Nisanova Arina, Barrios Laurel, Chokshi Tanvi, Mannis Mark, Bloch Orin, Liu Yin Allison
School of Medicine, University of California, Davis, California, USA.
College of Medicine, California Northstate University, Elk Grove, California, USA.
Neuroophthalmology. 2024 Feb 12;48(1):3-12. doi: 10.1080/01658107.2023.2273471. eCollection 2024.
This prospective, single-centre cohort study aimed to evaluate the impact of a portable vision reading device, OrCam Read, on vision-related quality-of-life and independent functional status in patients with low vision due to stroke or brain tumours. Six patients with poor visual acuity or visual field defects due to a stroke or a brain tumour were enrolled at a U.S. Ophthalmology Department. Participants were trained to use OrCam Read and given a loaner device for the 1 month duration of the study. Various assessments, including daily function tests, the National Eye Institute Visual Function Questionnaire-25, and the 10-item neuro-ophthalmic supplement, were administered at the first and last visits. Patients' experience with the device was evaluated with weekly telephone and end-of-study satisfaction surveys. The main outcome measures were the patient satisfaction with OrCam and the mean assessment scores between enrolment and final visits. The intervention with OrCam significantly improved patients' ability to complete daily tasks and participants reported good satisfaction with the device. The results also show non-significant improvement with distant activities, dependency, and role difficulties. Our findings demonstrate the feasibility of studying vision-related quality-of-life using a portable vision device in this patient population and pave the way for a larger study to validate the results of this study.
这项前瞻性单中心队列研究旨在评估便携式视觉阅读设备OrCam Read对因中风或脑肿瘤导致视力低下患者的视力相关生活质量和独立功能状态的影响。美国一家眼科部门招募了6名因中风或脑肿瘤导致视力差或视野缺损的患者。参与者接受了使用OrCam Read的培训,并在为期1个月的研究期间获得了一台借用设备。在首次和末次就诊时进行了各种评估,包括日常功能测试、美国国立眼科研究所视觉功能问卷-25以及10项神经眼科补充问卷。通过每周电话随访和研究结束时的满意度调查来评估患者使用该设备的体验。主要结局指标是患者对OrCam的满意度以及入组和末次就诊之间的平均评估得分。使用OrCam进行干预显著提高了患者完成日常任务的能力,参与者对该设备表示高度满意。结果还显示,在远距离活动、依赖性和角色困难方面的改善不显著。我们的研究结果证明了在该患者群体中使用便携式视觉设备研究视力相关生活质量的可行性,并为进一步扩大研究以验证本研究结果铺平了道路。