Apical Scotomata, Confusion, and Diplopia

Jama Ophthalmology (Impact Factor: 3.32). 06/2013; 131(6):790. DOI: 10.1001/jamaophthalmol.2013.4640
Source: PubMed
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    ABSTRACT: To determine the functional utility for general mobility of peripheral prism glasses, a novel visual field expansion device for hemianopia, in a large-scale, community-based, multicenter study with long-term follow-up. Forty-three participants with homonymous hemianopia were fitted with temporary press-on Fresnel peripheral prism segments of 40 prism diopters. Follow-up questionnaires evaluating functional benefits for mobility were administered in the office at week 6. Participants who continued wearing the prisms were interviewed again by telephone after a median of 12 months. Primary outcome measures included clinical success (a clinical decision to continue wear) and 5-point ratings of prism helpfulness for obstacle avoidance when walking. Thirty-two participants (74%) continued prism wear at week 6, and 20 (47%) were still wearing the prisms after 12 months (median time, 8 hours per day). These participants rated the prism glasses as very helpful for obstacle avoidance and reported significant benefits for obstacle avoidance in a variety of mobility situations. Success rates varied among clinic groups (27%-81%), with higher rates at the clinics that fitted more patients. Our results demonstrate the functional utility of peripheral prism glasses as a general mobility aid for patients with hemianopia.
    Archives of ophthalmology 06/2008; 126(5):657-64. DOI:10.1001/archopht.126.5.657 · 4.40 Impact Factor