Low Vision People Research Articles

Haptic2FA: Haptics-Based Accessible Two-Factor Authentication for Blind and Low Vision People

Two-factor Authentication (also known as 2FA or two-step verification) is an authentication method that provides an extra layer of protection to ensure online account security. 2FA methods are used along with other primary authentication methods like PINs and Passwords to verify that the person trying to access any digital account is the person they are claiming to be. However, 2FA methods can be inaccessible for blind and low vision (BLV) users due to the requirement of multiple steps, apps, and/or devices for authentication. In addition, it can be a security risk as screen readers may read out the verification codes to bystanders. To address this, we present Haptic2FA, a haptic-based authentication method to improve 2FA accessibility for BLV users. Here, as a part of the 2FA process, the users are sent a 'haptic pattern' (similar to a one-time passcode in traditional 2FA methods) that they are required to enter or select for verification. Through a usability study with 10 BLV participants, we evaluated haptic patterns and input methods for the haptic patterns in the Haptic2FA method. Through the findings, we discuss the accessibility and usability of the Haptic2FA method.

Design of Bionic Eye and Artificial Vision System a Unique Project Mobile Bio-Eye-Tronic System.

This article introduces the “Mobile Bio-Eye-Tronic System” which is an artificial vision system for the impaired (blind) people and also low vision (sight loss) people. “Mobile Bio-Eye-Tronic System” is a completely original project and unique to the author of this article. There are 45 million visually impaired (blind) people in the world and 135 million low vision (sight loss) people. 60% of blindness in the world is treatable and 20% is preventable. 25 million people are blind in Europe, 12 million in America, 9 million in India, 6 million in China, and 7 million in Africa. In Turkey, this number is approximately 300 thousand. Based on these statistics, the main aim of this article is to appeal to hundreds of thousands of people, to help them fulfill their daily activities, even partially, to improve the quality of life of these visually impaired people and to restore their health. In addition, the scientific and technical studies to be carried out on this subject will contribute to the enrichment of the literature on the subject and will also be beneficial for scientific and technical progress. When the current studies on bionic eyes are examined, there is no other system in the literature that obtains results using a mobile phone camera and software. The bionic eye stated in this article will be a first in this respect.

Design of Bionic Eye and Artificial Vision System; a Unique Project “Mobile Bio-Eye-Tronic System”

This article introduces the “Mobile Bio-Eye-Tronic System” which is an artificial vision system for the impaired (blind) people and also low vision (sight loss) people. “Mobile Bio-Eye-Tronic System” is a completely original project and unique to the author of this article. There are 45 million visually impaired (blind) people in the world and 135 million low vision (sight loss) people. 60% of blindness in the world is treatable and 20% is preventable. 25 million people are blind in Europe, 12 million in America, 9 million in India, 6 million in China, and 7 million in Africa. In Turkey, this number is approximately 300 thousand. Based on these statistics, the main aim of this article is to appeal to hundreds of thousands of people, to help them fulfill their daily activities, even partially, to improve the quality of life of these visually impaired people and to restore their health. In addition, the scientific and technical studies to be carried out on this subject will contribute to the enrichment of the literature on the subject and will also be beneficial for scientific and technical progress. When the current studies on bionic eyes are examined, there is no other system in the literature that obtains results using a mobile phone camera and software. The bionic eye stated in this article will be a first in this respect. [1-29]

AI-Enhanced Art Appreciation: Generating Text from Artwork to Promote Inclusivity

Visual art facilitates expression, communication, and connection, yet it remains inaccessible to those who are visually-impaired and those who lack the resources to understand the techniques and history of art. In this work, I propose the development of a generative AI model that generates a description and interpretation of a given artwork. Such research can make art more accessible, support art education, and improve the ability of AI to understand and translate between creative media. Development will begin with a formative study to assess the needs and preferences of blind and low vision people and art experts. Following the formative study, the basic approach is to train the model on a database of artworks and their accompanying descriptions, predict sentiments from extracted visual data, and generate a paragraph closely resembling training textual data and incorporating sentiment analysis. The model will then be evaluated quantitatively through metrics like METEOR and qualitatively through Turing tests in an iterative process.

Utility values and electronic device use in low-vision people attending rehabilitation services: Data from a nation-wide registry in Italy.

To estimate utility values associated with visual loss using EuroQol (EQ-5D) questionnaire, the impact of low-vision (LV) device use on utilities and the contribution of Instrumental Activities of Daily Living (IADL) score in patients attending vision rehabilitation (VR) services enrolled in the Italian Device & Aids Register (D.A.Re). This is a multicenter, prospective, cross-sectional study. D.A.Re. collects general and clinical information, vision-specific variables, use of electronic devices and quality of life questionnaires. A total of 442 patients (75.0±16.6 years, 275 female) were included, 88 (19.9%) used specialised electronic LV devices, and 116 (26.2%) used smartphones and tablets. Users of smartphones and tablets were younger than non-users (67.5 vs. 77.6 years, p<0.001), but overall, their age ranged between 20 and 93. Stronger associations were found between vision-specific variables and IADL score compared to EQ-5D score. In multivariable age-adjusted models, the utility value of using smartphones and tablets on EQ-5D score was 0.12 (p<0.01), slightly larger than that of 1.0 logMAR difference (-0.09, p<0.01) or visual field damage within 10° of fixation (-0.10, p<0.01). Use of portable low-vision electronic devices and being employed or student (vs. retired) was also associated with better utility values (0.12 and 0.15, respectively, p<0.05). Visual loss is associated with loss of utilities in Italian patients attending VR services, whereas special-purpose electronic aids, and smartphone and tablet use are associated with better utility values. We found that IADL may be more sensitive to visual loss than EQ-5D and could be a valid health-related quality of life outcome in trials on VR.

Invited Session IV: Extended reality--applications in vision science and beyond: Augmented reality systems for people with low vision.

Low vision is a visual impairment that falls short of blindness but cannot be corrected by eyeglasses or contact lenses. While current low vision aids (e.g., magnifier, CCTV) support basic vision enhancements, such as magnification and contrast enhancement, these enhancements often arbitrarily alter a user's full field of view without considering the user's context, such as their visual abilities, tasks, and environmental factors. As a result, these low vision aids are not sufficient or preferred by low vision users in many important tasks. Augmented reality (AR) technology presents a unique opportunity to enhance low vision people's visual experience by automatically recognizing the surrounding environment and presenting tailored visual augmentations. In this talk, I will talk about how we design and build intelligent AR systems to support low vision people in visual tasks, such as a head-mounted AR system that presents visual cues to orient users' attention in a visual search task, as well as a projection-based AR system that projects visual highlights on the stair edges to support safe stair navigation. I will conclude my talk by discussing our future research direction on AR for low vision accessibility.

Thematic tactile maps for accessible flood mitigation planning: design and evaluation

ABSTRACT Maps are frequently employed in the natural hazard mitigation planning (NHMP) process for analyze a community’s vulnerability to hazards and illustrating the character of potential hazards. But because the encoded information of these maps relies on visual access, blind or low-vision (B/LV) people who want to contribute to their community’s NHMP efforts are therefore effectively excluded from any stage of the process involving maps. In response, we investigate tactile flood maps as an accessible tool for NHMP. Our study proposes a workflow for creating thematic tactile flood maps using existing resources, methods, and design conventions, and then evaluates those thematic tactile maps to understand user confidence amongst B/LV users. This work contributes a proposed configuration of tactile mapping resources to be used for NHMP and evaluates user confidence while using those resources. Results suggest that B/LV users respond positively to using tactile maps in a high-stakes context such as NHMP, and that tactile maps can expand the number and diversity of people who are able to contribute to NHMP. To maximize contributions, we recommend that future tactile map research invest a greater amount of attention to developing resources for B/LV people to create, edit, and distribute maps themselves.

Mobile software aids for people with low vision

The usage of smartphones is increasingly widespread, and the usefulness of mobile applications as low-vision aids is evident but not thoroughly examined. In this study, we surveyed people with low vision to assess the usability of common, preloaded mobile applications, to evaluate the usage of typical assistive technologies of smartphones, and to measure the usefulness, and usability of recent software advancements that can be used as visual aids. We invited 134 low-vision individuals to participate, and 45 of them met the eligibility criteria and completed an in-person survey. The eligibility criteria were as follows: aged 18 years or older and mentally competent, visual acuity worse than 0.4 logMAR with best-corrected glasses in the better-seeing eye, ownership of a smartphone and familiarity with visual assistive technologies. All testing scenarios were carried out using the participants' smartphones, either with Android or iOS operating systems. Participants reported the usefulness and ease of use for common visual display enhancements (i.e., text size, bold text, increased contrast, inverted colors, and dark mode), audio feedback capabilities, four primary preloaded apps (Dialer, Clock, Calculator, and Calendar), and four usage scenarios that serve as low-vision aids (magnify with camera, hard-copy text-to-speech, voice typing, and voice commands). Participants also indicated whether they could use the apps or execute the scenarios independently. The Dialer and Clock apps, text enhancements, camera magnification, and voice typing were rated as highly useful, while the Calendar application received lower ratings. Most of the selected apps or services were rated as easy to use, with lower ratings recorded for the Calendar and Select to Speak ones. Considering the positive results across all options, this collection of apps and services proved useful for all age groups, regardless of gender, technological familiarity, or education. The feedback received in this study can help towards improving the everyday lives of low-vision people as well as informing the design of apps and assistive features, guiding future research and development to enhance visual accessibility on mobile computing devices.

Use of electronic devices by people attending vision rehabilitation services in Italy: A study based on the device and aids registry (D.A.Re).

To investigate the characteristics of electronic device users, specifically smartphones and tablets, in the Device & Aids Register (D.A.Re), from several low-vision rehabilitation services in Italy. We collected general and clinical information about ocular and systemic diseases, visual function, reading speed and Instrumental Activities of Daily Living (IADL) questionnaire score. Technological details of each optical and electronic device, (including screen size, touch-screen and OCR functions, text-to-speech function) were also collected. 1218 patients (752 females and 466 males) were included in our analysis, mean age 71.5 (±18.8) years. Users of electronic aids (n.237) were slightly younger (67 vs 72 years, p < 0.001) than non-users (n.981), had a worse reading speed (38 vs 65 words/minute), critical print size (43 vs 28 print size, p < 0.001), poorer visual acuity (VA)(1.0 logMAR or less: 30% non-users vs 73% users, p < 0.001) and more commonly visual field restriction within 10° (23% vs 14%, p = 0.001). A similar proportion of users and non-users were retired (about 70%) and about 16-17% were employed. The use of portable electronic devices (5″or less, p < 0.001; 6″ to 18″ screen size, p = 0.017) was associated with better IADL scores, and the use of stand devices with worse IADL score (p < 0.001); Furthermore, using smartphones and tablets (193 subjects) was strongly associated with better IADL scores. We found that using electronic devices, and especially smartphone and tablets, were associated with better vision-related quality of life in low-vision people attending rehabilitation services. While this association does not mean causality, these findings seemed robust to confounder adjustment.

Personal Health Data Tracking by Blind and Low-Vision People: Survey Study.

Personal health technologies, including wearable tracking devices and mobile apps, have great potential to equip the general population with the ability to monitor and manage their health. However, being designed for sighted people, much of their functionality is largely inaccessible to the blind and low-vision (BLV) population, threatening the equitable access to personal health data (PHD) and health care services. This study aims to understand why and how BLV people collect and use their PHD and the obstacles they face in doing so. Such knowledge can inform accessibility researchers and technology companies of the unique self-tracking needs and accessibility challenges that BLV people experience. We conducted a web-based and phone survey with 156 BLV people. We reported on quantitative and qualitative findings regarding their PHD tracking practices, needs, accessibility barriers, and work-arounds. BLV respondents had strong desires and needs to track PHD, and many of them were already tracking their data despite many hurdles. Popular tracking items (ie, exercise, weight, sleep, and food) and the reasons for tracking were similar to those of sighted people. BLV people, however, face many accessibility challenges throughout all phases of self-tracking, from identifying tracking tools to reviewing data. The main barriers our respondents experienced included suboptimal tracking experiences and insufficient benefits against the extended burden for BLV people. We reported the findings that contribute to an in-depth understanding of BLV people's motivations for PHD tracking, tracking practices, challenges, and work-arounds. Our findings suggest that various accessibility challenges hinder BLV individuals from effectively gaining the benefits of self-tracking technologies. On the basis of the findings, we discussed design opportunities and research areas to focus on making PHD tracking technologies accessible for all, including BLV people.

Visual Aid Systems from Smart City to Improve the Life of People with Low Vision

In the current time, the development of urban centers is a very complex process in terms of new residential or administrative building locations expansion, but also in terms of design and/or the combination of the constructions with the environment. In the same context, the various transport development, communication or social activities facilities require an important database and an infrastructure to ensure and satisfy the population needs at the highest level. Accordingly, interest has developed in the smart cities (SC) concept creation with connection possibilities over extended geographical areas. This paper addresses a problem related to the preparation and ensuring the development of Brasov city as a smart city, with the possibility of finding solutions for low-vision people’s mobility and opening even more access to the city’s infrastructure. The paper’s main objectives and contributions are represented by the current considerations provision for ensuring functionality as a smart city by identifying the involvement points of the administrative system and, respectively, by introducing technical solutions for the low-vision people inclusion, having their mobility as a central element. The research results reveal the capacity and flexibility of permanent adaptation actions of public administrative and educational/research institutions to different population categories (with or without disabilities, active or retired, etc.) requirements regarding inclusion and mobility.

Dream Eyes – A Sight to Low Vision People

In a day-to-day lifestyle, partial eyesight may cause young generation people to suffer from multiple problems by the usage of mobile phones, etc. What about their condition after they become old in the future? This may lead to a situation where these persons must depend on others for their work to be done. To help these people in these conditions, the solution is proposed which is known as "Dream Eyes". The proposed Android-application helps to overcome these issues. An old man will be able to read and write with his/her spectacles, suppose the old person is unable to read, then in such condition the people can use the proposed application. To achieve the proposed solution a successful collection of frameworks like OCR (Optical Character Recognition), TTS (Text to Speech) is used, which enables us to hear the scanned text using a phone or tablet.

Effects of Visual Communication Design Accessibility (VCDA) Guidelines for Low Vision on Public and Open Government Health Data.

Since 2019, the Korean government's investments in making data more accessible to the public have grown by 337%. However, open government data, which should be accessible to everyone, are not entirely accessible to people with low vision, who represent an information-vulnerable class. Emergencies, such as the COVID-19 pandemic, decrease face-to-face encounters and inevitably increase untact encounters. Thus, the information gap experienced by low-vision people, who are underprivileged in terms of information, will be further widened, and they may consequently face various disadvantages. This study proposed visual communication design accessibility (VCDA) guidelines for people with low vision. Introduced screens enhanced by accessibility guidelines were presented to 16 people with low vision and 16 people with normal vision and the speed of visual information recognition was analyzed. No statistically significant difference (p > 0.05) was found due to the small sample size; however, this study's results approached significance with improved visual recognition speed for people with low vision after adopting VCDA. As a result of the intervention, the visual information recognition speed of both normal and low-vision people improved. Thus, our results can help improve information recognition speed among people with normal and low vision.

REAL TIME OBJECT DETECTION FOR VISUALLY CHALLENGED PEOPLE USING MACHINE LEARNING

The latest generation of mobile phones have excellent hardware capabilities and quicker processing, which are strong enough to enable the creation of applications that enable users to connect and engage with the outside world at their own pace. This system reads OCR and utilizes the camera app on your smartphone in addition to the camera. Optical Character Recognition (OCR) is a tool that converts printed, handwritten, or typed text into machine-readable text from a picture. This system will assist you in taking a photo of or scanning a document that is currently in your possession using the camera on your phone. After the image has been scanned, an application will read any English-language text and turn the results into speech. The speech communication channel is regarded by the authors as one of the most crucial modalities to help the blind and low vision people in the state-of-the-art accessibility area. Key Words: OCR, camera app, speech, blind, vision

A multichannel LED-based lighting approach to improve color discrimination for low vision people

The population of low vision people increases continuously with the acceleration of aging society. As reported by WHO, most of this population is over the age of 50 years and 81% were not concerned by any visual problem before. A visual deficiency can dramatically affect the quality of life and challenge the preservation of a safe independent existence. This study presents a LED-based lighting approach to assist people facing an age-related visual impairment. The research procedure is based on psychophysical experiments consisting in the ordering of standard color samples. Volunteers wearing low vision simulation goggles performed such an ordering under different illumination conditions produced by a 24-channel multispectral lighting system. A filtering technique using color rendering indices coupled with color measurements allowed to objectively determine the lighting conditions providing the best scores in terms of color discrimination. Experimental results were used to combine 3 channels to produce white light inducing a stronger color perception in a low vision context than white LEDs nowadays available for general lighting. Even if further studies will be required, these first results give hope for the design of smart lighting devices that adapt to the visual needs of the visually impaired.

The spatiotemporal gait parameters among people with visual impairment: A literature review study.

Gait is an individual's walking pattern, and it is a significant part of daily living activities. Quantitative gait assessments, like spatiotemporal parameters (STPs), are related to the functional conditions to provide useful information. This study reviewed the comprehensive differences in spatiotemporal gait variability measures between visually impaired people and the sighted. The search strategy was performed in three databases (PubMed/MEDLINE, Web of Science, and Scopus) from the start date to October 2022, and the utilized keywords for this search are related to gait and blindness. This review considered only those studies that evaluated gait parameters in people with visual impairment and blind people without any limitations in age and gender. In this review, studies without a control group (sighted people) were excluded. The Newcastle-Ottawa Scale (NOS) was applied for critical appraisal. Six full manuscripts were included. The sample size ranged from 19 to 91. The mean modified NOS critical appraisal scores for cross-sectional studies were 6.0. In these studies, among nine STPs: stride length, walking speed, stance and swing phase, step width, cadence, step length, double support, and single support, at least five and at most seven factors were examined. The gait pattern of blind and low-vision people is characterized by a slower walking speed, shorter stride length, increased step width, decreased cadence, prolonged duration of double support, and reduced single support compared to the controls.

Learning Music Blind: Understanding the Application of Technology to Support BLV Music Learning

Learning to play a musical instrument and engaging in musical activities have enabled blind and/or low vision people to develop self-identity, find community and pursue music as a career. However, blind and/or low vision music learners face complex obstacles to learn music. They are highly reliant on their learning environment and music teachers for accommodations and flexibility. Prior research has identified the challenges faced by blind and/or low vision musicians and recognized the importance of touch for music reading and physical guidance. However, limited research has addressed these challenges through the development of assistive technology. The development of music computer technologies with haptics and the affordances of wearable technologies provides encouraging opportunities to develop haptic wearable devices to support blind and/or low vision music learning. I identify three unexplored research questions: (1) what design considerations must be addressed in future assistive technologies for BLV music learning, (2) how can wearable technologies with vibrotactile feedback support BLV student-teacher interactions, and (3) what are the long-term benefits and limitations of the use of assistive technologies for BLV music learning? I outline my research to date and highlight my findings.

Visual impairment and low vision in Korea

Background: Approximately 250,000 visually impaired people were registered in Korea in 2021, and eye diseases are often accompanied by various systemic diseases. This study aims to investigate the epidemiology, causative disease, and rehabilitation treatment for visually impaired and low-vision patients.Current Concepts: Visual impairment ranges from blindness in one eye to total blindness. Low vision refers to the visual acuity of 0.3 to 0.05 in the better eye, and the visual field is narrowed to less than 10 degrees. The common causes of visual impairment eye disorders include macular degeneration, glaucoma, diabetic maculopathy, retinitis pigmentosa, and congenital diseases. Among them, macular degeneration has been increasing significantly in recent years. If the disability is not changed, it is difficult to improve vision through treatment. The aim of treatment should be to retain the remaining visual function through the low vision aids for the visually impaired person.Discussion and Conclusion: Although various visual aids are being distributed, medical insurance coverage does not align with the need for improvement. Like other disabilities, multidisciplinary approaches to the visually impaired people are necessary. In addition, awareness of low vision should be improved so that there are no visually impaired and low vision people who are placed in a blind spot and suffer inconvenience.

Understanding Emerging Obfuscation Technologies in Visual Description Services for Blind and Low Vision People

Blind and low vision people use visual description services (VDS) to gain visual interpretation and build access in a world that privileges sight. Despite their many benefits, VDS have many harmful privacy and security implications. As a result, researchers are suggesting, exploring, and building obfuscation systems that detect and obscure private or sensitive materials. However, as obfuscation depends largely on sight to interpret outcomes, it is unknown whether Blind and low vision people would find such approaches useful. Our work aims to center the perspectives and opinions of Blind and low vision people on the potential of obfuscation to address privacy concerns in VDS. By reporting on interviews with 20 Blind and low vision people who use VDS, our findings reveal that popular research trends in obfuscation fail to capture the needs of Blind and low vision people. While obfuscation might be helpful in gaining more control, tensions around obfuscation misrecognition and confirmation are prominent. We turn to the framework of interdependence to unpack and understand obfuscation in VDS, enabling us to complicate privacy concerns, uncover the labor of Blind and low vision people, and emphasize the importance of safeguards. We provide design directions to move the trajectory of obfuscation research forward.

Zasoby psychospołeczne osób słabowidzących

Introduction: The development of coping strategies as well as the support tailored to the needs of people with low vision allow for minimizing the existing limitations. In this context, recognizing one’s developmental situation is of key importance, identifying factors helpful in developing one’s potential in particular. These factors undoubtedly include the resources at the disposal of people suffering from low vision. Research Aim: The aim of the research is to diagnose the psychosocial resources of people with low vision. Method: The study involved 110 low vision people and 110 sighted people at the age of 18–83, selected in terms of sex, age and education. The tools used in the research measured: basic hope, self-esteem and social support. Relevant calculations were made using the Student t-test for independent data. Results: The research showed that the low vision participants are characterized by a significantly lower intensity of basic hope. Moreover, they assess considerably less positively the properties that make up the family self and indicate that they receive significantly lower social support, both general and emotional as well as affirmative and practical. Conclusions: The obtained results indicate the necessity to undertake various actions aimed at improving the psychosocial functioning of people with low vision by optimizing their resources.