{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:07:54Z","timestamp":1753891674021,"version":"3.41.2"},"reference-count":28,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,6,12]],"date-time":"2023-06-12T00:00:00Z","timestamp":1686528000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurosci."],"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>To assess the precision and reliability of a novel computerized heterophoria test (CHT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred and three subjects aged 20 to 48 (27.37\u2009\u00b1\u20095.15) were recruited from Wenzhou Medical University. All subjects with corrected spectacles were examined with CHT and a prism-neutralized objective cover test (POCT) in a randomized order. They were then re-examined with CHT within 1\u2009week. Their heterophoria was measured at three different distances (3\u2009m, 0.77\u2009m and 0.4\u2009m); the average was recorded after three consecutive measurements. Inter-examiner repeatability, intra-examiner repeatability of CHT and agreement between CHT and POCT were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was no significant difference among repeated measurements using CHT (all <jats:italic>p<\/jats:italic>\u2009&amp;gt;\u20090.05). The difference between POCT and CHT was statistically significant at three distances (all <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001). However, the mean absolute difference was 1.20<jats:sup>\u25b3<\/jats:sup>, 1.93<jats:sup>\u25b3<\/jats:sup>, and 2.41<jats:sup>\u25b3<\/jats:sup>, all of which were significantly smaller than the permissible range of error (4<jats:sup>\u25b3<\/jats:sup>) at three different distances (all <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The CHT demonstrated excellent inter- and intra-examiner repeatability, as well as good correlation with POCT. The differences between CHT and POCT were within the permissible range of error, indicating that CHT could provide a precise and reliable measurement for clinical applications.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fnins.2023.1207945","type":"journal-article","created":{"date-parts":[[2023,6,12]],"date-time":"2023-06-12T04:25:58Z","timestamp":1686543958000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of precision and reliability of a novel computerized heterophoria test"],"prefix":"10.3389","volume":"17","author":[{"given":"Yuwen","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fuhao","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fengchao","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Song","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,6,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1097\/OPX.0b013e3181d1d954","article-title":"Effect of examiner experience and technique on the alternate cover test","volume":"87","author":"Anderson","year":"2010","journal-title":"Optom. 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