Virtual reality-based eye examination at a community-free clinic: A pilot study

Aims: This study aims to implement a comprehensive virtual reality (VR) eye examination at a free clinic and to compare its accuracy, time efficiency, and patient satisfaction to the manual examination. Settings and Design: Prospective pilot study. Materials and Methods: Adult patients attending a m...

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Main Authors: Jullian Valadez, Howard Zhang, Sylvia L. Groth
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Journal of Clinical Ophthalmology and Research
Subjects:
Online Access:https://journals.lww.com/10.4103/jcor.jcor_165_24
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author Jullian Valadez
Howard Zhang
Sylvia L. Groth
author_facet Jullian Valadez
Howard Zhang
Sylvia L. Groth
author_sort Jullian Valadez
collection DOAJ
description Aims: This study aims to implement a comprehensive virtual reality (VR) eye examination at a free clinic and to compare its accuracy, time efficiency, and patient satisfaction to the manual examination. Settings and Design: Prospective pilot study. Materials and Methods: Adult patients attending a monthly clinic underwent standard examination followed by VR visual acuity (VA), visual field (VF), extraocular movements (EOM), pupillometry, and Ishihara testing. The tests were timed, and patient preferences were surveyed. Statistical Analysis Used: Mann–Whitney U-test for examination duration, Wilcoxon signed-rank test for patient preferences, and intraclass correlation analysis for VA results. Results: Fifty eyes across 25 participants were included. The participants were mostly female (84%) with a median age of 52 years (interquartile range [IQR] 12), and the majority spoke Spanish as their primary language (68%). The VR examination (median 6.61 min, IQR 3.35), excluding 3 min of tutorials, was significantly faster than the manual examination (median 17 min, IQR 9.5, P < 0.001). The VR far VA results positively correlated with the manual examination (intraclass correlation coefficient 0.628, P < 0.001). The VR VF, EOM, pupil, and Ishihara color test results matched the manual examination (no abnormal findings were missed). Eighty-two percent of survey participants preferred the VR examination, which received high ratings in physical comfort (mean 4.45/5, standard deviation [SD] 0.89) and interface (mean 4.55/5, SD 0.84) as compared to the manual examination (mean 4.14/5, SD 0.92, P = 0.074). Conclusions: Our study identified a VR-based examination that increased the scope of ocular testing, efficiency, and patient satisfaction in a free clinic.
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spelling doaj-art-09295c757f82425788808edb78b072a22025-02-06T06:38:52ZengWolters Kluwer Medknow PublicationsJournal of Clinical Ophthalmology and Research2320-38972320-39002025-01-011313810.4103/jcor.jcor_165_24Virtual reality-based eye examination at a community-free clinic: A pilot studyJullian ValadezHoward ZhangSylvia L. GrothAims: This study aims to implement a comprehensive virtual reality (VR) eye examination at a free clinic and to compare its accuracy, time efficiency, and patient satisfaction to the manual examination. Settings and Design: Prospective pilot study. Materials and Methods: Adult patients attending a monthly clinic underwent standard examination followed by VR visual acuity (VA), visual field (VF), extraocular movements (EOM), pupillometry, and Ishihara testing. The tests were timed, and patient preferences were surveyed. Statistical Analysis Used: Mann–Whitney U-test for examination duration, Wilcoxon signed-rank test for patient preferences, and intraclass correlation analysis for VA results. Results: Fifty eyes across 25 participants were included. The participants were mostly female (84%) with a median age of 52 years (interquartile range [IQR] 12), and the majority spoke Spanish as their primary language (68%). The VR examination (median 6.61 min, IQR 3.35), excluding 3 min of tutorials, was significantly faster than the manual examination (median 17 min, IQR 9.5, P < 0.001). The VR far VA results positively correlated with the manual examination (intraclass correlation coefficient 0.628, P < 0.001). The VR VF, EOM, pupil, and Ishihara color test results matched the manual examination (no abnormal findings were missed). Eighty-two percent of survey participants preferred the VR examination, which received high ratings in physical comfort (mean 4.45/5, standard deviation [SD] 0.89) and interface (mean 4.55/5, SD 0.84) as compared to the manual examination (mean 4.14/5, SD 0.92, P = 0.074). Conclusions: Our study identified a VR-based examination that increased the scope of ocular testing, efficiency, and patient satisfaction in a free clinic.https://journals.lww.com/10.4103/jcor.jcor_165_24community cliniceye examinationpatient satisfactionvirtual reality
spellingShingle Jullian Valadez
Howard Zhang
Sylvia L. Groth
Virtual reality-based eye examination at a community-free clinic: A pilot study
Journal of Clinical Ophthalmology and Research
community clinic
eye examination
patient satisfaction
virtual reality
title Virtual reality-based eye examination at a community-free clinic: A pilot study
title_full Virtual reality-based eye examination at a community-free clinic: A pilot study
title_fullStr Virtual reality-based eye examination at a community-free clinic: A pilot study
title_full_unstemmed Virtual reality-based eye examination at a community-free clinic: A pilot study
title_short Virtual reality-based eye examination at a community-free clinic: A pilot study
title_sort virtual reality based eye examination at a community free clinic a pilot study
topic community clinic
eye examination
patient satisfaction
virtual reality
url https://journals.lww.com/10.4103/jcor.jcor_165_24
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AT sylvialgroth virtualrealitybasedeyeexaminationatacommunityfreeclinicapilotstudy