Does Inverting Text Improve Reading Performance in Homonymous Hemianopes?

Perception ◽  
1997 ◽  
Vol 26 (1_suppl) ◽  
pp. 77-77
Author(s):  
M R Baker ◽  
J Henderson ◽  
A Hill
Keyword(s):  
Eye Movements ◽  
Low Vision ◽  
Reading Speed ◽  
Leading Edge ◽  
Visual Field Loss ◽  
Reading Performance ◽  
Sensory Level ◽  
Eye Tracker ◽  
Cognitive Component ◽  
The Right

Anecdotal information from rehabilitation practice of reading performance and low-vision practice suggests that where right homonymous parafoveal field loss impairs reading at the visual-sensory level, an improvement in reading speed can be achieved by inverting the text. This is because whilst left-field loss is considered to impair return eye movements to the beginning of a line, right-field loss is considered to reduce the spatial size of the perceptual window and increase its temporal extent by prolonging fixations times, reducing the amplitudes of saccades to the right, and introducing frequent regressive saccades. Inverting the text was thought to reverse these effects as the leading edge of the perceptual window is ‘returned’ to the sighted field so that in-line saccades can be visually guided. Here we report that this does not appear to be the case. In our study we measured the eye movements of patients with right homonymous hemianopia and others with peripheral loss due to retinitis pigmentosa as well as normal controls using an infrared video eye-tracker. All groups display a similar proportional prolongation of fixations times, reduction of saccadic amplitude, and proportion of regressive saccades when asked to read inverted text, which suggests a cognitive component of impairment independent of visual field loss in right homonymous hemianopes.

scholarly journals The effects of endogenous and exogenus orienting of attention on source memory

2018 ◽  
Vol 8 (2) ◽  
pp. 80-89
Author(s):  
Selene Cansino
Keyword(s):  
Eye Movements ◽  
Episodic Memory ◽  
Source Memory ◽  
Memory Task ◽  
Covert Attention ◽  
Control Mechanisms ◽  
Eye Tracker ◽  
Memory Representations ◽  
The Right ◽  
Symbolic Cues

The aim of this study was to determine the effects of endogenous and exogenous orienting of attention on episodic memory. Thirty healthy participants performed a cueing attention paradigm during encoding, in which images of common objects were presented either to the left or to the right of the center of the screen. Before the presentation of each image, three types of symbolic cues were displayed to indicate the location in which the stimuli would appear: valid cues to elicit endogenous orientation, invalid cues to prompt exogenous orientation and neutral or uncued trials. The participants’ task was to discriminate whether the images were symmetrical or not while fixating on the center of the screen to assure the manifestation of only covert attention mechanisms. Covert attention refers to the ability to orient attention by means of central control mechanisms alone, without head and eye movements. Trials with eye movements were excluded after inspection of eye-tracker recordings that were conducted throughout the task. During retrieval, participants conducted a source memory task in which they indicated the location where the images were presented during encoding. Memory for spatial context was superior during endogenous orientation than during exogenous orientation, whereas exogenous orientation was associated with a greater number of missed responses compared to the neutral trials. The formation of episodic memory representations with contextual details benefits from endogenous attention.

scholarly journals Reconciling print-size and display-size constraints on reading

2020 ◽  
Vol 117 (48) ◽  
pp. 30276-30284
Author(s):  
Nilsu Atilgan ◽  
Ying-Zi Xiong ◽  
Gordon E. Legge
Keyword(s):  
Display Size ◽  
Low Vision ◽  
Reading Speed ◽  
Reading Performance ◽  
Unified Framework ◽  
Size Constraints ◽  
Minimum Number ◽  
Dual Constraints ◽  
Digital Formats ◽  
Print Size

Two fundamental constraints limit the number of characters in text that can be displayed at one time—print size and display size. These dual constraints conflict in two important situations—when people with normal vision read text on small digital displays, and when people with low vision read magnified text. Here, we describe a unified framework for evaluating the joint impact of these constraints on reading performance. We measured reading speed as a function of print size for three digital formats (laptop, tablet, and cellphone) for 30 normally sighted and 10 low-vision participants. Our results showed that a minimum number of characters per line is required to achieve a criterion of 80% of maximum reading speed: 13 characters for normally sighted and eight characters for low-vision readers. This critical number of characters is nearly constant across font and display format. Possible reasons for this required number of characters are discussed. Combining these character count constraints with the requirements for adequate print size reveals that an individual’s use of a small digital display or the need for magnified print can shrink or entirely eliminate the range of print size necessary for achieving maximum reading speed.

scholarly journals Reading performances of low vision children after using low vision aid

2018 ◽  
Vol 146 (9-10) ◽  
pp. 534-537
Author(s):  
Zorica Toncic ◽  
Natasa Jovovic ◽  
Nada Sakotic ◽  
Veselinka Milovic ◽  
Katarina Janicijevic ◽  
...  
Keyword(s):  
Optic Nerve ◽  
Low Vision ◽  
Reading Speed ◽  
Pediatric Population ◽  
Reading Performance ◽  
Optic Nerve Atrophy ◽  
Stargardt Disease ◽  
Before And After ◽  
The Mean ◽  
A Prospective Study

Introduction/Objective. The objectives of the paper are to assess the causes of low vision (LV) in pediatric population in Montenegro and to evaluate the influence of low vision aids (LVA) on reading performance regarding the speed of reading and the understanding of the read text. Methods. A prospective study was conducted on 40 ?treatable? LV children what represent all registered LV children in Montenegro. All participants read the same text before and after using LVA. Reading rate was calculated as the number of words read per minute. Functional speed of reading was calculated as the ratio of the rate of reading and the understanding of the read text multiplied by 100. Results. The study comprised 40 LV children with the mean age of 12.60 ? 4.06 years (20 boys and 20 girls). The most common cause of LV in children were premature retinopathy (10/40 or 25%), retinitis pigmentosa (8/40 or 20%), optic nerve anomaly (5/40 or 13%), degenerative myopia (4/40 or 10%), macular dysgenesis (4/40 or 10%), Stargardt disease (3/40 or 7%), optic nerve atrophy (2/40 or 5%), and albinism (2/40 or 5%). Nystagmus was found in 11 LV children or 28% of the group. LVA were prescribed to all of them. Reading speed before vs. after LVA use was 36.58 ? 35.60 vs. 73.83 ? 27.05 words/minute (p < 0.001), while functional reading was 26.00 ? 30.43 vs. 59.41 ? 29.34 (p < 0.001). Conclusion. LV children demonstrate a significant improvement in reading performance by using LVA.

scholarly journals Simulating Visibility and Reading Performance in Low Vision

2021 ◽  
Vol 15 ◽  
Author(s):  
Ying-Zi Xiong ◽  
Quan Lei ◽  
Aurélie Calabrèse ◽  
Gordon E. Legge
Keyword(s):  
Young Adults ◽  
Contrast Sensitivity ◽  
Low Vision ◽  
Reading Speed ◽  
Reading Performance ◽  
Digital Text ◽  
Reading Acuity ◽  
Vision Simulation ◽  
Print Size ◽  
Better Than

PurposeLow vision reduces text visibility and causes difficulties in reading. A valid low-vision simulation could be used to evaluate the accessibility of digital text for readers with low vision. We examined the validity of a digital simulation for replicating the text visibility and reading performance of low-vision individuals.MethodsLow-vision visibility was modeled with contrast sensitivity functions (CSFs) with parameters to represent reduced acuity and contrast sensitivity. Digital filtering incorporating these CSFs were applied to digital versions of the Lighthouse Letter Acuity Chart and the Pelli-Robson Contrast Sensitivity Chart. Reading performance (reading acuity, critical print size, and maximum reading speed) was assessed with filtered versions of the MNREAD reading acuity Chart. Thirty-six normally sighted young adults completed chart testing under normal and simulated low-vision conditions. Fifty-eight low-vision subjects (thirty with macular pathology and twenty-eight with non-macular pathology) and fifteen normally sighted older subjects completed chart testing with their habitual viewing. We hypothesized that the performance of the normally sighted young adults under simulated low-vision conditions would match the corresponding performance of actual low-vision subjects.ResultsWhen simulating low-vision conditions with visual acuity better than 1.50 logMAR (Snellen 20/630) and contrast sensitivity better than 0.15 log unit, the simulation adequately reduced the acuity and contrast sensitivity in normally sighted young subjects to the desired low-vision levels. When performing the MNREAD test with simulated low vision, the normally sighted young adults had faster maximum reading speed than both the Non-macular and Macular groups, by an average of 0.07 and 0.12 log word per minute, respectively. However, they adequately replicated the reading acuity as well as the critical print size, up to 2.00 logMAR of both low-vision groups.ConclusionA low-vision simulation based on clinical measures of visual acuity and contrast sensitivity can provide good estimates of reading performance and the accessibility of digital text for a broad range of low-vision conditions.

scholarly journals A Influência de Mídias Multissensoriais na Aprendizagem de Crianças com Dislexia

2021 ◽  
Author(s):  
Ellen Paixão Silva ◽  
Glauco Amorim ◽  
Joel dos Santos
Keyword(s):  
Working Memory ◽  
Text Comprehension ◽  
Reading Speed ◽  
Reading Motivation ◽  
Reading Performance ◽  
Multimedia Applications ◽  
Experimental Results ◽  
Multimedia Content ◽  
Eye Tracker ◽  
Light Effects

Studies published in the literature indicate that the use of multimedia content improves the reading performance of students with dyslexia. However, most multimedia applications use only two of the five human senses. MBook, a multisensory book developed for this work, uses an eye tracker to synchronize wind, smell, sounds, and light effects to the text being read. It was based on the hypothesis that a multisensory reading could reduce the overload in working memory, thus improving comprehension. Experimental results point to a gain in text comprehension and an increase in reading speed by the student with dyslexia when multisensory media were used. Also, the use of the tool pointed to an increase in reading motivation.

scholarly journals Cortical Thickness Related to Compensatory Viewing Strategies in Patients With Macular Degeneration

2021 ◽  
Vol 15 ◽  
Author(s):  
Tina Plank ◽  
Edith M. A. Benkowitsch ◽  
Anton L. Beer ◽  
Sabine Brandl ◽  
Maka Malania ◽  
...  
Keyword(s):  
Visual Cortex ◽  
Eye Movements ◽  
Macular Degeneration ◽  
Cortical Thickness ◽  
Reading Speed ◽  
Central Vision ◽  
Eccentric Viewing ◽  
Early Visual Cortex ◽  
Fixation Stability ◽  
The Right

Retinal diseases like age-related macular degeneration (AMD) or hereditary juvenile macular dystrophies (JMD) lead to a loss of central vision. Many patients compensate for this loss with a pseudo fovea in the intact peripheral retina, the so-called “preferred retinal locus” (PRL). How extensive eccentric viewing associated with central vision loss (CVL) affects brain structures responsible for visual perception and visually guided eye movements remains unknown. CVL results in a reduction of cortical gray matter in the “lesion projection zone” (LPZ) in early visual cortex, but the thickness of primary visual cortex appears to be largely preserved for eccentric-field representations. Here we explore how eccentric viewing strategies are related to cortical thickness (CT) measures in early visual cortex and in brain areas involved in the control of eye movements (frontal eye fields, FEF, supplementary eye fields, SEF, and premotor eye fields, PEF). We determined the projection zones (regions of interest, ROIs) of the PRL and of an equally peripheral area in the opposite hemifield (OppPRL) in early visual cortex (V1 and V2) in 32 patients with MD and 32 age-matched controls (19–84 years) by functional magnetic resonance imaging. Subsequently, we calculated the CT in these ROIs and compared it between PRL and OppPRL as well as between groups. Additionally, we examined the CT of FEF, SEF, and PEF and correlated it with behavioral measures like reading speed and eccentric fixation stability at the PRL. We found a significant difference between PRL and OppPRL projection zones in V1 with increased CT at the PRL, that was more pronounced in the patients, but also visible in the controls. Although the mean CT of the eye fields did not differ significantly between patients and controls, we found a trend to a positive correlation between CT in the right FEF and SEF and fixation stability in the whole patient group and between CT in the right PEF and reading speed in the JMD subgroup. The results indicate a possible association between the compensatory strategies used by patients with CVL and structural brain properties in early visual cortex and cortical eye fields.

Text Font Affects Reading Speed at a Low Luminance but Not at a High Luminance

Perception ◽  
1997 ◽  
Vol 26 (1_suppl) ◽  
pp. 51-51
Author(s):  
D Yager ◽  
K Aquilante ◽  
R Plass
Keyword(s):  
Eye Movements ◽  
Visual Field ◽  
Low Vision ◽  
Reading Speed ◽  
Visual Presentation ◽  
High Luminance ◽  
Low Luminance ◽  
Significant Difference ◽  
Simulation Results ◽  
Parameter Values

We are beginning a series of studies in which we shall investigate which characteristics of text fonts may be successful in allowing text to be read with different kinds of degradations that may be experienced by low-vision patients. As a first attempt to simulate one of the problems that certain patients might have, we measured reading speeds with two proportionally spaced fonts at a high photopic luminance (146 cd m−2) and at a very low luminance (0.146 cd m−2). We used the RSVP (rapid serial visual presentation) reading method, which eliminates the need for scanning eye movements. The two fonts were ‘Swiss’, a simple sans-serif font, and ‘Dutch’, a serif font similar to Times Roman, both presented at the 20/80 size; letters were white on black, with a contrast of 0.94. Subjects were young, normally sighted high-school and optometry-college students. The reading speed results from 47 subjects were as follows, for four conditions: high luminance, Swiss 531 and Dutch 540 words min−1; low luminance, Swiss 479 and Dutch 429 words min−1. At the high luminance, there is no significant difference between reading rates. There is a significant advantage for the Swiss font at the low luminance: p=0.005. There may be a significant difference in reading speed with different fonts when the patient's perceptions are degraded by disease and/or aging processes. Other parameters to be investigated with this method include contrast, size, blur, and visual field position. The simulation results will suggest parameter values to test on low-vision patients.

Is the “Preferred” Color Temperature Transferable from Near-Vision to Ambient Home Lighting? An Exploratory Study with People Who Have Central Visual Field Loss

2020 ◽  
Vol 114 (6) ◽  
pp. 447-460
Author(s):  
Claude Vincent ◽  
Julie Bourassa ◽  
Nathalie Cimon ◽  
Paule Verville ◽  
Frédéric Dumont
Keyword(s):  
Visual Field ◽  
Low Vision ◽  
Reading Speed ◽  
Visual Impairments ◽  
Visual Field Loss ◽  
Color Temperature ◽  
Visual Comfort ◽  
Central Visual Field ◽  
Near Vision ◽  
At Home

Introduction: The literature supports the importance of adequate lighting for people with visual impairments, but little is known regarding ambient color temperature at home, and the evaluation process is not standardized. Thus, this study aimed to test a method for evaluating the preferred ambient color temperature, established with a near-vision assessment in clinic, and by using standardized tools to evaluate the effects at home for people with central visual field loss. Methods: An exploratory quasi-experimental study was conducted with three interventions and six observation times. A convenience sample of eight women and two men with central visual field loss, aged 64–91 years with visual acuity between 6/21 (20/69) and 6/48 (20/158), was recruited. Two certified low vision therapists realized evaluations with Minnesota Low-Vision Reading Test, International Reading Speed Texts, a Visual Comfort Scale, a Digital Light Meter LX1330B, and Home Environment Lighting Assessment. The LuxIQ and various illuminated magnifiers were used for clinical interventions. Home lighting interventions were individualized and aimed to apply participants’ preferred color temperature in a selected room. Results: The use of the LuxIQ and illuminated magnifiers showed positive effects in near-vision for all participants by increasing reading speed and visual comfort. Home lighting interventions in participants’ kitchen ( n = 4), living room ( n = 4), or office ( n = 2) also had beneficial effects on their visual comfort and ability to perform activities of daily living. The choice of preferred color temperature was transferable from near-vision to ambient lighting for all participants but one and varied widely. Discussion: Innovative preliminary data support the importance of ambient color temperature for people with visual impairments and suggest an efficient standardized evaluation method. Further research is needed to obtain statistically significant empirical evidence in this field. Implications for practitioners: It could be beneficial for low vision therapists to evaluate the individual ambient color temperature preferences of people with visual impairments by using standardized tools.

The Experience of a Randomized Clinical Trial of Closed-Circuit Television versus Eccentric Viewing Training for People with Age-Related Macular Degeneration

2017 ◽  
Vol 111 (4) ◽  
pp. 354-368 ◽  
Author(s):  
Susan J. Leat ◽  
Francie Fengqin Si ◽  
Deborah Gold ◽  
Dawn Pickering ◽  
Keith Gordon ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Macular Degeneration ◽  
Vision Loss ◽  
Low Vision ◽  
Reading Speed ◽  
Optical Devices ◽  
Reading Performance ◽  
Age Related Macular Degeneration ◽  
Eccentric Viewing ◽  
Age Related

Introduction In addition to optical devices, closed-circuit televisions (CCTVs) and eccentric viewing training are both recognized interventions to improve reading performance in individuals with vision loss secondary to age-related macular degeneration. Both are relatively expensive, however, either in the cost of the device or in the amount of time personnel need to provide training. In this randomized trial, we compared the effectiveness of these two interventions. Methods Participants with age-related macular degeneration and visual acuity between 6/48 (20/160) and 6/120 (20/400) first received basic low vision care, including optical devices. At the subsequent baseline visit, they undertook a battery of measures including logMAR visual acuity; reading speed and accuracy for text in 1.3M and 1M fonts; reading information on medicine bottles, utility bills, and food packages; the NEI-VFQ; the Geriatric Depression Scale; and a reading inventory questionnaire. They were then randomized to either obtaining a CCTV for home use or eccentric viewing training over the following six weeks. Results Recruitment was more difficult than expected for this population. Of 145 patients referred, 29 met the inclusion-exclusion criteria, 14 were willing to enroll, and 10 completed the trial. For the primary outcome (reading speed for 1.3M print), there was a significant improvement between baseline and outcome for the CCTV group (p = 0.005), but not for the eccentric viewing training group (p = 0.28), and the CCTV group showed significantly greater change (p = 0.04). There was a nonsignificant improvement in reading speed for 1M text and a decrease in the amount of time taken to read utility bill information in the CCTV group. There was a significant improvement in near visual acuity with current glasses with eccentric viewing training. The other measures did not reach statistical significance. Discussion Randomized clinical trials for low vision rehabilitation, particularly in the elderly population with vision loss, are challenging, but such trials are important for the allocation of resources. This trial showed early indications of more impact on reading performance from CCTV than eccentric viewing training.

Feasibility of Eye Movement Recordings with the SMI Tracking Bar in 10- to 11-Year-Old Children Performing a Reading Task

2020 ◽  
Vol 237 (04) ◽  
pp. 510-516
Author(s):  
Jason Wertli ◽  
Andreas Schötzau ◽  
S. Trauzettel-Klosinski ◽  
Anja Palmowski-Wolfe
Keyword(s):  
Visual Acuity ◽  
Eye Movements ◽  
Reading Speed ◽  
Visual Field Defects ◽  
Healthy Children ◽  
Eye Tracker ◽  
Reading Task ◽  
Red Eye ◽  
Reading Errors ◽  
Eye Movements During Reading

Abstract Introduction Eye movements during reading can be impaired in amblyopia, developmental dyslexia, reduced visual acuity, or visual field defects. To detect pathology, normative values are important for comparison. In healthy children, there is sparse data on eye movements during reading. Therefore, the aim of this study was to, in a first step, explore the feasibility of applying the SMI RED eye tracker bar to record eye movements in 10- and 11-year-old children while reading a text. Materials and Methods Thirty-three (19 aged 10 years, 14 aged 11 years) normally sighted children attending a primary school in Switzerland participated in our study. Visual acuity, the Lang test, and the cover test were performed as a screening for ophthalmologic pathology that might influence the results. Eye movements were recorded with the SMI RED eye tracker bar while the child read aloud two texts from the International Reading Speed Test (IReST), presented on a laptop. Both texts were in German with an equal level of difficulty and were presented in a randomized order. Reading speed (words/minute), number of saccades, number of fixations, and reading errors (mistakes in the reading) were evaluated. Results Screening did not reveal pathology other than refractive errors and children had full corrected visual acuity. Eye movements could be obtained in all but six children where the reflection of the glasses worn prevented a good pupil recording with the tracker. Younger children performed more saccades per word with a mean of 1.41 (SD 0.39) at 10 years of age versus 1.10 (SD 0.21) at 11 years of age. The number of fixations per word was also higher in younger children (mean: 1.63 [SD 0.37]) than in 11-year-old children (mean: 1.32 [SD 0.33]). Ten-year-old children seem to analyze a text in smaller units than 11-year-olds. Thus, 10-year-old children took more time to complete the reading task than the 11-year-olds (mean: 88.8 s [SD 24.1] versus 84.4 s [SD 15.1]). In addition, 10-year-old children made more reading errors compared to 11-year-olds (mean: 4.47 [SD 2.95] versus 2.28 [SD 1.72]). Conclusion It is feasible to record eye movements in children aged 10 – 11, albeit this is more difficult when glasses are worn. As parameters change with age, further data is needed for a representative evaluation regarding eye movements during reading in children of different age groups. The information gained may offer help in recognizing reading difficulties and monitoring of treatment effects.

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