ow vision is a major disability and has obvious implications on patients' occupational and social lives. Patients with low vision have a lower quality of life. 1 In the absence of any medical measures to improve vision, aids for low vision and occupational therapy interventions can improve patients' quality of life. 2-4 One portable artificial vision device (OrCam) 5 is an optical character recognition device, capable of recognizing text, monetary denominations, and faces, and can be programmed to recognize other objects. It is activated by the user either pointing, pressing a trigger button, or tapping on the device. The OrCam was recently made commercially available in the United States and is a potentially useful, intuitive, and interactive tool for patients with low vision (current price, $2500-$3500). Interest is increasing among patients and physicians in portable electronic low-vision aids, and these devices warrant further evaluation. 6 The purpose of this study was to perform a preliminary evaluation of this portable artificial vision device's potential use in patients with low vision. Methods Patient Selection This was a short-term prospective study that included patients with low vision seen in the Department of Ophthalmology and Vision Science, University of California Davis, Sacramento. The study protocol was approved by the University IMPORTANCE Low vision is irreversible in many patients and constitutes a disability. When no treatment to improve vision is available, technological developments aid these patients in their daily lives. OBJECTIVE To evaluate the usefulness of a portable artificial vision device (OrCam) for patients with low vision. DESIGN, SETTING, AND PARTICIPANTS A prospective pilot study was conducted between July 1 and September 30, 2015, in a US ophthalmology department among 12 patients with visual impairment and best-corrected visual acuity of 20/200 or worse in their better eye. INTERVENTIONS A 10-item test simulating activities of daily living was used to evaluate patients' functionality in 3 scenarios: using their best-corrected visual acuity with no low-vision aids, using low-vision aids if available, and using the portable artificial vision device. This 10-item test was devised for this study and is nonvalidated. The portable artificial vision device was tested at the patients' first visit and after 1 week of use at home. MAIN OUTCOMES AND MEASURES Scores on the 10-item daily function test. RESULTS Among the 12 patients, scores on the 10-item test improved from a mean (SD) of 2.5 (1.6) using best-corrected visual acuity to 9.5 (0.5) using the portable artificial vision device at the first visit (mean difference, 7.0; 95% CI, 6.0-8.0; P < .001) and 9.8 (0.4) after 1 week (mean difference from the first visit, 7.3; 95% CI, 6.3-8.3; P < .001). Mean (SD) scores with the portable artificial vision device were also better in the 7 patients who used other low-vision aids (9.7 [0.5] vs 6.0 [2.6], respectively; mean difference, 3.7; 95% CI, 1.5-5.9; P = .01). CONCLUSIONS AND RELEVAN...