Calibrated measurement of acuity, color and stereopsis on a Nintendo(®) 3DS™ game console

Significance: A Nintendo(®) 3DS™ game can reliably test monocular near acuity, stereopsis and color without the need for occlusion patches or goggles. Purpose: We developed dynamic, forced-multiple choice games to measure monocular near acuity, color vision and stereopsis on the autostereoscopic barrier screen of the Nintendo 3DS gaming system. Methods: In an institutional review board-approved study, pediatric and adult patients and normal subjects performed routine patched near visual acuity, Ishahara’s color test and Stereo Fly tests. Then each subject performed a two-phase orientation and testing game, “PDI Check”, on a Nintendo 3DS. Results: Forty-five patients aged 5–60 years completed the routine and Nintendo near tests, resulting in positive, consistent, discriminatory correlation functions. From ROC curves, referral criteria were determined to separate poor from fair-to-normal monocular acuity with 98% sensitivity and 100% specificity, stereoacuity with 80% sensitivity and 97% specificity, and color with 83% sensitivity and 100% specificity. Conclusion: The Nintendo 3DS game PDI Check can provide consistent near vision testing via a dynamic, randomized method that does not require goggles for stereo, and does not require patching to assure monocular testing.