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...
Main Authors: | , , , , , , , , , |
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Format: | Article |
Language: | English |
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Adis, Springer Healthcare
2023-05-01
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Series: | Ophthalmology and Therapy |
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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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language | English |
last_indexed | 2024-03-13T03:24:24Z |
publishDate | 2023-05-01 |
publisher | Adis, Springer Healthcare |
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series | Ophthalmology and Therapy |
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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