Fast and reliable stereopsis measurement at multiple distances with iPad

TL;DR

This study introduces a new iPad application for quick, reliable stereopsis screening at multiple distances, showing comparable results to established tests and better reproducibility, especially at near distances.

Contribution

The paper presents a novel iPad-based stereopsis screening app that offers fast, reliable assessments at multiple distances, with validation against standard tests.

Findings

The app provides near stereopsis measurements comparable to TNO.

Reproducibility of the app is higher than TNO at near distances.

Limited resolution affects comparison at far distances.

Abstract

Purpose: To present a new fast and reliable application for iPad (ST) for screening stereopsis at multiple distances. Methods: A new iPad application (app) based on a random dot stereogram was designed for screening stereopsis at multiple distances. Sixty-five subjects with no ocular diseases and wearing their habitual correction were tested at two different distances: 3 m and at 0.4 m. Results were compared with other commercial tests: TNO (at near) and Howard Dolman (at distance) Subjects were cited one week later in order to repeat the same procedures for assessing reproducibility of the tests. Results: Stereopsis at near was better with ST (40 arcsec) than with TNO (60 arcsec), but not significantly (p = 0.36). The agreement was good (k = 0.604) and the reproducibility was better with ST (k = 0.801) than with TNO (k = 0.715), in fact median difference between days was significant only with TNO (p = 0.02). On the other hand, poor agreement was obtained between HD and ST at far distance (k=0.04), obtaining significant differences in medians (p = 0.001) and poorer reliability with HD (k = 0.374) than with ST (k = 0.502). Conclusions: Screening stereopsis at near with a new iPad app demonstrated to be a fast and realiable. Results were in a good agreement with conventional tests as TNO, but it could not be compared at far vision with HD due to the limited resolution of the iPad.