Reliability and Agreement of an Integrated Platform for Intelligent Visual Function Measurement

Abstract Introduction Phoropters are widely accepted for clinical use in refraction examination and visual function assessment. This study assessed the reliability of the new Inspection Platform of Visual Function (IPVF) in comparison with the conventional equipment phoropter (TOPCON VT-10) in visua...

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Main Authors: Wei-Jun Cai, Sisi Lin, Ruru Chen, Ran Zhuo, Xin Li, Jinjin Yu, Jinhai Huang, Zhenguo Chen, Chenchen Xu, Xiaomin Huang
Format: Article
Language:English
Published: Adis, Springer Healthcare 2023-05-01
Series:Ophthalmology and Therapy
Subjects:
Online Access:https://doi.org/10.1007/s40123-023-00718-9
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author Wei-Jun Cai
Sisi Lin
Ruru Chen
Ran Zhuo
Xin Li
Jinjin Yu
Jinhai Huang
Zhenguo Chen
Chenchen Xu
Xiaomin Huang
author_facet Wei-Jun Cai
Sisi Lin
Ruru Chen
Ran Zhuo
Xin Li
Jinjin Yu
Jinhai Huang
Zhenguo Chen
Chenchen Xu
Xiaomin Huang
author_sort Wei-Jun Cai
collection DOAJ
description Abstract Introduction Phoropters are widely accepted for clinical use in refraction examination and visual function assessment. This study assessed the reliability of the new Inspection Platform of Visual Function (IPVF) in comparison with the conventional equipment phoropter (TOPCON VT-10) in visual function assessment. Methods This prospective study enrolled 80 eyes of 80 healthy subjects. The horizontal phoria at distance and near (Phoria_D and Phoria_N, respectively) was measured with the von Graefe method, negative/positive relative accommodation (NRA/PRA) was measured with the positive/negative lens method, and accommodative amplitude (AMP) was measured with the minus lens method. Data of three consecutive measurements with each instrument were evaluated using the intraclass correlation coefficient (ICC) for repeatability, and the agreement of the two instruments was evaluated using a Bland–Altman plot. Results The ICCs of the three consecutive measurements for phoria, NRA/PRA, and AMP using the IPVF instrument were high (0.87–0.96), indicating high repeatability. The ICCs of the three consecutive measurements using the phoropter were high (0.914–0.983) for phoria, NRA, and AMP, indicating high repeatability, while that of PRA was 0.732 (between 0.4 and 0.75), indicating acceptable repeatability. The 95% limits of agreement of phoria, NRA/PRA, and AMP were narrow, indicating good agreement between the two instruments. Conclusion The repeatability of both instruments was high, and the IPVF instrument was slightly better in terms of PRA repeatability than the phoropter. The agreement of phoria, NRA/PRA, and AMP measured by the new IPVF instrument and phoropter was also satisfactory.
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spelling doaj.art-991225212f654010b8407a691202117b2023-06-25T11:10:41ZengAdis, Springer HealthcareOphthalmology and Therapy2193-82452193-65282023-05-011241929193710.1007/s40123-023-00718-9Reliability and Agreement of an Integrated Platform for Intelligent Visual Function MeasurementWei-Jun Cai0Sisi Lin1Ruru Chen2Ran Zhuo3Xin Li4Jinjin Yu5Jinhai Huang6Zhenguo Chen7Chenchen Xu8Xiaomin Huang9School of Ophthalmology and Optometry and Eye Hospital, Wenzhou Medical UniversityDepartment of Ophthalmology, The Third Affiliated Hospital of Wenzhou Medical UniversitySchool of Ophthalmology and Optometry and Eye Hospital, Wenzhou Medical UniversitySchool of Ophthalmology and Optometry and Eye Hospital, Wenzhou Medical UniversitySchool of Ophthalmology and Optometry and Eye Hospital, Wenzhou Medical UniversityEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityDepartment of Ophthalmology, The Third Affiliated Hospital of Wenzhou Medical UniversitySchool of Ophthalmology and Optometry and Eye Hospital, Wenzhou Medical UniversitySchool of Ophthalmology and Optometry and Eye Hospital, Wenzhou Medical UniversityAbstract Introduction Phoropters are widely accepted for clinical use in refraction examination and visual function assessment. This study assessed the reliability of the new Inspection Platform of Visual Function (IPVF) in comparison with the conventional equipment phoropter (TOPCON VT-10) in visual function assessment. Methods This prospective study enrolled 80 eyes of 80 healthy subjects. The horizontal phoria at distance and near (Phoria_D and Phoria_N, respectively) was measured with the von Graefe method, negative/positive relative accommodation (NRA/PRA) was measured with the positive/negative lens method, and accommodative amplitude (AMP) was measured with the minus lens method. Data of three consecutive measurements with each instrument were evaluated using the intraclass correlation coefficient (ICC) for repeatability, and the agreement of the two instruments was evaluated using a Bland–Altman plot. Results The ICCs of the three consecutive measurements for phoria, NRA/PRA, and AMP using the IPVF instrument were high (0.87–0.96), indicating high repeatability. The ICCs of the three consecutive measurements using the phoropter were high (0.914–0.983) for phoria, NRA, and AMP, indicating high repeatability, while that of PRA was 0.732 (between 0.4 and 0.75), indicating acceptable repeatability. The 95% limits of agreement of phoria, NRA/PRA, and AMP were narrow, indicating good agreement between the two instruments. Conclusion The repeatability of both instruments was high, and the IPVF instrument was slightly better in terms of PRA repeatability than the phoropter. The agreement of phoria, NRA/PRA, and AMP measured by the new IPVF instrument and phoropter was also satisfactory.https://doi.org/10.1007/s40123-023-00718-9RepeatabilityAgreementPhoriaNRA/PRAAccommodative amplitude
spellingShingle Wei-Jun Cai
Sisi Lin
Ruru Chen
Ran Zhuo
Xin Li
Jinjin Yu
Jinhai Huang
Zhenguo Chen
Chenchen Xu
Xiaomin Huang
Reliability and Agreement of an Integrated Platform for Intelligent Visual Function Measurement
Ophthalmology and Therapy
Repeatability
Agreement
Phoria
NRA/PRA
Accommodative amplitude
title Reliability and Agreement of an Integrated Platform for Intelligent Visual Function Measurement
title_full Reliability and Agreement of an Integrated Platform for Intelligent Visual Function Measurement
title_fullStr Reliability and Agreement of an Integrated Platform for Intelligent Visual Function Measurement
title_full_unstemmed Reliability and Agreement of an Integrated Platform for Intelligent Visual Function Measurement
title_short Reliability and Agreement of an Integrated Platform for Intelligent Visual Function Measurement
title_sort reliability and agreement of an integrated platform for intelligent visual function measurement
topic Repeatability
Agreement
Phoria
NRA/PRA
Accommodative amplitude
url https://doi.org/10.1007/s40123-023-00718-9
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