Evaluation of Head-Mounted Displays for Macular Degeneration: A Pilot Study

  • Howard MoshtaelEmail author
  • Lanxing Fu
  • Ian Underwood
  • Baljean Dhillon
Conference paper
Part of the Smart Innovation, Systems and Technologies book series (SIST, volume 60)


Head-mounted displays are increasingly available and have been proposed as a platform for a new class of low vision aid. Two kinds of head-mounted display, smart glasses and a smartphone-based headset, are evaluated here in terms of their visibility and desirability for users with age-related macular degeneration. This evaluation is performed through a test to measure the extent of visibility of the screens, through a reading speed test and through a questionnaire. All but one of the participants could read from the displays and see at least 45 % of at least one of the screens. The majority found it easier to read from the displays than from paper.


Head-mounted displays Low vision Visual aids Image processing Reading 



The authors would like to thank the following for their assistance: Peter Aspinall, Tariq Aslam, Ian Murray, Chi Can, Javid Khan, Ellie Brown, Cirta Tooth, Wolfgang Radner, Stephen Hicks, Douglas Young, Alex Bailey, Hannah Moshtael and the Macular Society. Supported by grants from Edinburgh & Lothians Health Foundation and the Engineering & Physical Sciences Research Council.


  1. 1.
    Technavio Analytic Forecast: Global Smart Glasses Market for Augmented Reality 2015–2019 (2015)Google Scholar
  2. 2.
    Resnikoff, S., Pascolini, D., Etya’ale, D., Kocur, I., Pararajasegaram, R., Pokharel, G.P., Mariotti, S.P.: Global data on visual impairment in the year 2002. Bull. World Health Organ. 82, 844–851 (2004)Google Scholar
  3. 3.
    Williams, R.A., Brody, B.L., Thomas, R.G., Kaplan, R.M., Brown, S.I.: The psychosocial impact of macular degeneration. Arch. Ophthalmol. 116, 514–520 (1998)CrossRefGoogle Scholar
  4. 4.
    Hazel, C.A., Petre, K.L., Armstrong, R.A., Benson, M.T., Frost, N.A.: Visual function and subjective quality of life compared in subjects with acquired macular disease. Invest. Ophthalmol. Vis. Sci. 41, 1309–1315 (2000)Google Scholar
  5. 5.
    Massof, R.W., Rickman, D.L.: Obstacles encountered in the development of the low vision enhancement system. Optom. Vis. Sci. 69, 32–41 (1992)CrossRefGoogle Scholar
  6. 6.
    Weckerle, P., Trauzettel-Klosinski, S., Kamin, G., Zrenner, E.: Task performance with the Low Vision Enhancement System (LVES). Vis. Impair. Res. 2, 155–162 (2000)CrossRefGoogle Scholar
  7. 7.
    Culham, L.E., Chabra, A., Rubin, G.S.: Clinical performance of electronic, head-mounted, low-vision devices. Ophthal. Physiol. Opt. 24, 281–290 (2004)CrossRefGoogle Scholar
  8. 8.
    Werblin, F., Palanker, D.: Restoring vision to the blind: advancements in vision aids for the visually impaired. Transl. Vis. Sci. Technol. 3, 54–62 (2014)Google Scholar
  9. 9.
    Hwang, A., Peli, E.: An augmented-reality edge enhancement application for google glass. Optom. Vis. Sci. 91, 1021–1030 (2014)CrossRefGoogle Scholar
  10. 10.
    van Rheede, J.J., Wilson, I.R., Qian, R.I., Downes, S.M., Kennard, C., Hicks, S.L.: Improving mobility performance in low vision with a distance-based representation of the visual scene. Investig. Opthalmol. Vis. Sci. 56, 4802 (2015)CrossRefGoogle Scholar
  11. 11.
    Martin-Gonzalez, A., Kotliar, K., Rios-Martinez, J., Lanzl, I., Navab, N.: Mediated-reality magnification for macular degeneration rehabilitation. J. Mod. Opt. 61, 1400–1408 (2014)CrossRefGoogle Scholar
  12. 12.
    Moshtael, H., Aslam, T., Underwood, I., Dhillon, B.: High tech aids low vision: a review of image processing for the visually impaired. Transl. Vis. Sci. Technol. 4, 6 (2015)CrossRefGoogle Scholar
  13. 13.
    Radner, W., Willinger, U., Obermayer, W., Mudrich, C., Velikay-Parel, M., Eisenwort, B.: A new reading chart for simultaneous determination of reading vision and reading speed. Klin. Monbl. Augenheilkd. 213, 174–181 (1998)CrossRefGoogle Scholar
  14. 14.
    Orr, P., Rentz, A.M., Margolis, M.K., Revicki, D.A., Dolan, C.M., Colman, S., Fine, J.T., Bressler, N.M.: Validation of the national eye institute Visual Function Questionnaire-25 (NEI VFQ-25) in age-related macular degeneration. Investig. Ophthalmol. Vis. Sci. 52, 3354–3359 (2011)Google Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Howard Moshtael
    • 1
    Email author
  • Lanxing Fu
    • 2
  • Ian Underwood
    • 3
  • Baljean Dhillon
    • 4
  1. 1.School of Engineering and Physical SciencesHeriot-Watt UniversityEdinburghUK
  2. 2.Ophthalmology DepartmentRoyal Blackburn HospitalBlackburnUK
  3. 3.School of EngineeringUniversity of EdinburghEdinburghUK
  4. 4.School of Clinical SciencesUniversity of EdinburghEdinburghUK

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