradley, Robert W Massof, Frank S Werblin
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Abstract

Significance: This work shows the benefits of using two different magnification strategies to improve the reading ability of low-vision patients using a head-mounted technology.

Purpose: The aim of this study was to conduct a comparative clinical trial evaluating the effectiveness of two magnification strategies in a head-mounted virtual reality display.

Methods: Eighty-eight eligible low-vision subjects were randomized into two arms: (1) the full-field magnification display or (2) the virtual bioptic telescope mode. Subjects completed baseline testing and received training on how to use the device properly and then took the device home for a 2- to 4-week intervention period. An adaptive rating scale questionnaire (Activity Inventory) was administered before and after the intervention (home trial) period to measure the effect of the system. A Simulator Sickness Questionnaire was also administered. Baseline and follow-up results were analyzed using Rasch analysis to assess overall effectiveness of each magnification mode for various functional domain categories.

Results: Both magnification modes showed a positive effect for reading, visual information, and the overall goals functional domain categories, with only reading reaching statistical significance after correction for multiple comparisons. However, there were no significant between-group differences between the two modes. The results of the Simulator Sickness Questionnaire showed that the magnification modes of the head-mounted display device were overall well tolerated among low-vision users.

Conclusions: Both the full-field and virtual bioptic magnification strategies were effective in significantly improving functional vision outcomes for self-reported reading ability.

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使用基于智能手机的虚拟显示屏的两种头戴式放大模式的效果比较。
意义:目的:本研究旨在开展一项比较临床试验,评估头戴式虚拟现实显示器中两种放大策略的有效性:88 名符合条件的低视力受试者被随机分为两组:(1) 全视野放大显示屏或 (2) 虚拟生物光学望远镜模式。受试者完成基线测试并接受如何正确使用设备的培训,然后将设备带回家进行为期 2 到 4 周的干预。在干预期(在家试用)前后,受试者都要接受自适应评级量表问卷调查(活动量表),以衡量系统的效果。此外,还进行了模拟器晕机问卷调查。使用拉施分析法对基线和后续结果进行分析,以评估每种放大模式对不同功能领域类别的总体效果:结果:两种放大模式都对阅读、视觉信息和总体目标功能领域类别产生了积极影响,其中只有阅读在校正多重比较后达到了统计学意义。但是,两种模式在组间没有明显差异。模拟器晕眩问卷调查结果显示,低视力用户对头戴式显示设备的放大模式总体上耐受良好:结论:全视野和虚拟生物光学放大策略都能有效改善自我报告阅读能力的功能性视力结果。
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来源期刊
Optometry and Vision Science
Optometry and Vision Science 医学-眼科学
CiteScore
2.80
自引率
7.10%
发文量
210
审稿时长
3-6 weeks
期刊介绍: Optometry and Vision Science is the monthly peer-reviewed scientific publication of the American Academy of Optometry, publishing original research since 1924. Optometry and Vision Science is an internationally recognized source for education and information on current discoveries in optometry, physiological optics, vision science, and related fields. The journal considers original contributions that advance clinical practice, vision science, and public health. Authors should remember that the journal reaches readers worldwide and their submissions should be relevant and of interest to a broad audience. Topical priorities include, but are not limited to: clinical and laboratory research, evidence-based reviews, contact lenses, ocular growth and refractive error development, eye movements, visual function and perception, biology of the eye and ocular disease, epidemiology and public health, biomedical optics and instrumentation, novel and important clinical observations and treatments, and optometric education.
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