Abstract
A doctor cannot perform a good diagnosis without the patient collaboration. One of the major problem for ophthalmologists with children is to capture and maintain their attention while performing their tests. Sometimes children give wrong answers, or not accurate, since they are no longer interested in the task. In this paper we use the serious game paradigm to help children eyes testing. We ask the children to perform a vision acuity and a daltonism test using our game PlayWithEyes. Children have to recognize symbols projected on a wall and point them in a touch interface which displays all the possible answers. Tests performed in a kindergarten with 65 children have shown that the use of our game helps to obtain children cooperation because they have fun, so their attention may last longer, thus improving the possibility to perform a correct diagnosis especially for very young children. This is particular important for some sight defects like amblyopia (lazy eye). Moreover, the system allows us to identify visual acuity reduction in two children. Tests also highlight some limitations of the tool which have been promptly fixed.
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Notes
Amblyopia is the eye condition denoted by reduced vision not correctable by glasses or contact lenses, since it is not due to any eye disease. The brain, for some reason, does not fully acknowledge the images seen by the amblyopic eye. 3 % of children under six and 1-5 % of population have some form of amblyopia.
Some minor variants with additional optotypes are also used in ophthalmology.
We note here that paths represented in Fig. 4 cannot be identified when the figure is printed in black and white since Ishihara plates aims to evaluate color blindness.
We must note here that an Internet connection is required only to sent data to the specialist. This operation can be done later.
Snellen optotypes which use all the letters require a 10x10 grid, but the calculation is quite the same.
With (x/10) we want to indicate the visual acuity that we want to test, i.e. the image shown to test 1/10 is bigger that the one to test 10/10.
References
3 sides cube Vision Test. http://3sidedcube.com/#work/vision-test-2
Adobe System Inc. Cordova Phonegap. http://phonegap.com/
Appcelerator Titanium framework. http://www.appcelerator.com
AppZap Vision. https://itunes.apple.com/it/app/vision/id295144131?mt=8
Apple Inc. Cocoa Framework. https://developer.apple.com/technologies/mac/cocoa.html
Apple Inc. GameKit Framework. https://developer.apple.com/library/ios/documentation/gamekit/reference/GameKit_Collection/index.html
Apple Inc. UIKit Framework. https://developer.apple.com/library/ios/documentation/uikit/reference/uikit_framework/index.html
Audenaeren L, Celis V, Abeele V, Geurts L, Husson J, Ghesquire P, Wouters J, Loyez L, Goeleven A (2013) Dysl-x: Design of a tablet game for early risk detection of dyslexia in preschoolers. In: Schouten B, Fedtke S, Bekker T, Schijven M, Gekker A (eds) Games for Health. Springer Fachmedien Wiesbaden, pp 257–266
Baranowski T, Buday R, Thompson DI, Baranowski J (2008) Playing for real: Video games and stories for health-related behavior change. Am J Prev Med 34 (1):74–82
Burke JW, McNeill MDJ, Charles D, Morrow P, Crosbie J, McDonough S (2009) Serious games for upper limb rehabilitation following stroke. In: Proceedings of the Conference if Games and Virtual Worlds for Serious Applications (VS-GAMES ’09), pp 103–110
Canela Software 20/20 Vision. http://canelasoftware.com
Chou R, Dana T, Bougatsos C (2011) Screening for Visual Impairment in Children Ages 1-5 Years: Update for the USPST. Pediatrics 127 (2):442–479
Ciman M, Gaggi O, Nota L, Pinello L, Riparelli N, Sgaramella TM (2013) Helpme!: A serious game for rehabilitation of children affected by CVI. In: Proceedings of the 9th International Conference on Web Information Systems and Technologies (WEBIST 2013). Aachen, Germany, pp 257–262
Colenbrander A (2008) The historical evolution of visual acuity measurement. Vis Impair Res 10(2-3):57–66
Cooper J, Cooper R (2010) All about amblyopia (lazy eye). Technical Report. Optometrists Network, Strabismus
De Bortoli A, Gaggi O (2011) PlayWithEyes: a new way to test children eyes. In: Proceeding of the IEEE International Conference on Serious Games and Applications for Health (SeGAH 2011), Braga, Portugal, pp 190–193
Dok LLC EyeChart HD. https://itunes.apple.com/it/app/eye-chart-hd/id382019572?mt=8
Forlines C, Wigdor D, Shen C, Balakrishnan R (2007) Direct-Touch vs. Mouse Input for Tabletop Displays. In: Proceedings of ACM Conference on Human Factors in Computing Systems (CHI 2007), pp 647–656
Gaggi O, Palazzi CE, Ciman M, Galiazzo G, Franceschini S, Ruffino M, Gori S, Facoetti A (2014) Serious games for early identification of developmental dyslexia. ACM Computers in Entertainment
Gartner.com (2014) Gartner says annual smartphone sales surpassed sales of feature phones for the first time in 2013. http://www.gartner.com/newsroom/id/2665715
Intellicore Acuity. https://itunes.apple.com/us/app/acuity/id307916140?mt=8&ign-mpt=uo%3D4
Kanis M, Robben S, Hagen J, Bimmerman A, Wagelaar N, Krose B (2013) Sensor monitoring in the home: Giving voice to elderly people. In: Proceedings of the 7th International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth), Venice, Italy, pp 97–100
Kato PM, Cole SW, Bradlyn AS, Pollock BH (2008) A video game improves behavioral outcomes in adolescents and young adults with cancer: A randomized trial. Pediatrics 122(2):e305—e317
Konrad Feiler iC Pro: The EyeTest. https://itunes.apple.com/us/app/ic-pro-the-eyetest/id405950873?mt=8
kyberVision Consulting R&D FastAcuity Lite. http://www.kybervision.com/iphone/fastacuity/index.php
Lane ND, Mohammod M, Lin M, Yang X, Lu H, Ali S, Doryab A, Berke E, Choudhury T, Campbell A (2011) Bewell: A smartphone application to monitor, model and promote wellbeing. In: Proceedings of the 5th International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth), Dublin, Republic of Ireland
Lea Test Ltd Lea Vision Test System. http://www.lea-test.fi/index.html
McGraw-Hill Government in Action. http://www.mhpractice.com/
Pittarello F, Stecca R (2010) Querying and Navigating a Database of Images With the Magical Objects of the Wizard Zurlino. In: Proceedings of the 9th international Conference on Interaction Design and Children (IDC 2010), Barcelona, Spain, pp 250–253
Precision Vision: PVVAT. http://www.precision-vision.com/index.cfm/feature/20/pvvat.cfm
Qin J., Chui Y.P., Pang W.M., Choi K.S., Heng P.A. (2010) Learning blood management in orthopedic surgery through gameplay. IEEE Comput Graph Appl 30(2):45–57. doi:10.1109/MCG.2009.83
Schuller B, Marchi E, Baron-Cohen S, OReilly H, Robinson P, Davies I, Golan O, Friedenson S, Tal S, Newman S, Meir N, Shillo R, Camurri A, Piana S, Blte S, Lundqvist D, Berggren S, Baranger A, Sullings N (2013) ASC-Inclusion: Interactive Emotion Games for Social Inclusion of Children with Autism Spectrum Conditions. In: Proceedings of the 1st International Workshop on Intelligent Digital Games for Empowerment and Inclusion (IDGEI 2013)
Williams C, Northstone K, Harrad R, Sparrow J, Harvey I (2002) Amblyopia treatment outcomes after screening before or at age 3 years: follow up from randomised trial. BMJ 324:1549–1551
Wong B (2011) Color blindness. Nat Meth 6
Zapusek M, Cerar S, Rugelj J (2011) Serious computer games as instructional technology. In: Proceedings of the 34th International Convention MIPRO, pp 1056–1058
Acknowledgements
Partial financial support for this work is provided by the University of Padua through its research funding program. The authors would like to thank Alberto De Bortoli and Alberto Maragno for the implementation of the game, Luisa Pinello for her helpful suggestions and contribution to the work and teachers, children and parents of the kindergarten “G. Rodari” in Mogliano Veneto for participating to the test phase.
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Gaggi, O., Ciman, M. The use of games to help children eyes testing. Multimed Tools Appl 75, 3453–3478 (2016). https://doi.org/10.1007/s11042-014-2444-x
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DOI: https://doi.org/10.1007/s11042-014-2444-x