Simulation of a retinal scotoma by a stabilized retinal image

Two methods are described for simulating a retinal scotoma by means of a stabilized retinal image, hence allowing some aspects of the impairment of visual function associated with scotomas to be studied in observers with normal visual fields. In the first method, an optical lever arrangement is used to generate a small artificial scotoma at a controllable position with 15 degrees field of view. The second, direct attachment, method uses a tight-fitting scleral contact lens, to which is attached a very light, aluminium-alloy tube. This carries a small piece of lightweight black card, the stabilized image of this card generating the scotoma. Although precise positioning of the scotoma is more difficult with the second method, the induced scotoma is absolute and the method is relatively cheap and easy to implement.