PMID- 36908278
OWN - NLM
STAT- MEDLINE
DCOM- 20230508
LR  - 20230508
IS  - 1744-5132 (Electronic)
IS  - 0927-3972 (Linking)
VI  - 31
IP  - 1
DP  - 2023 Mar
TI  - Effectiveness of visual and acoustic biofeedback eccentric viewing training in 
      conjunction with home exercises on visual function: a retrospective observational 
      review.
PG  - 55-65
LID - 10.1080/09273972.2023.2172435 [doi]
AB  - The aim of this study is to evaluate the effectiveness of an eccentric viewing 
      training program that combines biofeedback training using micro-perimetry with 
      home exercises on multiple visual function parameters and to explore potential 
      relationships between post-treatment visual function parameters. A retrospective 
      observational review of 27 participants who underwent the training program was 
      performed. Eligible participants were diagnosed with bilateral central scotomas 
      secondary to age-related macular degeneration. All participants undertook up to 
      15 visual and acoustic biofeedback training sessions and were required to partake 
      in traditional home exercises between sessions. The biofeedback training was 
      conducted in the better eye using the Macular Integrity Assessment microperimeter 
      (MAIA). Distance and near acuity, contrast sensitivity and fixation stability 
      quantified by the P1 and P2 values and the 63% and 95% bivariate contour ellipse 
      area (BCEA) before and after the rehabilitation program were recorded. 
      Significant improvement was noted post-training for distance visual acuity 
      (t(26) = 4938 p = .000), near visual acuity (Z = -4.461 p = .000), contrast 
      sensitivity (Z = -3.647 p = .000) and fixation stability for all measures, 
      including P1 (t(26) = -9.490 p = .000), P2 (t(26) = -7.338 p  = 0.000), 63% BCEA 
      (Z = 3.569 p = .000) and 95% BCEA (t(26) = 4.687 p = .000). Significant 
      medium-to-large correlations were also found between most visual function 
      variables. Visual and acoustic biofeedback in conjunction with home exercises has 
      the potential to improve visual function parameters in patients with age-related 
      macular degeneration and irreversible central vision loss.
FAU - Kelly, Natalia
AU  - Kelly N
AUID- ORCID: 0000-0001-7923-5619
FAU - Vukicevic, Meri
AU  - Vukicevic M
AUID- ORCID: 0000-0002-0887-6248
AD  - Discipline of Orthoptics, La Trobe University, Melbourne.
FAU - Koklanis, Konstandina
AU  - Koklanis K
AUID- ORCID: 0000-0002-6740-9586
AD  - Discipline of Orthoptics, La Trobe University, Melbourne.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20230313
PL  - England
TA  - Strabismus
JT  - Strabismus
JID - 9310896
SB  - IM
MH  - Humans
MH  - Acoustics
MH  - Biofeedback, Psychology
MH  - Fixation, Ocular
MH  - *Macular Degeneration/complications/rehabilitation
MH  - Retrospective Studies
MH  - *Vision, Low
MH  - Visual Field Tests
OTO - NOTNLM
OT  - Age-related macular degeneration
OT  - biofeedback
OT  - central vision loss
OT  - eccentric viewing
OT  - fixation stability
OT  - low vision
EDAT- 2023/03/14 06:00
MHDA- 2023/05/01 06:42
CRDT- 2023/03/13 03:43
PHST- 2023/05/01 06:42 [medline]
PHST- 2023/03/14 06:00 [pubmed]
PHST- 2023/03/13 03:43 [entrez]
AID - 10.1080/09273972.2023.2172435 [doi]
PST - ppublish
SO  - Strabismus. 2023 Mar;31(1):55-65. doi: 10.1080/09273972.2023.2172435. Epub 2023 
      Mar 13.