Impact of Children's Postural Variation on Viewing Distance and Estimated Visual Acuity.

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dc.contributor.author Hamm, Lisa en
dc.contributor.author Mistry, Kishan en
dc.contributor.author Black, Joanna en
dc.contributor.author C Grant, Cameron en
dc.contributor.author Dakin, Steven en
dc.date.accessioned 2019-06-19T21:12:05Z en
dc.date.issued 2019-01-30 en
dc.identifier.citation Translational vision science & technology 8(1):16 30 Jan 2019 en
dc.identifier.issn 2164-2591 en
dc.identifier.uri http://hdl.handle.net/2292/47230 en
dc.description.abstract Purpose:Reliable estimation of visual acuity requires that observers maintain a constant distance from the target, but use of chin rests is not always feasible. Our aim was to quantify children's movement during community testing and its impact on near (40 cm) and intermediate (150 cm) acuity measures. Methods:Thirty-three 7-year-old children performed several acuity tests run on a tablet computer, administered in the child's home by a trained lay screener. The tablet webcam was used to derive a continuous estimate of the child's position during testing. We estimated acuity using both the recommended viewing distance and using trial-by-trial estimates of the child's physical distance from the screen. Results:Although initial positioning in the 40-cm viewing distance condition was accurate, on 18% of trials children moved sufficiently to support a 0.1 logMAR improvement in acuity, leading 16% of staircases to overestimate acuity by more than one line. Initial positioning for the 150-cm condition was less accurate, but the longer viewing distance minimized the impact of children's movement on the visual angle of the target. Overall, at 150 cm 8% of staircases were overestimated by more than 0.1 logMAR. Conclusions:Children move substantially during intermediate and near acuity tests despite assessors encouraging maintenance of the correct viewing distance. Translational Relevance:Real-time estimates of the child's physical distance from the target are possible when assessments are conducted on camera-enabled devices. Correction for movement will likely lead to more accurate measures of near and intermediate visual acuity. en
dc.format.medium Electronic-eCollection en
dc.language eng en
dc.relation.ispartofseries Translational vision science & technology en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/ en
dc.title Impact of Children's Postural Variation on Viewing Distance and Estimated Visual Acuity. en
dc.type Journal Article en
dc.identifier.doi 10.1167/tvst.8.1.16 en
pubs.issue 1 en
pubs.begin-page 16 en
pubs.volume 8 en
dc.rights.holder Copyright: The authors en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype research-article en
pubs.subtype Journal Article en
pubs.elements-id 761752 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Optometry and Vision Science en
pubs.org-id School of Medicine en
pubs.org-id Paediatrics Child & Youth Hlth en
dc.identifier.eissn 2164-2591 en
pubs.record-created-at-source-date 2019-02-06 en
pubs.dimensions-id 30719403 en


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