Study of the Immediate Effects of Autostereoscopic 3D Visual Training on the Accommodative Functions of Myopes

Huang, Yangyi; Li, Meiyan; Shen, Yang; Liu, Fang; Fang, Yong; Xu, Hai; Zhou, Xingtao

doi:10.1167/iovs.63.2.9

Cited by 7 publications

(10 citation statements)

References 58 publications

(50 reference statements)

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“…Moreover, the patient's ciliary muscles were fully trained under the VR-based BVF balance training, which further improved the ciliary muscle movement rate, amplitude and muscle strength, enhanced blood supply, and significantly improved the eye focus, contributing to an effectively enhanced accommodation facility of the subject's eyes without increasing IOP. Similarly, Huang et al [ 25 ] confirmed that VR-based BVF balance training can effectively repair the eye accommodation lag of myopia patients and improve their ocular accommodation function. Furthermore, we evaluated the clinical efficacy and safety of the two treatment strategies.…”

Section: Discussionmentioning

confidence: 93%

Effect of Atropine Eye Drops Combined with VR-Based Binocular Visual Function Balance Training for Prevention and Control of Juvenile Myopia

Shi

2022

Evidence-Based Complementary and Alternative Medicine

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Purpose. This study mainly analyzes the efficacy of 0.01% atropine eye drops (low-dose atropine (LDA)) combined with virtual reality (VR)-based binocular visual function (BVF) balance training in the prevention and control of juvenile myopia. Methods. One hundred and thirty-six juvenile myopia patients admitted between November 2018 to November 2021 were selected, including 76 cases (research group) receiving LDA + VR-based BVF balance training and 60 cases (control group) treated by LDA intervention alone. Visual acuity (VA; naked vision), ocular parameters (pupil diameter (PD), axial length (AXL), and diopter), intraocular pressure (IOP), accommodation facility, clinical efficacy, and incidence of adverse reactions were observed, compared, and analyzed in both groups. Results. After analysis, it was found that the research group showed significantly higher naked vision and PD while statistically lower D after intervention than the corresponding preinterventional parameters than the control group. While AXL showed no statistical difference between the groups and within groups. The IOP also differed insignificantly between groups, but the post-treatment accommodation facility was better in the research group compared with the baseline (before treatment) and control group. In terms of curative effects, an obviously higher total effective rate was determined in the research group. In addition, the two groups showed no significant difference in the incidence of adverse reactions. Conclusions. LDA + VR-based BVF balance training deserves clinical popularization, as it can prevent and control myopia among teenagers, with better adjusting effects on eye function and certain safety.

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Section: Discussionmentioning

confidence: 93%

Effect of Atropine Eye Drops Combined with VR-Based Binocular Visual Function Balance Training for Prevention and Control of Juvenile Myopia

Shi

2022

Evidence-Based Complementary and Alternative Medicine

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“…After the vergence exercises, the accommodative responses improved to 2.23 ± 0.22 D (OD) and 2.29 ± 0.24 D (OS), and the accommodative lags decreased to 0.27 D (OD) and 0.21 D (OS), which are consistent with those in previous clinical studies [ 20 ]. Huang et al reported a change in accommodative lag of 0.12 D after an 11-min training duration [ 27 ], whereas Ma et al reported a change of 0.46 D after 12 weeks [ 28 ]. In our study, the treatment group showed a 0.30 D change in accommodative lag after a training duration of 10 min, which showed a better efficiency in the improvement of accommodative functions.…”

Section: Discussionmentioning

confidence: 99%

Immediate Effects of Vergence Exercises Using Automatic Dual Rotational Risley Prisms on Accommodative Lag and Facility

Huang,

Su,

et al. 2023

Ophthalmol Ther

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Introduction This study evaluated novel automatic dual rotational Risley prisms (ADRRPs) as a vergence exercise tool for patients with myopia to improve accommodative lag and accommodative facility. Methods Participants with myopia aged 20–24 years were recruited. After vergence exercises with prisms (treatment group) or plano lenses (control group) using ADRRPs for 10 min, measurements were taken using an open-field autorefractor (Grand Seiko WAM-5500) at viewing distances of 0.4 m and 6.0 m. We measured accommodative facility using a ± 2.00 D accommodative flipper. Results A total of 56 participants (treatment group, 39; control group, 17) performed vergence exercises using ADRRPs. Participants in the treatment group showed improvements in accommodative lag at a 0.4 m viewing distance, with measurements of 0.57 D (right eye; OD) and 0.53 D (left eye; OS) and 0.21 D (OD) and 0.27 D (OS) before and after the exercises, respectively ( p < 0.001). Over-refractions using an open-field autorefractor with spherical equivalent contact lenses at a 6.0 m viewing distance were − 0.01 ± 0.30 D (OD) and 0.03 ± 0.34 D (OS) and 0.15 ± 0.32 D (OD) and 0.19 ± 0.28 D (OS) before and after the exercises, respectively (difference + 0.16 D; p < 0.001). Accommodative facility values before and after exercises were 14.88 ± 3.36 and 15.59 ± 3.60 cpm, respectively ( p < 0.01). No significant differences in accommodative lag, relaxation, and accommodative facility before and after exercise were observed in the control group. Conclusions Using ADRRPs in vergence exercises can improve accommodative lag, accommodative facility, and accommodative relaxation in adults with myopia. Further research to evaluate persistent and long-term effects is needed.

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“…The angle, direction, and visual distance in teenager eyes can be varied in the virtual world while exercising their ciliary muscles all over their bodies as part of the VR-based balance training for BVF has been possible with the aid of HMDs (3). Similarly, Huang et al (29) discovered that myopia patients' ocular accommodation disorder may be effectively treated with VR-based BVF balancing training.…”

Section: Methods Of Literature Researchmentioning

confidence: 99%

A systematic review: Virtual-reality-based techniques for human exercises and health improvement

Ali

Wang

et al. 2023

Front. Public Health

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Virtual Reality (VR) has emerged as a new safe and efficient tool for the rehabilitation of many childhood and adulthood illnesses. VR-based therapies have the potential to improve both motor and functional skills in a wide range of age groups through cortical reorganization and the activation of various neuronal connections. Recently, the potential for using serious VR-based games that combine perceptual learning and dichoptic stimulation has been explored for the rehabilitation of ophthalmological and neurological disorders. In ophthalmology, several clinical studies have demonstrated the ability to use VR training to enhance stereopsis, contrast sensitivity, and visual acuity. The use of VR technology provides a significant advantage in training each eye individually without requiring occlusion or penalty. In neurological disorders, the majority of patients undergo recurrent episodes (relapses) of neurological impairment, however, in a few cases (60–80%), the illness progresses over time and becomes chronic, consequential in cumulated motor disability and cognitive deficits. Current research on memory restoration has been spurred by theories about brain plasticity and findings concerning the nervous system's capacity to reconstruct cellular synapses as a result of interaction with enriched environments. Therefore, the use of VR training can play an important role in the improvement of cognitive function and motor disability. Although there are several reviews in the community employing relevant Artificial Intelligence in healthcare, VR has not yet been thoroughly examined in this regard. In this systematic review, we examine the key ideas of VR-based training for prevention and control measurements in ocular diseases such as Myopia, Amblyopia, Presbyopia, and Age-related Macular Degeneration (AMD), and neurological disorders such as Alzheimer, Multiple Sclerosis (MS) Epilepsy and Autism spectrum disorder. This review highlights the fundamentals of VR technologies regarding their clinical research in healthcare. Moreover, these findings will raise community awareness of using VR training and help researchers to learn new techniques to prevent and cure different diseases. We further discuss the current challenges of using VR devices, as well as the future prospects of human training.

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Study of the Immediate Effects of Autostereoscopic 3D Visual Training on the Accommodative Functions of Myopes

Cited by 7 publications

References 58 publications

Effect of Atropine Eye Drops Combined with VR-Based Binocular Visual Function Balance Training for Prevention and Control of Juvenile Myopia

Effect of Atropine Eye Drops Combined with VR-Based Binocular Visual Function Balance Training for Prevention and Control of Juvenile Myopia

Immediate Effects of Vergence Exercises Using Automatic Dual Rotational Risley Prisms on Accommodative Lag and Facility

A systematic review: Virtual-reality-based techniques for human exercises and health improvement

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