Augmented Reality Mobile Application for Glaucoma Education in the South Bronx
Augmented Reality Mobile Application for Glaucoma Education in the South Bronx
A team at the National Healthcare Group Eye Institute in Singapore have developed an
 augmented reality mobile phone application, EyeCU, to simulate glaucoma progression and
 enhance understanding about the disease and its course. It is a bilingual (English/Spanish)
 application that is free-to-download on the Android and Apple app store. As eye care
 physicians in the South Bronx, the investigators are hopeful that the findings in this study
 can be extrapolated to our patients in the South Bronx, where poor health literacy,
 non-adherence to glaucoma medication and poor follow-up remains a large barrier. The
 investigators hope that by offering the simulation in both English and Spanish, the
 investigators will not only be able to improve our patients' understanding of glaucoma, but
 also improve glaucoma treatment adherence and assess our patient population's responsiveness
 to augmented reality as an educational platform.
Experimental design: Pilot cohort study

 Sample size: Initial test population will be confined to 54 patients

 Proposed study time period: January 2020-July 2021

 Data collection: Patient characteristics such as age, sex, ethnicity, preferred language, zip
 code, employment status, highest educational attainment, current topical eye medications,
 Past Ocular History, Past Medical History

 Recruitment for participation in the study will be performed via leaflet by clinic
 coordinator during glaucoma clinic registration.

 Consent will be conducted by clinic coordinator or another member of the research team who is
 not directly involved in the participant's clinical care.

 Pre-intervention glaucoma knowledge questionnaire (NEHEP glaucoma knowledge questionnaire)
 will be given to participants, to be completed on dedicated clinic tablet device.

 Post-intervention glaucoma knowledge questionnaire (NEHEP glaucoma knowledge questionnaire)
 will be given to participants, to be completed on dedicated clinic tablet device.

 Rate of missed glaucoma follow-up appointments before and 6 months after application use will
 be collected from the electronic medical record.

 Rate of medication adherence before and 6 months after application use will be collected from
 the electronic medical record.
Inclusion Criteria:

 - Patients with a clinical diagnosis of glaucoma on medical therapy for at least 4 months

 Exclusion Criteria:

 -  Patients with optic neuropathies unrelated to glaucoma

 -  Patients with VA 20/100 or worse in both eyes

 -  Visual defects involving fixation in both eyes

 -  Patients with symptoms impairing ability to operate a smartphone during visit
 including diplopia, motor difficulties, cognitive impairment, illiteracy

 -  Patients who are unable to read or understand English or Spanish