Vision rehabilitation using microperimetric biofeedback training in age-related macular degeneration

Widihastha, Sri Hudaya; Iskandar, Erwin; Satari, Karmelita; Irfani, Irawati; Virgana, Rova; Amiruddin, Primawita Oktarima

doi:10.18240/ijo.2023.06.16

Cited by 1 publication

(3 citation statements)

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“…MBFT microperimetry has proven effective in selecting the best fixation position and improving fixation stability, reading speed, acuity, and quality of life in patients with central vision loss caused by RVO. 29 , 44 …”

Section: Discussionmentioning

confidence: 99%

“…46,47 MBFT microperimetry has proven effective in selecting the best fixation position and improving fixation stability, reading speed, acuity, and quality of life in patients with central vision loss caused by RVO. 29,44 The combination of DEX IVT and MBFT led to early edema reduction and structural restoration of retinal cells, as well as stimulation of nerve synapses through biofeedback. This contributed to the functional restoration of retinal nerve cells, which are essential for visual recovery in patients with macular disease.…”

Section: Discussionmentioning

confidence: 99%

“…[23][24][25] This study explored the potential of combining slow-release corticosteroids IVT 14,19 with visual rehabilitation through the use of MBFTs to decrease the number of injections and improve visual performance in patients with ME due to RVO. 29…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of Mp-3 Microperimetric Biofeedback Fixation Training For Low Vision Rehabilitation in Patients Treated With Corticosteroid Ivt in Retinal Vein Occlusions

Malvasi,

Compagno,

Segnalini

et al. 2024

OPTO

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Background The success of fixation training using microperimetric biofeedback (MP-3 MBFT) in the realm of visual rehabilitation for patients with central vision loss caused by macular pathologies is well established. This study aimed to assess the effectiveness and safety of visual rehabilitation with microperimetric biofeedback in consolidating the benefits obtained, with the goal of reducing the need for repeated intravitreal injections (IVT). Specifically, the focus is on the eyes of patients with central vision loss treated with slow-release corticosteroid IVT following retinal venous thrombosis (RVO), aiming to enhance and maintain postoperative efficacy. Methods This retrospective review involved the examination of 44 eyes affected by macular edema due to RVO associated with central vision loss. Patients were divided into two groups, with only one undergoing ten sessions of 10-minute visual rehabilitation with a microperimeter (MP-3 MBFT) after IVT over a period of 20 weeks. Results All the treated patients demonstrated good tolerance to the procedure, with no reported complications. A comparison of best-corrected visual acuity (BCVA), retinal sensitivity recorded with a microperimeter, and pre-IVT fixation stability revealed statistically significant improvements at the end of the first month after IVT. However, the treatment group continued to exhibit superior and more enduring results at four months post-IV. Conclusion The synergistic use of MP-3 MBFT rehabilitation after IVT with slow-release corticosteroids has proven particularly effective in improving BCVA and long-term fixation stability. This led to a significant reduction in the number of required IVTs, with no related adverse events. The authors argue that biofeedback utilization represents a noninvasive therapeutic option devoid of contraindications and easy to implement and that it positively contributes to the overall patient experience regarding quality of life in advanced stages of macular diseases.

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Section: Discussionmentioning

confidence: 99%