综述
ENGLISH ABSTRACT
头戴式显示电子助视器在低视力康复中的应用
徐东野
戴锦晖 [综述]
作者及单位信息
·
DOI: 10.3760/cma.j.cn115989-20211229-00724
Application of electronic head-mounted display aids in low vision rehabilitation
Xu Dongye
Dai Jinhui
Authors Info & Affiliations
Xu Dongye
Department of Ophthalmology, Eye & ENT Hospital Affiliated to Fudan University, Shanghai 200031, China
Dai Jinhui
Department of Ophthalmology, Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032, China
·
DOI: 10.3760/cma.j.cn115989-20211229-00724
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摘要

随着社会老龄化的进展和低视力人群数量的增长,患者对低视力康复的需求也日益增加。头戴式显示(HMD)电子助视器是一种新型低视力助视器,可分为单眼式和双眼式、虚拟现实(VR)式和增强现实(AR)式等不同类型。HMD电子助视器的性能在其发展和评估中十分重要,包括提高照度、对比度、分辨率和扩大视野等。VR式助视器的分辨率更高,图像模式更丰富,可有效提高中心视力和对比敏感度,更适用于静态应用。AR设备不遮挡患者的习惯视野,不破坏立体视觉,更适用于动态应用。随着近几年VR和AR显示技术的发展,HMD电子助视器在功能性、轻便性和美观性上有了很大的进步。大部分HMD电子助视器的研究和应用对象是中心视力低下患者,HMD电子助视器可以通过放大图像、增加照度和对比度、增强轮廓等策略提高患者视力、对比敏感度和阅读功能等。对于周边视野缺损的患者,HMD电子助视器主要采取VR式设计,在不遮挡患者原有视野的同时明显扩展他们的视野。而HMD电子助视器对于周边视野缺损患者的日常活动,尤其是运动能力的改善效果仍需要进一步研究。本文总结了HMD电子助视器的类型、性能以及其在低视力患者中的应用进展。

低视力;康复;智能眼镜;头戴式显示;电子助视器
ABSTRACT

As society ages and the number of people with low vision grows, the need for low vision rehabilitation for patients is increasing.The electronic head-mounted display (HMD) aids is a new type of low vision aids, which can be divided into different types such as monocular, binocular, virtual reality (VR) and augmented reality (AR). The performance of electronic HMD visual aids is important in their development and evaluation, including improved illumination, contrast ratio, resolution, and expanded vision field.VR devices have higher resolution and richer image modes, which can effectively improve central vision acuity and contrast sensitivity, and are more suitable for static applications.AR devices do not block the patients' habitual field of vision and do not destroy stereoscopic vision, which are more suitable for dynamic applications.With the development of VR and AR display technology in recent years, electronic HMD aids have made great progress in functionality, portability and aesthetics.In most of the research, the application population of electronic HMD aids are patients with low central vision.Electronic HMD aids can improve their visual acuity, contrast sensitivity and reading ability by enlarging pictures, improving illumination and contrast ratio and enhancing contour.For patients with peripheral visual field defects, electronic HMD aids, especially AR devices, can significantly expand their peripheral visual field without blocking original visual field.However, the improvement of electronic HMD aids on daily activities, especially athletic ability, needs further research.This article summarized the types, performance and application progress of electronic HMD aids in patients with low vision.

Low vision;Rehabilitation;Smart glasses;Head-mounted display;Electronic aids
Dai Jinhui, Email: mocdef.6ab218iuhnijiad
引用本文

徐东野,戴锦晖. 头戴式显示电子助视器在低视力康复中的应用[J]. 中华实验眼科杂志,2023,41(08):807-811.

DOI:10.3760/cma.j.cn115989-20211229-00724

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低视力是指患者经过治疗或标准屈光矫正后仍有视功能损害,好眼最佳矫正视力<0.3或视野半径<10°,但是仍能够或有潜力利用残留视力去安排和/或执行某项任务。据估计,至2015年,全球视力障碍患者共计约4.41亿,其中盲患者约3 600万,患病率约为0.48%[ 1 ]。导致低视力的主要原因是未矫正的屈光不正、白内障、年龄相关性黄斑变性、青光眼、糖尿病视网膜病变等[ 2 , 3 ]。我国视力残疾患病率约为1.29%,其中≥60岁的老人视力残疾患病率约为0.74%[ 4 ]。随着我国社会老龄化的发展,视力残疾人群将越来越多。低视力康复的目标是通过使用低视力助视器、定向及运动训练、职业疗法以及教育干预等提高患者的视功能,并改善心理健康和健康相关生存质量。低视力康复过程中,个性化验配助视器是一个非常重要的环节。助视器能够帮助低视力患者充分利用其残存视力,提高患者的日常活动能力,改善患者的生活质量。现有的助视器包括光学助视器(如放大镜、望远镜、眼镜式助视器)、非光学助视器和电子助视器等。然而,传统的助视器大多只能应用于某一固定场景、固定距离,目前仍有15%~20%低视力患者无法通过现存的助视器获得助益[ 5 ]。助视器的进一步发展和革新对低视力康复技术的不断进步十分重要。头戴式显示(head-mounted display,HMD)是一种新型显示技术,1992年首次出现了将HMD应用于助视器的报道[ 6 ]。相比传统的固定式或手持式助视器,HMD电子助视器可以解放双手,适用于远、中、近多个距离,并且拥有多种助视模式,可以扩大视野,提高夜视力和视敏度等。近年来,随着摄像、图像处理和显示技术的飞速发展,HMD电子助视器在轻便性、美观性和功能性上也有了很大的进步。本文总结了HMD电子助视器的类型、性能以及其在低视力患者中的应用进展。
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