Journal of American Association for Pediatric Ophthalmology and Strabismus
Major articleResults of ocular dominance testing depend on assessment method
Section snippets
Subjects
Institutional review board approval was obtained for the testing protocol and procedures. Each subject provided informed consent and the study was compliant with the Health Insurance Portability and Accountability Act. Subjects were recruited during a well-eye examination at a general eye clinic. All subjects had a normal complete eye examination, with the exception of refractive error, if present, and were tested in their habitual correction, if applicable. Forty-six subjects, aged 18 to 78
Subject Demographics
Forty-six subjects between the ages of 18 and 78 years (median age, 42.5 years) were enrolled. Seventy-two percent (33 of 46) were women. Visual acuity ranged from 20/20 to 20/40 (median, 20/20) at distance and 20/15 to 20/40 (median, 20/20) at near. Ninety-six percent (44 of 46) of the subjects were white.
Questions on Dominance and Handedness
Right eye dominance was reported by 57% (26 of 46) of the subjects (in response to the question, “Which is your dominant eye?”). Over half of the subjects (27 of 46) reported that they would
Discussion
We found excellent test-retest reliability for each ocular dominance test. Nevertheless, there was only moderate to slight agreement between each possible pairing of tests and moderate to poor agreement between each possible pairing of tests with questions. The poor agreement between tests appears to be the result of differences in testing distance and in the specific activity performed with each test, and raises several issues regarding the uses of ocular dominance tests in clinical practice.
References (17)
- et al.
Quantitative measurement of ocular dominance using binocular rivalry induced by retinometers
J Cataract Refract Surg
(2006) Sighting dominance, handedness, and visual acuity preference: Three mutually exclusive modalities?
Ophthalmic Physiol Opt
(2001)Sighting dominance: An explanation based on the processing of visual direction in tests of sighting dominance
Vision Res
(1981)- et al.
Ocular dominance and patient satisfaction after monovision induced by intraocular lens implantation
J Cataract Refract Surg
(2004) - et al.
Examination of the patient—IV
- et al.
The amblyopia treatment study visual acuity testing protocol
Arch Ophthalmol
(2001) - et al.
The measurement of observer agreement for categorical data
Biometrics
(1977) - et al.
What does the dominant eye dominate?A brief and somewhat contentious review
Percept Psychophys
(2003)
Cited by (0)
This work was supported by National Institutes of Health Grants EY015799 and EY011751 (JMH), Research to Prevent Blindness, Inc., New York, NY (JMH as Olga Keith Weiss Scholar and an unrestricted grant to the Department of Ophthalmology, Mayo Clinic), and the Mayo Foundation, Rochester, MN.
This study was conducted in the Department of Ophthalmology, Mayo Clinic College of Medicine, Rochester, MN.
The authors have no conflicts of interest to disclose.