Document Detail


A pilot study evaluating the use of EyeSpy video game software to perform vision screening in school-aged children.
MedLine Citation:
PMID:  20637666     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To compare the vision-screening results of school-aged children tested with EyeSpy software and those of children examined by a pediatric ophthalmologist. We also compared combined results of an electronic visual acuity (EVA) tester and stereopsis testing to the results of a professional eye examination.
METHODS: In this pilot study, all children were tested with an EyeSpy and ETDRS EVA tester, followed by ocular examination including stereopsis assessment and cyclopegic refraction. The order of presentation of the EVA and EyeSpy assessments was assigned randomly. The EyeSpy test was performed twice (with an occlusive eyepatch and red-blue dissociative goggles). EyeSpy registered pass or refer results for visual acuity testing at a threshold of 20/32 visual acuity and stereopsis of 300 arcsec. Similar threshold values were used in the EVA/stereopsis testing.
RESULTS: The average age of 72 subjects was 11.4 +/- 2.2 years. Prevalence of visual impairment was 25 (34.7%) of 72 as reported by the professional examination. The sensitivity, specificity, and conventional positive likelihood ratio were 88%, 87%, and 6.8 when EyeSpy was used with a patch; 88%, 74%, and 3.44 when EyeSpy was used with goggles; and 88%, 94%, and 13.79 for EVA/stereospsis, respectively, compared with the gold-standard professional eye examination. EyeSpy screening results using a patch were not significantly different than those of a professional examination (p = 0.508). The 2 results concurred in 63 (87.5%) of 72 subjects.
CONCLUSIONS: EyeSpy software has potential for use as a vision-screening device. The use of EyeSpy with an occlusive patch outperformed EyeSpy with dissociative glasses.
Authors:
Rupal H Trivedi; M Edward Wilson; M Millicent Peterseim; Kali B Cole; Ronald G W Teed
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2010-07-16
Journal Detail:
Title:  Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus / American Association for Pediatric Ophthalmology and Strabismus     Volume:  14     ISSN:  1528-3933     ISO Abbreviation:  J AAPOS     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-25     Completed Date:  2011-01-25     Revised Date:  2011-09-26    
Medline Journal Info:
Nlm Unique ID:  9710011     Medline TA:  J AAPOS     Country:  United States    
Other Details:
Languages:  eng     Pagination:  311-6     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 American Association for Pediatric Ophthalmology and Strabismus. Published by Mosby, Inc. All rights reserved.
Affiliation:
Miles Center for Pediatric Ophthalmology, Storm Eye Institute, Department of Ophthalmology, Medical University of South Carolina, 167Ashley Avenue, Charleston, SC 29425, USA. trivedi@musc.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Depth Perception
Female
Humans
Male
Pilot Projects
Predictive Value of Tests
Prevalence
Reproducibility of Results
Software*
United States / epidemiology
Video Games*
Vision Disorders / diagnosis*,  epidemiology,  physiopathology
Vision Screening / methods*
Visual Acuity
Grant Support
ID/Acronym/Agency:
EY-14793/EY/NEI NIH HHS; R24 EY014793-05/EY/NEI NIH HHS
Comments/Corrections

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