Eyecatcher 3.0 - Validating the Use of "Smart Glasses" as a Low-Cost, Portable Method of Assessing Visual Fields.

IF 2.6 3区 医学 Q2 OPHTHALMOLOGY
Mehal Rathore, Peter F Reddingius, Peter Campbell, David P Crabb, Pete R Jones
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引用次数: 0

Abstract

Purpose: Glaucoma requires regular visual field (VF) assessments. Eyecatcher 3.0 uses novel "smart glasses" hardware to provide a lightweight, low-cost solution, designed for use while unsupervised. This study aimed to determine the feasibility of using Eyecatcher for VF home-monitoring.

Methods: Eyecatcher 3.0 consists of a smartphone, smart glasses, and wireless clicker. Functionally, it attempts to mimic the Humphrey Field Analyzer (HFA; - same task-instructions, stimuli, and outputs, but smaller field of view and luminance range). Five patients with glaucoma used Eyecatcher to test themselves at home for 3 months (both eyes, monocular, once-per-fortnight). Results from a reduced 24-2 grid were compared to HFA data collected in the clinic, and to normative Eyecatcher data collected from 76 normally sighted young adults. A subset of normally sighted participants (n = 16) also underwent two additional sessions of follow-up testing to assess repeatability. Usability was assessed via questionnaires.

Results: All Eyecatcher tests were completed successfully (100%). There was reasonable agreement with the HFA in terms of mean deviation (MD; r = 0.85, P < 0.001) and observed pattern of loss. The HFA exhibited somewhat better repeatability than Eyecatcher (MD Coefficient of Repeatability = 2.9, 95% confidence interval [CI] = 2.1-4.1 decibels [dB] for HFA, vs. 3.9, 95% CI = 2.8-6.1 dB for Eyecatcher), although this difference was not statistically significant. Average Eyecatcher test duration was 6.5 minutes (both eyes). Patients generally rated the Eyecatcher as easy-to-use, although specific concerns were raised by some individuals.

Conclusions: Smart glasses may provide a feasible means of VFs home-monitoring. Eyecatcher yielded similar sensitivity values to the HFA, and most participants found the lightweight smart glasses acceptable to use. Further research is needed to establish diagnostic accuracy and clinical utility.

Translational relevance: Validation of a new method of glaucoma home monitoring.

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Eyecatcher 3.0 -验证“智能眼镜”作为一种低成本、便携式的视野评估方法的使用。
目的:青光眼需要定期进行视野(VF)评估。eyeecatcher 3.0使用新颖的“智能眼镜”硬件提供轻量级、低成本的解决方案,专为无人监督的情况下使用而设计。本研究旨在确定使用Eyecatcher进行VF家庭监测的可行性。方法:eyeecatcher 3.0由智能手机、智能眼镜和无线点击器组成。在功能上,它试图模仿汉弗莱场分析仪(HFA;-相同的任务——指令、刺激和输出,但视野和亮度范围更小)。5名青光眼患者使用Eyecatcher在家中进行了为期3个月的自我测试(双眼、单眼、每两周一次)。将减少的24-2网格的结果与临床收集的HFA数据以及从76名视力正常的年轻人中收集的标准Eyecatcher数据进行比较。一组视力正常的参与者(n = 16)也进行了两次额外的随访测试,以评估可重复性。可用性通过问卷进行评估。结果:所有Eyecatcher测试均成功完成(100%)。在平均偏差(MD;r = 0.85, P < 0.001)和观察到的损失模式。HFA的重复性优于Eyecatcher (HFA的MD可重复性系数为2.9,95%可信区间[CI] = 2.1-4.1分贝[dB],而Eyecatcher的MD可重复性系数为3.9,95% CI = 2.8-6.1分贝),但差异无统计学意义。Eyecatcher测试平均持续时间为6.5分钟(双眼)。患者普遍认为Eyecatcher易于使用,尽管有些人提出了具体的担忧。结论:智能眼镜可能提供一种可行的VFs家庭监测手段。Eyecatcher的灵敏度值与HFA相似,大多数参与者认为轻量级智能眼镜可以接受使用。需要进一步的研究来确定诊断的准确性和临床应用。翻译相关性:青光眼家庭监测新方法的验证。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Translational Vision Science & Technology
Translational Vision Science & Technology Engineering-Biomedical Engineering
CiteScore
5.70
自引率
3.30%
发文量
346
审稿时长
25 weeks
期刊介绍: Translational Vision Science & Technology (TVST), an official journal of the Association for Research in Vision and Ophthalmology (ARVO), an international organization whose purpose is to advance research worldwide into understanding the visual system and preventing, treating and curing its disorders, is an online, open access, peer-reviewed journal emphasizing multidisciplinary research that bridges the gap between basic research and clinical care. A highly qualified and diverse group of Associate Editors and Editorial Board Members is led by Editor-in-Chief Marco Zarbin, MD, PhD, FARVO. The journal covers a broad spectrum of work, including but not limited to: Applications of stem cell technology for regenerative medicine, Development of new animal models of human diseases, Tissue bioengineering, Chemical engineering to improve virus-based gene delivery, Nanotechnology for drug delivery, Design and synthesis of artificial extracellular matrices, Development of a true microsurgical operating environment, Refining data analysis algorithms to improve in vivo imaging technology, Results of Phase 1 clinical trials, Reverse translational ("bedside to bench") research. TVST seeks manuscripts from scientists and clinicians with diverse backgrounds ranging from basic chemistry to ophthalmic surgery that will advance or change the way we understand and/or treat vision-threatening diseases. TVST encourages the use of color, multimedia, hyperlinks, program code and other digital enhancements.
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