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Impaired binocular vision with bangerter foil and its influence on fine motor skills: a clinical observational, randomized and cross-sectional study

Granados-Delgado P, Casares-López M, Martino F, Anera RG, Castro-Torres JJ

Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2026

Abstract

Purpose: To analyze the influence of simulated impaired binocular vision on visual performance and fine motor skills (FMS).

Methods: A total of 33 young and healthy participants were included. A Bangerter foil 0.8 was employed to induce impaired binocular vision. Visual performance was assessed randomized, under three binocular viewing conditions: binocular baseline, wearing a Bangerter foil on dominant eye, and wearing Bangerter foils on both eyes, by visual functions: visual acuity, contrast sensitivity, disability glare, and stereopsis. Five tests evaluated fine motor skills: Purdue, O´Connor, and Grooved Pegboard; water pouring and threading task. The Overall Visual Performance Score (OVPS) and Overall Fine Motor Skills Score (OFMSS) were calculated.

Results: Binocular visual performance was significantly worse when deterioration was induced simultaneously on both eyes for all visual functions tested (p < 0.05). There were no significant differences in visual acuity and near contrast sensitivity between deteriorated conditions in only one eye and baseline. However, the two visual impairment conditions differed significantly, except for stereoacuity. For FMS, the deterioration factor was also significant (p < 0.05). In terms of OVPS and OFMSS, the greater the induced binocular dysfunction, the worse the visual performance and ability to perform fine motor tasks (rho = 0.334; p < 0.001).

Conclusions: These findings suggest that mild monocular or binocular induced…

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Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design.

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