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Barrio AR, Antona B, Morago-Villanueva S, Martínez-Arribas V, González-Pérez M. Intrasession repeatability and agreement of the anterior corneal assessment provided by a multidiagnostic device. Clin Exp Optom 2024:1-7. [PMID: 38494447 DOI: 10.1080/08164622.2024.2324978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2023] [Accepted: 02/23/2024] [Indexed: 03/19/2024] Open
Abstract
CLINICAL RELEVANCE Multidiagnostic systems have recently appeared on the market. Knowledge of the repeatability and validity of any instrument is mandatory before its introduction in clinical practice. BACKGROUND The aim of this work is to examine the intrasession repeatability of anterior pole measurements provided by the multidiagnostic device Wave Analyzer Medica 700 (WAM700) and agreement with Pentacam measurements in normal eyes. METHODS In the right eyes of 113 participants, three repeat measurements of central keratometry, central corneal thickness, anterior chamber depth and corneal eccentricity were made with the WAM700 and Pentacam in random order. Intrasession repeatability and agreement were determined. RESULTS Employing WAM700, intrasession repeatability for keratometry, central corneal thickness and anterior chamber depth was good (ICCs ≥ 0.992; CV 0.48-0.98%), yet worse than the values obtained for the Pentacam (ICCs ≥ 0.998; CV 0-0.33%). WAM700 showed excellent intrasession repeatability when used to measure the anterior chamber depth (Sw 0.03 mm). However, the repeatability of this device was inferior for central corneal thickness (Sw 4.24 μm) and keratometry measurements (Sw < 0.21 D) and was poor for corneal eccentricity (Sw 0.07; ICC 0.908; CV 14.58%). Agreement between WAM700 and Pentacam showed a high ICC for the keratometry measurements, central corneal thickness and anterior chamber depth (>0.972) but lower for corneal eccentricity (ICC 0.762). CONCLUSIONS In healthy eyes, the WAM700 multidiagnostic device showed good intrasession repeatability for keratometry, central corneal thickness and anterior chamber depth measurements. Agreement between WAM700 and Pentacam was good for the anterior chamber depth measurement. However, these instruments cannot be considered interchangeable for keratometry, central corneal thickness and eccentricity readings.
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Affiliation(s)
- Ana Rosa Barrio
- Applied Vision Research Group, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid, Spain
| | - Beatriz Antona
- Applied Vision Research Group, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid, Spain
| | | | | | - Mariano González-Pérez
- Clinical and Experimental Eye Research Group, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid, Spain
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Barrio AR, González-Pérez M, Heredia-Pastor C, Enríquez-Fuentes J, Antona B. Spanish Cross-Cultural Adaptation, Rasch Analysis and Validation of the Ocular Comfort Index (OCI) Questionnaire. Int J Environ Res Public Health 2022; 19:15142. [PMID: 36429862 PMCID: PMC9690133 DOI: 10.3390/ijerph192215142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 11/14/2022] [Accepted: 11/15/2022] [Indexed: 06/16/2023]
Abstract
The Ocular Comfort Index (OCI) assesses ocular surface irritation and grades the severity of dry eye disease. This study sought to adapt the OCI questionnaire into Spanish, and then to assess the psychometric performance and validity of the new adapted version (OCI-versión española, OCIVE). The questionnaire was translated, back translated, and then cross-culturally adapted for use with Spanish-speaking individuals. The OCIVE was completed by 450 participants, including 53 subjects that were diagnosed with dry eye disease. Through a Rasch analysis, the psychometric properties of item fit, targeting, person separation, reliability, and differential item functioning (DIF) were assessed. To test the convergent validity, we examined the correlation between the OCIVE and the Computer Vision Symptom Scale (CVSS17). Validity was tested in a subgroup of participants with and without dry eye, and test-retest repeatability was determined in a subset of 151 individuals. We also compared, via DIF, the performance of the OCIVE with that of the original OCI. Our Rasch analysis revealed a good model fit, high accuracy, good targeting, unidimensionality, and no DIF according to gender. The validity and repeatability were good. The OCIVE shows comparable psychometric properties to the original English version, making it a valid tool for measuring dry eye symptoms in Spanish adults.
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Affiliation(s)
- Ana Rosa Barrio
- Optics and Optometry Department, Faculty of Optics and Optometry, Complutense University of Madrid, 28037 Madrid, Spain
- Applied Vision Research Group, Faculty of Optics and Optometry, Complutense University of Madrid, 28037 Madrid, Spain
| | - Mariano González-Pérez
- Optics and Optometry Department, Faculty of Optics and Optometry, Complutense University of Madrid, 28037 Madrid, Spain
| | | | | | - Beatriz Antona
- Optics and Optometry Department, Faculty of Optics and Optometry, Complutense University of Madrid, 28037 Madrid, Spain
- Applied Vision Research Group, Faculty of Optics and Optometry, Complutense University of Madrid, 28037 Madrid, Spain
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González-Pérez M, Pérez-Garmendia C, Barrio AR, García-Montero M, Antona B. Spanish Cross-Cultural Adaptation and Rasch Analysis of the Convergence Insufficiency Symptom Survey (CISS). Transl Vis Sci Technol 2020; 9:23. [PMID: 32818110 PMCID: PMC7396165 DOI: 10.1167/tvst.9.4.23] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Accepted: 01/15/2020] [Indexed: 11/24/2022] Open
Abstract
Purpose To culturally and linguistically adapt the Convergence Insufficiency Symptom Survey (CISS) to Spanish and assess the psychometric performance of the new version through Rasch analysis and classical test theory methods. Methods The Spanish version of the CISS (CISSVE) was completed by 449 subjects (9–30 years old) from the general population. The validity and reliability of CISSVE were assessed through Rasch statistics (precision, targeting, item fit, unidimensionality, and differential item functioning). To test construct validity, we calculated the coefficients of correlation between the CISSVE and the Computer-Vision Symptom Scale (CVSS17) or Warwick–Edinburgh Mental Well-Being Scale (WEMWBS). We determined test–retest reliability in a subset of 229 subjects. We used differential item functioning (DIF) to compare the CISSSVE and the CISS after administering the CISS to 216 English children. Results After applying exclusion criteria, the responses of 420 participants (mean age, 18.62 years; female, 54.95%) revealed good Rasch model fit, good precision (person separation = 2.33), and suboptimal targeting (–1.37). There was some evidence of multidimensionality, but disattenuated correlations between the Rasch dimension and a possible secondary dimension were high, suggesting they were measuring similar constructs. No item bias according to gender or age was detected. Spearman's correlation was 0.34 (P < 0.001) for CISSVE–CVSS17 and non-significant for CISSVE–WEMWBS. The limits of agreement for test–retest reliability were 9.67 and –8.71. Rasch analysis results indicated no difference between CISS and CISSVE. Conclusions According to our results, CISSVE is a valid and reliable tool for measuring the symptoms assessed by CISS in Spanish people 9 to 30 years of age. Translational Relevance CISSVE can measure convergence insufficiency symptoms in Spanish-speaking subjects.
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Affiliation(s)
- Mariano González-Pérez
- Optics and Optometry Department, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid, Spain
| | - Carlos Pérez-Garmendia
- Optics and Optometry Department, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid, Spain
| | - Ana Rosa Barrio
- Optics and Optometry Department, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid, Spain.,Applied Vision Research Group, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid, Spain
| | - María García-Montero
- Optics and Optometry Department, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid, Spain
| | - Beatriz Antona
- Optics and Optometry Department, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid, Spain.,Applied Vision Research Group, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid, Spain
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García-Montero M, Antona B, Barrio AR, Nieto-Zayas C, Martínez-Alberquilla I, Hernández-Verdejo JL. The role of clinical diagnosis criteria on the frequency of accommodative insufficiency. Int J Ophthalmol 2019; 12:647-653. [PMID: 31024821 PMCID: PMC6469550 DOI: 10.18240/ijo.2019.04.20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2018] [Accepted: 10/11/2018] [Indexed: 12/29/2022] Open
Abstract
AIM To estimate and compare the frequency of accommodative insufficiency (AI) within the same clinical population sample depending on the type of clinical criteria used for diagnosis. Comparing the frequency within the same population would help to minimize bias due to sampling or methodological variability. METHODS Retrospective study of 205 medical records of symptomatic subjects free of any organic cause and symptoms persisting despite optical compensation evaluated. Based on the most commonly clinical diagnostics criteria found in the literature, four diagnostics criteria were established for AI (I, II, III and IV) based on subjective accommodative tests: monocular accommodative amplitude two or more diopters below Hofstetter's minimum value [15-(0.25×age)] (I, II, III, IV); failing monocular accommodative facility with minus lens, establishing the cut-off in 0 cycles per minute (cpm) (I) and in 6 cpm (II, III); failing binocular accommodative facility with minus lens, establishing the cut-off in 0 cpm (I) and in 3 cpm (II). RESULTS The proportion of AI (95%CI) for criteria I, II, III and IV were 1.95% (0.04%-3.86%), 2.93% (0.31%-4.57%), 6.34% (1.90%-7.85%) and 41.95% (35.14%-48.76%) respectively, with a statistically significant difference shown between these values (χ2 =226.7, P<0.001). A pairwise multiple comparison revealed that the proportion of AI detected for criterion IV was significantly greater than the proportion for the rest of the criteria (P-adjusted<0.05 in all cases). CONCLUSION The prevalence of cases of AI within the same clinical population varies with the clinical diagnostic criteria selected. The variation is statistically significant when considering the monocular accommodative amplitude as the only clinical diagnostic sign.
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Affiliation(s)
- María García-Montero
- Department of Optometry and Vision, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid 28037, Spain
| | - Beatriz Antona
- Department of Optometry and Vision, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid 28037, Spain
| | - Ana Rosa Barrio
- Department of Optometry and Vision, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid 28037, Spain
| | - Carmen Nieto-Zayas
- Department of Statistics and Operations Research III, Faculty of Statistical Studies, Complutense University of Madrid, Madrid 28040, Spain
| | - Irene Martínez-Alberquilla
- Department of Optometry and Vision, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid 28037, Spain
| | - José Luis Hernández-Verdejo
- Department of Optometry and Vision, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid 28037, Spain
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Antona B, Barrio AR, Gascó A, Pinar A, González-Pérez M, Puell MC. Symptoms associated with reading from a smartphone in conditions of light and dark. Appl Ergon 2018; 68:12-17. [PMID: 29409625 DOI: 10.1016/j.apergo.2017.10.014] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Revised: 05/03/2017] [Accepted: 10/20/2017] [Indexed: 06/07/2023]
Abstract
Asthenopia symptoms were investigated in visually-normal subjects without computer-related vision symptoms after prolonged reading from: smartphone versus hardcopy under photopic conditions, and smartphone in conditions of ambient versus dark room illumination. After reading from the smartphone, total symptom scores and nine out of ten questionnaire symptoms were significantly worse than for the hardcopy ("blurred vision while viewing the text, "blurred distance vision after the task", "difficulty in refocusing from one distance to another", "irritated or burning eyes", "dry eyes", "eyestrain", "tired eyes", "sensitivity to bright lights" and "eye discomfort"). Mean total symptom scores and scores for "irritated or burning eyes" and "dry eyes" were significantly higher for the dark versus photopic conditions. In conclusion, prolonged smartphone reading could cause worse asthenopic symptoms than reading from a hardcopy under similar conditions. Symptoms could be even worse when reading from a smartphone in the dark.
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Affiliation(s)
- Beatriz Antona
- Applied Vision Research Group, Faculty of Optics and Optometry, Complutense University of Madrid, 28037 Madrid, Spain.
| | - Ana Rosa Barrio
- Applied Vision Research Group, Faculty of Optics and Optometry, Complutense University of Madrid, 28037 Madrid, Spain
| | - Adriana Gascó
- Faculty of Optics and Optometry, Complutense University of Madrid, 28037 Madrid, Spain
| | - Ana Pinar
- Faculty of Optics and Optometry, Complutense University of Madrid, 28037 Madrid, Spain
| | | | - María C Puell
- Applied Vision Research Group, Faculty of Optics and Optometry, Complutense University of Madrid, 28037 Madrid, Spain
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