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Patients Prefer a Virtual Reality Approach Over a Similarly Performing Screen-Based Approach for Continuous Oculomotor-Based Screening of Glaucomatous and Neuro-Ophthalmological Visual Field Defects
- Source :
- Frontiers in Neuroscience, Frontiers in Neuroscience, 15:745355. Frontiers Media SA, Frontiers in Neuroscience, Vol 15 (2021)
- Publication Year :
- 2021
- Publisher :
- Frontiers Media S.A., 2021.
-
Abstract
- Standard automated perimetry (SAP) is the gold standard for evaluating the presence of visual field defects (VFDs). Nevertheless, it has requirements such as prolonged attention, stable fixation, and a need for a motor response that limit application in various patient groups. Therefore, a novel approach using eye movements (EMs) – as a complementary technique to SAP – was developed and tested in clinical settings by our group. However, the original method uses a screen-based eye-tracker which still requires participants to keep their chin and head stable. Virtual reality (VR) has shown much promise in ophthalmic diagnostics – especially in terms of freedom of head movement and precise control over experimental settings, besides being portable. In this study, we set out to see if patients can be screened for VFDs based on their EM in a VR-based framework and if they are comparable to the screen-based eyetracker. Moreover, we wanted to know if this framework can provide an effective and enjoyable user experience (UX) compared to our previous approach and the conventional SAP. Therefore, we first modified our method and implemented it on a VR head-mounted device with built-in eye tracking. Subsequently, 15 controls naïve to SAP, 15 patients with a neuro-ophthalmological disorder, and 15 glaucoma patients performed three tasks in a counterbalanced manner: (1) a visual tracking task on the VR headset while their EM was recorded, (2) the preceding tracking task but on a conventional screen-based eye tracker, and (3) SAP. We then quantified the spatio-temporal properties (STP) of the EM of each group using a cross-correlogram analysis. Finally, we evaluated the human–computer interaction (HCI) aspects of the participants in the three methods using a user-experience questionnaire. We find that: (1) the VR framework can distinguish the participants according to their oculomotor characteristics; (2) the STP of the VR framework are similar to those from the screen-based eye tracker; and (3) participants from all the groups found the VR-screening test to be the most attractive. Thus, we conclude that the EM-based approach implemented in VR can be a user-friendly and portable companion to complement existing perimetric techniques in ophthalmic clinics.
- Subjects :
- CORTEX
Computer science
Headset
Neurosciences. Biological psychiatry. Neuropsychiatry
Virtual reality
Task (project management)
TRACKING
User experience design
perimetry
DEFICITS
SYSTEMS
STANDARD AUTOMATED PERIMETRY
user experience
Computer vision
Set (psychology)
Original Research
neuro-ophthalmology
LESIONS
business.industry
General Neuroscience
Eye movement
visual field defects
Visual field
TIME
eye movements
glaucoma
YOUNG
Eye tracking
virtual reality
cross-correlogram
Artificial intelligence
EYE-MOVEMENTS
business
RC321-571
Neuroscience
Subjects
Details
- Language :
- English
- ISSN :
- 1662453X and 16624548
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Frontiers in Neuroscience
- Accession number :
- edsair.doi.dedup.....5c2d4e4a7c15d6ae33754c3d02b38858