[KSCI] Korea Science Citation Index Service

http://dx.doi.org/10.3807/JOSK.2012.16.4.418

Repeatability and Reliability of a New Phoria Test Using Flashed and Auto-flashed Presentation

Moon, Byeong-Yeon (Department of Optometry, Kangwon National University)
Park, Sun-Young (Johnson & Johnson Vision Care)
Cho, Hyun Gug (Department of Optometry, Kangwon National University)

Publication Information

Journal of the Optical Society of Korea / v.16, no.4, 2012 , pp. 418-424 More about this Journal

Abstract

The purpose of this study was to assess repeatability and reliability of a new phoria test as compared to established phoria tests and to assess the possibility of mobile or online testing using the auto-flashed presentation. Near dissociated phoria was measured using the von Graefe method, the Howell card test, the modified Thorington test, and a new dichromatic card test (Red-Blue Phoria card test; RBP card test) on 109 subjects. The inter-examiner difference and test-retest difference were calculated. With the auto-flashed presentation of the RBP card test, near dissociated phoria was measured and the intraclass correlation coefficient and test-retest repeatability was assessed on 26 subjects. The variation in inter-examiner repeatability was the smallest for the modified Thorington test (+3.1/-2.6). The RBP card test was +3.0/-3.1, the Howell card test was +3.5/-2.7, and the von Graefe test was +6.2/-6.0. The variation in test-retest repeatability was the smallest for the RBP card test (+0.4/-1.4). The modified Thorington test was +1.3/-1.3, the Howell card test was +1.27/-1.45, and the von Graefe test was +1.59/-2.20. The ICC was 0.919 for the auto-flashed presentation of the RBP card test. The RBP card test is considered a highly repeatable method clinically and can be made a useful application for testing in mobile or online.

Keywords

New phoria test; RBP card; Auto-flashed presentation; Mobile; Online;

Citations & Related Records

Reference

1	E. P. F. Wong, T. R. Fricke, and C. Dinardo, "Interexaminer repeatability of a new, modified prentice card compared with established phoria tests," Optom. Vis. Sci. 79, 370-375 (2002). DOI ScienceOn
2	J. R. Griffin, Binocular Anomalies: Procedures for Vision Therapy, 2nd ed. (Chicago, Professional Press, USA, 1982), pp. 140-147.
3	D. A. Goss, Ocular Accommodation, Convergence and Fixation Disparity: A manual of Clinical Analysis, 2nd ed. (Butterworth-Heinemann, Boston, USA, 1995), pp. 11-12, p. 70.
4	P. A. Howarth and G. Heron, "Repeated measures of horizontal heterophoria," Optom. Vis. Sci. 77, 616-619 (2000). DOI
5	E. C. Casillas and M. Rosenfield, "Comparison of subjective heterophoria testing with a phoropter and trial frame," Optom. Vis. Sci. 82, 237-241 (2006).
6	D. A. Goss, B. J. Moyer, and M. C. Teske, "A comparison of dissociated phoria test findings with von Graefe phorometry & modified Thorington testing," J. Behavioral Optom. 19, 145-149 (2008).
7	M. J. Hirsch, "Clinical investigation of a method of testing phoria at forty centimeters," Am. J. Optom. Arch. Am. Acad. Optom. 25, 492-495 (1948). DOI
8	B. B. Rainey, T. L. Schroeder, D. A. Goss, and T. P. Grosvenor, "Reliability of and comparisons among three variations of the alternating cover test," Ophthalmic Physiol. Opt. 18, 430-437 (1998). DOI ScienceOn
9	K. M. Daum, "Analysis of seven methods of measuring the angle of deviation," Am. J. Optom. Physiol. Opt. 60, 46-51 (1983). DOI
10	B. B. Rainey, T. L. Schroeder, D. A. Goss, and T. P. Grosvenor, "Inter-examiner repeatability of heterophoria tests," Optom. Vis. Sci. 75, 719-726 (1998). DOI
11	M. J. Hirsch and L. B. Bing, "The effect of testing method on values obtained for phoria at forty centimeters," Am. J. Optom. Arch. Am. Acad. Optom. 25, 407-416 (1948). DOI
12	H. Calvin, P. Rupnow, and T. Grosvenor, "How good is the estimated cover test at predicting the von Graefe phoria measurement?," Optom. Vis. Sci. 73, 701-706 (1996). DOI
13	J. M. Bland and D. G. Altman, "Statistical methods for assessing agreement between two methods of clinical measurement," Lancet 397, 307-310 (1986).
14	R. G. Scobee and E. L. Green, "Tests for heterophoria-reliability of tests, comparisons between tests, and effect of changing testing conditions," Trans. A. Acad. Ophthalmol. Otolarlyngol. 51, 179-197 (1947).
15	D. A. Goss, J. L. Reynolds, and R. E. Todd, "Comparison of four dissociated phoria tests: reliability & correlation with symptom survey scores," J. Behavioral Optom. 21, 99-104 (2010).
16	F. W. Weymouth, "An experimental comparison of three common methods of measuring heterophoria," Am. J. Optom. Arch. Am. Acad. Optom. 40, 497-503 (1963). DOI
17	K. B. Lee, S. W. Jeon, H. J. Lee, S. H. Lee, W. B. Park, K. J. Mar, and S. B. Park, "The comparative analysis of various distance phoria tests," Korean J. Vis. Sci. 9, 115-125 (2007).
18	S. H. Lee, S. Y. Park, S. Y. Kim, D. Y. Lee, K. K. Kim, J. S. Son, J. Y. Lee, and H. G. Cho, "Repeatability of new phoria test using color chart and color filter," J. Korean Oph. Opt. Soc. 15, 269-274 (2010).
19	T. L. Schroeder, B. B. Rainey, D. A. Goss, and T. P. Grosvenor, "Reliability of and comparisons among methods of measuring dissociated phoria," Optom. Vis. Sci. 73, 389-397 (1996). DOI
20	M. W. Morgan, "The reliability of clinical measurements with special reference to distance heterophoria," Am. J. Optom. Arch. Am. Acad. Optom. 32, 167-179 (1955). DOI
21	J. T. Thomson and D. L. Guyton, "Ophthalmic prisms. Measurement errors and how to minimize them," Ophthalmology 90, 204-210 (1983). DOI
22	F. M. Morris, "The influence of kinesthesis upon near heterophoria measurements," Am. J. Optom. Arch. Am. Acad. Optom. 37, 327-351 (1960). DOI

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