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Between the Lines - Reading Difficulties in Homonymous Hemianopia: A Systematic Review

Gupta, Sushane (2022) Between the Lines - Reading Difficulties in Homonymous Hemianopia: A Systematic Review. Master thesis, Psychology.

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Abstract

Reading is an essential skill for employability, mobility, and sociability. Disorders that impact an individual's ability to read can severely restrict their ability to function independently. Homonymous Hemianopia (HH) is a visual field disorder that can cause uniform, bilateral loss of vision. This can lead to severe deficiencies in tasks that involve visual search, such as reading. Commonly reported reading problems in HH include slowed reading speed, inability to find the correct line while reading, and reduced reading accuracy. This investigation strives to summarize the available literature on reading difficulties in HH, and identify the key objective and subjective markers of reading difficulties. A systematic review was conducted using the PRISMA 2020 guidelines. Twenty-one studies were included, the majority of which only reported objective difficulties. Individuals with HH read slower with lower accuracy. They also adopt ineffective oculomotor strategies including shorter, more frequent saccades and longer, more frequent fixations. Reported subjective difficulties included inability to perform reading-centric tasks such as shopping and financial transactions, along with avoidance of social situations involving reading tasks. More research on the relationships between different oculomotor measures, reading speed in natural environments and non-standard reading tasks is needed to understand the potential causes and manifestations of performance deficits. Subjective difficulties must be investigated more frequently in a standardized manner. Findings on subjective difficulties must be reported in detail to understand how deficits translate into disabilities.

Item Type: Thesis (Master)
Supervisor name: Tol, S.
Degree programme: Psychology
Differentiation route: Clinical Neuropsychology (CN) [Master Psychology]
Date Deposited: 21 Mar 2022 07:17
Last Modified: 21 Mar 2022 07:17
URI: http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/335

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