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August 22, 2026StrabismusOpen Access

Effect of monocular impaired visual acuity across Optonet TM and non-digital clinical stereotests

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Authors

JMJignasa MehtaAOAnna O’ConnorRBRoisin Buckels

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Overview

Experimental study demonstrates differing stereoacuity degradation across digital and clinical stereotests during monocular blur in adults, suggesting consistent testing methods are vital.

Key Points

  • To compare the effect of simulated monocular visual acuity impairment on stereoacuity measurements across different clinical stereotests, including the digital Optonet system.
  • Enrolled 25 participants (23 females, 2 males; median age 21 years) with baseline visual acuity ≤0.3 logMAR in each eye and <0.2 logMAR interocular difference.
  • Measured near (40 cm) and distance (4 m) visual acuity using ETDRS charts, then induced monocular blur in the right eye using 0.2 and 0.4 Bangerter foils.
  • Evaluated stereoacuity at baseline and under blur conditions using Frisby, TNO, and the iPad-based Optonet red/blue stereotest.
  • Induced blur increased median near visual acuity to 0.36 ± 0.18 logMAR with the 0.2 foil and 0.50 ± 0.19 logMAR with the 0.4 foil in the right eye.
  • Stereoacuity degraded under 0.2 and 0.4 foils across all modalities: Frisby from 20" to 40" and 85"; Optonet from 40" to 119" and 158"; and TNO from 60" to 240" and 2000".
  • Significant differences in the magnitude of stereoacuity reduction were observed between Frisby and TNO (p < 0.05, Friedman's two-way analysis of variance).

Cite This Study

Mehta et al. (2026) studied this question.

synapsesocial.com/papers/6a895ec3ca7ade938187ce74https://doi.org/10.1080/09273972.2026.2617303
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