Comparison of a New, Filter-Free Stereopsis Test (BEST) With the Randot Stereotest in a Pediatric Cohort.

PURPOSE

To evaluate the Bernell Evaluation of Stereopsis Test (BEST) (Bernell Corporation, Mishawaka, IN), a new lenticular technology and filter-free test to measure stereopsis in children, and compare it to the Randot Stereotest (Randot) (Stereo Optical, Inc., Chicago, IL).

METHODS

This was a retrospective review of the medical records of children examined at the Center for Pediatric Ophthalmology at Hadassah-Hebrew University Medical Center from July to November 2018. All children were evaluated with the Randot and BEST in a random order.

RESULTS

The study included 100 children (53% female, 64% orthophoric) with a mean age of 8.52 ± 3.18 years (range: 3.3 to 17.8 years) and mean best corrected visual acuity of 0.178 ± 0.16 logMAR (range: 0 to 0.7 logMAR). The mean BEST stereoacuity was 1.772 ± 0.27 log seconds of arc (arcsec), whereas the mean Randot stereo-acuity was 1.778 ± 0.39 log arcsec (P = .835). The Bland- Altman analysis revealed an overall bias of 0.0073 log arcsec (95% confidence interval: 0.04219 to 0.05679 log arcsec), with limits of agreement of -0.4816 to 0.4962 log arcsec (0.3299 to 3.1347 arcsec). A significant proportional bias was noted because the difference between the tests was significantly larger in higher log arcsec values (t = 5.566, P < .001). Age, gender, strabismus, and visual acuity did not affect the differences between the stereoacuity tests (P > .05). Both tests were influenced by strabismus but not monocular amblyopia.

CONCLUSIONS

BEST stereoacuity measurements were comparable to those of the Randot, with no significant difference in crude values, minimal bias, and narrow limits of agreement. A larger, clinically insignificant variability between tests was noted with lower stereoacuity values, because children achieved better scores with the BEST. The BEST may be a valuable tool in the arsenal of the ophthalmologist. [J Pediatr Ophthalmol Strabismus. 2020;57(2):129-135.].