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A novel paediatric game-based visual-fields assessor.

Tariq M Aslam1, Waheeda Rahman, David Henson

  • 1National Institute for Health Research Biomedical Research Centre, Manchester Royal Eye Hospital and University of Manchester, UK. tariq.aslam@cmft.nhs.uk

The British Journal of Ophthalmology
|April 6, 2011
PubMed
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A novel computer game system is feasible for measuring visual fields in children. This entertaining method provides accurate results for pediatric visual field testing.

Area of Science:

  • Ophthalmology
  • Pediatric Medicine
  • Medical Technology

Background:

  • Assessing visual fields in children presents unique challenges due to the need for engagement and cooperation.
  • Traditional visual field testing methods can be lengthy and difficult for young patients to tolerate.

Purpose of the Study:

  • To evaluate the feasibility of a computer-game-based apparatus for measuring visual fields in pediatric patients.
  • To develop an engaging and non-invasive method for pediatric visual field assessment.

Main Methods:

  • Development of a novel computer-game apparatus housed in an interactive model-castle.
  • Assessment involved 25 field tests in 25 eyes of 19 children aged 4-14 years.

Main Results:

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  • The apparatus successfully measured visual fields in 23 out of 25 tests, with a median completion time of 4.5 minutes.
  • 16 of 18 clinically normal patients showed normal fields; abnormal fields were detected in children with expected glaucomatous loss.
  • Two 4-year-old children showed generalized reduced responses, deemed abnormal by predefined criteria.

Conclusions:

  • A computer-game-based system is a feasible, non-invasive, affordable, and entertaining approach for pediatric visual field measurement.
  • The developed system shows promise for accurate visual field assessment in children.