Advances in Technology-Assisted Visual Rehabilitation Therapies: Scoping Review
Clinical Snapshot
PICO Framework
| P — Population | Adults with visual impairment from various causes including aging, neurological diseases, and chronic eye conditions |
| I — Intervention | Technology-assisted visual rehabilitation therapies including telerehabilitation, virtual reality, artificial intelligence, mobile applications, computerized systems, and portable devices |
| C — Comparator | Traditional visual rehabilitation methods or no intervention (scoping review methodology) |
| O — Outcomes | Visual function improvement, autonomy, quality of life, patient satisfaction, adherence, visual acuity, reading performance, visual field sensitivity, and functional independence |
Bottom Line
This scoping review identifies promising technology-assisted visual rehabilitation interventions including telerehabilitation, virtual reality, and portable electronic devices that show consistent improvements in visual function and quality of life. However, the evidence base remains limited by small-scale studies concentrated in developed countries. While telerehabilitation emerges as a cost-effective solution for addressing access barriers, more robust randomized controlled trials are needed before widespread clinical implementation. Australian clinicians should consider these technologies as adjuncts to traditional rehabilitation, particularly for patients in remote areas, while awaiting stronger evidence from larger, more diverse populations.
Key Findings
P Value: Not reported
Effect Size: Not quantified - scoping review methodology
Primary Outcome: Technology-assisted visual rehabilitation therapies demonstrate improvements in visual function, autonomy, and quality of life
Nnt Or Sensitivity: High patient satisfaction and adherence rates reported across interventions
Confidence Interval: Not applicable for scoping review
Clinical Application
Promising for telerehabilitation and portable devices, but VR and AI technologies may require significant infrastructure investment Relevant for addressing geographic barriers in rural Australia; potential PBS consideration for proven technologies; aligns with RACGP digital health initiatives Adults with visual impairment from various etiologies, particularly those with limited access to traditional rehabilitation services
Abstract
Visual impairment (VI) is a growing condition associated with aging, neurological diseases, and chronic eye conditions. In 2023, more than 2.2 billion people experienced VI, and at least 1 billion could have been prevented or remain untreated. Visual rehabilitation (VR) is essential for optimizing residual vision and promoting functional independence; however, only a minority have access to these services. In recent years, the development of technologies such as artificial intelligence (AI), mobile applications, and virtual reality (VRt) has transformed VR, offering accessible and personalized alternatives. This scoping review aimed to map and categorize the available evidence on technology-assisted visual rehabilitation therapies, identifying the types of technologies used, their applications, and reported clinical and functional outcomes. A scoping review was conducted following the Joanna Briggs Institute (JBI) methodology and PRISMA-ScR guidelines to map the literature published between 2015 and 2025 on technology-assisted VR therapies in adults with VI worldwide. Twenty-five studies, mainly from developed countries, were included. Interventions included videoconferencing, computerized systems, portable devices, VRt, artificial vision (AV), and smart sensors. Overall, digital technologies were shown to improve visual function, autonomy, and quality of life, with high patient satisfaction and adherence. Telerehabilitation (TR), understood as the remote delivery of visual rehabilitation services through videoconferencing and digital monitoring platforms, has emerged as a viable and cost-effective strategy. In contrast, immersive virtual reality technologies (VRt), head-mounted display systems, and multisensory integration devices have demonstrated potential to stimulate neuroplasticity and enhance functional visual outcomes.Telerehabilitation platforms, immersive virtual reality systems, portable electronic vision enhancement devices, artificial vision technologies, and sensor-based monitoring tools are emerging as promising interventions. These technologies have demonstrated improvements in visual acuity, reading performance, visual field sensitivity, patient adherence, and functional autonomy, although most studies remain small-scale and geographically concentrated in high-income settings.
References
- 1.Saiz Briceño, M., Trujillo López, M. P., Botia Suárez, L. V., Tobo Hernández, J. C., & Hernández Rincón, E. H. (2026). Advances in Technology-Assisted Visual Rehabilitation Therapies: Scoping Review. Journal of Medical Systems. https://doi.org/10.1523/JNEUROSCI.3248-18.2019
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