9Significance statement: Applied applications for occupational screening, clinical tests should 3 0 assess sensitivity to the sign as well as the magnitude of disparity.
1Purpose: To determine why the high incidence of stereo anomaly found using laboratory tests 3 2 with polarity-based increment judgements (i.e., depth sign) is not reflected in clinical 3 3 measurements that involve single-polarity incremental judgements (i.e., depth magnitude).
4Methods: An iPod-based measurement that involved the detection of an oriented shape defined 3 5 by a single polarity-depth increment within a random dot display was used. A staircase 3 6 procedure was used to gather sufficient trials to derive a meaningful measure of variance for the 3 7 measurement of stereopsis over a large disparity range. Forty-five adults with normal binocular 3 8 vision (20 -65 years old) and normal or corrected-to-normal (0 logMAR or better) monocular 3 9vision participated in this study.
0Results: Observers' stereo acuities ranged between 10 and 100 arc seconds, and were 4 1 normally distributed on a log scale (p = 0.90, 2-tailed Shapiro-Wilk test). The present results 4 2 using a single polarity depth increment task (i.e., depth magnitude) show a similar distribution to 4 3 those using a similar task using the Randot preschool stereo test on individuals between the 4 4 ages of 19-35 using either the 4-book test (n = 33) or the 3-book test (n = 40), but very different 4 5 results when the iPod test involved a polarity-based increment judgement (i.e., depth sign). 4 6 Conclusions: The present clinical stereo tests are based on magnitude judgements and are 4 7 unable to detect the high percentage of stereo anomalous individuals in the normal population 4 8 revealed using depth sign judgements.4 9