Could Modifying the Bagolini Glasses Improve the Reliability of Responses?

Abstract

Aims: Bagolini striated lenses are a useful test of binocular vision, but the variations in the striations (frequency and thickness) can impact on the perceived image. Also, responses can be difficult to interpret in young children. Therefore, the aims of this project were to evaluate the impact of striation frequency and the addition of coloured filters on subjective responses. Methods: Three sets of striated lenses were made (small, medium and large striations), each produced in two forms (both lenses clear, or with a red and blue lens). Also, Bagolini glasses (Optiker Ryser) were used, with and without the addition of red and blue filters. Subjects were asked to report what they perceived, with subsequent questions regarding the number and length of lines. Results: Forty-two adult subjects were tested, with uniocular VA ranging from–0.18 to 1.10 logMAR (mean 0.08±0.25). The number of lines seen when varying the line thickness did not vary between coloured and clear lenses (post-hoc analysis following ANOVA, p>0.1 in all comparisons). Adding red/blue filters to the original Bagolini glasses did not alter the rates of subjects perceiving a cross (Chi-square, p=0.8). However, the laser-cut lenses produced a significantly shorter light streak than the original lenses (One-way ANOVA, p<0.001), but the colour of the filters made no difference to the length of streak perceived (Tukey’s Test, p=0.20). Conclusions: The addition of coloured filters did not impact on the responses given to the original or laser-cut lenses, suggesting this modification may aid responses in children. However, further evaluation is required with finer striations and thinner lenses to improve the visibility of the lines.