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Comprehensive eye exam in the emergency department using an AI-assisted virtual reality platform.
Carlos E Mendoza-Santiesteban1, Joshua Reyes1, Amanda Tran2
1Bascom Palmer Eye Institute, University of Miami Health System Miami, FL, United States.
The American Journal of Emergency Medicine
|August 24, 2025
Summary
A virtual reality platform (VRP) offers a feasible and well-accepted method for assessing visual functions in ophthalmology emergency departments. This technology shows potential for improving patient satisfaction and streamlining clinical workflows.
Area of Science:
- Ophthalmology
- Medical Technology
- Virtual Reality Applications
Background:
- Ophthalmology emergency departments face high demand, necessitating improved diagnostic protocols to reduce patient wait times.
- Traditional ophthalmic examinations can be time-consuming, impacting patient flow and satisfaction.
Purpose of the Study:
- To evaluate the performance of a virtual reality platform (VRP) for visual function assessment in an ophthalmology emergency department.
- To compare the VRP's efficacy against traditional ophthalmic examination methods.
Main Methods:
- Fifty cognitively intact adult patients underwent visual acuity, color vision, pupil examination, visual field screening, and extraocular motility tests using the VisuALL VRP and standard methods.
- Data collected included testing time, prior virtual reality experience, and patient satisfaction.
Main Results:
- The VRP was completed by 48 out of 50 patients, with a mean testing time of 5.65 minutes.
- Significant positive correlations were found between VRP and traditional methods for visual acuity (r=0.457) and pupillometry (ICC up to 0.753).
- High agreement (94-100%) was observed for extraocular motility and visual field testing, with patient satisfaction reported as high (76% found it easy to use).
Conclusions:
- The novel VRP is feasible and well-accepted in an ophthalmology emergency department setting.
- The VRP demonstrates potential for enhancing patient satisfaction and improving clinical workflow efficiency.
- This study supports the broader adoption of virtual reality technologies in ophthalmology emergency care.
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