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An Audiovisual 3D-Immersive Stimulation Program in Hemianopia Using a Connected Device.

Monica Daibert-Nido1, Yulia Pyatova1, Kyle G Cheung2

  • 1Low Vision Service, Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada.

The American Journal of Case Reports
|June 9, 2021
PubMed
Summary
This summary is machine-generated.

Virtual reality audiovisual stimulation improved vision in a homonymous hemianopia patient. This home-based program enhanced visual perception and quality of life, offering a convenient alternative to clinic visits.

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Area of Science:

  • Ophthalmology
  • Neuroscience
  • Virtual Reality Technology

Background:

  • Homonymous hemianopia significantly impacts daily life, characterized by vision loss in one visual field.
  • Current audiovisual stimulation programs require clinical settings and specialized equipment, limiting patient adherence.
  • The need for accessible, home-based rehabilitation for visual field defects is critical.

Observation:

  • A 15-year-old male with right homonymous hemianopia underwent a 4-week virtual reality (VR) audiovisual rehabilitation program using an Oculus Go headset.
  • The patient exhibited impaired contrast sensitivity, retinal sensitivity, fixation stability, and visual fields prior to the intervention.
  • The VR program involved dynamic audiovisual stimulation delivered remotely.

Findings:

  • Following the 4-week VR program, significant enhancements were observed in contrast sensitivity, fixation stability, and paracentral visual perception.
  • The patient reported an improved quality of life attributed to the rehabilitation.
  • Objective measures aligned with clinical guidelines for low-vision assessment confirmed functional visual improvements.

Implications:

  • This study pioneers the use of VR head-mounted displays for remote, at-home low-vision rehabilitation.
  • The findings suggest that vision loss, even post-acute, may not be permanent and can be improved with innovative therapies.
  • Accessible VR-based rehabilitation can decrease the burden of disease and improve patient compliance in treating visual field defects.