Reading rehabilitation programme for macular degeneration patients

  • Research type

    Research Study

  • Full title

    The development of a reading rehabilitation programme for patients with age-related macular degeneration

  • IRAS ID

    162612

  • Contact name

    Stephen Anderson

  • Contact email

    s.j.anderson@aston.ac.uk

  • Sponsor organisation

    Aston University

  • Research summary

    People who have macular degeneration (MD) often progress to a stage where they lose central vision. They have to rely on non-central (peripheral) vision to see. This makes many visual tasks, such as reading, much more difficult. Our goal is to develop a visual protocol that will enable MD patients to make more effective use of their peripheral vision for reading. While increasing text size to counter poor peripheral vision is an adequate approach for some, it provides only modest benefit for most. Moreover, larger fonts necessarily increase the number of eye movements needed for reading, making reading for pleasure difficult or impossible for most MD sufferers. Evidence is now emerging, however, that ‘crowding’ may be a major factor contributing to inefficient reading with peripheral vision. Crowding refers to the fact that a target (e.g. a letter or word) in peripheral vision is much harder to identify in the presence of nearby, flanking targets. Previous research has shown that increasing the space between text reduces the effects of crowding, affecting a doubling of reading speed in some patients. Importantly, recent research on both normally-sighted and amblyopic ('lazy eye') observers suggests that peripheral crowding may be further reduced following visual training on flanked letter identification tasks. The goal in this project is to assess reading performance in MD patients following perceptual training on flanked target (letter/word/sentence) identification tasks. We anticipate that the perceptual training will lead to a statistically significant increase in reading speed.

  • REC name

    West Midlands - Solihull Research Ethics Committee

  • REC reference

    14/WM/1125

  • Date of REC Opinion

    30 Sep 2014

  • REC opinion

    Further Information Favourable Opinion