Low vision substantially impairs reading ability and educational participation in adolescents. Existing assistive technologies, including optical magnifiers and electronic visual aids, are often limited by fragmented system architectures and insufficient support for multimodal cognitive processing. This study aimed to develop and evaluate a virtual reality (VR)-based intelligent reading aid integrating image enhancement, optical character recognition (OCR), text-to-speech (TTS), and large language model (LLM)-based semantic summarization for low-vision users.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
58
Intervention Description: Participants use the VR head-mounted intelligent reading aid to complete the same standardized reading tasks. The device integrates image enhancement, OCR, text-to-speech (TTS) and LLM-based semantic summarization. The test luminance is set at 400 nit (maximum recommended brightness). Each task contains 100 Chinese characters. Duration:Single session, approximately 5 minutes
Participants complete reading tasks with natural vision, without using any assistive device.
Specialized School for Visually Impaired Students in Guangdong Province
Guangzhou, Guangdong, China
Change in Phoria
Variation of ocular phoria before and after single-session VR intelligent reading aid use, to evaluate the impact of near-eye VR optical system on adult eye position stability.
Time frame: within 10 minutes after all reading tasks
Reading Completion Time
Time to finish standardized 100-character Chinese reading tasks (unit: second). Compare results between unaided and VR-assisted conditions.
Time frame: within 10 minutes after all reading tasks
Tear Break-Up Time (TBUT)
Change in tear break-up time before and after VR device use for assessment of ocular surface dryness in adult participants.
Time frame: within 10 minutes after all reading tasks
Accommodative Function
Alteration of eye accommodative function after using the VR reading aid among adult subjects.
Time frame: within 10 minutes after all reading tasks
Simulator Sickness Questionnaire (SSQ)
Scale Description:The SSQ is a self-report questionnaire that assesses VR-related simulator sickness. Each item is rated on a 4-point scale: None (0), Slight (1), Moderate (2), and Severe (3). Through weighted calculations, four scores are derived: Nausea-related subscore (N), Oculomotor-related subscore (O), Disorientation-related subscore (D), and Total Score (TS). Minimum and Maximum Values: * ndividual items: 0 (None) to 3 (Severe) * Total Score (TS): 0 to 235.62 (based on standard weighted scoring) * Nausea subscore (N): 0 to 200.34 * Oculomotor subscore (O): 0 to 200.34 * Disorientation subscore (D): 0 to 292.32 Interpretation:Higher scores indicate worse outcomes (more severe simulator sickness/cybersickness).
Time frame: within 10 minutes after all reading tasks
Best-Corrected Visual Acuity (BCVA)
Change in best-corrected visual acuity before and after VR reading session for adult low-vision users.
Time frame: within 10 minutes after all reading tasks
Intraocular Pressure (IOP)
Fluctuation of intraocular pressure pre and post VR device reading task in adult participants.
Time frame: within 10 minutes after all reading tasks
User Satisfaction Score
100-point satisfaction scale. VR group includes four sub-items: magnification, text-to-speech, OCR and AI summarization (25 points each).
Time frame: within 10 minutes after all reading tasks
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