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Effect of levodopa treatment on contrast sensitivity in Parkinson's disease.

We studied contrast sensitivity function in 10 parkinsonian patients before and after levodopa treatment. Pretreatment contrast sensitivity function was abnormal in 16 of the 20 eyes. After treatment, only high-frequency loss was observed in 6 eyes. All other types of deficit disappeared under treatment. These changes of contrast sensitivity function following treatment suggest that dopamine is a functional transmitter in the visual pathways.

Aged↗

The effect of neodymium: YAG capsulotomy on contrast sensitivity and the evaluation of methods for its assessment.

OBJECTIVE: To determine the most appropriate method for measuring the effect on contrast sensitivity of neodymium:YAG (Nd:YAG) posterior capsulotomy for early posterior capsular opacification (PCO). DESIGN: Prospective comparison of five different methods for luminous contrast sensitivity testing in patients undergoing capsulotomy. PARTICIPANTS: Sixteen patients with PCO involving the visual axis and visual acuities of 20/40 or better were recruited sequentially. INTERVENTION: All patients were tested with each of the five tests before and after Nd:YAG capsulotomy. MAIN OUTCOME MEASURES: The contrast sensitivity function was measured with variable contrast sine wave gratings using the Vistech VCTS 6500, Mentor B-VAT-II and a computer graphics system. Peak contrast sensitivity at 3 cyc/deg was compared with two letter tests, the Pelli-Robson chart, and a computer that generated optotypes. RESULTS: Significant generalized improvement that was not frequency selective was measured over the entire contrast sensitivity function after capsulotomy. The five tests did not significantly differ (P > 0.05) in their measurement of peak contrast sensitivity (3 cyc/deg) improvement after capsulotomy. Letter-based tests showed better agreement and lower variance than gratings tests. Visual acuity and contrast sensitivity improvement were poorly correlated. CONCLUSIONS: This study shows that contrast sensitivity is adequately documented by a single measurement at 3 cyc/deg, is an informative supplement to visual acuity, and that little extra information is to be gained by measuring further spatial frequencies in eyes with PCO. Peak contrast sensitivity is best determined using a letter-based test.

Aged↗

Assessment of contrast sensitivity in kittens after the critical developmental period.

Spatial contrast sensitivity was measured in kittens aged 6, 9, and 12 months and in adult cats. Cats had to open one of two small windows, which had a photograph of a grid, in order to obtain food reinforcement. The nonreinforced stimulus was a photograph of a uniform field of the same mean luminance. Visual acuity was constant in kittens aged 6 to 12 months. However, six-month-old kittens had low contrast sensitivity at low spatial frequencies (< 0.6 cycles/degree). At the age of nine months, contrast sensitivity over this range increased, though the level seen in adult cats was reached only at the age of 12 months. It is suggested that the increase in contrast sensitivity occurring after the critical developmental period in kittens reflects maturation of higher-order cortical fields involved in the process of recognition.

Aging↗

Contrast sensitivity in amblyopia. II. Changes during pleoptic treatment.

Contrast sensitivity at spatial frequencies 1-19 c/deg was measured in 56 children (mean age 10 years), who had received pleoptic treatment. Measurements were done at the beginning and at the end of a pleoptic treatment period as well as at follow-up using vertical gratings. A deficiency was observed in contrast sensitivity of amblyopic eyes at all spatial frequencies, but it was most notable at high spatial frequencies. Both types of CSF presented by Hess & Howell (1977) were found in all groups of amblyopia. A statistically significant improvement in the mean value of contrast sensitivity of the amblyopic eyes was observed at all spatial frequencies during the pleoptic treatment, although in 12 cases fixation and vision did not improve. Correlation with the improvement in visual acuity was poor. In several cases a change was observed in only one of the two parameters in question. Regarding the better eye, there were some signs of 'hidden occlusion amblyopia': in a few cases contrast sensitivity of the dominant eye deteriorated during the treatment period without a changes in visual acuity only to risk back to the previous level at the follow-up.

Adolescent↗

Operant measurements of contrast sensitivity in infant macaque monkeys during normal development.

The development of contrast sensitivity was measured longitudinally in seven Macaca nemestrina monkeys. Operant conditioning methods were used to train and then test infant monkeys from the ages of 1 to 12 months. Several changes were observed in the contrast sensitivity function, including an overall increase in sensitivity to contrast, a shift in the peak of the function toward higher spatial frequencies, and an increase in the cutoff spatial frequency. The time-courses for the changes in the contrast sensitivity function were characterized by rapid development during the first 10-20 weeks, followed by a gradual asymptotic development to adult levels over the remainder of the year. Sensitivity to contrast was found to develop with different time-courses for different spatial frequencies; sensitivity to low spatial frequencies reached adult levels much earlier than sensitivity to high spatial frequencies.

Aging↗

Changes in chromatic and achromatic contrast sensitivities following tropicamide administration.

PURPOSE: To investigate the effects of tropicamide on chromatic and achromatic contrast sensitivities over the physiological range of spatial frequencies. METHODS: A total of 26 healthy volunteers, with a mean age of 32 years, were examined with and without one drop of 1% tropicamide being administered 30 min previously. On each occasion, acuity and pupil diameter were recorded, and chromatic and achromatic contrast sensitivities were examined using the Sussex Grating Machine. RESULTS: Following tropicamide administration mean pupil diameter increased from 4.1 mm to 7.2 mm (P<0.001), and mean BCVA was reduced by 0.07 LogMar units (P<0.001). Achromatic contrast sensitivity was significantly reduced following tropicamide administration at 2.20 cycles per degree (cpd) (P=0.01), 3.40 cpd (P=0.01), 10 cpd (P=0.04), 17 cpd (P=0.04), and 25 cpd (P<0.01). There was no difference in contrast sensitivity at lower spatial frequencies (0.33 and 0.66 cpd). Chromatic contrast sensitivity was not significantly altered when tested along the red-green and tritan confusion axes. CONCLUSIONS: Achromatic contrast sensitivity is significantly reduced following tropicamide administration at intermediate and high spatial frequencies. No significant changes were seen at low spatial frequencies and in chromatic contrast sensitivities.

Administration, Topical↗

The contrast sensitivity function in low vision.

The contrast sensitivity of 51 low vision patients (95 eyes) showed a substantial decrease in all spatial frequencies. The peak contrast sensitivity was shifted to 1 C/D from the normal 3-4 C/D. The high-frequency cut off is correlated to the visual acuity positively. Of the 33 patients, the preferred eye was the eye with better peak sensitivity in 28 patients (84%), while the preferred eye was the eye with better visual acuity in 22 patients (66%). It seems that the peak sensitivity is more important than visual acuity in determining eye preference. It provides a useful information for the clinician to determine which eye to train with low vision aids. Forty patients among 46 patients (87%) with RFN (Recognized Frequency Number) > or = 3 are able to read No.5 reading card, while 5 patients among 5 patients with RFN < 3 are not able to read No.5 reading card. The contributions of CSF to the low vision are evaluated.

Adolescent↗

Effect of repeated testing on contrast sensitivity.

The effect of repeated testing on contrast sensitivity was examined across days and between eyes with the Nicolet CS-2000 Vision Tester. Monocular contrast sensitivity functions (CSF's) were measured with the standard technique for training days 1 to 5 on a group of 20 subjects. The group was then divided into four groups of five subjects each. A single post-training CSF was obtained for each group 1, 3, 5, or 7 days after the cessation of training. Results show that there is no measurable effect of practice on contrast sensitivity over a 5-day training period, nor is there any decrease in performance in the absence of training. CSF's were also obtained on both eyes of a separate group of subjects. We found no transfer of learning either between eyes within a single session or across multiple training sessions. We conclude that although the absence of a significant practice effect has important clinical advantages, the variability of the technique is high, allowing only robust experimental effects to be detected.

Adult↗

Contrast sensitivity and glare in patients with a diffractive multifocal intraocular lens.

Contrast sensitivity was measured in 25 patients who had a multifocal diffractive intraocular lens and in 23 control patients with a monofocal lens in four simulated light conditions: (1) daylight, (2) daylight with peripheral glare, (3) twilight, (4) twilight with central glare. In normal daylight and twilight, contrast sensitivity of the multifocal group was significantly lower than the control group's (P < .05). The difference was 0.13 log units for the multifocal group and 0.17 log units for the control group (mean value across the tested frequency from 1.5 to 18 cycles/deg). Peripheral glare reduced contrast sensitivity under daylight conditions in both groups (P < .05), but the loss did not differ significantly between the two (P > .05). Central glare reduced contrast sensitivity under twilight conditions in both groups (P < .05), with the greatest loss in the multifocal patients (P < .001). We conclude that the most significant loss of contrast sensitivity in patients with the diffractive multifocal intraocular lens is found with central glare under twilight conditions.

Aged↗

Mesopic contrast sensitivity functions in amblyopic children.

This study both measured and compared the mesopic contrast sensitivity function and the visual acuity in both normal and amblyopic eyes from amblyopic children using an ACV (visual acuity analyzer). Twenty one amblyopic children (mean age, 8.48 years; S.D., 1.68 years), 11 strabismic amblyopes and 10 anisometropic amblyopes, were tested. Based on a display of the standard optotypes, the minimal contrast level, at which the optotypes were correctly read for all sizes of displays from a distance of 1m, was measured. The contrast ranged from 1% to 99% and the spatial frequencies ranged from 0.6 to- 30cpd using a Landolt ring composed of low (0.6- 2.9 c.p.d.), intermediate (3.0 - 12.9 c.p.d.) and high level (13.0- 30.0 c.p.d.) frequencies. As the visual acuity decreased, the mesopic contrast sensitivity function decreased along the contrast sensitivity axis. However, the peak sensitivity was noted at the same spatial frequencies. A comparison between the normal eye and the corresponding amblyopic eye showed that under mesopic conditions, the contrast sensitivity functions decreased more in the intermediate spatial frequencies than in the other spatial frequencies. The mesopic contrast sensitivity function decreased in the amblyopic eyes, which suggests the possibility of its use an adjunct to an evaluation of amblyopia.

Amblyopia↗

[Contrast sensitivity of visually handicapped patients].

The contrast sensitivity of 41 patients with low visual acuity, as a result of age-related maculopathy, diabetic retinopathy or open-angle glaucoma, in most of them, was studied by means of the VISTECH test and the Buser LCS-test. The VISTECH test revealed reduced contrast sensitivity, especially at high frequencies. This reduction was marked in patients with diabetic retinopathy. Contrast on the color TV monitor was adjusted by the subjects. Yellow and green monitors were chosen equally often by the patients. A positive contrast (black text with light background) was preferred. The contrast required was noticeably higher than that required by subjects with normal eyes.

Adolescent↗

Contrast sensitivity under photopic conditions in the Prospective Evaluation of Radial Keratotomy (PERK) Study.

We studied the effect of radial keratotomy on contrast sensitivity in 69 individuals with one eye operated and one eye unoperated in the Prospective Evaluation of Radial Keratotomy (PERK) Study, with a mean follow-up time of 13.8 months (range 6 months to 31 months). We tested contrast sensitivity under normal daylight conditions using both photographic plates and a computer-video apparatus. On average, we found no clinically meaningful loss of contrast sensitivity in eyes after radial keratotomy. However, eyes with radial keratotomy showed a statistically significant decrease in contrast sensitivity at the higher spatial frequencies of 12 and 18 cycles per degree, although all values were within the previously established normal range. Specifically, 44% of the patients had approximately the same contrast sensitivity in both eyes; 40% of the patients had 50% less contrast sensitivity in the operated eye than in the unoperated eye; 16% of the patients had 50% more contrast sensitivity in the operated eye than in the unoperated eye. Contrast sensitivity improved gradually in operated eyes between 6 months and 2 years after surgery. Eyes with radial keratotomy, in which the diameter of the pupil was the same size as or larger than the central clear zone, had slightly decreased contrast sensitivity compared to eyes in which the pupil was smaller than the clear zone.

Adult↗

Neural contribution to spatiotemporal contrast sensitivity decline in healthy ageing eyes.

Contrast sensitivity thresholds were measured over a range of spatial and temporal frequencies in both a group of young and older observers. Results demonstrate a significant reduction in contrast sensitivity of the older age group at all but the lowest combinations of spatial and temporal frequencies investigated. The senile miosis and reduced optical transmission of the older eye was then mimicked using the younger observers as subjects. This combined effect of reducing retinal illumination produced no significant change in sensitivity. These findings are discussed in terms of neural loss within the visual pathways with increasing age.

Adult↗

Contrast sensitivity in evaluation of visual impairment due to macular degeneration and optic nerve lesions.

Spatial contrast sensitivity was investigated in a group of 17 patients with macular degeneration or optic atrophy. It has been reported earlier that patients with optic atrophy may have reduced contrast sensitivity at low spatial frequencies without decrease of visual acuity, a phenomenon called 'hidden visual loss'. The present study shows that also the opposite may be true: patients with macular degeneration or optic atrophy may have greatly decreased visual acuity and yet normal or nearly normal contrast sensitivity at low spatial frequencies and reasonably good sensitivity at intermediate spatial frequencies. This phenomenon could be called 'hidden vision'. In normal individuals and many visually impaired patients the spatial contrast sensitivity at high and intermediate spatial frequencies is equal when measured using grating fields of different size. In patients with central scotoma due to macular degeneration or optic atrophy contrast sensitivity is dependent on the size of the grating field: the maximal contrast sensitivity is higher when larger grating fields are used. The size of the smallest grating field that is needed for normal contrast sensitivity values at low spatial frequencies is one measure of visual impairment in this group of patients. Another measure of the function of the eccentric viewing area is the grating acuity which may also vary as a function of the grating field size.

Humans↗

Contrast-sensitivity loss in a group of former microelectronics workers with normal visual acuity.

The measurement of contrast sensitivity at varying grating frequencies is used increasingly to study visual and neural disorders. It provides more information than conventional acuity measures. Refractive errors initially affect high spatial frequencies, whereas lower spatial frequencies are affected only when these errors are pronounced. Neurophysiological alterations are reflected by depressed sensitivity to coarse gratings. Visual dysfunction has been associated with workplace exposures to a wide range of organic solvents. In microelectronics assembly where large quantities of organic solvents are used in many aspects of the work processes, visual deficits have been observed. The objective of the present study was to compare contrast sensitivity among former microelectronics assembly workers, with normal far and near visual acuity, and a reference group from the same region, with similar acuity. No significant differences were observed between scores at the two ends of the contrast sensitivity curves; however, at the intermediate spatial frequencies, the former microelectronics workers' scores were significantly lower (Student's t-test; p less than 0.05). For the microelectronics workers, no relation was observed between age and contrast sensitivity at any spatial frequency, whereas for the reference group, contrast sensitivity scores were progressively lower with age at spatial frequencies greater than or equal to 6.0 cpd (r2 = 0.15 at 6 cpd to r2 = 0.45 at 18.0 cpd), suggesting that for the former there is some form of interference with the expected contrast sensitivity loss with age. Lower contrast sensitivity scores in intermediate spatial frequencies, observed among the former microelectronics workers, possibly reflect neural alterations, which may have resulted from exposure to neurotoxic substances. These findings suggest the need for further studies on visual functions in microelectronics workers.

Adult↗

Contrast sensitivity after posterior chamber phakic intraocular lens implantation for high myopia.

PURPOSE: To evaluate contrast sensitivity after posterior chamber phakic intraocular lens (PIOL) implantation for the correction of high myopia. METHODS: Twenty eyes of ten patients had a posterior chamber phakic intraocular lens (Staar ICL) implanted to correct high myopia. Mean preoperative myopia was -14.10+/-2.70 D. Follow-up was 24 months for all patients. Contrast sensitivity was tested with best spectacle-corrected visual acuity preoperatively and 3, 6, 12, 18, and 24 months postoperatively. RESULTS: Contrast sensitivity increased after surgery in all spatial frequencies. Normal values were achieved for low and intermediate spatial frequencies (3 and 6 c/deg). However, in spite of the improvement, values were still below normal for high spatial frequencies (12 and 18 c/deg). When the first postoperative examination was not considered, there were no statistically significant differences in contrast sensitivity values at different postoperative periods. CONCLUSION: Contrast sensitivity increased after posterior chamber phakic intraocular lens implantation (Staar ICL) in all spatial frequencies when compared to preoperative contrast sensitivity (best spectacle-corrected).

Adult↗

Problems measuring contrast sensitivity in children.

A preliminary study measured the contrast sensitivity function (CSF) in 30 children (aged 3 months-5 years). Preferential looking techniques were used to assess CSF to sine wave gratings displayed on one of two screens. To find a meaningful contrast sensitivity procedure we compared the results with a shorter procedure using an edge stimulus. The following problems were encountered: measuring the contrasts required to detect four or five different spatial frequencies took time, resulting in boredom and loss of attention in our subjects; there was poor correlation between CSF and edge detection; an interesting artefact resulted in a plateau rather than a low frequency fall-off in the CSF of five of the children greater than 30 months old. This artefact may have resulted from peripheral rather than central retinal responses and/or motion artefacts in the stimulus onset. A follow up study with 41 additional children aged 3-36 months limited the contrast testing to that of the spatial frequency corresponding to the peak of the CSF. The shortened procedure, plus a lot of encouragement, resulted in higher contrast sensitivities in all but the oldest age group and successful monocular contrast measurements. In order to avoid artefacts arising from peripheral vision, children were encouraged to look at each screen before responding.

Child, Preschool↗

Cortical magnification factor and contrast sensitivity to luminance-modulated chromatic gratings.

Contrast sensitivity to luminance-modulated blue, green, red, and neutral gratings was measured at different spatial frequencies and eccentricities within 0-86 deg in the temporal visual field. Contrast sensitivity to gratings of constant area and spatial frequency was independent of wavelength composition but decreased with increasing eccentricity. When the gratings were scaled by the magnification factor of the human striate cortex to produce cortically similar stimulus conditions at different eccentricities (M-scaling), contrast sensitivities became independent of visual field location irrespective of grating colour. Using colour naming we found, in accordance with previous studies, that hue changed and saturation decreased when the eccentricity of a constant-size grating field increased. In contrast, the hue and saturation of M-scaled grating fields were independent of eccentricity. The results suggest that the effects of eccentricity on photopic colour vision can largely be counteracted by M-scaling which adjusts the spatial aspects of stimuli with respect to the decrease in ganglion cell density and increase in receptive field size towards the periphery of the visual field.

Color Perception↗