[A new objective visual acuity test: an automated preferential looking]. 2003

Armin Breyer, and Xiaoyi Jiang, and Adrian Rütsche, and Daniel S Mojon
Labor für experimentelle Okulographie, Abteilung für Strabologie und Neuroophthalmologie, Kantonsspital St. Gallen.

BACKGROUND The Preferential Looking test using Teller acuity cards is widely used for preverbal children but has some weaknesses, in particular because it is examiner dependent and at best half-objective. We tested a new automated method in a pilot study. METHODS In our preferential looking setting we project separate images into the left and right eye. This permits measuring each eye without having to cover the other. An infrared oculography system documents objectively and reproducibly whether or not the stimulus is seen. A square is shown which moves consecutively in a square formation on a background that has the same average brightness. Charting an XY-plot of the eye position results in a square with two diagonals, if the stimulus is seen. By using a specific baby examination unit, this test is already feasible in babies. In this study, the new setting was tested on two children. RESULTS In two healthy children we found a good correlation between visual acuities determined with the new method and Teller visual acuity charts. Fogging one eye in each of the children resulted in fixation loss of the stimulus when the required visual acuity rose above the fogging value. CONCLUSIONS This new technique permits one to perform an objective preferential looking test without the need of verbal answers. Larger studies have to validate these preliminary results.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007259 Infrared Rays That portion of the electromagnetic spectrum usually sensed as heat. Infrared wavelengths are longer than those of visible light, extending into the microwave frequencies. They are used therapeutically as heat, and also to warm food in restaurants. Heat Waves,Heat Wave,Infrared Ray,Ray, Infrared,Rays, Infrared,Wave, Heat,Waves, Heat
D008838 Microcomputers Small computers using LSI (large-scale integration) microprocessor chips as the CPU (central processing unit) and semiconductor memories for compact, inexpensive storage of program instructions and data. They are smaller and less expensive than minicomputers and are usually built into a dedicated system where they are optimized for a particular application. "Microprocessor" may refer to just the CPU or the entire microcomputer. Computers, Personal,Microprocessors,Computer, Personal,Microcomputer,Microprocessor,Personal Computer,Personal Computers
D010865 Pilot Projects Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work. Pilot Studies,Pilot Study,Pilot Project,Project, Pilot,Projects, Pilot,Studies, Pilot,Study, Pilot
D012016 Reference Values The range or frequency distribution of a measurement in a population (of organisms, organs or things) that has not been selected for the presence of disease or abnormality. Normal Range,Normal Values,Reference Ranges,Normal Ranges,Normal Value,Range, Normal,Range, Reference,Ranges, Normal,Ranges, Reference,Reference Range,Reference Value,Value, Normal,Value, Reference,Values, Normal,Values, Reference
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D003936 Diagnosis, Computer-Assisted Application of computer programs designed to assist the physician in solving a diagnostic problem. Computer-Assisted Diagnosis,Computer Assisted Diagnosis,Computer-Assisted Diagnoses,Diagnoses, Computer-Assisted,Diagnosis, Computer Assisted
D005133 Eye Movements Voluntary or reflex-controlled movements of the eye. Eye Movement,Movement, Eye,Movements, Eye
D005403 Fixation, Ocular Positioning and accommodation of eyes that allows the image to be brought into place on the FOVEA CENTRALIS of each eye. Focusing, Ocular,Ocular Fixation,Eye Gaze,Eye Gazes,Gaze, Eye,Gazes, Eye,Ocular Focusing

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