Infant random dot stereoacuity cards

Abstract

Purpose: The overall goal was to develop a simple test of random dot stereoacuity that can be used during the first 24 months of life to measure sensory outcomes following treatment of ophthalmopediatric disorders, both in the context of clinical trials and in the context of clinical management.

Methods: A series of random dot stereoacuity test cards were constructed using vectographic vertical bar stimuli with crossed disparities ranging from 1735 to 45 sec. A two-alternative, forced-choice, preferential-looking test protocol was used to measure stereoacuity in 95 healthy term infants (173 tests) over the 1.5-to-24-month age range. Success rate, validity, and tolerance limits for normal performance as a function of age were evaluated.

Results: The success rate was high (158 of 173 tests; 91.3%). The maturation of random dot stereoacuity was similar to that measured in earlier lab-based preferential-looking and visual evoked potential protocols; few infants younger than 2 months of age demonstrated stereopsis although by 12 months, mean stereoacuity was 2.1 log sec (120 sec). A further improvement to 1.7 log sec (56 sec) was seen during months 18 to 24, consistent with data obtained in an earlier operant random dot protocol. Tolerance limits for normal ranged from approximately 1000 sec at 6 months to 100 sec after 12 months.

Conclusions: The infant random dot stereoacuity cards provide a simple, quick, and portable preferential-looking test of random dot stereoacuity for infants that has a high success rate and excellent concordance with stereoacuity outcomes from laboratory-based protocols.