ASTEROID: A New Clinical Stereotest on an Autostereo 3D Tablet by Vancleef K, Serrano-Pedraza I, Sharp C, Slack G, Black C, Casanova T, Hugill J, Rafiq S, Burridge J, Puyat V, Ewane Enongue J, Gale H, Akotei H, Collier Z, Haggerty H, Smart K, Powell C, Taylor K, Clarke MP, Morgan G, Read JCA, VancleefEA_ASTEROIDMethods.pdf (1.9 MiB) - Purpose: To describe a new stereotest in the form of a game on an autostereoscopic
tablet computer designed to be suitable for use in the eye clinic and present data on
its reliability and the distribution of stereo thresholds in adults.
Methods: Test stimuli were four dynamic random-dot stereograms, one of which
contained a disparate target. Feedback was given after each trial presentation. A
Bayesian adaptive staircase adjusted target disparity. Threshold was estimated from the
mean of the posterior distribution after 20 responses. Viewing distance was monitored
via a forehead sticker viewed by the tablet’s front camera, and screen parallax was
adjusted dynamically so as to achieve the desired retinal disparity.
Results: The tablet must be viewed at a distance of greater than ~35 cm to produce a
good depth percept. Log thresholds were roughly normally distributed with a mean
of 1.75 log10 arcsec ¼ 56 arcsec and SD of 0.34 log10 arcsec ¼ a factor of 2.2. The
standard deviation agrees with previous studies, but ASTEROID thresholds are
approximately 1.5 times higher than a similar stereotest on stereoscopic 3D TV or on
Randot Preschool stereotests. Pearson correlation between successive tests in same
observer was 0.80. Bland-Altman 95% limits of reliability were 60.64 log10 arcsec ¼ a
factor of 4.3, corresponding to an SD of 0.32 log10 arcsec on individual threshold
estimates. This is similar to other stereotests and close to the statistical limit for 20
responses.
Conclusions: ASTEROID is reliable, easy, and portable and thus well-suited for clinical
stereoacuity measurements.
Translational Relevance: New 3D digital technology means that research-quality
psychophysical measurement of stereoacuity is now feasible in the clinic.
Blog Archives
Which Stereotest do You Use? A Survey Research Study in the British Isles, the United States and Canada
Which Stereotest do You Use? A Survey Research Study in the British Isles, the United States and Canada by Vancleef K, Read JCA, VancleefRead2019.pdf (2.6 MiB) - A wide range of stereotests are available to measure stereopsis. Because each test has its own advantages and disadvantages, opinions differ on which is the preferred test to use in clinical practice. We conducted surveys comparing the use of stereotests in the British Isles and in the United States and Canada.
Two online surveys were developed following consultation with eye care professionals, one for each geographical area. Both surveys included two questions on the frequency of use of different stereotests, two questions on best practice stereotests, and two questions on the usefulness of stereotests. Researchers made distinctions between appointments with children below or above 6 years old for respondents from the British Isles and below or above 5 years old for respondents from the Unites Stated and Canada. The surveys were distributed through professional organisations.
We found Frisby to be the most used stereotest on the British Isles for both age groups. In the US and Canada, Titmus and Randot stereotest are more frequently used. Respondents consider these tests as the best practice stereotests. Eye care professionals agree stereotests are useful in the diagnosis and treatment decision making and even more so in obtaining an accurate measure of stereoacuity, especially with older children.
Two online surveys were developed following consultation with eye care professionals, one for each geographical area. Both surveys included two questions on the frequency of use of different stereotests, two questions on best practice stereotests, and two questions on the usefulness of stereotests. Researchers made distinctions between appointments with children below or above 6 years old for respondents from the British Isles and below or above 5 years old for respondents from the Unites Stated and Canada. The surveys were distributed through professional organisations.
We found Frisby to be the most used stereotest on the British Isles for both age groups. In the US and Canada, Titmus and Randot stereotest are more frequently used. Respondents consider these tests as the best practice stereotests. Eye care professionals agree stereotests are useful in the diagnosis and treatment decision making and even more so in obtaining an accurate measure of stereoacuity, especially with older children.
Analysis of Soft Data for Mass Provision of Stereoacuity Testing Through a Serious Game for Health
Analysis of Soft Data for Mass Provision of Stereoacuity Testing Through a Serious Game for Health by Ushaw G, Sharp S, Hugill J, Rafiq S, Black C, Casanova T, Vancleef K, Read JCA, Morgan G, UshawSharpHugillRafiqBlackCasanovaVancleefReadMorgan2017.pdf (1.7 MiB) - Mass provision of healthcare through a digital medium can be greatly enhanced by the use of serious games. The accessibility and engagement provided by a serious game to the subject can significantly increase participation. The commercial games industry employs numerous techniques to analyse soft data collected from early users of an application to evolve the application itself and improve the experience of playing it. A game for mass stereoacuity testing of young children is used as a case study in this paper, to illustrate how soft feedback can be used to improve the effectiveness of a clinical trial. The key to the approach is identified as rapid incremental evolution of the application and trial protocol in a manner which increases the amount and usefulness of soft data collected, and reacts to issues identified in the soft data in a timely fashion. It is hoped that the approach can be adopted for a wide range of digital applications for mass health provision.
ASTEROID: Accurate STEReoacuity measurement in the eye clinic
ASTEROID: Accurate STEReoacuity measurement in the eye clinic by Read JCA, Vancleef K, Serrano-Pedraza I, Morgan G, Sharp C, Clarke MP, ReadetalASTEROIDECVP2015.png (0.2 MiB)
Overestimation of stereo thresholds by the TNO stereotest is not due to global stereopsis.
Overestimation of stereo thresholds by the TNO stereotest is not due to global stereopsis. by Vancleef K, Read JCA, Herbert W, Goodship N, Woodhouse M, Serrano-Pedraza I, VancleefReadHerbertGoodshipWoodhouseSerranoPedraza2017_2.pdf (18 KiB) - Purpose
It has been repeatedly shown that the TNO stereotest overestimates stereo threshold compared to other clinical stereotests. In the current study, we test whether this overestimation can be attributed to a distinction between ‘global’ (or ‘cyclopean’) and ‘local’ (feature or contour-based) stereopsis.
Methods
We compared stereo thresholds of a global (TNO) and a local clinical stereotest (Randot Circles). In addition, a global and a local psychophysical stereotest were added to the design. One hundred and forty-nine children between 4 and 16 years old were included in the study.
Results
Stereo threshold estimates with TNO were a factor of two higher than with any of the other stereotests. No significant differences were found between the other tests. Bland-Altman analyses also indicated low agreement between TNO and the other stereotests, especially for higher stereo threshold estimates. Simulations indicated that the TNO test protocol and test disparities can account for part of this effect.
Discussion
The results indicate that the global – local distinction is an unlikely explanation for the overestimated thresholds of TNO. Test protocol and disparities are one contributing factor. Potential additional factors include the nature of the task (TNO requires depth discrimination rather than detection) and the use of anaglyph red/green 3D glasses rather than polarizing filters, which may reduce binocular fusion.
It has been repeatedly shown that the TNO stereotest overestimates stereo threshold compared to other clinical stereotests. In the current study, we test whether this overestimation can be attributed to a distinction between ‘global’ (or ‘cyclopean’) and ‘local’ (feature or contour-based) stereopsis.
Methods
We compared stereo thresholds of a global (TNO) and a local clinical stereotest (Randot Circles). In addition, a global and a local psychophysical stereotest were added to the design. One hundred and forty-nine children between 4 and 16 years old were included in the study.
Results
Stereo threshold estimates with TNO were a factor of two higher than with any of the other stereotests. No significant differences were found between the other tests. Bland-Altman analyses also indicated low agreement between TNO and the other stereotests, especially for higher stereo threshold estimates. Simulations indicated that the TNO test protocol and test disparities can account for part of this effect.
Discussion
The results indicate that the global – local distinction is an unlikely explanation for the overestimated thresholds of TNO. Test protocol and disparities are one contributing factor. Potential additional factors include the nature of the task (TNO requires depth discrimination rather than detection) and the use of anaglyph red/green 3D glasses rather than polarizing filters, which may reduce binocular fusion.
Assessment of epilepsy using noninvasive visual psychophysics tests of surround suppression
Assessment of epilepsy using noninvasive visual psychophysics tests of surround suppression by Yazdani P, Read JCA, Whittaker RG, Trevelyan AJ, YazdaniReadWhittakerTrevelyan2017.pdf (2.1 MiB) - Powerful endogenous inhibitory mechanisms are thought to restrict the spread of epileptic discharges in cortical networks. Similar inhibitory mechanisms also influence physiological processing. We reasoned, therefore, that useful information about the quality of inhibitory restraint in individuals with epilepsy may be gleaned from psychophysical assays of these physiological processes. We derived a psychophysical measure of cortical inhibition, the motion surround suppression index (SSI), in 54 patients with epilepsy and 146 control subjects. Multivariate regression analyses showed that SSI was predicted strongly by age and seizure type, but not by seizure frequency. Specifically, we found that patients with exclusively focal epilepsy, and no history of generalization, showed significantly stronger cortical inhibition as measured by the SSI compared to all other groups, including controls. In contrast, patients with focal seizures evolving into generalized seizures, and patients with generalized genetic epilepsy, showed similar levels of cortical inhibition to controls. The presumptive focus, when one could be identified, was rarely found in visual cortex, meaning that the relationship with the epilepsy subtype is likely to reflect some global difference in inhibition in these subjects. This is the first reported instance of raised SSI in any patient cohort, and appears to differentiate between patients with respect to the likelihood of their experiencing generalization of their seizures. These results suggest that such simple psychophysical assays may provide useful aids to clinical management, particularly at the time of diagnosis.
Avoiding monocular artifacts in clinical stereotests presented on column-interleaved digital stereoscopic displays
Avoiding monocular artifacts in clinical stereotests presented on column-interleaved digital stereoscopic displays by Serrano-Pedraza I, Vancleef K, Read JCA, SerranoPedrazaVancleefRead.pdf (1.5 MiB) - New forms of stereoscopic 3-D technology offer vision
scientists new opportunities for research, but also
come with distinct problems. Here we consider
autostereo displays where the two eyes’ images are
spatially interleaved in alternating columns of pixels
and no glasses or special optics are required. Columninterleaved
displays produce an excellent stereoscopic
effect, but subtle changes in the angle of view can
increase cross talk or even interchange the left and
right eyes’ images. This creates several challenges to
the presentation of cyclopean stereograms (containing
structure which is only detectable by binocular vision).
We discuss the potential artifacts, including one that is
unique to column-interleaved displays, whereby scene
elements such as dots in a random-dot stereogram
appear wider or narrower depending on the sign of
their disparity. We derive an algorithm for creating
stimuli which are free from this artifact.We show that
this and other artifacts can be avoided by (a) using a
task which is robust to disparity-sign inversion—for
example, a disparity-detection rather than
discrimination task—(b) using our proposed algorithm
to ensure that parallax is applied symmetrically on the
column-interleaved display, and (c) using a dynamic
stimulus to avoid monocular artifacts from motion
parallax. In order to test our recommendations, we
performed two experiments using a stereoacuity task
implemented with a parallax-barrier tablet. Our
results confirm that these recommendations eliminate
the artifacts. We believe that these recommendations
will be useful to vision scientists interested in running
stereo psychophysics experiments using parallaxbarrier
and other column-interleaved digital displays
scientists new opportunities for research, but also
come with distinct problems. Here we consider
autostereo displays where the two eyes’ images are
spatially interleaved in alternating columns of pixels
and no glasses or special optics are required. Columninterleaved
displays produce an excellent stereoscopic
effect, but subtle changes in the angle of view can
increase cross talk or even interchange the left and
right eyes’ images. This creates several challenges to
the presentation of cyclopean stereograms (containing
structure which is only detectable by binocular vision).
We discuss the potential artifacts, including one that is
unique to column-interleaved displays, whereby scene
elements such as dots in a random-dot stereogram
appear wider or narrower depending on the sign of
their disparity. We derive an algorithm for creating
stimuli which are free from this artifact.We show that
this and other artifacts can be avoided by (a) using a
task which is robust to disparity-sign inversion—for
example, a disparity-detection rather than
discrimination task—(b) using our proposed algorithm
to ensure that parallax is applied symmetrically on the
column-interleaved display, and (c) using a dynamic
stimulus to avoid monocular artifacts from motion
parallax. In order to test our recommendations, we
performed two experiments using a stereoacuity task
implemented with a parallax-barrier tablet. Our
results confirm that these recommendations eliminate
the artifacts. We believe that these recommendations
will be useful to vision scientists interested in running
stereo psychophysics experiments using parallaxbarrier
and other column-interleaved digital displays
Viewing 3D TV over two months produces no discernible effects on balance, coordination or eyesight.
Viewing 3D TV over two months produces no discernible effects on balance, coordination or eyesight. by Read JCA, Godfrey A, Bohr I, SImonotto J, Galna B, Smulders TV, ReadGodfreyBohrSimonottoGalnaSmulders2016.pdf (2.2 MiB) - With the rise in stereoscopic 3D media, there has been concern that viewing stereoscopic 3D (S3D) content could have long-term adverse effects, but little data are available. In the first study to address this, 28 households who did not currently own a 3D TV were given a new TV set, either S3D or 2D. The 116 members of these households all underwent tests of balance, coordination and eyesight, both before they received their new TV set, and after they had owned it for 2 months. We did not detect any changes which appeared to be associated with viewing 3D TV. We conclude that viewing 3D TV does not produce detectable effects on balance, coordination or eyesight over the timescale studied. Practitioner Summary: Concern has been expressed over possible long-term effects of stereoscopic 3D (S3D). We looked for any changes in vision, balance and coordination associated with normal home S3D TV viewing in the 2 months after first acquiring a 3D TV. We find no evidence of any changes over this timescale.