Cited by 10Ophthalmology and Visual Impairment StudiesOphthalmology and Visual Health ResearchRetinal Imaging and Analysis

Automated determination of distance visual acuity: towards teleophthalmology services

Kumar, Sajeesh, Bulsara, Max, Yogesan, Kanagasingam·2008·Clinical and Experimental Optometry

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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Registry

Crossref · 10.1111/j.1444-0938.2008.00267.x

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23 of 23 references verified0 citation errors · 0 not checkable

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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].”

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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
Venue
Clinical and Experimental Optometry
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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