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Related Experiment Video

Updated: May 1, 2026

Development of a Gaze-Contingent Display Framework Designed for Perceptual and Oculomotor Research with Simulated Central Vision Loss
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How effective is eccentric viewing training? A systematic literature review.

Allannah J Gaffney1, Tom H Margrain, Catey V Bunce

  • 1School of Optometry and Vision Sciences, Cardiff University, Cardiff, UK.

Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)
|April 17, 2014
PubMed
Summary

Eccentric viewing and steady eye strategy training can improve daily living for those with central vision loss. More research is needed to confirm benefits for distance vision and overall quality of life.

Keywords:
age-related macular degenerationcentral visual losseccentric viewinglow visionsteady eye strategysystematic literature review

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Area of Science:

  • Ophthalmology
  • Rehabilitation Science
  • Vision Science

Background:

  • Age-related macular degeneration is a growing cause of central vision loss.
  • Central vision impairment significantly impacts daily activities.
  • Adaptive strategies like eccentric viewing and steady eye strategy offer potential compensation.

Purpose of the Study:

  • To systematically review the literature on the effectiveness of eccentric viewing and steady eye strategy training.
  • To evaluate these training methods as rehabilitation strategies for central vision loss.

Main Methods:

  • Systematic literature review of publications on eccentric viewing and steady eye strategy training.
  • Inclusion criteria focused on studies involving individuals with central vision loss.
  • Analysis of 36 publications, including three randomized controlled trials.

Main Results:

  • Eccentric viewing and steady eye strategy training demonstrated improvements in near visual acuity, reading speed, and daily living activities.
  • Insufficient evidence exists regarding the impact on distance visual acuity and quality of life.
  • No clear evidence supports one training model over another or links participant characteristics to outcomes.

Conclusions:

  • Further robust research is required to fully understand the potential of these training strategies.
  • The cost-effectiveness of eccentric viewing and steady eye strategy training needs investigation.
  • These strategies show promise for rehabilitation but require more evidence for widespread application.