The challenges of developing a contrast-based video game for treatment of amblyopia

Perceptual learning of visual tasks is emerging as a promising treatment for amblyopia, a developmental disorder of vision characterized by poor monocular visual acuity. The tasks tested thus far span the gamut from basic psychophysical discriminations to visually complex video games. One end of the...

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Main Authors: Hussain, Zahra, Astle, Andrew T., Webb, Ben S., McGraw, Paul V.
Format: Article
Published: Frontiers Media 2014
Subjects:
Online Access:https://eprints.nottingham.ac.uk/37849/
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author Hussain, Zahra
Astle, Andrew T.
Webb, Ben S.
McGraw, Paul V.
author_facet Hussain, Zahra
Astle, Andrew T.
Webb, Ben S.
McGraw, Paul V.
author_sort Hussain, Zahra
building Nottingham Research Data Repository
collection Online Access
description Perceptual learning of visual tasks is emerging as a promising treatment for amblyopia, a developmental disorder of vision characterized by poor monocular visual acuity. The tasks tested thus far span the gamut from basic psychophysical discriminations to visually complex video games. One end of the spectrum offers precise control over stimulus parameters, whilst the other delivers the benefits of motivation and reward that sustain practice over long periods. Here, we combined the advantages of both approaches by developing a video game that trains contrast sensitivity, which in psychophysical experiments, is associated with significant improvements in visual acuity in amblyopia. Target contrast was varied adaptively in the game to derive a contrast threshold for each session. We tested the game on 20 amblyopic subjects (10 children and 10 adults), who played at home using their amblyopic eye for an average of 37 sessions (approximately 11 h). Contrast thresholds from the game improved reliably for adults but not for children. However, logMAR acuity improved for both groups (mean = 1.3 lines; range = 0–3.6 lines). We present the rationale leading to the development of the game and describe the challenges of incorporating psychophysical methods into game-like settings.
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spelling nottingham-378492020-05-04T16:57:53Z https://eprints.nottingham.ac.uk/37849/ The challenges of developing a contrast-based video game for treatment of amblyopia Hussain, Zahra Astle, Andrew T. Webb, Ben S. McGraw, Paul V. Perceptual learning of visual tasks is emerging as a promising treatment for amblyopia, a developmental disorder of vision characterized by poor monocular visual acuity. The tasks tested thus far span the gamut from basic psychophysical discriminations to visually complex video games. One end of the spectrum offers precise control over stimulus parameters, whilst the other delivers the benefits of motivation and reward that sustain practice over long periods. Here, we combined the advantages of both approaches by developing a video game that trains contrast sensitivity, which in psychophysical experiments, is associated with significant improvements in visual acuity in amblyopia. Target contrast was varied adaptively in the game to derive a contrast threshold for each session. We tested the game on 20 amblyopic subjects (10 children and 10 adults), who played at home using their amblyopic eye for an average of 37 sessions (approximately 11 h). Contrast thresholds from the game improved reliably for adults but not for children. However, logMAR acuity improved for both groups (mean = 1.3 lines; range = 0–3.6 lines). We present the rationale leading to the development of the game and describe the challenges of incorporating psychophysical methods into game-like settings. Frontiers Media 2014-11-03 Article PeerReviewed Hussain, Zahra, Astle, Andrew T., Webb, Ben S. and McGraw, Paul V. (2014) The challenges of developing a contrast-based video game for treatment of amblyopia. Frontiers in Psychology, 5 . 1210/1-1210/17. ISSN 1664-1078 Anisometropia Binocular Contrast sensitivity Development Perceptual learning Strabismus Visual acuity http://dx.doi.org/10.3389/fpsyg.2014.01210 doi:10.3389/fpsyg.2014.01210 doi:10.3389/fpsyg.2014.01210
spellingShingle Anisometropia
Binocular
Contrast sensitivity
Development
Perceptual learning
Strabismus
Visual acuity
Hussain, Zahra
Astle, Andrew T.
Webb, Ben S.
McGraw, Paul V.
The challenges of developing a contrast-based video game for treatment of amblyopia
title The challenges of developing a contrast-based video game for treatment of amblyopia
title_full The challenges of developing a contrast-based video game for treatment of amblyopia
title_fullStr The challenges of developing a contrast-based video game for treatment of amblyopia
title_full_unstemmed The challenges of developing a contrast-based video game for treatment of amblyopia
title_short The challenges of developing a contrast-based video game for treatment of amblyopia
title_sort challenges of developing a contrast-based video game for treatment of amblyopia
topic Anisometropia
Binocular
Contrast sensitivity
Development
Perceptual learning
Strabismus
Visual acuity
url https://eprints.nottingham.ac.uk/37849/
https://eprints.nottingham.ac.uk/37849/
https://eprints.nottingham.ac.uk/37849/