Using Vivid Vision – Vivid Vision

Do this at the beginning.

What should I do if a patient cannot understand the game tasks?

If the patient is unable to understand the task or lacks binocular vision, they may not be able to play the game. In this case, it will be difficult to use VividVision, so please stop and ask then follow your healthcare provider's instruction to help you.If you are doing dicoptic training in a way other than the above, you can add global settings (contrast, blur, occlusion) and adjust the balance between your eyes to be able to complete the task. This adjustment is gradually reduced until all...

When I prescribe Vivid Vision Home to a patient, can I change the prescription or check the log from outside of the clinical system?

Yes, please download and install Standalone Patient Manager on your Windows-based PC. Internet connection required.

Is there a recommended protocol?

Please refer to the therapy guide provided by your provider.

How much play time is recommended?

First, the patient is given a short experience with the game in order to familiarize himself with the game of his choice. The recommended time for dicoptic games is 15-20 minutes. After the designated dicoptic game, we will do the stereoscopic training Bubbles. If the patient experiences any discomfort such as palpitations, nausea, or headache, please stop playing the game. It is recommended that patients play for a few minutes until they get used to it, then gradually increase the time.

Which game/activity should I start with first?

Select the game according to your experience with VR equipment and the patient's diagnosis.If the patient is experiencing VR for the first time, please try selecting Whoopie first.

When should I change various settings in the control panel?

Virtual Prism Settings - When changing the amount of prism deviationSplit Deviation - When dividing the deviation angle equally between the right eye and left eyeContrast - When adjusting the brightness and darkness of contrastOcculusion - when adjusting the brightness of digital shieldingBlur - When you add fog to an image to blur it

Which games use dicoptic training?

There are 4 games:・Whoopie・Breaker・Ring runner・Pepper Picker

What is the maximum value of the deviation angle?

The deviation angle that can be set for each eye is 50 prism diopters horizontally and vertically and 20° in rotation.

What does "split deviation" mean?

If you enable to check split deviation, the deviation angle will be divided equally between the right and left eyes. If the angle of deviation is 30 degrees or more and the squint angle is large, enable it and divide the deviation evenly.

What does "dicoptic" mean?

"Dicoptic training" is a treatment method that emphasizes seeing with one eye, and although the patient has "monocular vision", they are required to see with both eyes open at the same time. It is done by binocular vision.

What are the main settings used to break suppresion in clinical systems?

In order to encourage simultaneous vision, please set up dicoptic training based on the therapy guide.The overall flow is as follows.1. Increase the visual target size of the amblyopic eye during gameplay.2. Reduces the contrast settings of the dominant eye, providing bright and vivid vision to the amblyopic eye.3. Add some virtual blur to the dominant eye.

Do games incorporate visual perceptual learning?

Yes. This applies to flash matches. Additionally, the pepper picker contains shapes and background elements, and the whoopee contains symbols for visual memory and identification.

Are there any activities/games for patients with convergence insufficiency/convergence excess?

Yes. The Barnyard Bounce game and step vergence and jump reduction activities train convergence range and improve vergence function. You can also play Hoopie as a vergence game.

How can I view the Vivid Vision implementation data in the examination room?

Data logs made by patients can be downloaded as csv files. Currently, there are two types: "setting history" and "activity data" (training data). The steps are: 1) Open the "Data" tab on each patient's interface 2) Specify the date (default is the previous 3 months) 3) Select the language "Japanese" 4) Download. Please print it on paper or transfer the data to USB and open the file.

Is the application of virtual prism necessary for all subjects with tropia or phoria?

If there is no diplopia in the image in the headset, there is no need to add a virtual prism, regardless of strabismus or strabismus.

Can patients who have IOLs undergo training while wearing distance vision glasses?

Yes, there is no problem with using IOL (intraocular lens) with Vivid Vision.

If there is a large difference in the power of the left and right eyeglass lenses, can it go wrong?

If you have a power or visual acuity difference that makes binocular vision difficult (such as those with monovision), gaming tasks will be difficult. Please turn on dicoptic mode and try adding amblyopic optotypes, contrast, etc. to see if it becomes easier to see.

What should I do if I'm not familiar with the game and can't play it well?

It's okay if you can't play well for games! Like riding a bicycle for the first time, by taking on a challenge even though you can't do it, your brain will be stimulated and you will be able to practice binocular vision, and you will gradually get used to the game and be able to play it. Please refer to the troubleshooting section for each game for tips on what to say to the patient in each game and for the patient to play.

For patients with latent nystagmus, how can we check whether they are able to see clearly?

If you can perform the tasks in the game, you know you have that (roughly) visual acuity, and you can train it. There is currently no way to confirm whether or not you can see any clearer than that. I think it will become possible in the near future if eye tracking functionality is included.

Can I change the font size of the game's instructions?

The font size inside the headset cannot be changed.

Can it be used for patients with intellectual disabilities?

As long as you understand the game, you can use it. Please be especially careful when handling head-mounted displays.

Can it be used for patients who do head tilts or face turns?

If you have an abnormal head position due to strabismus, we recommend correcting the eye position with a virtual prism and using it for frontal vision. Also you can have them play games that doesn't require a lot of movement and put a beanbag on their head to avoid a head tilt.

Can it be used for patients with nystagmus?

Since both eyes are kept open inside the headset, it is assumed that latent nystagmus will not occur in theory. Even if you have nystagmus, you can still use Vivid Vision as long as both eyes have enough vision to perform gaming tasks. Also if they have headaches from oscillopsia, then to discontinue.

If I lend a headset to a patient, would it be better to have them use the same non-woven cap at home?

There are no specific specifications regarding the use of non-woven caps. Please use it if you are interested.

"If a patient wears a head-mounted display while using VVC in an outpatient setting, is it okay to use a non-woven cap to prevent lice? "

Yes. In situations where cleanliness is a concern, we take precautions by using non-woven caps and ninja masks.

Can it be used for patients with albinism?

There are some cases of strabismus for which VR treatment cannot be expected to be effective. For example, many patients with albinism lack binocular innervation of the primary visual cortex, and binocular disparity is measured by neurons in that brain region, allowing them to control eye position during dodging movements to achieve stereoscopic vision. It is difficult for children to develop the ability to utilize the binocular disparity necessary to see depth.

A patient told me that he would be busy for a while and wanted to take a break from training. Will the training become ineffective?

The durability of the effect depends on the patient, but please use it when you feel like resuming training.

The home version is being lent out, but the patient is tired from practicing for the sports day every day and is unable to practice. Should I force myself to train? Also, can I get a refund for the period I was unable to attend?

In the United States, some facilities play Vivid Vision as a reward for training. To make training more enjoyable, you may want to consult with a medical professional about changing the game. Please contact the medical institution where you were prescribed Vivid Vision for a refund for the period you were unable to play.

A patient suffered an eye infection while renting out the home version. There is no problem with visual acuity. Can I still train if I have symptoms?

Yes, but there is no need to force yourself to train while you are in pain. In addition, to prevent the affected eye from infecting the other eye, please disinfect the face area of the headset with alcohol and do not share it with other people.