Tiffany C Ho1, Talia Kolin2, Carly Stewart3, Mark Reid1, Thomas C Lee1, Sudha Nallasamy4. 1. The Vision Center at Children's Hospital Los Angeles, Los Angeles, California;; USC Roski Eye Institute, Keck School of Medicine of USC, University of Southern California, Los Angeles. 2. The Vision Center at Children's Hospital Los Angeles, Los Angeles, California;; USC Roski Eye Institute, Keck School of Medicine of USC, University of Southern California, Los Angeles;; Veterans Affairs Los Angeles Ambulatory Care Center, Los Angeles, California. 3. The Vision Center at Children's Hospital Los Angeles, Los Angeles, California. 4. The Vision Center at Children's Hospital Los Angeles, Los Angeles, California;; USC Roski Eye Institute, Keck School of Medicine of USC, University of Southern California, Los Angeles;. Electronic address: sudha.nallasamy@gmail.com.
Abstract
PURPOSE: To evaluate the use of high-definition, wireless video recording Pivothead glasses in streamed strabismus examinations. METHODS: A pediatric ophthalmologist wearing Pivothead glasses simultaneously performed and recorded strabismus examinations, which were completed in primary gaze, with and without correction, and at distance and near. Parameters included category of strabismus, angle measurements, and ocular motility. Another pediatric ophthalmologist, masked to clinical findings, reviewed and graded live video feed. At least 3 months later, both pediatric ophthalmologists graded the stored videos. Agreement was determined by unweighted kappa for categorical variables, intraclass coefficient for continuous variables, and percent agreement. RESULTS: A total of 100 videos were recorded for 37 enrolled patients aged 4-16 years. Agreement between streamed and in-person examinations was perfect for both horizontal and vertical (κ = 1.0) deviations. Agreement for degree manifest (tropia vs intermittent tropia vs phoria) was almost perfect for all deviations (κ = 0.94). Agreement was excellent for angle measurements of both horizontal (ICC = 0.95) and vertical (ICC = 0.91) deviations. Inferior and superior oblique agreement was 93% and 98%, respectively. Similar agreement was also observed between store-and-forward versus gold standard examinations. CONCLUSIONS: Real-time video feed obtained with video glasses can be read with a high degree of reliability for detecting strabismus category, angle, and extraocular motility.
PURPOSE: To evaluate the use of high-definition, wireless video recording Pivothead glasses in streamed strabismus examinations. METHODS: A pediatric ophthalmologist wearing Pivothead glasses simultaneously performed and recorded strabismus examinations, which were completed in primary gaze, with and without correction, and at distance and near. Parameters included category of strabismus, angle measurements, and ocular motility. Another pediatric ophthalmologist, masked to clinical findings, reviewed and graded live video feed. At least 3 months later, both pediatric ophthalmologists graded the stored videos. Agreement was determined by unweighted kappa for categorical variables, intraclass coefficient for continuous variables, and percent agreement. RESULTS: A total of 100 videos were recorded for 37 enrolled patients aged 4-16 years. Agreement between streamed and in-person examinations was perfect for both horizontal and vertical (κ = 1.0) deviations. Agreement for degree manifest (tropia vs intermittent tropia vs phoria) was almost perfect for all deviations (κ = 0.94). Agreement was excellent for angle measurements of both horizontal (ICC = 0.95) and vertical (ICC = 0.91) deviations. Inferior and superior oblique agreement was 93% and 98%, respectively. Similar agreement was also observed between store-and-forward versus gold standard examinations. CONCLUSIONS: Real-time video feed obtained with video glasses can be read with a high degree of reliability for detecting strabismus category, angle, and extraocular motility.
Authors: Alexandra N Zdonczyk; Gaurang Gupte; Anna Schroeder; Varsha Sathappan; Andrew R Lee; Susan M Culican Journal: J Pediatr Ophthalmol Strabismus Date: 2021-12-20 Impact factor: 1.330
Authors: Carly Stewart; Josephine Coffey-Sandoval; Mark W Reid; Tiffany C Ho; Thomas C Lee; Sudha Nallasamy Journal: Br J Ophthalmol Date: 2021-03-15 Impact factor: 5.908