A Comparison Between Two Ocular Dominance Tests:

Letter Dominance and Binocular Rivalry

Authors

DOI:

https://doi.org/10.15353/cjo.v87i4.6125

Keywords:

eye dominance, binocular vision, psychophysical tests, binocular rivalry test, letter dominance test

Abstract

Purpose: Ocular dominance can be measured by a variety of tests, which may not yield the same results. This study compared the repeatability and agreement for two ocular dominance tests, a newer letter dominance test and a well-established binocular rivalry test.
Methods: Thirty-nine adults (28 females and 11 males) with normal vision completed three sessions involving letter dominance and the binocular rivalry tests. An additional seven participants completed only one session. Within-test repeatability was assessed through intraclass correlation and standard deviation. Between-tests agreement was assessed through a Bland-Altman test, intraclass correlation, and ocular dominance directions.
Results: Within-test analysis indicated that the letter dominance test had better repeatability than the grating rivalry test (intraclass correlation coefficient: letter dominance 0.829, rivalry 0.790; standard deviation: letter dominance 0.015 [median], rivalry 0.023 [median], P = .015). Between-test analysis indicated that the two tests had moderate to good agreement (intraclass correlation coefficient 0.712) and identified the same eye as dominant for most participants, although not all (39 consistent across tests, seven inconsistent when a strict measure of equidominance was adopted).
Conclusion: These analyses indicate that the letter dominance test is a more repeatable measure of ocular dominance than the grating rivalry test, and that ocular dominance magnitude metrics do vary across tests.

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Published

2025-12-01

How to Cite

Chen, X., Chakraborty, A., Bobier, W., & Thompson, B. (2025). A Comparison Between Two Ocular Dominance Tests: : Letter Dominance and Binocular Rivalry. Canadian Journal of Optometry, 87(4), 27–37,39. https://doi.org/10.15353/cjo.v87i4.6125

Issue

Section

Original Research