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Dynamic visual acuity and contrast sensitivity for static and flickered gratings in a college sample.

For a sample of college observers, visual performance was assessed with three types of measures: (1) contrast sensitivity for a range of spatial frequency gratings with 4-Hz flicker, (2) contrast sensitivity for a range of stationary wallchart gratings, and (3) dynamic visual acuity (DVA) for a range of target velocities. Within each of these three performance measures, mean results were generally consistent with previous reports. However, across-test comparisons revealed little commonality of processes between either of the contrast sensitivity scores and the dynamic acuity scores. These findings are discussed in terms of the separate contributions to overall visual performance made by the increasingly popular contrast sensitivity function (CSF) and DVA.

Adolescent↗

Low spatial-contrast sensitivity in dry eyes.

PURPOSE: Blurred vision in keratoconjunctivitis sicca eyes could be the result of the loss of the glossy surface of the tear film because of changes in composition or thickness irregularities. Spatial-contrast sensitivity in keratoconjunctivitis sicca and normal control eyes was tested before and after a tear substitute. METHODS: Three different groups of subjects were enrolled: one group of dry eyes with nonsignificant signs of epithelial disease (n = 12), the second group of dry eye positive with 1% Bengal rose staining of the cornea and of the conjunctiva (n = 18), and a third of normal eyes as control group (n = 15). In all the 45 eyes, spatial-contrast sensitivity was tested under the best correction by means of the Vistech Multivision Contrast Tester 8000 (Vistech Consultants, Dayton, OH, U.S.A.) before and 15 min after the instillation of a 0.4% Na-hyaluronate tear substitute without preservatives. RESULTS: A significant decrease of spatial-contrast sensitivity ranging from 35 to 70% was present in keratoconjunctivitis sicca eyes compared with a third group of age-matched normal eyes used as control. The spatial-contrast sensitivity was significantly lower also in the presence of preserved corneal surface. The addition of a tear substitute improved spatial contrast-sensitivity thresholds in all groups. CONCLUSION: Tear-film disease can affect the transfer function of modulation of the ocular surface.

Adult↗

Glare and contrast sensitivity before and after Nd:YAG laser capsulotomy.

The benefits of Nd:YAG laser capsulotomy on visual performance were evaluated in 13 patients with after-cataract following extracapsular cataract extraction. Besides clinical evaluation we measured: visual acuity, letter contrast sensitivity with and without the presence of a circular glare source (glare angle: 8 degrees). Finally, the patients were asked to evaluate their subjective glare problems. In all patients, visual acuity had decreased markedly compared to measurements 2 months after cataract surgery. Before capsulotomy we observed impaired letter contrast sensitivity and increased intraocular light scatter compared to normals. Following capsulotomy, VA and contrast sensitivity both improved by a factor of 2. The subjective glare problems diminished, although most patients showed minor decreases in intraocular light scatter. The limited glare induced loss of letter contrast sensitivity, present before capsulotomy, remained after treatment. Our study indicates that after-cataract impairs resolution and contrast sensitivity without necessarily causing a marked increase in light scatter as measured at a large angle.

Adolescent↗

The effect of pterygia on contrast sensitivity and glare disability.

To detect subtle changes in visual acuity, we measured spatial contrast sensitivity in 12 patients with pterygium (Group 1) and compared their results with those from an age- and sex-matched control population (Group 2). Glare disability was also measured in each group. Measurements of contrast sensitivity were lower in Group 1 at all spatial frequencies than those of Group 2, independent of the testing device used. Glare disability was significantly increased in Group 1 compared to Group 2. Our studies indicate that contrast sensitivity and glare disability testing may provide additional objective methods for documenting impaired vision in patients with pterygium when Snellen visual acuity is minimally affected.

Adult↗

Effects of lorazepam on human contrast sensitivity.

The anxiolytic lorazepam was studied for its effects on contrast sensitivity to gratings flickering in counterphase in normal volunteers. The drug significantly reduced contrast sensitivity at low spatial frequencies in a dose-related manner. The results are discussed with reference to possible GABA-mediated processes in the retina and lateral geniculate nucleus.

Adult↗

Laminar organization and contrast sensitivity of direction-selective cells in the striate cortex of the Old World monkey.

The directional preference of neurons sampled from all layers of the striate cortex was determined using the responses to drifting grating stimuli of optimal spatial and temporal frequency. In addition, contrast sensitivity as a function of spatial frequency was measured and from the resulting spatial contrast sensitivity function the peak contrast sensitivity and optimal spatial frequency were obtained. The distribution of directionally selective cells showed a distinct laminar pattern. Upper layer 4 (4a, 4b, and 4c alpha) and layer 6 were the only cortical layers with neurons that showed a pronounced preference for the direction of stimulus motion. The directionally selective cells in these layers are among those with the highest contrast sensitivities but had optimal spatial frequencies that were confined to the low and middle range of the optimal spatial frequency distribution. These findings suggest that the directionally selective cells may fall into at least 2 distinct populations, which may be the first stages in the visual pathway that correspond to those channels, inferred from psychophysical experiments, that underlie the detection of movement.

Animals↗

Contrast sensitivity with contact lens corrections for presbyopia.

We measured contrast sensitivity at three distances (330 mm, 660 mm and 4 m) with six contact lens and two multifocal spectacle corrections for presbyopia. The two spectacle corrections were D-segment bifocals and trifocals and the contact lens corrections were distance contact lens with lookover spectacles, soft progressive bifocals, soft concentric bifocals, monovision, modified monovision, and hard crescent segment bifocals. The spectacle corrections in general gave better results for the contrast sensitivity function (CSF), than did the contact lens corrections. Distance contact lenses with lookover spectacles performed best of the contact lens corrections used. However, the differences in CSF between the various contact lens corrections were small and not statistically significant.

Adolescent↗

Temporal contrast sensitivity in the lateral geniculate nucleus of a New World monkey, the marmoset Callithrix jacchus.

1. The temporal contrast sensitivity of koniocellular, parvocellular and magnocellular cells in the lateral geniculate nucleus (LGN) of nine adult marmosets was measured. The receptive fields of the cells were between 0.3 and 70 deg from the fovea. The stimulus was a large spatially uniform field which was modulated in luminance at temporal frequencies between 0.98 and 64 Hz. 2. For each cell group there was a gradual increase in modulation sensitivity, especially for temporal frequencies below 8 Hz, with increasing distance from the fovea. At any given eccentricity, magnocellular cells had the greatest sensitivity. In central visual field, the sensitivity of koniocellular cells lay between that of parvocellular and magnocellular cells. In peripheral visual field (above 10 deg eccentricity) koniocellular and parvocellular cells had similar sensitivity. 3. The contrast sensitivity of each cell class was dependent on the anaesthetic used. Cells from animals anaesthetized with isoflurane were less sensitive than cells from animals anaesthetized with sufentanil. This effect was more marked for temporal frequencies below 4 Hz. 4. These results are incompatible with the notion that the koniocellular pathway is functionally homologous to a sluggish, W-like pathway in other mammals. At least in terms of their temporal transfer properties, many koniocellular cells are more like parvocellular cells.

Animals↗

Distance and near visual acuity, contrast sensitivity, and visual fields of 10-year-old children.

OBJECTIVE: To measure monocular distance visual acuity, near visual acuity, contrast sensitivity, and visual field extent in full-term, 10-year-old children tested according to the protocol used to test 10-year-old preterm children in the Cryotherapy for Retinopathy of Prematurity study. SUBJECTS AND METHODS: Subjects were 106 healthy, full-term children, 9.8 to 10.9 years of age, who had no ocular abnormalities other than ametropia. All were tested monocularly using Early Treatment and Diabetic Retinopathy Study distance and near visual acuity charts and Pelli-Robson contrast sensitivity charts, with refractive error corrected according to Cryotherapy for Retinopathy of Prematurity study criteria. Goldmann perimetry was tested without correction using the V-4-e and III-4-e stimuli along 8 meridia. A standard pediatric eye examination was performed on each subject. RESULTS: Mean (SD) distance visual acuity was 20/19.6 OD (0.082 log unit [lu]) and mean near visual acuity was 20/19.5 OD (0.100 lu). Mean (SD) contrast sensitivity was 1.69 OD (0.12 lu), with a mean (SD) of 36.4 (2.2) letters read. Visual field extent was larger for the V-4-e stimulus than for the III-4-e stimulus. CONCLUSIONS: The results provide the first monocular normative data from a large sample of 10-year-old children tested with Early Treatment and Diabetic Retinopathy Study distance and near visual acuity charts and the Pelli-Robson contrast sensitivity charts, and add to the literature on Goldmann perimetry in children.

Child↗

Contrast sensitivity function in eyes with diffractive bifocal intraocular lenses.

PURPOSE: To evaluate the image quality of asymmetric Acri. Twin bifocal intraocular lenses (IOLs) (Acri.Tec) by comparing distance and near black-white contrast sensitivity function with that of the Pharmacia 811E IOL. SETTING: Department of Ophthalmology, Medical University of Vienna, Vienna, Austria. METHODS: Thirty-two eyes of 16 patients were examined after contralateral implantation of 1 Acri. Twin near-weighted 733D IOL and 1 Acri. Twin distance-weighted 737D IOL. Twenty eyes in 10 patients were examined after binocular Pharmacia 811E IOL implantation. Best corrected distance and near visual acuities were determined. Individual reading distance was recorded and corrected to 40 cm for the near contrast test (Holladay Contrast Acuity Test). Distance contrast sensitivity function was evaluated using the Acuity Max (Science 2020) computer program. RESULTS: Best corrected distance visual acuity was significantly better in patients with the 737D IOL than in those with the 733D or 811E IOLs. For distance reading with best distance correction, the 733D IOL performed better than the 737D and the 811E. Individual reading distance with the Acri. Twin IOL and 811E IOL was 33.6 cm and 34.0 cm, respectively. Best distance-corrected near contrast sensitivity function was better in eyes with the near-weighted 733D IOL. Binocular testing showed a significant difference between the 2 groups only at low-contrast values. At distance, contrast sensitivity function was better with the 737D IOL, whereas no difference was found between the 733D and the 811E IOLs. Binocular contrast sensitivity function at distance revealed statistically significantly better results in the Acri. Twin group. CONCLUSION: An asymmetric diffractive bifocal lens system was advantageous in terms of vision quality when implanted binocularly and superior to monocular stronger weighted focus compared with conventional bifocal IOLs.

Adult↗

Influence of the rate of contrast change on the quality of contrast sensitivity assessment: a comparison of three psychophysical methods.

Criterion-free forced-choice procedures for measuring contrast sensitivity with a cathode ray tube (CRT) have low within-subject, intersubject, and test-retest variabilities, but a long test time compared with psychophysical methods that rely on the subject's criterion to determine threshold. Test time and variability of criterion-dependent methods depend on the rate at which the contrast changes on the CRT display. This study compared two criterion-dependent psychophysical methods for measuring contrast sensitivity (the method of increasing contrast and the von Békésy tracking method) with a criterion-free two-alternative forced-choice procedure. A range of rates of contrast change was studied: 0.1, 0.3, 0.5, 0.7 and 1.0 log unit s-1. Contrast sensitivity, within-subject variability, intersubject variability, test-retest variability, and test time of the three methods were compared. The 2-AFC procedure performed best with regard to within-subject, intersubject, and test-retest variabilities. A time-efficient alternative was the von Békésy tracking method at rates between 0.1 and 0.5 log unit s-1.

Adult↗

Effect of nimodipine on ocular blood flow and colour contrast sensitivity in patients with normal tension glaucoma.

AIM: To investigate the effects of oral nimodipine on ocular haemodynamic parameters and colour contrast sensitivity in patients with normal tension glaucoma (NTG). DESIGN: The study was performed in a randomised, placebo controlled, double masked, crossover design. PARTICIPANTS: Nimodipine (60 mg) or placebo was administered to 14 consecutive NTG patients. METHODS: The effects or oral nimodipine or placebo on ocular and systemic haemodynamic parameters and colour contrast sensitivity along the tritan axis were studied two hours after administration. Optic nerve head blood flow (ONHBF) and choroidal blood flow (CHBF) were assessed with laser Doppler flowmetry. Ocular fundus pulsation amplitude (FPA) was measured with laser interferometry. Colour contrast sensitivity (CCS) was determined along the tritan colour axis. MAIN OUTCOME MEASURES: ONHBF, CHBF, FPA, intraocular pressure and CCS were assessed in patients with NTG. RESULTS: Mean ocular FPA increased by 14% (SD 14%) (p = 0.0008), ONHBF by 18% (SD 16%) (p = 0.0031), and CHBF by 12% (SD 14%) (p<0.001) after administration of nimodipine. Nimodipine also decreased the threshold of colour contrast sensitivity along the tritan colour axis (-14% (SD 12%); p = 0.048). However, individual changes in FPA, ONHBF, or CHBF were not correlated with changes in threshold of CCS along the tritan colour axis. CONCLUSIONS: The results indicate that nimodipine increases ONH and choroidal blood flow in NTG patients and improves CCS. The latter effect does not, however, seem to be a direct consequence of the blood flow improvement.

Administration, Oral↗

Visual function following trabeculectomy: effect on corneal topography and contrast sensitivity.

PURPOSE: This study was to determine the role of changes in refractive error, contrast sensitivity, and corneal topography in transient changes in visual function following trabeculectomy. METHODS: We performed a prospective study evaluating these factors in 13 consecutive patients undergoing a standardized trabeculectomy. Preoperatively, and at 1, 4, and 12 weeks postoperatively, we measured best-corrected visual acuity, refractive error, and contrast sensitivity and analyzed computerized video-keratographic studies including estimated corneal visual acuity. RESULTS: One week postoperatively, best-corrected visual acuity decreased at least one line in 8 of 13 patients, whereas no eyes had decreased contrast sensitivity. Mean central corneal astigmatism increased 1.4 diopters along the surgical meridian. By 12 weeks, visual acuity returned to preoperative levels in all patients and the corneal topographic changes returned to within 1 diopter of preoperative values in 12 of 13 patients. Postoperative changes in estimated corneal visual acuity were similar to those in best-corrected visual acuity with no statistically significant difference. CONCLUSIONS: Corneal topographic changes appear to contribute to visual acuity reduction following trabeculectomy. In most cases this is transient with return to preoperative topography within 12 weeks.

Aged↗

Contrast sensitivity in Parkinson's disease.

We studied contrast-sensitivity function in 39 patients with Parkinson's disease. Sixty-four percent of the patients showed contrast-sensitivity loss in one or both eyes. The abnormality was not related to the first symptom or the severity of disease. Sensitivity loss at intermediate frequencies (notch loss) in 30% of the "affected" eyes suggested a cortical component. These findings support the belief that there is a widespread neurotransmitter deficiency in Parkinson's disease.

Adult↗

Contrast sensitivity and measuring cataract outcomes.

Clinical research has demonstrated the the continuous decline of the contrast sensitivity with age results from increasing spherical aberration of the human crystalline lens. Replacing the crystalline lens with appropriate modeled pseudophakic lens can provide superior contrast sensitivity and functional vision. As advances in the technology allow cataract and refractive surgeons to address higher-order optical aberrations, the measurement of functional vision becomes increasingly critical as a gauge of the progress. Contrast sensitivity testing is assuming a prominent place in the evaluation of surgical modalities because it reflects functional vision, correlates with visual performance, and provide a key to understanding optical and visual processing of images.

Cataract↗

Short-term hypobaric hypoxia enhances visual contrast sensitivity.

The effect of hypoxia on early visual functions remains a controversial area of research. To explore this question, we measured static and dynamic visual contrast sensitivity in 14 healthy volunteers at a simulated altitude of 5500 m. In comparison with the baseline condition (mean arterial oxygen saturation: 98.4%), contrast sensitivity significantly increased after 5, 10 and 15 min of hypoxic exposure (saturation: 82.9%, 77.0%, 74.3%, respectively). After 10 min, this enhancement was markedly pronounced under dynamic conditions. Returning to the baseline altitude (saturation: 97.7%), contrast sensitivity recovered, mostly at the lower spatial frequencies. There was a significant negative relationship between arterial oxygen saturation and contrast sensitivity values at low and medium spatial frequencies (0.5-4.8 c/deg). These results suggest that early visual processing may be enhanced during short-term hypoxic challenge.

Adult↗

Picture simulation of contrast sensitivity in organic and functional amblyopia.

We have tried to illustrate some contrast sensitivity defects by picture simulation. We have used data obtained from 2 patients: a woman with optic nerve lesion (Snellen VA 0.5) and a 7.5-year-old boy with anisometropic amblyopia (VA 0.6). The optic nerve lesion was represented by profound contrast sensitivity loss for all spatial frequencies, while the anisometropic eye showed loss only at high spatial frequencies. A positive picture was decomposed into 1.25 X 10(6) pixels (picture elements), using a drum scanner. In a computer each spatial frequency component of the picture was multiplied by the ratio between the patient sensitivity value and that of an age-matched reference group and a modified image was processed. The pictures illustrate the poor image quality that is associated with general contrast sensitivity loss, even when Snellen visual acuity is only moderately impaired.

Amblyopia↗

Abnormalities of contrast sensitivity and electroretinogram following sevoflurane anaesthesia.

BACKGROUND AND OBJECTIVE: We tested the hypothesis that disturbances of the visual pathway following sevoflurane general anaesthesia (a) exist and persist even after clinical discharge criteria have been met and (b) are associated with decreased contrast sensitivity. METHODS: We performed pattern and full-field flash electroretinograms (ERG) in 10 unpremedicated ASA I patients who underwent nitrous oxide/sevoflurane anaesthesia. ERG and contrast sensitivity were recorded preoperatively, immediately after discharge from the recovery room and 2 h after discontinuation of sevoflurane. The time at which the Post Anaesthesia Discharge Score first exceeded 9 was also noted. Data were analysed using paired, one-tailed t-tests and Pearson's correlation coefficient. RESULTS: On the full-field photopic ERG, b-wave latency was greater at each postoperative time point (31.6+/-1.1 and 30.8+/-1.1 ms) compared to preoperatively (30.1+/-1.1 ms, P < 0.001 and P = 0.03, respectively). Oscillatory potential latencies were greater on discharge from the recovery room compared with preanaesthetic values (23.1+/-3.1 vs. 22.4+/-3.3 ms, P = 0.01) and returned to baseline by 2 h after emergence from anaesthesia. Also at 2 h after emergence from anaesthesia: (a) P50 latency on the pattern ERG was greater than at baseline (81.5+/-17.9 vs. 51.15+/-22.6ms, P = 0.004); (b) N95 amplitude was less compared to preanaesthetic values (2.6+/-0.5 vs. 3.3+/-0.4 microV, P = 0.003) and (c) contrast sensitivity was less compared to baseline values (349+/-153 vs. 404+/-140, P = 0.048). A positive correlation was demonstrated between contrast sensitivity and both N95 amplitude and b-wave latency (r = 0.99 and r = -0.55 at significance levels of P < 0.005 and P < 0.05, respectively). CONCLUSIONS: Postoperative ERG abnormalities and associated decreases in contrast sensitivity are consistently present in patients who have undergone nitrous oxide/sevoflurane anaesthesia. These abnormalities persist beyond the time at which standard clinical discharge criteria have been met.

Adult↗