Influence of open-source virtual-reality based gaze training on navigation performance in Retinitis pigmentosa patients in a crossover randomized controlled trial

PLoS One. 2024 Feb 1;19(2):e0291902. doi: 10.1371/journal.pone.0291902. eCollection 2024.

Abstract

Methods: A group of RP patients (n = 8, aged 20-60) participated in a study consisting of two 4-week-phases, both carried out by the same patient group in randomized order: In the 'training phase', participants carried out a Virtual-Reality gaze training for 30 minutes per day; In the 'control phase', no training occurred. Before and after each phase, participants were tasked to move through a randomized real-world obstacle course. Navigation performance in the obstacle course as well as eye-tracking data during the trials were evaluated. The study is registered at the German Clinical Trials Register (DRKS) with the ID DRKS00032628.

Results: On average, the time required to move through the obstacle course decreased by 17.0% after the training phase, the number of collisions decreased by 50.0%. Both effects are significantly higher than those found in the control phase (p < 0.001 for required time, p = 0.0165 for number of collisions), with the required time decreasing by 5.9% and number of collisions decreasing by 10.4% after the control phase. The average visual area observed by participants increases by 4.41% after training, however the effect is not found to be significantly higher than in the control phase (p = 0.394).

Conclusion: The performance increase over the training phase significantly surpasses the natural learning effect found in the control phase, suggesting that Virtual-Reality based gaze training can have a positive effect on real-world navigation tasks for patients with RP. The training is available as work-in-progress open-source software.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Cross-Over Studies
  • Humans
  • Learning
  • Retinitis Pigmentosa*
  • Software
  • Virtual Reality*

Grants and funding

This work was supported by the Deutsche Forschungsgemeinschaft (DFG) (URL: https://www.dfg.de/en/, Grant: DFG IV 167/5-1 to II), including support in the form of salary for the author A.N. In addition, the Carl Zeiss Vision International GmbH provided support in the form of salaries for I.I. and S.W. Both funders did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The specific roles of these authors are articulated in the ‘author contributions’ section.