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Validation of Angular Indication Measurement (AIM) Stereoacuity

NEUPANE, S.; Skerswetat, J.; Bex, P. J.

2025-04-25 ophthalmology
10.1101/2025.04.23.25325959 medRxiv
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BackgroundStereopsis is a critical visual function, however clinical stereotests are time-consuming, coarse in resolution, suffer low test-retest repeatability, and poor agreement with other tests. We developed AIM Stereoacuity to address these limitations and asked whether it could deliver reliable, efficient, and precise stereo-thresholds across stimulus types and disparity signs. MethodsObservers reported the orientation of 5x1.25{degrees} bar defined by disparity of random dots embedded in a 6{degrees} diameter circular cell, presented in a 4*4 grid. Bar disparity was scaled from {+/-} 2{sigma} relative to a threshold and slope-estimate, initially set by the experimenter and adaptively updated. Orientation report errors (indicated vs. actual bar-orientation) were fit with a cumulative Gaussian function to derive stereo-thresholds. Twenty-one normally-sighted observers were tested with red-blue anaglyphs in crossed and uncrossed disparity signs across 4 element-types (8.5arcmin broadband dots, or band-pass difference of Gaussians with peak Spatial-Frequency (SF) of 2, 4, or 6 c/{degrees}). We analyzed stereoacuities, test durations, and the test-retest repeatability. ResultsAcross SFs and observers, test duration for a chart were 36 and 40 secs for measuring crossed and uncrossed disparity, respectively. There was no effect of disparity sign or SF (Kruskal-Wallis; p>0.05). Median log stereo-thresholds averaged across all SFs were 1.90 and 1.84 log arcsec for crossed and uncrossed disparities, respectively. Crossed and uncrossed disparities were moderately correlated across SFs(r=0.44 to 0.79; median=0.54). Test-retest biases were 0.01 arcsec (p=0.45) and 0.10 arcsec (p= 0.001) for crossed and uncrossed disparities, respectively. ConclusionsThe results for the response-adaptive, self-administered AIM Stereoacuity method showed no significant stereo-thresholds differences between broad- and narrow-band stimuli. The test delivers repeatable results for crossed disparity in approximately 80 seconds.

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