From: A Pilot Study of Perceptual-Motor Training for Peripheral Prisms

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Invest. Ophthalmol. Vis. Sci ;56(8): doi: /iovs Figure Legend:
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From: A Pilot Study of Perceptual-Motor Training for Peripheral Prisms Trans. Vis. Sci. Tech.. 2016;5(1):9. doi:10.1167/tvst.5.1.9 Figure Legend: (a) Point of view of a driver with normal vision entering a driveway with a hazard approaching from the left (pedestrian in a red jacket). The cross signifies the point of fixation. (b) Illustration of the same view as seen by a driver with left HH. In complete left HH, anything left of the point of fixation (cross), which includes the pedestrian, would not be seen. The HH field is shaded here for illustration purposes only; patients with dense HH do not describe seeing a black or shaded area in their vision. (c) Illustration of the left HH driver's view when wearing oblique 57Δ p-prisms fitted conventionally for left HH (unilaterally on the left lens). The areas within the solid white lines represent the physical locations of the prism segments. The dashed lines outline the areas that are imaged by the oblique p-prisms. The portion of the blind left field containing the pedestrian is visible only to the left (p-prism) eye. The right eye has no p-prisms and so sees the regular view (pedestrian not visible to right eye). This results in binocular confusion in the area of the p-prism image (illustrated as transparency), but no binocular scotomas due to the prisms, and no diplopia. The pedestrian is visible partially in both segments and may be detected, but his location is expected to be misinterpreted as being to the right of its veridical position. If the patient is asked to point at the pedestrian without looking over, they should point 20° to 25° to the right (and perhaps either up or down). (d) Illustration of the presumed result of perceptual adaptation to p-prisms: the pedestrian is perceived in the veridical position/direction left of the fixation (cross). The slight contrast reduction in (d) in the prism vision left of fixation depicts the light scattering effect of the Fresnel prisms. Date of download: 11/8/2017 The Association for Research in Vision and Ophthalmology Copyright © 2017. All rights reserved.