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年轻成年人立体视锐度测量中检查者内部的重复性和一致性

Intraexaminer repeatability and agreement in stereoacuity measurements made in young adults.

作者信息

Antona Beatriz, Barrio Ana, Sanchez Isabel, Gonzalez Enrique, Gonzalez Guadalupe

机构信息

Department of Optics II (Optometry and Vision), Faculty of Optics and Optometry, Complutense University of Madrid, Madrid 28037, Spain.

出版信息

Int J Ophthalmol. 2015 Apr 18;8(2):374-81. doi: 10.3980/j.issn.2222-3959.2015.02.29. eCollection 2015.

Abstract

AIM

To determine the repeatability and agreement of stereoacuity measurements made using some of the most widely used clinical tests: Frisby, TNO, Randot and Titmus.

METHODS

Stereoacuity was measured in two different sessions separated by a time interval of at least 24h but no longer than 1wk in 74 subjects of mean age 20.6y using the four methods. The study participants were divided into two groups: subjects with normal binocular vision and subjects with abnormal binocular vision.

RESULTS

Best repeatability was shown by the Frisby and Titmus [coefficient of repeatability (COR): ±13 and ±12s arc respectively] in the subjects with normal binocular vision though a clear ceiling effect was noted. In the subjects with abnormal binocular vision, best repeatability was shown by the Frisby (COR: ±69s arc) and Randot (COR: ±72s arc). In both groups, the TNO test showed poorest agreement with the other tests.

CONCLUSION

The repeatability of stereoacuity measures was low in subjects with poor binocular vision yet fairly good in subjects with normal binocular vision with the exception of the TNO test. The reduced agreement detected between the tests indicates they cannot be used interchangeably.

摘要

目的

使用一些最常用的临床测试(Frisby、TNO、Randot和Titmus)来确定立体视锐度测量的可重复性和一致性。

方法

采用这四种方法,对平均年龄20.6岁的74名受试者在至少间隔24小时但不超过1周的两个不同时间段测量立体视锐度。研究参与者被分为两组:双眼视觉正常的受试者和双眼视觉异常的受试者。

结果

在双眼视觉正常的受试者中,Frisby和Titmus表现出最佳的可重复性[可重复性系数(COR)分别为±13和±12秒弧度],不过存在明显的上限效应。在双眼视觉异常的受试者中,Frisby(COR:±69秒弧度)和Randot(COR:±72秒弧度)表现出最佳的可重复性。在两组中,TNO测试与其他测试的一致性最差。

结论

除TNO测试外,双眼视觉不佳的受试者立体视锐度测量的可重复性较低,而双眼视觉正常的受试者的可重复性相当好。测试之间检测到的一致性降低表明它们不能互换使用。

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