Detecting simulated skew deviation using a smartphone eye-tracking application (EyePhone): a feasibility study - Summary - MDSpire

Evaluating Simulated Skew Deviation with a Smartphone Eye-Tracking Tool (EyePhone): A Feasibility Assessment

  • By

  • Rajvi Babaria

  • Pouya Barahim Bastani

  • Hector Rieiro

  • Shervin Badihian

  • Jorge Otero-Millan

  • Ali Saber Tehrani

  • July 21, 2026

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Objective:

To investigate the feasibility of detecting and quantifying simulated skew deviations using the EyePhone smartphone eye-tracking application.

Approach:
  • Study Design: Healthy volunteers were enrolled, and their eye movements were recorded using EyePhone while simulating skew deviation through a cross-cover test.
  • Measurement Technique: Eye movements were analyzed using in-house code that extracted features from videos recorded by EyePhone.
Key Findings:
  • EyePhone demonstrated a Spearman correlation of 0.93 (CI: 0.90–0.95) with designed skew deviations.
  • The area under the receiver operator curve for discriminating skews ≥5 diopters was 0.90.
Interpretation:

EyePhone may serve as a practical tool for detecting clinically significant skew deviation, pending further validation.

Limitations:
  • The study was conducted in a controlled experimental setting with healthy volunteers.
  • Further validation in clinical groups is necessary.
Conclusion:

EyePhone shows potential for detecting skew deviations, which could aid in the diagnosis of vestibular strokes.

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