glaucoma simulation glasses

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Still image from animation simulating how vision can be affected by glaucoma

Glaucoma Vision Simulator

Leer en Español: Simulador: El glaucomaBy Dan T. GudgelJan. 18, 2019

How does glaucoma affect your vision?

Blind spots appear when glaucoma damages the fibers of the optic nerve. If the entire nerve is destroyed, you can become completely blind in that eye. The optic nerve is made up of many nerve fibers that carry images to the brain. It’s like an electric cable, with many wires bundled together.

When there is more damage to the optic nerve, more, larger blank spots begin to appear in your field of vision. Many people don’t notice these blank spots until the optic nerve is very damaged and these spots become large. This unnoticed vision loss is why people with glaucoma or at risk of glaucoma should have regular eye exams, on the schedule their ophthalmologist suggests.

An animated image, showing the common progression of vision loss in glaucoma, from peripheral and central vision.

City, University of London research has explored how head mounted displays can be used to illustrate the visual challenges faced by those with glaucoma12 March 2020 Selina Powell

Man testing virtual reality headset

City, University of London/Crabb Lab

A new study by City, University of London scientists has investigated the potential of virtual and augmented reality to simulate the visual challenges faced by those with glaucoma.

The research, which was published in npj Digital Medicine, highlights that using head mounted displays to simulate sight loss could aid policymakers in better assessing the impact of visual impairment on patients.  

The technology could also be used by architects to design more accessible buildings.

As part of the study, 22 participants without glaucoma wore head mounted displays while performing a variety of tasks in virtual or augmented reality.

Sensors within the head mounted displays tracked the position of each participant’s eyes and generated a blurred area of vision that obstructed the same portion of their visual field wherever they looked.

Participants were slower to perform tasks when a simulated visual impairment was present.

Dr Peter Jones, from City, University of London’s Crabb Lab, highlighted that while it is impossible to exactly recreate what it is like to have glaucoma, digital simulators can allow people to experience some of the challenges that those living with the disease face.

“We are now working with architects to explore whether sight-loss simulators can be used to design more accessible buildings and transport systems,” he shared.

Cambridge Simulation Glasses

Discounts and invoicing

  • For charitable purposes, or use within schools and universities, packs of 50 glasses are available at the discounted price of £90*.
  • For any other purposes, a 10% discount is available for orders of 100+ pairs of glasses.
  • Payments can be made through invoicing your institution.
  • For details, please contact:
    edc-toolkit@eng.cam.ac.uk

* UK price, which includes delivery & VAT. Worldwide prices vary.

Why should I buy them?

The Cambridge simulation glasses provide insight into the effects of vision loss on product use. They can build empathy with users and can be used to examine the visual accessibility of products and services, helping to create better, more inclusive designs.

screenshot from video

What do the glasses do?

These glasses simulate a general loss of the ability to see fine detail, but do not represent any particular eye condition. The effects are representative of an inability to achieve the correct focus, reduced sensitivity of retinal cells, and problems with internal parts of the eye becoming cloudy. These effects typically occur with ageing and the majority of eye conditions, as well as not wearing the most appropriate corrective glasses.

One pair of glasses simulates a mild loss of vision ability. More severe levels of impairment can be simulated by wearing multiple glasses on top of each other. The glasses have been designed to be thin and light-weight to enable this.

Please note that impairment simulation cannot convey what it is really like to live with capability loss on an everyday basis. Therefore, these glasses are intended to be used in combination with other tools as part of a holistic inclusive design evaluation (described within the Evaluate part of Process section of this website). Important issues not covered by these glasses include ensuring compatibility with visual aids and considering those with blind spots, tunnel vision, colour blindness and excessive glare sensitivity.

The glasses can be used to help people to empathise with those with mild vision loss, to compare the visual accessibility of products, and to test a product against our recommended benchmark. If a product passes the benchmark, then this indicates that the product excludes less than 1% of the population, based on their vision capability. Vision test charts and instructions for testing against this benchmark are included in the glasses pack.

photograph showing that multiple glasses can be worn over the top of each other

Different levels of impairment are simulated by wearing different numbers of glasses.

photograph showing a person wearing the glasses examining some kettles

Using the glasses to examine the visual clarity of 2 different kettles.Back to top

Technical details

The glasses have been calibrated to population data, as shown opposite. This gives an estimate of the effect of the glasses on a person’s vision.

The packs contain vision charts. These indicate how many glasses an individual should wear to simulate different levels of vision ability. Different people may have to wear different numbers of glasses to simulate the same resultant vision ability, because their starting vision ability is not the same.

The effects of the glasses were tested with different groups of people as described in Goodman-Deane (2013). The approximate amount that the glasses reduce the wearer’s vision ability is as follows:

  • 1 pair of glasses: 0.08 logMAR worse
  • 2 pairs of glasses:0.26 logMAR worse
  • 3 pairs of glasses: 0.49 logMAR worse
  • 4 pairs of glasses: 0.74 logMAR worse

Further information

Goodman-Deane et al’s (2013) paper entitled ‘Simulating vision loss: What levels of impairment are actually represented?’ describes the studies conducted to determine the technical details. (Published in the Ergonomics & Human Factors 2013 conference). Download the authors’ accepted manuscript version of this paper (pdf).

Chivaran et al’s (2021) paper entitled An Exploratory Study to Understand Visual Accessibility in the Built Environment’ used simulation glasses to assess the visual accessibility of signage and staircases. Download paper.Back to top

Product versions

Version 2 of the glasses was launched in May 2013. Version 2 included the calibration to population data and specific instructions for testing a product against our recommended benchmark. This benchmark ensures that it excludes less than 1% of the population, based on their vision capability.

Older versions of the pack included Level 2 glasses, which are equivalent to 2 pairs of Level 1 glasses. If required, Level 2 glasses are still available and can be bought individually, please contact: edc-toolkit@eng.cam.ac.uk for details.

Level 1 glasses were blue and level 2 glasses were red

Previous versions of the glasses had separate Level 1 and Level 2 glasses.

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