Enkelejda Kasneci1, Katrin Sippel1, Martin Heister2, Katrin Aehling2, Wolfgang Rosenstiel1, Ulrich Schiefer3, Elena Papageorgiou4. 1. Computer Engineering Department, University of Tübingen, Tübingen, Germany. 2. Centre for Ophthalmology, Institute for Ophthalmic Research, University of Tübingen, Tübingen, Germany. 3. Centre for Ophthalmology, Institute for Ophthalmic Research, University of Tübingen, Tübingen, Germany ; Hochschule Aalen, Kompetenzzentrum Vision Research, Aalen, Germany. 4. Centre for Ophthalmology, Institute for Ophthalmic Research, University of Tübingen, Tübingen, Germany ; University of Leicester, Department of Ophthalmology, Leicester Royal Infirmary, United Kingdom.
Abstract
PURPOSE: Homonymous visual field defects (HVFDs) may critically interfere with quality of life. The aim of this study was to assess the impact of HVFDs on a supermarket search task and to investigate the influence of visual search on task performance. METHODS: Ten patients with HVFDs (four with a right-sided [HR] and six with a left-sided defect [HL]), and 10 healthy-sighted, sex-, and age-matched control subjects were asked to collect 20 products placed on two supermarket shelves as quickly as possible. Task performance was rated as "passed" or "failed" with regard to the time per correctly collected item (TC -failed = 4.84 seconds based on the performance of healthy subjects). Eye movements were analyzed regarding the horizontal gaze activity, glance frequency, and glance proportion for different VF areas. RESULTS: Seven of 10 HVFD patients (three HR, four HL) passed the supermarket search task. Patients who passed needed significantly less time per correctly collected item and looked more frequently toward the VFD area than patients who failed. HL patients who passed the test showed a higher percentage of glances beyond the 60° VF (P < 0.05). CONCLUSION: A considerable number of HVFD patients performed successfully and could compensate for the HVFD by shifting the gaze toward the peripheral VF and the VFD area. TRANSLATIONAL RELEVANCE: These findings provide new insights on gaze adaptations in patients with HVFDs during activities of daily living and will enhance the design and development of realistic examination tools for use in the clinical setting to improve daily functioning. (http://www.clinicaltrials.gov, NCT01372319, NCT01372332).
PURPOSE: Homonymous visual field defects (HVFDs) may critically interfere with quality of life. The aim of this study was to assess the impact of HVFDs on a supermarket search task and to investigate the influence of visual search on task performance. METHODS: Ten patients with HVFDs (four with a right-sided [HR] and six with a left-sided defect [HL]), and 10 healthy-sighted, sex-, and age-matched control subjects were asked to collect 20 products placed on two supermarket shelves as quickly as possible. Task performance was rated as "passed" or "failed" with regard to the time per correctly collected item (TC -failed = 4.84 seconds based on the performance of healthy subjects). Eye movements were analyzed regarding the horizontal gaze activity, glance frequency, and glance proportion for different VF areas. RESULTS: Seven of 10 HVFD patients (three HR, four HL) passed the supermarket search task. Patients who passed needed significantly less time per correctly collected item and looked more frequently toward the VFD area than patients who failed. HL patients who passed the test showed a higher percentage of glances beyond the 60° VF (P < 0.05). CONCLUSION: A considerable number of HVFD patients performed successfully and could compensate for the HVFD by shifting the gaze toward the peripheral VF and the VFD area. TRANSLATIONAL RELEVANCE: These findings provide new insights on gaze adaptations in patients with HVFDs during activities of daily living and will enhance the design and development of realistic examination tools for use in the clinical setting to improve daily functioning. (http://www.clinicaltrials.gov, NCT01372319, NCT01372332).
Authors: Jennifer Elgin; Gerald McGwin; Joanne M Wood; Michael S Vaphiades; Ronald A Braswell; Dawn K DeCarlo; Lanning B Kline; Cynthia Owsley Journal: Am J Occup Ther Date: 2010 Mar-Apr
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