دورية أكاديمية
Evaluating Visual Acuity in the American Academy of Ophthalmology IRIS® Registry.
| العنوان: | Evaluating Visual Acuity in the American Academy of Ophthalmology IRIS® Registry. |
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| المؤلفون: | Brant A; Spencer Center for Vision Research, Byers Eye Institute at Stanford, Department of Ophthalmology, Stanford University, Palo Alto, California., Kolomeyer N; Wills Eye Hospital, Department of Ophthalmology, Sidney Kimmel Medical Center at Thomas Jefferson University, Philadelphia, Pennsylvania., Goldberg JL; Spencer Center for Vision Research, Byers Eye Institute at Stanford, Department of Ophthalmology, Stanford University, Palo Alto, California.; Ophthalmology and Eye Care Services, VA Palo Alto Health Care System, Palo Alto, CA., Haller J; Wills Eye Hospital, Department of Ophthalmology, Sidney Kimmel Medical Center at Thomas Jefferson University, Philadelphia, Pennsylvania., Lee CS; Department of Ophthalmology, University of Washington, Seattle, Washington.; Roger and Angie Karalis Johnson Retina Center, Seattle, Washington., Lee AY; Department of Ophthalmology, University of Washington, Seattle, Washington.; Roger and Angie Karalis Johnson Retina Center, Seattle, Washington., Lorch AC; Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts., Miller JW; Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts., Hyman L; Wills Eye Hospital, Department of Ophthalmology, Sidney Kimmel Medical Center at Thomas Jefferson University, Philadelphia, Pennsylvania.; Vickie and Jack Farber Vision Research Center at Wills Eye Hospital, Philadelphia, Pennsylvania., Pershing S; Spencer Center for Vision Research, Byers Eye Institute at Stanford, Department of Ophthalmology, Stanford University, Palo Alto, California.; Ophthalmology and Eye Care Services, VA Palo Alto Health Care System, Palo Alto, CA. |
| المصدر: | Ophthalmology science [Ophthalmol Sci] 2023 Jun 19; Vol. 4 (1), pp. 100352. Date of Electronic Publication: 2023 Jun 19 (Print Publication: 2024). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier, B.V Country of Publication: Netherlands NLM ID: 9918230896206676 Publication Model: eCollection Cited Medium: Internet ISSN: 2666-9145 (Electronic) Linking ISSN: 26669145 NLM ISO Abbreviation: Ophthalmol Sci Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Amsterdam] : Elsevier, B.V., [2021]- |
| مستخلص: | Objective: To describe visual acuity data representation in the American Academy of Ophthalmology Intelligent Research in Sight (IRIS) Registry and present a data-cleaning strategy. Design: Reliability and validity study. Participants: Patients with visual acuity records from 2018 in the IRIS Registry. Methods: Visual acuity measurements and metadata were identified and characterized from 2018 IRIS Registry records. Metadata, including laterality, assessment method (distance, near, and unspecified), correction (corrected, uncorrected, and unspecified), and flags for refraction or pinhole assessment were compared between Rome (frozen April 20, 2020) and Chicago (frozen December 24, 2021) versions. We developed a data-cleaning strategy to infer patients' corrected distance visual acuity in their better-seeing eye. Main Outcome Measures: Visual acuity data characteristics in the IRIS Registry. Results: The IRIS Registry Chicago data set contains 168 920 049 visual acuity records among 23 001 531 unique patients and 49 968 974 unique patient visit dates in 2018. Visual acuity records were associated with refraction in 5.3% of cases, and with pinhole in 11.0%. Mean (standard deviation) of all measurements was 0.26 (0.41) logarithm of the minimum angle of resolution (logMAR), with a range of - 0.3 to 4.0 A plurality of visual acuity records were labeled corrected (corrected visual acuity [CVA], 39.1%), followed by unspecified (37.6%) and uncorrected (uncorrected visual acuity [UCVA], 23.4%). Corrected visual acuity measurements were paradoxically worse than same day UCVA 15% of the time. In aggregate, mean and median values were similar for CVA and unspecified visual acuity. Most visual acuity measurements were at distance (59.8%, vs. 32.1% unspecified and 8.2% near). Rome contained more duplicate visual acuity records than Chicago (10.8% vs. 1.4%). Near visual acuity was classified with Jaeger notation and (in Chicago only) also assigned logMAR values by Verana Health. LogMAR values for hand motion and light perception visual acuity were lower in Chicago than in Rome. The impact of data entry errors or outliers on analyses may be reduced by filtering and averaging visual acuity per eye over time. Conclusions: The IRIS Registry includes similar visual acuity metadata in Rome and Chicago. Although fewer duplicate records were found in Chicago, both versions include duplicate and atypical measurements (i.e., CVA worse than UCVA on the same day). Analyses may benefit from using algorithms to filter outliers and average visual acuity measurements over time. Financial Disclosures: Proprietary or commercial disclosure may be found found in the Footnotes and Disclosures at the end of this article. |
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| معلومات مُعتمدة: | P30 EY026877 United States EY NEI NIH HHS |
| فهرسة مساهمة: | Keywords: Epidemiology; IRIS Registry; Intelligent Research in Sight; Visual acuity |
| تواريخ الأحداث: | Date Created: 20231023 Latest Revision: 20240210 |
| رمز التحديث: | 20240210 |
| مُعرف محوري في PubMed: | PMC10587626 |
| DOI: | 10.1016/j.xops.2023.100352 |
| PMID: | 37869025 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 2666-9145 |
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| DOI: | 10.1016/j.xops.2023.100352 |