Evidence map›Paper›PMID 35156935›Full record

SynthesisJMIR mHealth and uHealth2022

Use of Mobile Apps for Visual Acuity Assessment: Systematic Review and Meta-analysis.

Lingge Suo, Xianghan Ke, Di Zhang, Xuejiao Qin, Xuhao Chen, Ying Hong, Wanwei Dai, Defu Wu, Chun Zhang, Dongsong Zhang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in JMIR mHealth and uHealth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  5. Exploring Parental Views of Remote Vision Testing in Children.The British and Irish orthoptic journal · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Lingge SuoDepartment of Ophthalmology, Peking University Third Hospital, Beijing, China.ORCID 0000-0002-4196-8224
Xianghan KeDepartment of Ophthalmology, Peking University Third Hospital, Beijing, China.ORCID 0000-0003-2308-5126
Di ZhangDepartment of Ophthalmology, Peking University Third Hospital, Beijing, China.ORCID 0000-0002-2342-5779
Xuejiao QinDepartment of Ophthalmology, Qilu Hospital of Shandong University, Jinan, China.ORCID 0000-0002-4985-5777
Xuhao ChenDepartment of Ophthalmology, Peking University Third Hospital, Beijing, China.ORCID 0000-0003-1334-223X
Ying HongDepartment of Ophthalmology, Peking University Third Hospital, Beijing, China.ORCID 0000-0003-4000-9539
Wanwei DaiDepartment of Ophthalmology, Peking University Third Hospital, Beijing, China.ORCID 0000-0002-7066-5898
Defu WuDepartment of Ophthalmology, Peking University Third Hospital, Beijing, China.ORCID 0000-0003-0097-2507
Chun Zhang *Department of Ophthalmology, Peking University Third Hospital, Beijing, China.ORCID 0000-0001-5203-8463
Dongsong Zhang *Department of Business Information Systems and Operations Management, University of North Carolina at Charlotte, Charlotte, NC, United States.ORCID 0000-0001-5406-4681

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVision impairments (VIs) and blindness are major global public health issues. A visual acuity (VA) test is one of the most crucial standard psychophysical tests of visual function and has been widely used in a broad range of health care domains, especially in many clinical settings. In recent years, there has been increasing research on mobile app-based VA assessment designed to allow people to test their VA at any time and any location.

objectiveThe goal of the review was to assess the accuracy and reliability of using mobile VA measurement apps.

methodsWe searched PubMed, Embase, Cochrane Library, and Google Scholar for relevant articles on mobile apps for VA assessment published between January 1, 2008, and July 1, 2020. Two researchers independently inspected and selected relevant studies. Eventually, we included 22 studies that assessed tablet or smartphone apps for VA measurement. We then analyzed sensitivity, specificity, and accuracy in the 6 papers we found through a meta-analysis.

resultsMost of the 22 selected studies can be considered of high quality based on the Quality Assessment of Diagnostic Accuracy Studies-2. In a meta-analysis of 6 studies involving 24,284 participants, we categorized the studies based on the age groups of the study participants (ie, aged 3-5 years, aged 6-22 years, and aged 55 years and older), examiner (ie, professional and nonprofessional examiners), and the type of mobile devices (ie, smartphone, iPad). In the group aged 3 to 5 years, the pooled sensitivity for VA app tests versus clinical VA tests was 0.87 (95% CI 0.79-0.93; P=.39), and the pooled specificity was 0.78 (95% CI 0.70-0.85; P=.37). In the group aged 6 to 22 years, the pooled sensitivity for VA app tests versus clinical VA tests was 0.86 (95% CI 0.84-0.87; P<.001), and the pooled specificity for VA app tests versus clinical VA tests was 0.91 (95% CI 0.90-0.91; P=.27). In the group aged 55 years and older, the pooled sensitivity for VA app tests versus clinical VA tests was 0.85 (95% CI 0.55-0.98), and the pooled specificity for VA app tests versus clinical VA tests was 0.98 (95% CI 0.95-0.99). We found that the nonprofessional examiner group (AUC 0.93) had higher accuracy than the professional examiner group (AUC 0.87). In the iPad-based group, the pooled sensitivity for VA app tests versus clinical VA tests was 0.86, and the pooled specificity was 0.79. In the smartphone-based group, the pooled sensitivity for VA app tests versus clinical VA tests was 0.86 (P<.001), and the pooled specificity for VA app tests versus clinical VA tests was 0.91 (P<.001).

conclusionsIn this study, we conducted a comprehensive review of the research on existing mobile apps for VA tests to investigate their diagnostic value and limitations. Evidence gained from this study suggests that mobile app-based VA tests can be useful for on-demand VI detection.

Indexed as

Mobile ApplicationsAdolescentAdultChildChild, PreschoolComputers, HandheldHumansMiddle AgedReproducibility of ResultsSmartphoneVisual AcuityYoung Adultappeye screeningiPadmeta-analysissmartphonevisual acuity

Identifiers

PMID35156935
PMCPMC8887635

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.