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Updated: Jun 23, 2026

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A Gaze-Contingent Display Framework for Perceptual Learning Research with Simulated Central Vision Loss
Published on: April 11, 2025
Exploring eye-hand coordination in central field loss with virtual reality.
Jade Guénot1, Preeti Verghese1
1Smith-Kettlewell Eye Research Institute.
Research Square
|June 22, 2026
Summary
Individuals with central field loss (CFL) showed improved depth perception and gaze control in a virtual reality task when using binocular vision. This suggests compensatory strategies aid eye-hand coordination in CFL patients.
Area of Science:
- Neuroscience
- Ophthalmology
- Human-Computer Interaction
Background:
- Eye-hand coordination depends on depth perception and gaze control.
- Central field loss (CFL) significantly impairs these functions.
- Virtual reality (VR) offers a controlled environment to study visual impairments.
Purpose of the Study:
- To investigate the impact of CFL on gaze and hand control during a dynamic 3D task.
- To compare binocular versus monocular performance in CFL patients and controls.
- To explore compensatory eye-hand strategies in CFL.
Main Methods:
- A dynamic 3D butterfly-catching task was developed using immersive VR.
- Seven CFL patients and 13 controls performed eye-tracking, hand-tracking, and catching tasks.
- Conditions included binocular, monocular, and simulated scotoma (controls) viewing.
Main Results:
- Binocular viewing improved catching times and gaze accuracy in both groups, with a greater benefit for CFL patients.
- Motor engagement during catching refined depth estimates with binocular disparity.
- Monocular hand-tracking in depth was significantly impaired in CFL patients.
Conclusions:
- CFL patients exhibit compensatory eye-hand strategies, particularly benefiting from binocular vision.
- Binocular disparity is crucial for accurate depth tracking and motor control in CFL.
- VR provides valuable insights into visual compensation mechanisms for central field loss.

