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Visual field examination method using virtual reality glasses compared with the Humphrey perimeter.

Stylianos Tsapakis1, Dimitrios Papaconstantinou1, Andreas Diagourtas1

  • 11st Department of Ophthalmology, National and Kapodistrian University of Athens, Athens, Greece.

Clinical Ophthalmology (Auckland, N.Z.)
|August 30, 2017
PubMed
Summary

Virtual reality (VR) visual field testing shows high correlation with the Humphrey perimeter. This VR method is reliable and suitable for clinical use in glaucoma diagnosis.

Keywords:
perimetrysmartphonevirtual reality glassesvisual fieldsvisual fields software

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Area of Science:

  • Ophthalmology
  • Medical Technology
  • Visual Science

Background:

  • Accurate visual field examination is crucial for diagnosing and monitoring glaucoma.
  • Traditional perimetry methods like the Humphrey perimeter are effective but can be costly and cumbersome.

Purpose of the Study:

  • To introduce a novel visual field examination method utilizing virtual reality (VR) glasses.
  • To assess the reliability of this VR-based visual field test by comparing its results against the established Humphrey perimeter.

Main Methods:

  • A custom system using VR glasses, a 6-inch smartphone display, and specialized software was developed.
  • The software implemented a fast-threshold 3 dB step staircase algorithm for testing the central 24° visual field (52 points).
  • Twenty eyes from 10 glaucoma patients were tested, with results compared to their Humphrey perimeter data.

Main Results:

  • A high correlation coefficient (r=0.808, P<0.0001) was observed between the VR visual field test and the Humphrey perimeter.
  • This indicates strong agreement between the two methods for assessing visual field defects.

Conclusions:

  • Visual field examination using virtual reality glasses demonstrates high reliability and strong correlation with the Humphrey perimeter.
  • The VR method shows potential for clinical application in visual field testing, offering a promising alternative or adjunct to current standards.