VisionaryVR: An Optical Simulation Tool for Evaluating and Optimizing Vision Correction Solutions in Virtual Reality.

In the rapidly advancing field of vision science, traditional research approaches struggle to accurately simulate and evaluate vision correction methods, leading to time-consuming evaluations with limited scope and flexibility. To overcome these challenges, we introduce 'VisionaryVR', a virtual reality (VR) simulation framework designed to enhance optical simulation fidelity and broaden experimental capabilities. VisionaryVR leverages a versatile VR environment to support dynamic vision tasks and integrates comprehensive eye-tracking functionality. Its experiment manager's scene-loading feature fosters a scalable and flexible research platform. Preliminary validation through an empirical study has demonstrated VisionaryVR's effectiveness in replicating a wide range of visual impairments and providing a robust platform for evaluating vision correction solutions. Key findings indicate a significant improvement in evaluating vision correction methods and user experience, underscoring VisionaryVR's potential to transform vision science research by bridging the gap between theoretical concepts and their practical applications. This validation underscores VisionaryVR's contribution to overcoming traditional methodological limitations and establishing a foundational framework for research innovation in vision science.

An objective measurement approach to quantify the perceived distortions of spectacle lenses.

The eye's natural aging influences our ability to focus on close objects. Without optical correction, all adults will suffer from blurry close vision starting in their 40s. In effect, different optical corrections are necessary for near and far vision. Current state-of-the-art glasses offer a gradual change of correction across the field of view for any distance-using Progressive Addition Lenses (PALs). However, an inevitable side effect of PALs is geometric distortion, which causes the swim effect, a phenomenon of unstable perception of the environment leading to discomfort for many wearers. Unfortunately, little is known about the relationship between lens distortions and their perceptual effects, that is, between the complex physical distortions on the one hand and their subjective severity on the other. We show that perceived distortion can be measured as a psychophysical scaling function using a VR experiment with accurately simulated PAL distortions. Despite the multi-dimensional space of physical distortions, the measured perception is well represented as a 1D scaling function; distortions are perceived less with negative far correction, suggesting an advantage for short-sighted people. Beyond that, our results successfully demonstrate that psychophysical scaling with ordinal embedding methods can investigate complex perceptual phenomena like lens distortions that affect geometry, stereo, and motion perception. Our approach provides a new perspective on lens design based on modeling visual processing that could be applied beyond distortions. We anticipate that future PAL designs could be improved using our method to minimize subjectively discomforting distortions rather than merely optimizing physical parameters.

Application of Spatial Cues and Optical Distortions as Augmentations during Virtual Reality (VR) Gaming: The Multifaceted Effects of Assistance for Eccentric Viewing Training.

The present study investigates the effects of peripheral spatial cues and optically distorting augmentations over eccentric vision mechanisms in normally sighted participants with simulated scotoma. Five different augmentations were tested inside a virtual reality (VR)-gaming environment. Three were monocular spatial cues, and two were binocular optical distortions. Each was divided into three conditions: baseline with normal viewing, augmentation with one of the assistance methods positioned around the scotoma, and one with only the simulated central scotoma. The study found that the gaming scenario induced eccentric viewing for the cued augmentation groups, even when the peripheral assistance was removed, while for the optical distortions group, the eccentric behavior disappeared after the augmentation removal. Additionally, an upwards directionality of gaze relative to target during regular gaming was found. The bias was maintained and implemented during and after the cued augmentations but not after the distorted ones. The results suggest that monocular peripheral cues could be better candidates for implementing eccentric viewing training in patients. At the same time, it showed that optical distortions might disrupt such behavior. Such results are noteworthy since distortions such as zoom are known to help patients with macular degeneration see targets of interest.

Reflexive Saccades Used for Objective and Automated Measurements of Contrast Sensitivity in Selected Areas of Visual Field.

Purpose: This study proposes a novel approach for objective and automated peripheral contrast sensitivity (CS) testing using reflexive saccades. Here the CS was examined in various areas the of visual field (VF) using a live analysis of gaze data. For validation of the new test, we examined CS with an established procedure of identifying the orientation of a contrast stimulus. Methods: To perform and validate the saccade-based testing, two separate measurement events were performed. In the first, participants were asked to execute a saccade toward a newly-appeared stimulus in their VF. After the saccade execution or stimulus expiry, reporting the target orientation was required in a four-alternatives forced choice (4AFC). Therefore the first measurement yields two outcomes (objective and subjective). In the second measurement, only the identification of the stimulus orientation was requested, while fixating a central mark. Stimulus contrast was controlled by an adaptive psychometric procedure in both measurements. Results: The study found strong correlations (all r ≥ 0.79) of CS values for all three possible testing methods (saccade-based responding in saccadic measurements, keyboard-based responding in saccadic measurements, keyboard-based responding in non-saccadic measurements), showing the feasibility of employment of reflexive saccades in such testing. Second, this study shows a significant influence of eccentricity and direction of the stimulus on the CS function. Conclusions: CS measured with reflexive saccades is comparable to other testing methods over several areas of the participant's VF. Hence, we propose it as a novel and objective testing procedure for CS measurements. Translational Relevance: Assessment of CS using reflexive saccades extends the portfolio of suggested eye movement-based tests, allowing objective examination across the VF, which might be helpful especially in the early detection of various eye diseases.

Self-motion illusions from distorted optic flow in multifocal glasses.

Progressive addition lenses (PALs) are ophthalmic lenses to correct presbyopia by providing improvements of near and far vision in different areas of the lens, but distorting the periphery of the wearer's field of view. Distortion-related difficulties reported by PAL wearers include unnatural self-motion perception. Visual self-motion perception is guided by optic flow, the pattern of retinal motion produced by self-motion. We tested the influence of PAL distortions on optic flow-based heading estimation using a model of heading perception and a virtual reality-based psychophysical experiment. The model predicted changes of heading estimation along a vertical axis, depending on visual field size and gaze direction. Consistent with this prediction, participants experienced upwards deviations of self-motion when gaze through the periphery of the lens was simulated, but not for gaze through the center. We conclude that PALs may lead to illusions of self-motion which could be remedied by a careful gaze strategy.

Contrast Sensitivity Testing in Healthy and Blurred Vision Conditions Using a Novel Optokinetic Nystagmus Live-Detection Method.

Purpose: The aim of the current study was to develop and validate an automated contrast sensitivity (CS) test using a live- detection of optokinetic nystagmus (OKN) and an adaptive psychometric procedure. In addition, the study sought to replicate the known effect of defocus on CS for the OKN-based measurements in emmetropic participants. Methods: Fifteen participants viewed a horizontally moving grating while their eyes were tracked with an infra-red (IR) eye-tracker. To simulate the clinical conditions of the CS measurements, the participants were stimulated monocularly as the left eye was occluded by an IR filter. The horizontal eye position was continuously analyzed for OKN responses, and the stimulus contrast was changed by an adaptive psychometric method depending on the outcome. Furthermore, the newly proposed OKN live-detection was verified against an offline analysis and an expert-observer judgement. The OKN-based CS was measured for six spatial frequencies at normal vision and three levels of defocus using spherical convex lenses. Results: The newly proposed OKN live-detection method showed a sufficient detection performance for implementation of adaptive procedures, and the detection rate is similar or better compared to offline detection methods. Spatial frequency and defocus had a significant effect on the OKN-based CS (P < 0.0001 for both). Conclusions: The current study presents a novel method to measure motion CS in an automated way, combining the real-time detection of OKN and an adaptive psychometric procedure. Furthermore, the known effect of defocus on CS was successfully replicated with the newly developed tool. Translational Relevance: OKN-based CS is a novel approach to assess spatial vision, which is sensitive to subtle effects of defocus, allowing use with nonverbal patients and infants. Furthermore, the newly developed tool may improve the performance of such measurements.

Parallel Adaptation to Spatially Distinct Distortions.

Optical distortions as a visual disturbance are inherent in many optical devices such as spectacles or virtual reality headsets. In such devices, distortions vary spatially across the visual field. In progressive addition lenses, for example, the left and right regions of the lens skew the peripheral parts of the wearers visual field in opposing directions. The human visual system adapts to homogeneous distortions and the respective aftereffects are transferred to non-retinotopic locations. This study investigates simultaneous adaptation to two opposing distortions at different retinotopic locations. Two oppositely skewed natural image sequences were presented to 10 subjects as adaptation stimuli at two distinct locations in the visual field. To do so, subjects were instructed to keep fixation on a target. Eye tracking was used for gaze control. Change of perceived motion direction was measured in a direction identification task. The point of subjective equality (PSE), that is, the angle at which a group of coherently moving dots was perceived as moving horizontal, was determined for both retinal locations. The shift of perceived motion direction was evaluated by comparing PSE before and after adaptation. A significant shift at both retinal locations in the direction of the skew distortion of the corresponding adaptation stimulus is demonstrated. Consequently, parallel adaptation to two opposing distortions in a retinotopic reference frame was confirmed by this study.