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Hazard Detection With Monocular Bioptic Telescopes in a Driving Simulator.
Xiaolan Tang1,2, P Matthew Bronstad2, Amy L Doherty2
1College of Information Engineering, Capital Normal University, Beijing, China.
Translational Vision Science & Technology
|August 21, 2020
Summary
People using bioptic telescopes to drive can still detect hazards. The fellow eye compensates for the ring scotoma, improving hazard detection when using bioptic (telescopic) glasses.
Area of Science:
- Ophthalmology
- Vision Science
- Rehabilitation Engineering
Background:
- Bioptic telescopes aid individuals with low vision to drive legally.
- Concerns exist regarding the ring scotoma (blind spot) potentially impairing peripheral hazard detection.
- The ability of the fellow eye to compensate for this scotoma is crucial for driving safety.
Purpose of the Study:
- To test the hypothesis that the fellow eye can compensate for the ring scotoma during monocular telescope use.
- To evaluate hazard detection rates in binocular versus monocular viewing conditions for bioptic telescope users.
Main Methods:
- Sixteen bioptic telescope users participated in a driving simulator study.
- Participants completed drives with both binocular and monocular viewing conditions.
- Pedestrian hazards were introduced, with some appearing within the ring scotoma area.
Main Results:
- Hazard detection rates were significantly higher in binocular viewing (fellow eye compensating) compared to monocular viewing (fellow eye patched) for hazards within the ring scotoma (69% vs. 32%).
- Detection rates did not differ significantly when hazards appeared outside the ring scotoma.
- Overall detection rates and reaction times were best when the telescope was not in use.
Conclusions:
- The fellow eye demonstrates a partial compensatory ability for the ring scotoma in bioptic telescope users.
- Binocular viewing with a bioptic telescope mitigates the impact of the ring scotoma on peripheral hazard detection.

