Improving nighttime mobility in persons with night blindness caused by retinitis pigmentosa: A comparison of two low-vision mobility devices.

This study compared the effectiveness of the ITT Night Vision Viewer with the Wide Angle Mobility Lamp (WAML) as low-vision mobility devices for people experiencing night blindness due to retinitis pigmentosa (RP). Both engineering bench testing and functional evaluations were used in the assessments. Engineering evaluations were conducted for (1) consistency of the manufacturer's specifications, (2) ergonomic characteristics, (3) modifications of devices, and (4) pedestrian safety issues. Twenty-seven patients with RP conducted rehabilitation evaluations with each device that included both clinical and functional tests. Both devices improved nighttime travel for people with night blindness as compared with nighttime travel with no device. Overall, the WAML provided better travel efficiency-equivalent to that measured in daytime. Recommendations have been developed on ergonomic factors for both devices. Although some participants preferred the ITT Night Vision Viewer, overall most participants performed better with the WAML.

[1]  C Owsley,et al.  'Vision through my aging eyes' revisited. , 1988, Journal of the American Optometric Association.

[2]  M W Morgan Vision through my aging eyes. , 1988, Journal of the American Optometric Association.

[3]  R. Massof,et al.  Perceived visual ability for independent mobility in persons with retinitis pigmentosa. , 1999, Investigative ophthalmology & visual science.

[4]  R.T. Wacker,et al.  Illumination Characteristics of Mobility Lights , 1990 .

[5]  A. Peters,et al.  Comparison of the Goldmann-Weekers Dark Adaptometer™ and LKC Technologies Scotopic Sensitivity Tester-1™ , 2000, Documenta Ophthalmologica.

[6]  J Brabyn,et al.  The SKILL Card. An acuity test of reduced luminance and contrast. Smith-Kettlewell Institute Low Luminance. , 1997, Investigative ophthalmology & visual science.

[7]  M F Marmor,et al.  An evaluation of night vision mobility aids. , 1983, Ophthalmology.

[8]  S. Haymes,et al.  The Relationship of Vision and Psychological Variables to the Orientation and Mobility of Visually Impaired Persons , 1996 .

[9]  E. Berson,et al.  A night vision device as an aid for patients with retinitis pigmentosa. , 1973, Archives of ophthalmology.

[10]  T. Kuyk,et al.  Wide Angle Mobility Light (Waml) Follow-Up , 1990 .

[11]  E. Berson,et al.  A night vision pocketscope for patients with retinitis pigmentosa. Design considerations. , 1974, Archives of ophthalmology.

[12]  R. Welsh Foundations of Orientation and Mobility , 1979 .

[13]  E. Berson,et al.  Advances in night vision technology. A pocketscope for patients with retinitis pigmentosa. , 1973, Archives of ophthalmology.

[14]  M F Marmor,et al.  Wide-field high-intensity lantern. An affordable night mobility aid. , 1980, Ophthalmology.

[15]  Morgan Mw,et al.  Vision through my aging eyes. , 1988 .

[16]  Diane L. Morrissette The Wide Angle Mobility Light: An Aid for Night Blindness , 1983 .

[17]  C I Howarth,et al.  The efficiency and walking speed of visually impaired people. , 1986, Ergonomics.

[18]  D. Geruschat,et al.  Low Vision Mobility Problems: Perceptions of O&M Specialists and Persons with Low Vision , 1992 .

[19]  K. Turano,et al.  Traditional Measures of Mobility Performance and Retinitis Pigmentosa , 1998, Optometry and vision science : official publication of the American Academy of Optometry.

[20]  T. Kuyk,et al.  Environmental variables and mobility performance in adults with low vision. , 1996, Journal of the American Optometric Association.