Automated determination of distance visual acuity: towards teleophthalmology services
Abstract
PURPOSE: The aim of this study was to evaluate the visual acuity scores of a computer-based visual function testing (CVFT) system. The automated chart uses logMAR notation (logarithm of the minimum angle of resolution) and randomised tilting E as optotype. The test was conducted using a laptop computer. METHODS: This prospective, clinic-based, test validation study was based on a model of repeatability in two observations. The right eyes of a total of 104 participants were randomly tested with both CVFT and the manual, gold standard Early Treatment of Diabetic Retinopathy Study (ETDRS) chart. RESULTS: The mean difference between CVFT and ETDRS was -0.01+/-0.11 (SD) logMAR units. The Spearman Rank correlation coefficient (r) between the absolute difference and the average was 0.35. The average time for testing one eye was 54.7+/-11.89 seconds. The mean difference between two consecutive, repeated CVFT tests in the same eye was 0.02+/-0.07 logMAR units (paired t-test p=0.046). CONCLUSIONS: A novel, automated visual acuity testing application is reported. This automated system should be a useful tool for mass screening of visual impairment in rural and remote regions with its ease of use and shorter testing time.
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Fundamental acuity testing has been seen as a suitable candidate for remote delivery using computer-based tools.
“Fundamental acuity testing has been seen as a suitable candidate for remote delivery using computer-based tools [57], and it has been shown to deliver performance comparable to that of human testers [58].”
From Recent directions in telemedicine: Review of trends in research and practice (2015) · cites this paper as [57]
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Recent directions in telemedicine: Review of trends in research and practice
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- Authors
- Kumar, S., Bulsara, M., & Yogesan, K.
- Affiliations
- Lions Eye Institute (AU)
- The University of Western Australia (AU)
- Centre of Excellence in e‐Medicine, Lions Eye Institute, University of Western Australia, Nedlands WA, Australia
- Corresponding author
- Kumar, Sajeesh
- ORCID
- Bulsara, Max
- Venue
- Clinical and Experimental Optometry
- Publisher
- Informa UK Limited
- Published
- 2008-11-01
- Volume
- 91
- Issue
- 6
- Pages
- 545-550
- ISSN
- 0816-4622 (ISSN-L)
- 1444-0938
- OpenAlex
- W1998357415
- Cited by
- 10
- References
- 23
- Citations by year
- 2026: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2017: 1 · 2015: 1 · 2013: 1 · 2012: 1
- FWCI
- 0.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical and Experimental Optometry (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- ResearchOnline@ND (The University of Notre Dame) (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Ophthalmology and Visual Impairment Studies
- Health Sciences › Medicine › Ophthalmology › Ophthalmology and Visual Health Research
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Retinal Imaging and Analysis
- Keywords
- teleophthalmology, logMAR, ETDRS chart, test-retest repeatability, visual impairment screening
- MeSH terms
- Adolescent, Adult, Aged, Child, Child, Preschool, Diagnosis, Computer-Assisted, Distance Perception, Female, Humans, Male, Middle Aged, Ophthalmology, Prospective Studies, Rural Population, Vision Disorders, Vision Tests, Visual Acuity, Reproducibility of Results, Remote Consultation
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