Objective measurement of distance visual acuity determined by computerized optokinetic nystagmus test. 2010

Joon Young Hyon, and Hwan Eok Yeo, and Jong-Mo Seo, and In Bum Lee, and Jin Hak Lee, and Jeong-Min Hwang
Department of Ophthalmology, Seoul National University, Seoul, Korea.

OBJECTIVE To investigate the efficacy of a computerized optokinetic nystagmus (OKN) test in evaluating the objective distance visual acuity and to determine the correlation between subjective and objective visual acuities. METHODS This prospective, noninterventional study included 83 eyes of 83 volunteers. Objective visual acuity was defined as the smallest size stripe that evoked the OKN response (induction method) or as the smallest dot size that suppressed the OKN response (suppression method). Distance visual acuity was measured by computerized OKN and infrared oculography at distance. The reproducibility of the test was evaluated by intraclass correlation coefficient (ICC). The correlation between measured objective and subjective visual acuity was then evaluated with linear regression analysis. Subjects were grouped according to their objective visual acuity, and the mean subjective visual acuities were compared with those of the objective visual acuity groups. RESULTS There was a significant correlation between distance objective and subjective visual acuity (correlation coefficient R(2), induction method:suppression method = 0.566:0.832, P < 0.05). The mean subjective visual acuity was significantly different in the objective visual acuity groups (Welch's ANOVA, P = 0.000 for induction and suppression methods). The objective visual acuity test showed good reproducibility (ICC; induction method:suppression method = 0.945:0.988, P < 0.05). CONCLUSIONS The computerized OKN test could serve as an objective and reliable tool for assessing distance visual acuity.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
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
D004215 Distance Perception The act of knowing or the recognition of a distance by recollective thought, or by means of a sensory process which is under the influence of a set of prior experiences. Distance Discrimination,Discrimination, Distance,Discriminations, Distance,Perception, Distance
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D014787 Vision Tests A series of tests used to assess various functions of the eyes. Test, Vision,Tests, Vision,Vision Test

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