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Home Monitoring of Visual Functions in Neuro-Ophthalmic Diseases Using an AI-Assisted Virtual Reality Platform.

Amanda Tran1, Tamara Juvier-Riesgo, Henar Albertos-Arranz

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A virtual reality platform (VRP) offers a feasible and accepted method for remote visual monitoring in neuro-ophthalmic patients. This technology aids in early detection of vision changes, improving patient management.

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Area of Science:

  • Ophthalmology
  • Neuro-ophthalmology
  • Digital Health

Background:

  • Neuro-ophthalmic conditions require consistent monitoring of visual function.
  • Traditional in-person eye examinations can be challenging for some patients.
  • Virtual reality platforms (VRPs) present a novel approach for remote patient monitoring.

Purpose of the Study:

  • To evaluate the feasibility and acceptability of a VRP for home-based visual function monitoring.
  • To assess patient compliance and satisfaction with VRP use.
  • To determine the VRP's utility in detecting changes in visual function for neuro-ophthalmic patients.

Main Methods:

  • Fifteen patients with neuro-ophthalmic conditions (NAAION, optic neuritis, papilledema) were enrolled.
  • Remote monitoring occurred over 12 weeks, with visual acuity, color vision, and visual field testing thrice weekly via VRP.
  • Compliance and satisfaction were analyzed, alongside technical issues and patient-reported symptoms.

Main Results:

  • Most participants (71.4%) found VRP use easy and felt confident using it at home.
  • High compliance was observed, particularly in the nonarteritic anterior ischemic optic neuropathy (NAAION) group (75%).
  • The VRP demonstrated reproducibility in visual function indices and detected vision worsening, enabling timely clinical intervention.

Conclusions:

  • A VRP is a feasible and well-accepted tool for home-based visual monitoring in neuro-ophthalmic patients.
  • This technology serves as a viable alternative to in-person eye examinations.
  • VRP facilitates early detection of visual changes, potentially improving long-term patient management.