Evidence map›Paper›PMID 41533916›Full record

Trial reportInvestigative ophthalmology & visual science2026

Transcranial Direct Current Stimulation Does Not Enhance Perceptual Learning of Chinese Character Reading in Adults With Macular Degeneration.

Anqi Lyu, Melanie A Mungalsingh, Andrew E Silva, Shamrozé Khan, Tammy Labreche, Susan J Leat, George C Woo, Stanley Woo, Benjamin Thompson, Allen M Y Cheong

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Investigative ophthalmology & visual science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Anqi LyuSchool of Optometry, The Hong Kong Polytechnic University, Hong Kong, China.
Melanie A MungalsinghSchool of Optometry and Vision Science, University of Waterloo, Waterloo, Ontario, Canada.
Andrew E SilvaSchool of Optometry and Vision Science, University of Waterloo, Waterloo, Ontario, Canada.
Shamrozé KhanSchool of Optometry and Vision Science, University of Waterloo, Waterloo, Ontario, Canada.
Tammy LabrecheSchool of Optometry and Vision Science, University of Waterloo, Waterloo, Ontario, Canada.
Susan J LeatSchool of Optometry and Vision Science, University of Waterloo, Waterloo, Ontario, Canada.
George C WooSchool of Optometry, The Hong Kong Polytechnic University, Hong Kong, China.
Stanley WooSchool of Optometry and Vision Science, University of Waterloo, Waterloo, Ontario, Canada.
Benjamin ThompsonSchool of Optometry and Vision Science, University of Waterloo, Waterloo, Ontario, Canada.
Allen M Y CheongSchool of Optometry, The Hong Kong Polytechnic University, Hong Kong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Macular degeneration impairs central vision, compelling patients to use their peripheral vision for reading, which is difficult due to reduced spatial resolution and crowding. Although perceptual learning improves reading, single-session anodal transcranial direct current stimulation (a-tDCS) over the visual cortex has shown inconsistent outcomes, with transient improvements observed in English reading but no benefit for Chinese reading in macular degeneration patients. This randomized controlled trial investigated whether combining multi-session a-tDCS with perceptual learning enhances Chinese reading performance in these patients compared to sham stimulation. Methods: Twenty Chinese-reading patients with macular degeneration (39-90 years old) were randomized to receive either active (n = 10) or sham (n = 10) a-tDCS during six sessions of rapid serial visual presentation (RSVP) reading training. Trained outcomes (RSVP reading) and untrained functions (sentence reading, crowding, contrast sensitivity, and visual acuity) were compared at baseline, 1 day, and 1 month post-training. Results: Perceptual learning significantly improved RSVP reading speed (P < 0.001) in both groups, with effects lasting at least a month. No additive effect of active versus sham a-tDCS was observed (group × time P = 0.99). Transfer effects to untrained functions were limited to visual acuity and critical print size for sentence reading. Conclusions: Perceptual learning enhances Chinese reading performance in individuals with macular degeneration, but a-tDCS confers no additional benefit. This contrasts with previous results where non-invasive brain stimulation enhanced English reading in macular degeneration. The results emphasize the need for more refined neuromodulation strategies for improving logographic reading.

Indexed as

LearningMacular DegenerationReadingTranscranial Direct Current StimulationVisual PerceptionAdultAgedAged, 80 and overContrast SensitivityFemaleHumansLanguageMaleMiddle AgedVisual AcuityVisual Cortex

Identifiers

PMID41533916
PMCPMC12805963

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.