Development and Preliminary Validation of a Virtual Reality Approach for Measurement of Torsional Strabismus
Autor: | Zachary M Bodnar, David Buickians, Heather E. Moss, Megha Bindiganavale, Scott R. Lambert |
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Rok vydání: | 2023 |
Předmět: |
Adult
genetic structures Adolescent Virtual reality Eye Article Young Adult Linear regression Medicine Humans Computer vision Strabismus Child Reliability (statistics) Aged Aged 80 and over business.industry Virtual Reality Reproducibility of Results Home use Middle Aged Ophthalmology Child Preschool embryonic structures Positive bias Neurology (clinical) Artificial intelligence Smartphone business User feedback |
Zdroj: | J Neuroophthalmol |
ISSN: | 1536-5166 |
Popis: | Background Double Maddox rod (DMR), the gold-standard method for in-office measurement of cyclodeviation, requires an examiner and specialized equipment. The objective of this study was to develop a virtual reality (VR) technique for measurement of cyclodeviation and validate this against the DMR. Methods A VR-DMR was implemented using a smartphone and commercially available VR viewer. The app displayed a line to each eye and accepted touch inputs from the user to rotate the lines into perceived alignment. VR-DMR cyclodeviation measurements were compared with traditional DMR (T-DMR) cyclodeviation measurements in adults with and without strabismus and children without strabismus. Results Thirty-one subjects were studied (age 5-88 years, 20 with strabismus). VR-DMR had similar test-retest reliability as T-DMR. VR-DMR was highly correlated with T-DMR (r2 = 0.94, linear regression slope 1.12) with a slight positive bias (linear regression y intercept 1°). VR-DMR was preferred by 54% of subjects with 29% having no preference. Conclusions A VR method of ocular cyclodeviation measurement using sensory techniques was implemented using commercially available hardware. VR measurements compared favorably with gold-standard DMR measurements, and user feedback was positive. The VR methodology has application for in office and home use by nonexperts for purposes of strabismus monitoring. |
Databáze: | OpenAIRE |
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