Automated Detection of Horizontal Strabismus and Home Control Evaluation Using a Mobile Phone App

Purpose: To evaluate the reliability, validity, and usability of a mobile phone app that captures facial images to identify strabismus.Methods: We enrolled patients who visited our pediatric strabismus clinic provided consent for participation in study. The photographs were automatically captured by app. used ocular misalignment based on comparison positions corneal reflex limbus both eyes. results from compared physician’s diagnosis. Intraclass correlation coefficients assess test-retest interrater reliability Additionally, guardians through this 1 month at home frequency manifest exotropia home. And those other control scales.Results: A total 103 10 test. Based diagnosis, sensitivity, specificity, positive predictive value, negative value 74.6%, 87.5%, 90.4%, 68.6%, respectively. interclass inter-rater 0.801 (<i>p</i> = 0.011) 0.828 < 0.001), intermittent recorded showed strong with scales (rho > 0.770, <i>p</i> 0.009).Conclusions: This is easily accessible useful rapid determination recording strabismus, particularly uncooperative patients. Also, may be as reliable indicator