The Use of Real‐Time Image Stabilization and Augmented Reality Eyewear in the Treatment of Oscillopsia

Pothier, David D.; Hughes, Cían; Dillon, W.P.; Ranalli, Paul J.

doi:10.1177/0194599811434708

Cited by 12 publications

(17 citation statements)

References 20 publications

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“…In addition to intraoperative image guidance (54.4%), uses included surgical planning (24.2%) and procedural simulations (9.1%) . In one case, AR eyewear coupled with real‐time image stabilization was used to actually treat patients with oscillopsia due to bilateral vestibular loss . Other potential uses for AR in otolaryngology include teaching, patient education, and telemedicine.…”

Section: Discussionmentioning

confidence: 99%

Development of augmented‐reality applications in otolaryngology–head and neck surgery

et al. 2019

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Objectives/Hypothesis: Augmented reality (AR) allows for the addition of transparent virtual images and video to one's view of a physical environment. Our objective was to develop a head-worn, AR system for accurate, intraoperative localization of pathology and normal anatomic landmarks during open head and neck surgery.Study Design: Face validity and case study. Methods: A protocol was developed for the creation of three-dimensional (3D) virtual models based on computed tomography scans. Using the HoloLens AR platform, a novel system of registration and tracking was developed. Accuracy was determined in relation to actual physical landmarks. A face validity study was then performed in which otolaryngologists were asked to evaluate the technology and perform a simulated surgical task using AR image guidance. A case study highlighting the potential usefulness of the technology is also presented.Results: An AR system was developed for intraoperative 3D visualization and localization. The average error in measurement of accuracy was 2.47 AE 0.46 millimeters (1.99, 3.30). The face validity study supports the potential of this system to improve safety and efficiency in open head and neck surgical procedures.Conclusions: An AR system for accurate localization of pathology and normal anatomic landmarks of the head and neck is feasible with current technology. A face validity study reveals the potential value of the system in intraoperative image guidance. This application of AR, among others in the field of otolaryngology-head and neck surgery, promises to improve surgical efficiency and patient safety in the operating room.

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Section: Discussionmentioning

confidence: 99%

Development of augmented‐reality applications in otolaryngology–head and neck surgery

et al. 2019

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“…One study described an AR platform for treatment. 28 In this study, AR goggles improved symptoms for patients with bilateral vestibular loss, for which the vestibulo-ocular reflex is often impaired and leads to bobbing oscillopsia (ie, oscillopsia during ambulation). 41 The connection between vestibular loss and bobbing oscillopsia is poorly defined, and not all patients with bilateral vestibular loss experience oscillopsia.…”

Section: Diagnosis and Treatmentmentioning

confidence: 66%

“…Hardware. Required hardware varied, ranging from adjustable eyewear 16,28 and head-mounted projected displays 37 to handheld single-photon emission computed tomography (CT) probes. 17,19 The most common hardware required for AR setups was an optical tracking system (7 platforms).…”

Section: Ar Platforms In Otolaryngologymentioning

confidence: 99%

Applications of Augmented Reality in Otolaryngology: A Systematic Review

Wong

Yee

Xavier

et al. 2018

Otolaryngol.--head neck surg.

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“…Based on our review of all articles published through February 2013, we offer ►Table 6 as the current recommendation for treatment of BPPV using the American Academy of Neurology (AAN) guidelines. Unilateral vestibular loss/ hypofunction: adaptation exercises [29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45] Unilateral vestibular loss/ hypofunction: substitution exercises [39][40][41]43,46 Bilateral vestibular loss/ hypofunction: habituation exercises 52 Unilateral vestibular loss/ hypofunction: habituation exercises 40,42,43,45 Bilateral vestibular loss/hypofunction: adaptation exercises 47,48,52 Bilateral vestibular loss/hypofunction: substitution exercises [48][49][50][51][52] Source: Based on American Academy of Neurology evidence-based guideline update, 2013 (Gronseth GS, Woodroffe LM, Getchius TD, eds. Clinical Practice Guideline Process Manual.…”

Section: Evidence-based Guidelines For Treatment Of Vestibular Loss Wmentioning

confidence: 99%

Vestibular Rehabilitation: Rationale and Indications

Kang

Tusa

2013

Semin Neurol

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Treatment options of the patient with dizziness include medication, rehabilitation with physical therapy, surgery, counseling, and reassurance. Here the authors discuss vestibular rehabilitation for patients with benign paroxysmal positional vertigo (BPPV), unilateral vestibular loss or hypofunction, and bilateral vestibular loss/hypofunction. They describe the different mechanisms for recovery with vestibular rehabilitation, the exercises that are used, and which ones are best. An exhaustive literature review on clinical outcomes with the best research publications for BPPV, unilateral vestibular loss/hypofunction, and bilateral vestibular loss/hypofunction is presented. For BPPV, the authors also summarize the evidence-based review practice parameters published in Neurology by Fife et al. (2008) and review all relevant articles published since then.

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The Use of Real‐Time Image Stabilization and Augmented Reality Eyewear in the Treatment of Oscillopsia

Abstract: This is the first successful attempt to improve dynamic visual acuity in patients with bilateral vestibular loss. Recent hardware upgrades are promising in improving these results even further.

Cited by 12 publications

References 20 publications

Development of augmented‐reality applications in otolaryngology–head and neck surgery

Development of augmented‐reality applications in otolaryngology–head and neck surgery

Applications of Augmented Reality in Otolaryngology: A Systematic Review

Vestibular Rehabilitation: Rationale and Indications

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