Importance of two-dimensional gaze analyses in the assessment of reading performance in patients with retinitis pigmentosa.

The causes of reading difficulties in people with peripheral visual field loss are not fully understood. We conducted a two-dimensional gaze analysis on eye movements during reading in patients with retinitis pigmentosa to investigate the causes of reading difficulties in relation to the central vis...

Full description

Bibliographic Details
Main Authors: Masako Yoshida, Akitoshi Seiyama
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0278682
_version_ 1811177244786163712
author Masako Yoshida
Akitoshi Seiyama
author_facet Masako Yoshida
Akitoshi Seiyama
author_sort Masako Yoshida
collection DOAJ
description The causes of reading difficulties in people with peripheral visual field loss are not fully understood. We conducted a two-dimensional gaze analysis on eye movements during reading in patients with retinitis pigmentosa to investigate the causes of reading difficulties in relation to the central visual field using a binocular eye mark recorder (EMR-9). Twenty-seven patients with retinitis pigmentosa whose central visual field narrowed to ≤ 20° using Goldmann kinetic perimetry (I/4 target) and this present study included eight healthy participants. The participants' visual acuities were corrected to better than +0.4 logMAR. Correlations and multivariate regression analyses were investigated between the number of letters read correctly, the I/4 central visual field, V/4 perifoveal and peripheral visual field, and visual acuity. Multivariate regression analysis revealed that all these parameters played almost equal roles in the number of letters read correctly. In the two-dimensional gaze analysis, the task performance time of patients during reading increased as the I/4 central visual field narrowed. The task performance time was more clearly correlated with the rotation saccade (r = 0.428, p <0.05) and the distance of the vertical direction (ΣY) of eye movements (r = 0.624, p < 0.01), but not with regressive saccade and the distance of the horizontal direction (ΣX). Visual acuity was correlated with the task performance time (-0.436, <0.05) but not with eye movement directionality. Reading difficulties in patients with retinitis pigmentosa result from impaired eye movement directionality. Understanding eye measurements for people with tunnel vision required a two-dimensional gaze analysis. The two-dimensional gaze analysis also showed that the involvement of the perifoveal and peripheral visual fields, visual acuity, and I/4 central visual field was important for reading in people with tunnel vision.
first_indexed 2024-04-10T22:58:28Z
format Article
id doaj.art-dda3c5fa7ba04f17be2dce93e17f8bf4
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-04-10T22:58:28Z
publishDate 2022-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-dda3c5fa7ba04f17be2dce93e17f8bf42023-01-14T05:31:33ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011712e027868210.1371/journal.pone.0278682Importance of two-dimensional gaze analyses in the assessment of reading performance in patients with retinitis pigmentosa.Masako YoshidaAkitoshi SeiyamaThe causes of reading difficulties in people with peripheral visual field loss are not fully understood. We conducted a two-dimensional gaze analysis on eye movements during reading in patients with retinitis pigmentosa to investigate the causes of reading difficulties in relation to the central visual field using a binocular eye mark recorder (EMR-9). Twenty-seven patients with retinitis pigmentosa whose central visual field narrowed to ≤ 20° using Goldmann kinetic perimetry (I/4 target) and this present study included eight healthy participants. The participants' visual acuities were corrected to better than +0.4 logMAR. Correlations and multivariate regression analyses were investigated between the number of letters read correctly, the I/4 central visual field, V/4 perifoveal and peripheral visual field, and visual acuity. Multivariate regression analysis revealed that all these parameters played almost equal roles in the number of letters read correctly. In the two-dimensional gaze analysis, the task performance time of patients during reading increased as the I/4 central visual field narrowed. The task performance time was more clearly correlated with the rotation saccade (r = 0.428, p <0.05) and the distance of the vertical direction (ΣY) of eye movements (r = 0.624, p < 0.01), but not with regressive saccade and the distance of the horizontal direction (ΣX). Visual acuity was correlated with the task performance time (-0.436, <0.05) but not with eye movement directionality. Reading difficulties in patients with retinitis pigmentosa result from impaired eye movement directionality. Understanding eye measurements for people with tunnel vision required a two-dimensional gaze analysis. The two-dimensional gaze analysis also showed that the involvement of the perifoveal and peripheral visual fields, visual acuity, and I/4 central visual field was important for reading in people with tunnel vision.https://doi.org/10.1371/journal.pone.0278682
spellingShingle Masako Yoshida
Akitoshi Seiyama
Importance of two-dimensional gaze analyses in the assessment of reading performance in patients with retinitis pigmentosa.
PLoS ONE
title Importance of two-dimensional gaze analyses in the assessment of reading performance in patients with retinitis pigmentosa.
title_full Importance of two-dimensional gaze analyses in the assessment of reading performance in patients with retinitis pigmentosa.
title_fullStr Importance of two-dimensional gaze analyses in the assessment of reading performance in patients with retinitis pigmentosa.
title_full_unstemmed Importance of two-dimensional gaze analyses in the assessment of reading performance in patients with retinitis pigmentosa.
title_short Importance of two-dimensional gaze analyses in the assessment of reading performance in patients with retinitis pigmentosa.
title_sort importance of two dimensional gaze analyses in the assessment of reading performance in patients with retinitis pigmentosa
url https://doi.org/10.1371/journal.pone.0278682
work_keys_str_mv AT masakoyoshida importanceoftwodimensionalgazeanalysesintheassessmentofreadingperformanceinpatientswithretinitispigmentosa
AT akitoshiseiyama importanceoftwodimensionalgazeanalysesintheassessmentofreadingperformanceinpatientswithretinitispigmentosa