Kinetic Perimetry on Virtual Reality Headset

Objective : We present a portable automatic kinetic perimeter based on a virtual reality (VR) headset device as an innovative and alternative solution for the screening of clinical visual fields. We compared the performances of our solution with a gold standard perimeter, validating the test on heal...

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Veröffentlicht in:IEEE transactions on biomedical circuits and systems Jg. 17; H. 3; S. 413 - 419
Hauptverfasser: Terracciano, Rossana, Mascolo, Alice, Venturo, Laura, Guidi, Federica, Vaira, Mariangela, Eandi, Chiara M., Demarchi, Danilo
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States IEEE 01.06.2023
The Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Schlagworte:
Adult
Aged
Aged, 80 and over
Algorithms
Computer applications
Female
Headphones
Headsets
Healthy Volunteers
Humans
Kinetic theory
Kinetic visual field
Kinetics
Male
Middle Aged
ophthalmology
Performance evaluation
Portable equipment
portable medical devices
Reproducibility of Results
Testing
Virtual Reality
Visual field
Visual Field Tests - instrumentation
Visual Field Tests - methods
Visual fields
Visualization
wearable
Wearable Electronic Devices
Young Adult
ISSN:1932-4545, 1940-9990, 1940-9990
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Zusammenfassung:Objective : We present a portable automatic kinetic perimeter based on a virtual reality (VR) headset device as an innovative and alternative solution for the screening of clinical visual fields. We compared the performances of our solution with a gold standard perimeter, validating the test on healthy subjects. Methods: The system is composed of an Oculus Quest 2 VR headset with a clicker for participant response feedback. An Android app was designed in Unity to generate moving stimuli along vectors, following a standard Goldmann kinetic perimetry approach. Sensitivity thresholds are obtained by moving centripetally three different targets (V/4e, IV/1e, III/1e) along 24 or 12 vectors from an area of non-seeing to an area of seeing and then transmitted wirelessly to a PC. A Python real-time algorithm processes the incoming kinetic results and displays the hill of vision in a two-dimensional map (isopter). We involved 21 subjects (5 males and 16 females, age range 22-73 years) for a total of 42 eyes tested with our proposed solution, and results were compared with a Humphrey visual field analyzer to test reproducibility and efficacy. Results: isopters generated with the Oculus headset were in good agreement with those acquired with a commercial device (Pearson's correlation values r > 0.83 for each target). Conclusions: we demonstrate the feasibility of VR kinetic perimetry by comparing performances between our system and a clinically used perimeter in healthy subjects. Significance: proposed device leads the way for a portable and more accessible visual field test, overcoming challenges in current kinetic perimetry practices.
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ISSN:1932-4545
1940-9990
1940-9990
DOI:10.1109/TBCAS.2023.3249045