Stereopsis testing without polarized glasses: a comparison study on five new stereoacuity tests

Stereopsis testing is commonly used to assess the presence and level of binocular vision. A new series of stereopsis tests requiring no polarized goggles are available in the form of the Titmus Stereo Test, the Stereo Reindeer Test, the Random Dot Butterfly, the Random Dot Figures, and the Random E, Circle, Square. These polarized-free tests employ a special prismatic printing process creating a panagraphic presentation, i.e., a separate image is presented to each eye without the need for polarization. The purpose of this study was to compare the polarized-free stereo tests with their traditional polarized counterparts.

Thirty four subjects, including several persons with strabismus, ages 10-35 years, were each tested with the polarized and polarized-free versions of the Titmus, Reindeer, Butterfly, and Figures. Twenty nine of these subjects were tested with the Random Dot E. Half the subjects were tested first with polarized-free and half were tested first with polarized tests. Tests were performed according to manufacturer instructions by the same examiner in clinical settings.

The results (matched pair ranked correlation coefficients) indicate that the polarized-free tests were highly correlated (r = 0.997, r = 0.998, r = 0.997, r = 1.00, and r = 1.00 respectively) with the polarized comparison tests. No significant difference (Wilcoxon Ranked Sign) in the stereopsis level was obtained between the two versions of the tests.

We conclude that these five polarized-free tests were just as valid in measuring the subjects' stereopsis as their traditional polarized version. The use of goggle-free testing has potential clinical advantages, e.g., testing of young children who will not wear the glasses or the improved observation of the ocular alignment during stereopsis testing.