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Feasibility Tests for Various Prism Configurations for Visual Field Loss

Visual Field Expansion Through Innovative Multi-Periscopic Prism Design

Status
Recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04424979
Enrollment
20
Registered
2020-06-11
Start date
2020-11-06
Completion date
2026-12-31
Last updated
2025-09-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hemianopia, Homonymous, Tunnel Vision, Visual Field Constriction Bilateral, Visual Field Defect Homonymous Bilateral, Visual Field Defect, Peripheral

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

DEVICEHigh power prisms

High power prisms designed to shift images from blind areas into portions of the wearer's remaining, seeing, field of vision

Sponsors

National Eye Institute (NEI)
CollaboratorNIH
Massachusetts Eye and Ear Infirmary
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DEVICE_FEASIBILITY
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
7 Years to 80 Years
Healthy volunteers
No

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

MeasureTime frameDescription
Field of view expansionThrough study completion, an average of four monthsHorizontal and vertical extent of the expansion (in degrees) of the field of view

Secondary

MeasureTime frameDescription
Pedestrian detection rateThrough study completion, an average of four monthsProportion of pedestrians detected (in simulated walking or simulated driving)

Countries

United States

Contacts

Primary ContactAlex Bowers
alex_bowers@meei.harvard.edu617 912 2512

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026