评估眼优势：重新审视当前范式。
Assessing Ocular Dominance: Rethinking the Current Paradigm.
作者信息
Pepose Jay S, Thompson Vance, Hoopes Phillip, Waring George, Rebenitsch Ronald Luke, MacRae Scott M, Donaldson Kendall E, Durrie Daniel S, Marcos Susana
机构信息
From the Pepose Vision Institute, Chesterfield, Missouri, USA and the Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, USA (J.S.P.), University of South Dakota Sanford School of Medicine and Vance Thompson Vision, Sioux Falls, South Dakota, USA (V.T.), Hoopes Vision Research Center, Draper, Utah, USA (P.H.), Waring Vision Institute, Mount Pleasant, South Carolina, USA (G.W.Iv), ClearSight Lasik, Oklahoma City, Oklahoma, USA (R.L.R.), Department of Ophthalmology, Flaum Eye Institute and Center for Visual Science, University of Rochester, Rochester, New York, USA (S.M.M.), Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA (K.E.D.), KU Medical Center, Kansas City, Kansas, USA and Durrie Vision, Overland Park, Kansas, USA (D.S.D.), Instituto de Óptica 'Daza de Valdés', Consejo Superior de Investigaciones Científicas (IO, CSIC), Madrid, Spain, USA (S.M.) and The Institute of Optics and Flaum Eye Institute, Center for Visual Sciences, University of Rochester, Rochester, New York, USA (S.M.).
出版信息
J Cataract Refract Surg. 2025 Mar 26;51(7):592-9. doi: 10.1097/j.jcrs.0000000000001659.
PURPOSE
To assess the concordance of a binary, motor sighting test of ocular dominance with a new sensory test using a simultaneous, binocular, head-mounted visual simulator to both identify and quantify the strength of eye dominance (EDS) at near and far.
SETTING
5 U.S. Private Practices.
DESIGN
Prospective, multicentered, double masked, non-interventional, comparative study.
METHODS
Prospective participants underwent sighting dominance testing using a 'hole-in-the-card' method through their distance refraction. Sensory testing was performed using a wearable, head-mounted, binocular, see-through visual simulator activating an optotunable lens on pupil conjugate plane, set to introduce monocular defocus for masked determination of both ocular preference and eye dominance strength (EDS) at far and at near (correcting the vergence with positive lenses).
RESULTS
Of 326 subjects, strong ocular dominance was found at far and at near in 50% (N=163) and 56% (N=183), respectively, with roughly equal remaining distribution between weak and equidominance. In 41% (N=134), the eye chosen to be the dominant eye with the 'hole-in-the-card' sighting method did not match the results from the sensory dominance test. In addition, in 26% (N=85), the subject changed from right eye dominance with the 'hole-in-the-card' to left eye dominance with the sensory EDS test; and 15% (N=49) changed from left to right.
CONCLUSIONS
Assignment of ocular dominance with the commonly used 'hole-in-the card' test often does not align with the patient's preferred eye using sensory testing with a visual simulator simulating monovision. Further investigation will determine whether both strength and localization of ocular dominance in planning monovision are important factors in predicting patients' satisfaction and adaptation to monovision.
目的
使用同步双目头戴式视觉模拟器，评估一种用于眼优势的二元运动注视测试与一种新的感觉测试之间的一致性，以识别和量化近距和远距的眼优势强度（EDS）。
设置
美国5家私人诊所。
设计
前瞻性、多中心、双盲、非干预性比较研究。
方法
前瞻性参与者通过其远距验光采用“卡片上的孔”方法进行注视优势测试。感觉测试使用可穿戴的头戴式双目透视视觉模拟器进行，该模拟器在瞳孔共轭平面上激活一个光可调透镜，设置为引入单眼散焦，以在远距和近距（用正透镜矫正聚散）时进行双眼偏好和眼优势强度（EDS）的掩蔽测定。
结果
在326名受试者中，分别有50%（N = 163）和56%（N = 183）在远距和近距表现出强眼优势，弱眼优势和等眼优势的分布大致相等。在41%（N = 134）的受试者中，用“卡片上的孔”注视方法选择的优势眼与感觉优势测试的结果不匹配。此外，在26%（N = 85）的受试者中，从“卡片上的孔”测试的右眼优势变为感觉EDS测试的左眼优势；15%（N = 49）的受试者从左眼优势变为右眼优势。
结论
使用常用的“卡片上的孔”测试来确定眼优势，通常与使用模拟单眼视觉的视觉模拟器进行感觉测试时患者偏好的眼不一致。进一步的研究将确定在规划单眼视觉时眼优势的强度和定位是否是预测患者对单眼视觉的满意度和适应性的重要因素。
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