Nearly four million Americans suffer from vision loss from
diseases--such as macular degeneration--that impede their central vision
and their ability to
comfortably view the images on any television, cutting them off from a
significant source of information and entertainment enjoyed by the
mainstream. Often
such patients cannot see faces of characters or other details that make
a broadcast understandable. Some solutions have been special telescopic
glasses,
which can help patients see details but often cut off parts of the
image, lessening context, and large television screens, which can be
quite costly.

The new method--developed by Dr. Eli Peli, the Institute's low vision
expert, the Moakley Scholar in Aging Eye Research, and a professor of
ophthalmology
at Harvard Medical School, is the latest of several image-enhancing
innovations his research team has created to improve TV watching for the
visually impaired.
It is also the first developed for digital television images. "We knew
it was time to address the changing technology," says Peli, who pointed
out that
digital television will replace traditional television technology over
the next few years due to government mandate.

Working within the "decoder" that makes digital television images
possible, Peli and his colleagues were able to make a simple change that
could give every
digital TV the contrast enhancing potential for the benefit of the
visually impaired. "The same modification could easily be made to new
HDTVs, and digital
cable set top boxes," says Matthew Fullerton, the paper's first author,
and a student of electronic engineering from the University of York in
England
who is currently working on his Master's degree in Peli's lab.

To test their new technology, the team presented eight digital videos to
24 subjects with vision impairment and six with normal vision. Each
patient was
given a remote control, which allowed him/her to increase or decrease
the contrast of the image. Patients manipulated over-enhanced and blurry
images for
the greatest clarity.

The research team learned that even subjects with normal sight selected
some enhancement and that the amount of enhancement selected by those
with visual
problems varied depending upon the level of contrast sensitivity loss
they experienced due to their disease. All this demonstrated to the team
that the
device was both usable and useful to the subjects, even those without
vision problems.

Peli is now working with Analog Devices Inc. to create a prototype chip
that could be included in all future generations of digital television.
"The technology
we created is quite simple and can easily and cheaply be incorporated
into even the newest technologies for television and internet video."

Peli adds that he believes that as the population ages, this technology
will be used by more and more of those whose eyes are going through a
normal change
as they get older as well as those more severely impaired.

To see examples of how images are enhanced go to
http://www.eri.harvard.edu/faculty/peli/lab/videos/mpeg/

This research was published in the edition of the Journal of the Optical
Society of America published online in November 2007 and issued in print
in January
2008. Other members of the research team include Russell L. Woods, and
Fuensanta A. Vera-Diaz of Schepens Eye Research Institute.

Adapted from materials provided by
Schepens Eye Research Institute,
via
EurekAlert!,

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