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Virtual reality headsets for perimetry testing: a systematic review.

Kavin Selvan1,2,3, Mina Mina4, Hana Abdelmeguid5

  • 1Genetics and Genome Biology (GGB) Program, The Hospital for Sick Children Research Institute, Toronto, Ontario, Canada. kavin.selvan@mail.utoronto.ca.

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Virtual reality (VR) headsets offer a promising alternative for visual field testing, performing comparably or better than standard methods. These VR perimetry devices are more accessible, cost-effective, and patient-friendly.

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Area of Science:

  • Ophthalmology and Vision Science
  • Medical Technology
  • Human-Computer Interaction

Background:

  • Standard automated perimetry, the established method for visual field assessment, is limited by cost and environmental constraints.
  • Virtual reality (VR) headset perimetry presents an emerging, accessible alternative for visual field testing.
  • The clinical utility and performance of VR perimetry devices require systematic evaluation.

Approach:

  • A comprehensive systematic review was conducted using major scientific databases (MEDLINE, Embase, CINAHL, Web of Science) up to January 2023.
  • Studies were identified using keywords related to virtual reality and visual field testing, followed by rigorous title/abstract and full-text screening.
  • Data extraction focused on characterizing VR headset perimetry devices and their applications in visual field assessment.

Key Points:

  • The review identified 36 distinct VR headset perimetry devices from 64 selected studies.
  • These devices employ various perimetric techniques, including static and kinetic perimetry, and some offer vision rehabilitation features.
  • VR perimetry demonstrates comparable or superior performance to standard automated perimetry regarding accuracy and patient fixation.

Conclusions:

  • VR headset perimetry is a viable, cost-effective, and patient-preferred alternative to traditional visual field testing methods.
  • These devices enhance accessibility for patients with limited mobility and improve patient tolerance during testing.
  • The findings support the growing adoption of VR technology in ophthalmology for comprehensive visual field evaluation.