Testing Stereopsis in Children

Stereopsis develops very early in life and is thought to be present in a normally developing child by six months of age. In order to develop stereopsis, multiple components of visual development must be intact including visual acuity and bifoveal fixation. Stereopsis is the most sensitive way to assess sensory fusion but can be unreliable in very young age groups due to difficulty understanding the test or instructions. It is best to choose an option with global stereopsis (high level cortical stereo), as local stereopsis may overestimate ability due to available monocular cues. Global is created using random dot stereograms (RDS) – computer-generated patterns to create a stereoscopic form, while local contains line stereograms which create horizontal retinal image disparity giving the perception of depth. Stereopsis can be affected by strabismus, amblyopia, and other binocular vision dysfunctions that interfere with visual efficiency (especially in school-age children). The chapter discusses the most commonly used clinical tests of global and local stereopsis.

Longitudinal Rehabilitation of Binocular Function in Adolescent Intermittent Exotropia After Successful Corrective Surgery

PurposeTo study the longitudinal rehabilitation of binocular visual function in adolescent intermittent exotropia (IXT) after successful surgery and compare the results with those of a normal population. The role of binocular function in ocular alignment stability was also evaluated postoperatively.MethodsIn this prospective study, 30 adolescents with IXT successfully corrected after 1 month were followed for 12 months, and 30 children with normal vision were enrolled as controls. Stereopsis, the fusional vergence amplitude, sensory fusion, and accommodative flexibility were measured to assess binocular function at baseline and 6 and 12 months postoperatively. The controls were tested once when they were enrolled in the study.ResultsThe deviation was −32.00 ± 8.60 prism diopters (PD) at distance fixation and −36.0 ± 9.10 PD at near fixation preoperatively with an average correction of 28.53 ± 3.79 PD and 30.67 ± 1.34 PD at 1 month postoperatively. Distance stereoacuity and near stereoacuity improved from 1 to 12 months postoperatively (p = 0.025 and p = 0.041, respectively). Compared with the controls, the fusional convergence reserve at distance (p = 0.025) and near (p = 0.033) fixations and fusion reserve ratio at distance (p = 0.000) and near (p = 0.000) fixations remained subnormal, whereas sensory fusion (p = 0.237), distance stereopsis (p = 0.120), and the fusional divergence amplitude at a distance (p = 0.168) were normal. However, no significant correlations were found between binocular functions at 1 month postoperatively and the postoperative drift.ConclusionBinocular function significantly improved from before to after successful corrective surgery and continued to improve from 1 to 12 months postoperatively in adolescents with IXT. No significant correlations were found between binocular functions at 1 month postoperatively and ocular alignment stability.

3D Sensor-Fusion for the Documentation of Rural Heritage Buildings

3D computer vision techniques are now required for the virtual reconstruction of ancient buildings and monuments in urban environments. In this paper, we include a new subfield within the broad field of Urban Heritage that we denominate as Rural Heritage (RH), and which is focused on recovering 3D models of small buildings and facilities of significance in rural environments. We, therefore, present a multi-sensory approach whose objective is to create complete architectural documentation of the dovecotes in an extended region of central Spain. This kind of aviary construction was very common in Spanish rural environments during the 19th century and the first half of the 20th century and is representative of an RH building. Sensory fusion was developed using color cameras, 3D terrestrial laser scanners, and photogrammetric techniques with Unmanned Aerial Vehicles (UAV) and achieves precise indoor and outdoor 3D models. The sensory fusion here also refers to the fact that the information coming from different sensors is integrated into a common documentation framework. A total of 80 dovecotes have been referenced and made available to the public in open access resources. The successful results and applicability of our method lead us to believe that the current documentation and the safeguard technologies in the RH field should evolve towards the use of these 3D computer vision techniques.

Can Clinical Measures of Postoperative Binocular Function Predict the Long-Term Stability of Postoperative Alignment in Intermittent Exotropia?

Purpose. To evaluate whether clinical measures of postoperative binocular functions could predict the long-term stability of postoperative ocular alignment in children with intermittent exotropia. Methods. A retrospective study was performed in thirty-nine children (median: 7 years) who have been surgically treated from intermittent exotropia without overcorrection (less than 10 prism diopters [pd] of exodeviation at 1 month postoperatively). Angles of deviation and binocular functions were measured preoperatively and at 1 month, 6 months, and the final follow-up visit (≥24 months) postoperatively. We examined the relationships between postoperative drift (change of ocular alignment) and binocular functions (sensory fusion, fusional convergence amplitude, and stereoacuity). Results. The surgical success rate (esophoria/tropia ≤5 pd to exophoria/tropia ≤10 pd) dropped to 76.9% at 6 months after surgery and to 53.8% at individuals’ last visit (mean: 37 months). The mean exodrift was 7.7 ± 9.2 pd from the postoperative month 1 to the final visit (p<0.001) on distance fixation. Distance stereoacuity, central fusion, and fusional convergence amplitude significantly improved following surgery (p<0.05). However, no significant correlation was found between their binocular functions measured at the beginning of each follow-up period and the postoperative drift (all p>0.13). Conclusion. Our findings suggest that the clinical measures of sensory fusion, fusional convergence amplitude, and stereoacuity cannot serve as a robust predictor for the long-term stability of postoperative ocular alignment in patients who underwent successful surgery without overcorrection at 1 month postoperatively.