Journal article
The minimum test battery to screen for binocular vision anomalies: report 3 of the BAND study
Clinical and experimental optometry, v 101(2), pp 281-287
01 Mar 2018
PMID: 29150866
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
This study aims to report the minimum test battery needed to screen non-strabismic binocular vision anomalies (NSBVAs) in a community set-up. When large numbers are to be screened we aim to identify the most useful test battery when there is no opportunity for a more comprehensive and time-consuming clinical examination.
The prevalence estimates and normative data for binocular vision parameters were estimated from the Binocular Vision Anomalies and Normative Data (BAND) study, following which cut-off estimates and receiver operating characteristic curves to identify the minimum test battery have been plotted. In the receiver operating characteristic phase of the study, children between nine and 17 years of age were screened in two schools in the rural arm using the minimum test battery, and the prevalence estimates with the minimum test battery were found.
Receiver operating characteristic analyses revealed that near point of convergence with penlight and red filter (> 7.5 cm), monocular accommodative facility (< 10 cycles per minute), and the difference between near and distance phoria (> 1.25 prism dioptres) were significant factors with cut-off values for best sensitivity and specificity. This minimum test battery was applied to a cohort of 305 children. The mean (standard deviation) age of the subjects was 12.7 (two) years with 121 males and 184 females. Using the minimum battery of tests obtained through the receiver operating characteristic analyses, the prevalence of NSBVAs was found to be 26 per cent. Near point of convergence with penlight and red filter > 10 cm was found to have the highest sensitivity (80 per cent) and specificity (73 per cent) for the diagnosis of convergence insufficiency. For the diagnosis of accommodative infacility, monocular accommodative facility with a cut-off of less than seven cycles per minute was the best predictor for screening (92 per cent sensitivity and 90 per cent specificity).
The minimum test battery of near point of convergence with penlight and red filter, difference between distance and near phoria, and monocular accommodative facility yield good sensitivity and specificity for diagnosis of NSBVAs in a community set-up.
Metrics
Details
- Title
- The minimum test battery to screen for binocular vision anomalies: report 3 of the BAND study
- Creators
- Jameel Rizwana Hussaindeen - Elite School of OptometryArchayeeta Rakshit - Elite School of OptometryNeeraj Kumar Singh - Sankara NethralayaMeenakshi Swaminathan - Sankara NethralayaRonnie George - Sankara NethralayaSuman Kapur - Birla Institute of Technology and Science - Hyderabad CampusMitchell Scheiman - Salus UniversityKrishna Kumar Ramani - Elite School of Optometry
- Publication Details
- Clinical and experimental optometry, v 101(2), pp 281-287
- Publisher
- Taylor & Francis
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pennsylvania College of Optometry (PCO)
- Web of Science ID
- WOS:000426496400020
- Scopus ID
- 2-s2.0-85034256339
- Other Identifier
- 991021900019404721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- International collaboration
- Web of Science research areas
- Ophthalmology