Cochrane · systematic review · CD003303

Reading aids for adults with low vision

Virgili, G, Acosta, R, Bentley, SA, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Eyes and Vision2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
42
current version
GRADE rated
19
No studies
23
Included studies
NR
No studies 23 · 54.8%Ungraded 0 · 0%Very low 0 · 0%Low 11 · 26.2%Moderate 8 · 19%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Stand‐mounted closed circuit television (CCTV) versus optical device for adults with low vision

Population: adults with low vision
CD003303.PUB4 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Reading speed (words per minute)
Stand‐mounted closed circuit television (CCTV) vs optical device
no estimate extracted1 study · 70 participantsLow
Downgraded: risk of bias, imprecision
Reading duration (minutes)
Stand‐mounted closed circuit television (CCTV) vs optical device
no estimate extracted1 study · 22 participantsModerate
Downgraded: imprecision, indirectness
Reading acuity
Stand‐mounted closed circuit television (CCTV) vs optical device
no estimate extractedNRNo studies
Ease and frequency of use Task difficulty score (0 = very easy to use 5 = extremely difficult)
Stand‐mounted closed circuit television (CCTV) vs optical device
no estimate extracted1 study · 70 participantsModerate
Downgraded: risk of bias
Quality of life
Stand‐mounted closed circuit television (CCTV) vs optical device
no estimate extractedNRNo studies
Adverse outcomes
Stand‐mounted closed circuit television (CCTV) vs optical device
no estimate extractedNRNo studies

Hand‐held mouse‐based electronic device versus optical device for adults with low vision

Population: adults with low vision
CD003303.PUB4 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Reading speed (words per minute)
Hand‐held mouse‐based electronic device vs optical device
no estimate extracted1 study · 70 participantsModerate
Downgraded: risk of bias
Reading duration (minutes)
Hand‐held mouse‐based electronic device vs optical device
no estimate extracted1 study · 22 participantsModerate
Downgraded: imprecision, indirectness
Reading acuity
Hand‐held mouse‐based electronic device vs optical device
no estimate extractedNRNo studies
Ease and frequency of use Task difficulty score (0=very easy to use 5=extremely difficult)
Hand‐held mouse‐based electronic device vs optical device
no estimate extracted1 study · 70 participantsModerate
Downgraded: risk of bias
Quality of life
Hand‐held mouse‐based electronic device vs optical device
no estimate extractedNRNo studies
Adverse outcomes
Hand‐held mouse‐based electronic device vs optical device
no estimate extractedNRNo studies

Hand‐held (not mouse‐based) electronic device plus optical device versus optical device for adult with low vision

Population: adults with low vision
CD003303.PUB4 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Reading speed (words per minute) using the IReST test
Hand‐held (not mouse‐based) electronic device plus optical device vs optical device
no estimate extracted1 study · 100 participantsModerate
Downgraded: imprecision
Reading duration
Hand‐held (not mouse‐based) electronic device plus optical device vs optical device
no estimate extractedNRNo studies
Reading acuity
Hand‐held (not mouse‐based) electronic device plus optical device vs optical device
no estimate extractedNRNo studies
Ease and frequency of use Frequency of use (0 = never to 4 = several times a day)
Hand‐held (not mouse‐based) electronic device plus optical device vs optical device
no estimate extracted1 study · 100 participantsLow
Downgraded: risk of bias, imprecision
Quality of life estimating perceived difficulty using the NV‐VFQ‐15 questionnaire
Hand‐held (not mouse‐based) electronic device plus optical device vs optical device
no estimate extracted1 study · 100 participantsModerate
Downgraded: imprecision
Adverse outcomes
Hand‐held (not mouse‐based) electronic device plus optical device vs optical device
no estimate extractedNRNo studies

Stand‐mounted closed circuit television (CCTV) plus visual rehabilitation versus visual rehabilitation alone

Population: adults with low vision
CD003303.PUB4 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Reading speed (maximum reading speed words per minute)
Stand‐mounted closed circuit television (CCTV) plus visual rehabilitation vs visual rehabilitation alone
no estimate extracted1 study · 31 participantsLow
Downgraded: imprecision, indirectness
Reading duration
Stand‐mounted closed circuit television (CCTV) plus visual rehabilitation vs visual rehabilitation alone
no estimate extractedNRNo studies
Reading acuity
Stand‐mounted closed circuit television (CCTV) plus visual rehabilitation vs visual rehabilitation alone
no estimate extractedNRNo studies
Ease and frequency of use
Stand‐mounted closed circuit television (CCTV) plus visual rehabilitation vs visual rehabilitation alone
no estimate extractedNRNo studies
Quality of life
Stand‐mounted closed circuit television (CCTV) plus visual rehabilitation vs visual rehabilitation alone
no estimate extracted1 study · 31 participantsLow
Downgraded: imprecision, indirectness
Adverse outcomes
Stand‐mounted closed circuit television (CCTV) plus visual rehabilitation vs visual rehabilitation alone
no estimate extractedNRNo studies

Stand‐mounted closed circuit television (CCTV) versus head‐mounted electronic device (HMD) for adults with low vision

Population: adults with low vision
CD003303.PUB4 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Reading speed (words per minute) MNREAD Charts
Stand‐mounted closed circuit television (CCTV) vs head‐mounted electronic device (HMD)
no estimate extracted3 studies · 93 participantsLow
Downgraded: risk of bias, imprecision
Reading duration
Stand‐mounted closed circuit television (CCTV) vs head‐mounted electronic device (HMD)
no estimate extractedNRNo studies
Reading acuity (logMAR) MNREAD charts. Higher score is worse acuity.
Stand‐mounted closed circuit television (CCTV) vs head‐mounted electronic device (HMD)
no estimate extracted1 study · 13 participantsLow
Downgraded: imprecision, indirectness
Ease and frequency of use Task difficulty score (0 = very easy to use 5 = extremely difficult)
Stand‐mounted closed circuit television (CCTV) vs head‐mounted electronic device (HMD)
no estimate extracted1 study · 70 participantsLow
Downgraded: risk of bias, imprecision
Quality of life
Stand‐mounted closed circuit television (CCTV) vs head‐mounted electronic device (HMD)
no estimate extractedNRNo studies
Adverse outcomes
Stand‐mounted closed circuit television (CCTV) vs head‐mounted electronic device (HMD)
no estimate extractedNRNo studies

Stand‐mounted closed circuit television (CCTV) versus hand‐held mouse‐based electronic device (HHD) for adults with low vision

Population: adults with low vision
CD003303.PUB4 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Reading speed (maximum reading speed words per minute) MNREAD charts
Stand‐mounted closed circuit television (CCTV) vs hand‐held mouse‐based electronic device (HHD)
no estimate extracted2 studies · 92 participantsLow
Downgraded: risk of bias, imprecision
Reading duration (minutes) MNREAD charts
Stand‐mounted closed circuit television (CCTV) vs hand‐held mouse‐based electronic device (HHD)
no estimate extracted1 study · 22 participantsLow
Downgraded: imprecision, indirectness
Reading acuity
Stand‐mounted closed circuit television (CCTV) vs hand‐held mouse‐based electronic device (HHD)
no estimate extractedNRNo studies
Ease and frequency of use
Stand‐mounted closed circuit television (CCTV) vs hand‐held mouse‐based electronic device (HHD)
no estimate extractedNRNo studies
Quality of life
Stand‐mounted closed circuit television (CCTV) vs hand‐held mouse‐based electronic device (HHD)
no estimate extractedNRNo studies
Adverse outcomes
Stand‐mounted closed circuit television (CCTV) vs hand‐held mouse‐based electronic device (HHD)
no estimate extractedNRNo studies

Prism spectacles versus conventional spectacles for adults with low vision

Population: adults with low vision (people with AMD)
CD003303.PUB4 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Reading speed (words per minute)
Prism spectacles vs conventional spectacles
no estimate extracted1 study · 150 participantsLow
Downgraded: imprecision
Reading duration
Prism spectacles vs conventional spectacles
no estimate extractedNRNo studies
Reading acuity in logMAR
Prism spectacles vs conventional spectacles
no estimate extracted1 study · 150 participantsLow
Downgraded: imprecision
Ease and frequency of use
Prism spectacles vs conventional spectacles
no estimate extractedNRNo studies
Quality of life (NEI‐VFQ score) Scale from: 0‐100. Higher scores are better
Prism spectacles vs conventional spectacles
no estimate extracted1 study · 153 participantsModerate
Downgraded: imprecision
Adverse outcomes
Prism spectacles vs conventional spectacles
no estimate extractedNRNo studies

Electronic device (various types of CCTV) versus optical device for adults with low vision

Population: Adults with low vision
CD003303.PUB3 · 10 questions
OutcomeEffectEvidenceStatus / GRADE
Outcome: reading speed in words per minute (wpm) Comparison subgroups
Electronic device (various types of CCTV) vs optical device
no estimate extractedNRNo studies
Stand‐mounted CCTV versus best prescribed optical device
Electronic device (various types of CCTV) vs optical device
no estimate extracted1 study · 22 participantsLow
Downgraded: imprecision, inconsistency
Stand‐mounted CCTV versus participant's optical device
Electronic device (various types of CCTV) vs optical device
no estimate extracted1 study · 70 participantsLow
Downgraded: imprecision, inconsistency
Mouse‐based device (27'' TV monitor) versus optical device
Electronic device (various types of CCTV) vs optical device
no estimate extracted1 study · 22 participantsLow
Downgraded: imprecision, inconsistency
Mouse‐based device (14'' monitor) versus participant's optical device
Electronic device (various types of CCTV) vs optical device
no estimate extracted1 study · 70 participantsLow
Downgraded: imprecision, inconsistency
Flipperport head‐mounted CCTV (table stand camera) versus optical device
Electronic device (various types of CCTV) vs optical device
no estimate extracted1 study · 20 participantsModerate
Downgraded: inconsistency
Jordy head‐mounted CCTV versus optical device
Electronic device (various types of CCTV) vs optical device
no estimate extracted1 study · 20 participantsModerate
Downgraded: inconsistency
Maxport head‐mounted CCTV versus optical device
Electronic device (various types of CCTV) vs optical device
no estimate extracted1 study · 20 participantsModerate
Downgraded: inconsistency
NuVision head‐mounted CCTV versus optical device
Electronic device (various types of CCTV) vs optical device
no estimate extracted1 study · 20 participantsModerate
Downgraded: inconsistency
Outcome: Reading duration (minutes) Comparison: stand CCTV versus optical device
Electronic device (various types of CCTV) vs optical device
no estimate extracted1 study · 22 participantsModerate
Downgraded: inconsistency

Stand‐based closed‐circuit television (CCTV) versus head‐mounted electronic device (HMD) for adults with low vision

Population: Adults with low vision
CD003303.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Reading Speed (words per minute MNREAD Charts
Stand‐based closed‐circuit television (CCTV) vs head‐mounted electronic device (HMD)
no estimate extracted3 studies · 93 participantsLow
Downgraded: inconsistency
Reading acuity (logMAR) MNREAD charts
Stand‐based closed‐circuit television (CCTV) vs head‐mounted electronic device (HMD)
no estimate extracted1 study · 13 participantsModerate
Downgraded: inconsistency

Stand‐based closed‐circuit television (CCTV) versus hand‐held, mouse‐based electronic device (HHD) for adults with low vision

Population: Adults with low vision
CD003303.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Maximum Reading Speed (words per minute) MNREAD charts
Stand‐based closed‐circuit television (CCTV) vs hand‐held, mouse‐based electronic device (HHD)
no estimate extracted2 studies · 92 participantsLow
Downgraded: inconsistency
Reading duration (minutes) MNREAD charts
Stand‐based closed‐circuit television (CCTV) vs hand‐held, mouse‐based electronic device (HHD)
no estimate extracted1 study · 22 participantsModerate
Downgraded: inconsistency

Diffractive spectacle‐mounted magnifiers compared to control for adults with low vision

CD003303.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Diffractive versus refractive‐aspheric spectacle magnifier
Diffractive spectacle‐mounted magnifiers vs control
no estimate extracted1 study · 15 participantsLow
Downgraded: inconsistency
Diffractive versus aplanatic spectacle magnifier
Diffractive spectacle‐mounted magnifiers vs control
no estimate extracted1 study · 15 participantsLow
Downgraded: inconsistency

Overlay coloured filters versus clear filter for adults with low vision

Population: Adults with low vision
CD003303.PUB3 · 11 questions
OutcomeEffectEvidenceStatus / GRADE
Outcome: reading speed (words per minute) Filter colour
Overlay coloured filters vs clear filter
no estimate extractedNRNo studies
Rose filter
Overlay coloured filters vs clear filter
no estimate extracted1 study · 13 participantsLow
Pink filter
Overlay coloured filters vs clear filter
no estimate extracted1 study · 13 participantsLow
Yellow filter
Overlay coloured filters vs clear filter
no estimate extracted1 study · 13 participantsLow
Orange filter
Overlay coloured filters vs clear filter
no estimate extracted1 study · 13 participantsLow
Mint filter
Overlay coloured filters vs clear filter
no estimate extracted1 study · 13 participantsLow
Lime filter
Overlay coloured filters vs clear filter
no estimate extracted1 study · 13 participantsLow
Gray filter
Overlay coloured filters vs clear filter
no estimate extracted1 study · 13 participantsLow
Blue filter
Overlay coloured filters vs clear filter
no estimate extracted1 study · 13 participantsLow
Aqua filter
Overlay coloured filters vs clear filter
no estimate extracted1 study · 13 participantsLow
Purple filter
Overlay coloured filters vs clear filter
no estimate extracted1 study · 13 participantsLow

Prism spectacles versus conventional spectacles for adults with low vision

Population: Adults with low vision
CD003303.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Custom prism spectacles versus conventional spectacles
Prism spectacles vs conventional spectacles
no estimate extracted1 study · 150 participantsLow
Downgraded: inconsistency
Standard prism spectacles versus conventional spectacles
Prism spectacles vs conventional spectacles
no estimate extracted1 study · 155 participantsLow
Downgraded: inconsistency