Revolutionizing Vision Assessment with Virtual Reality in Emergency Departments and Neuro-Ophthalmology Clinics - 5332
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Author’s Disclosure Block: Amanda Tran: none; Joshua Reyes: none; Tamara Juvier-Riesgo: none; Giselle Ricur: none; Carlos Ernesto Mendoza-Santiesteban: Carlos Ernesto Mendoza Santiesteban, MD is a scientific advisor and a compensated consultant for and equity holder in Olleyes, Inc., the manufacturer of the VR device.
Abstract Body
Purpose: To assess the feasibility of using virtual reality (VR) technology to rapidly and reliably assess visual function in an eye emergency department (ED) and neuro-ophthalmology clinic. Study Design: Cross-sectional study. Methods: One hundred patients were recruited through Bascom Palmer Eye Institute’s ED and neuro-ophthalmology clinic. Fifty patients enrolled through the ER were assessed using the VisuALL VR platform with a comprehensive suite of exams, including visual acuity (VA), color vision, pupillometry, extraocular motility, and confrontation visual fields (VF), and compared to the standard manual exam. Fifty patients enrolled through the neuro-ophthalmology clinic completed a standard workup, including VF testing on the Humphrey Visual Field (HVF), followed by VA, color vision, and VF testing on the VR device. Results: A total of 100 patients were recruited, and 94 were analyzed after removal of outliers. Mean age was 50 years old, with 64.9% female and 35.1% male patients. In the ED cohort, mean age was 51 years old, 58% female, and 42% male. In the neuro-ophthalmology cohort, the mean age was 48.9 years old, 73% female and 27% male patients. Forty eyes (43.01%) amongst the ED cohort had identical Snellen and VisuALL VA, 41.93% had a difference of three lines or less, while 15.05% had a difference larger than three lines. The VR device's mean and pattern standard deviation values positively correlated significantly with the HVF results (Pearson r = 0.91 and 0.88, respectively). Conclusions: The integration of a novel VR-based technologyshows strong feasibility and reliability for assessing visual function in emergency and neuro-ophthalmology settings, correlating well with standard testing methods. This suggests that VR could be an effective and rapid alternative for visual assessments in clinical practice.