Comparison of Various Kinds of Stereoacuity Tests in Preschool Children

The criteria for a good stereoacuity test in preschool children should be easy and provide accurate measurement of stereoacuity.To determine the success rate and efficacy of stereoacuity tests, and percentage of children between age of 2 and 3 years who correctly identified shapes and symbols of each stereoacuity test, we administered the Lang, Titmus circle, Titmus, animal, Randot circle, Randot shape and Randot preschool stereoacuity test in 96 patients whose ages ranged between 2 to 5 years. The overall success rates of the Lang, Titmus circle Titmus animal, Randot circle, Randot shape and Randot preschool stereoacuity tests were 84.4%, 72.9%, 75%, 75%, 75%and 84.4%, respectively.The overall success rates of the Lang and Randot preschool stereoacuity test tended to be higher among the methods.The sensitivity of the Lang and Randot preschool stereoacuity test was 100%and best among all methods.The percentage of 2-to 3-year-olds who correctly identified the shape of star, cat, car, elephant, rabbit, hand, truck, house, tree and round was higher than that of other shapes. The shapes of squirrel, monkey, heart, E, and cross was lower than that of other shapes.The Lang or Randot preschool stereoacuity test which uses shapes and symbols readily recognizable by children was found to be easy and accurate stereotests for preschool children, especially in uncooperative 2-to 3-year-olds.

Assessment of Stereoacuity with the Randot Preschool Stereoacuity and Lang Test in the 2-to 5-Year Age Range

The evaluation of stereoacuity provides relatively accurate assessment of binocular function. However, it is difficult to perform and also the reliability rate is low in the 2-to 5-year-old age range. We investigated the over-all success rate, the success rate according to age, and efficacy with the Randot preschool stereoacuity and Lang test in the 2-to 5-year-old children of 96 patients. The overall success rate of the two stereotests were 84. 4%, 47. 4%in the 2-year-old children and more than 87%in children over 3-year-old. When children with normal binocular vision were examined with the Randot preschool stereoacuity test, mean stereoacuity was 333 arc sec in the 2-year-age group, 135 arc sec in the 3-year-age group, 48 arc sec in the 4-year-age group, and 50 arc sec in the 5-year-age group. Sensitivity and specificity of Randot preschool stereoacuity test were 100%, 94. 2%, respectively. Sensitivity and specificity of Lang test were 100%, and 92. 4% respectively. As a result, Randot preschool stereoacuity and Lang stereotests might be considered easy available and valuable test for evaluating binocular function in the 3-to 5-year-old preschool children. Moreover, the Randot preschool stereoacuity provided a relatively accurate measurement of stereoacuity in the 3-to 5-year-old age range.