Hemianopia, Homonymous, Tunnel Vision, Visual Field Constriction Bilateral, Visual Field Defect Homonymous Bilateral, Visual Field Defect, Peripheral
Conditions
Keywords
Visual field expansion, Prisms, Hemianopsia, Tunnel vision, Visual field loss
Brief summary
The investigators will develop and test different configurations of high-power prisms to expand the field of vision of patients with visual field loss to assist them with obstacle detection when walking. The study will involve multiple visits (typically four) to Schepens Eye Research Institute for fitting and testing with the prism glasses. The overall objective is to determine best designs and fitting parameters for implementation in prism devices for future clinical trials.
Interventions
High power prisms designed to shift images from blind areas into portions of the wearer's remaining, seeing, field of vision
Sponsors
Study design
Eligibility
Inclusion criteria
* Visual field loss, either peripheral field loss or hemianopic field loss * Visual acuity of at least 20/50 in the better eye * In sufficiently good health to be able to complete sessions lasting 2-4 hours * Able to independently walk short distances * Able to give voluntary, informed consent * Able to speak English
Exclusion criteria
* Any physical or mental impairments, including cognitive dysfunction, balance problems or other deficits that could impair the ability to walk or use the prism spectacles * A history of seizures in the last 6 months * Hemispatial neglect (subjects with hemianopic field loss only)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Field of view expansion | Through study completion, an average of four months | Horizontal and vertical extent of the expansion (in degrees) of the field of view |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pedestrian detection rate | Through study completion, an average of four months | Proportion of pedestrians detected (in simulated walking or simulated driving) |
Countries
United States