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The hemianopic reading disorder and rehabilitation through specific reading training

Not Applicable
Conditions
H53.4
Visual field defects
Registration Number
DRKS00018843
Lead Sponsor
Forschungseinheit für Visuelle Rehabilitation, Department für Augenheilkunde, Universitäsklinikum Tübingen
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
21
Inclusion Criteria

Homonymous visual field defects (homonymous Hemianopia, quadrantanopia or homonymous paracentral defects), no or minor ( <= 5°) macular sparing, visual acuity at least 0.6, reading speed < 150 words per minute, duration of the disease at least 6 months (spontaneous improvement of the visual field loss is not to be expected afterwards), German as mother tongue, able to cooperate, able to give consent

Exclusion Criteria

Significant cognitive impairment (MOCA scale < 25), poor general condition, hemineglect, eye diseases affecting central 10 degree visual field, pre-existing reading and spelling impairment

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Can specific computer-based reading training improve the reading ability of patients with homonymous hemianopia?<br>Is text rotation and vertical reading of functional benefit for patients with homonymous hemianopia because patients can shift the text into their seeing hemifield?<br><br>The reading speed is measured:<br>- during the training, documented by the training software program (between T1 and T2)<br>- During the examination appointments (T1, T2 and T3) with standardized, printed on paper, reading texts (IReST) and during the measurement of eye movements when reading texts (Radner texts) on the screen.<br><br>Additionally, eye movement parameters are measured (number of forward saccades, number of regressions, amplitude size, etc...).
Secondary Outcome Measures
NameTimeMethod
Which representation of the reading text is best suited for homonymous hemianopia, horizontal or vertical?<br>Which patients benefit from the training?<br>Does Reading Training Improve Cognition and Quality of Life?<br><br>Parameters to be measured, see primary endpoint.<br>Comparison of the two groups Arm 1 and Arm 2.<br>Calculation of correlations with patient data (e.g. age at examination, age at onset of disease, duration of disease, side of visual field defect, etc...).
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