Abstract
Visual field defects interfere with free actions and influence the quality of life of patients with retinitis pigmentosa; the prevalence of this disease is increasing in aging societies. Patients with progressive disease may require visual aids; however, no such devices are currently available. We utilized a retinal projection eyewear system, QD laser eyewear, which includes a projector inside the spectacle frame, to draw the image taken by a connected portable camera with a wide field lens. The images are projected onto the retina using a Maxwellian view optical system, which is not influenced by refractive error or the amount of incident light. Goldmann perimetry and figure recognition tests with the QD laser eyewear showed increased visual field areas and angles, and shortened the time for recognition of the number of figures in a sheet, in a limited visual field model that we developed by using a pin-hole system to simulate the tunnel vision of retinitis pigmentosa in 19 healthy adults. The device supported the quality of vision. Additionally, the visual field defect model used in healthy adults was useful for validating the device in the development stage of the study, to clarify both advantages and future goals for improving the device.
Highlights
Visual field defects caused by neurodegeneration remain an unresolved issue, despite recent advances in medical science
We developed a model of patients with a limited visual field by using a pin-hole system in healthy adults, which may mimic late-stage retinitis pigmentosa, and analysed the effects of using the QD laser eyewear carrying a wide-angle lens on the camera
We here report that using QD laser eyewear resulted in a significant improvement in the visual field and in the time required to recognize the number of figures arranged on a sheet, in a model of a visual field defect generated by using a pin-hole attachment in healthy volunteers
Summary
Visual field defects caused by neurodegeneration remain an unresolved issue, despite recent advances in medical science. We developed a model of patients with a limited visual field by using a pin-hole system in healthy adults, which may mimic late-stage retinitis pigmentosa, and analysed the effects of using the QD laser eyewear carrying a wide-angle lens on the camera.
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