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At least 19 recordsLinked to original sources
PubMed1995

Disability glare: effects of temporal characteristics of the glare source and of the visual-field location of the test stimulus.

One of the main early complaints of cataract patients, even when these patients exhibit only mild glare problems as measured by standard tests, is that glare impairs their night driving. To provide a better measure of the patients' impairment, glare tests should include measurements of the glare effect in conditions more similar to those found in night driving. During night driving the ambient light is very low, and oncoming headlights present a transient temporal pattern. Furthermore, the objects of interest often appear initially in the peripheral visual field. Thus three important characteristics of glare in night driving are that the ambient illuminance is in the scotopic-mesopic range, the detection stimulus is in the periphery, and the glare source is transient. Most of the current glare testers measure glare only at photopic levels, and all the glare tests that we know of use only steady sources of glare with foveal discriminations. All these conditions are dealt with. The transient glare source raised thresholds by 0.5-0.75 log unit more than the steady glare source, and the transient glare effect was more pronounced and more long lasting in the periphery. Standard glare testers seriously underestimate disability glare effects in everyday life.

Adaptation, Ocular↗
PubMed2000

The immediate effects of glare and electrochromic glare-reducing mirrors in simulated truck driving.

In this experiment 12 experienced truck drivers drove a fixed-base driving simulator for three 8-h sessions under simulated nighttime driving conditions. Sessions included (a) no glare, (b) intermittent glare presented in the exterior rearview mirrors to simulate following vehicles, and (c) intermittent glare with electrochromic glare reduction. The driving task combined vehicle control on straight and curved road segments with detection of pedestrians appearing alongside the road and targets appearing in the rearview mirrors. The presence of glare slowed detection of pedestrians and, to a lesser extent, slowed the detection of targets appearing in mirrors. Glare was also associated with increased lane position variability, reduced speed on curves, and, most consistently, increased steering variability. We found only meager evidence that electrochromic glare reduction improved target detection performance and no evidence that glare reduction improved vehicle control, despite the fact that participants consistently voiced positive preferences for glare reduction. The results will aid decision making that requires incorporation of the benefits of electrochromic glare-reducing mirrors.

Adult↗
PubMed1988

The relationship between cataract type and glare disability as measured by the Miller-Nadler glare tester.

Cataract patients were tested for glare disability using the Miller-Nadler glare tester. Predicted outdoor visual acuity was then compared with the actual outdoor visual acuity. The Miller-Nadler glare test scores predicted actual outdoor visual impairment to within one Snellen line in 46.7% of the eyes, underestimated actual outdoor visual impairment by more than one Snellen line in 31.5% of the eyes, and overestimated outdoor visual impairment by more than one Snellen line in 21.7% of the eyes. Overall, 64.1% of the eyes had outdoor vision which was more closely predicted by their glare scores than by their indoor Snellen acuity. When the cataractous eyes were divided into three categories, eyes with pure nuclear sclerosis, eyes with nuclear sclerosis and posterior subcapsular opacities, and eyes with all other cataractous combinations, predictability differences were observed. Although we found that actual outdoor visual acuities were not precisely predicted by disability glare scores in a substantial proportion of our subjects, the glare scores were considerably more predictive than indoor Snellen acuity. Further development and field testing of glare testing devices as predictors of outdoor visual impairment is necessary.

Cataract↗
PubMed1992

["Glare vision". II. Study of visual acuity of glare sensitive patients in increasing test field luminance].

Sensitivity to glare is an unspecific ophthalmological symptom that can be caused by different anatomical structures; it can be related to optical and to cortical structures, it also can be due to defects in the neuronal mechanisms of the retina that control adaptation processes. In many cases the exact mechanisms are still unknown. Tests of visual acuity in glare sensitive patients with increasing test field luminance reveal-depending on the underlying disease-several types of variations from the normal visual-acuity-function that was determined over a wide range of light intensity from 0.1 to 30,000 cd/m2. Marked changes in the visual acuity-luminance-function at high test field intensities were found primarily in patients with retinal diseases, particularly in disturbances of the cone system. These visual acuity losses at high test field luminances can be explained by major functional impediments of the neuronal adaptive mechanisms at the retinal level. Less apparent were the changes in visual acuity-luminance-function in cases of optic nerve diseases. According to our studies changes in the visual acuity-luminance-function accompanied with high glare sensitivity are most often due to pathological changes in neuronal circuitry of the retina, less often to the effects of stray light. This test therefore can provide an important criterion for establishing the correct diagnosis.

Adolescent↗
PubMed1995

[Glare adaptation for inhomogeneous glare distribution with respect to the dynamic components of the vision task].

Basic investigations in the field of adaptation luminance were carried out using Holladay's visual threshold criterion. The connection between adaptation luminance LA, illumination at the spot in the eye EB1 and the angle of glare theta is LA = 9.2 x EB1 x theta -2 LA in cd/m2, Eb1 in 1x, theta in degrees. In most cases the investigations of adaptation luminance were also carried out under conditions of fixed view and static visual tasks. It is however, important to take into account the dynamic visual task and the adaptation process by determining the adaptation luminance, but very few measurements have been carried out under these conditions. For the results represented here the visual threshold was replaced by the readaptation time necessary for perception of movement direction of a striped pattern (dynamic) and with the idea of also comparing the perception of the slot location in a ring in the Landolt rings (static). The method of investigations was as follows: The subject adapts to the inhomogeneous field of luminance for which the adaptation luminance must be determined. Then in a dark surrounding field for comparison, the visual task is offered, and the readaptation time necessary for the fulfillment of the visual task is measured. This procedure is repeated with a homogeneous field of luminance. The luminance of a homogeneous field is equal to the adaptation luminance. If the readaptation times are equal, the inhomogeneous distribution of luminance has the adaptation luminance LA. The important difference in comparison to previous investigations is the inclusion of dynamic components (readaptation time and dynamic visual task).(ABSTRACT TRUNCATED AT 250 WORDS)

Adaptation, Ocular↗
PubMed2000

Contrast sensitivity and glare disability by halogen light after monofocal and multifocal lens implantation.

BACKGROUND: Standard examination of contrast sensitivity under conditions of glare disability is performed with incandescent light. A new halogen glare test that simulates glare as seen with oncoming vehicle headlights was used to measure glare disability in patients implanted with multifocal and monofocal intraocular lenses (IOLs). METHODS: 28 patients with an average age of 69 years (SD 12 years) were implanted with a monofocal IOL (SI-40NB, Allergan) and 28 patients with an average of 66 years (12 years) were implanted with a refractive multifocal IOL (Array-SA-40N, Allergan). All patients were followed for 5 months postoperatively. Contrast sensitivity at four spatial frequencies (3, 6, 12, and 18 cycles per degree, cpd) with and without a glare source were measured using the halogen glare test (CSV-1000 HGT). Statistical analysis was performed using the two sample Wilcoxon test. The local significance level was set at 0.05. RESULTS: When tested at the lowest spatial frequency (3 cpd) without halogen glare, contrast sensitivity was lower in the multifocal group than in the monofocal group (p=0.0292). With additional glare, there was no difference between both groups. At all other spatial frequencies (6, 12, and 18 cpd), when tested without halogen glare (6 cpd, p=0.5250; 12 cpd, p=0.8483; 18 cpd, p=0.9496) and with moderate (3 cpd, p=0.7993; 6 cpd, p=0.4639; 12 cpd, p=0.7456; 18 cpd, p=1.0) and high halogen glare (3 cpd, p=0. 1513; 6 cpd, p=0.2016; 12 cpd, p=0.3069; 18 cpd, p=0.9933), there was no statistically significant difference between groups. Patients in both groups of age 70 or older had reduced contrast sensitivity without halogen glare and with moderate and strong glare. When monofocal and multifocal patients older than 70 years of age were analysed separately, there was no statistically significant difference in contrast sensitivity with and without glare. Astigmatism >1 dioptre had no significant influence on contrast sensitivity and glare disability when monofocal and multifocal eyes were compared. CONCLUSION: Reduced contrast sensitivity was found in the multifocal group only at the lowest spatial frequency without halogen glare. The monofocal and multifocal groups had no statistically significant differences in contrast sensitivity with moderate and strong glare. These results suggest no difference in glare disability induced by halogen light similar to oncoming vehicle headlights for patients implanted with monofocal and multifocal IOLs.

Adult↗
PubMed1986

Impairment of contrast sensitivity function (CSF) as a measure of disability glare.

A method for quantitative measurements of disability glare in clinical practice is presented. Glare is induced by a circular fluorescent tube which surrounds a sinusoidal grating displayed on a monitor. The threshold contrast that is needed for detection of the grating is measured with and without presence of the glare light. This is repeated for several different spatial frequencies. The discrepancy between the contrast sensitivity function (CSF) obtained with and without glare light was used to calculate the glare score (n) as a measure of disability glare. This was done for normals and cataract patients. The results show that an increasing glare score is related to an increase in turbidity of the optic media, while visual acuity had a weak correlation to the glare score. We also studied the relation glare score versus luminance and found that normals had a glare score that was almost independent of luminance level, while the cataract patients had a marked decrease in glare sensitivity when the luminance decreased. Most patients had a glare score that corresponded to their glare problems. These findings indicate a potential for using this psychophysical disability glare test method in industry, transport, and clinical ophthalmology. Some sources of methodological error inherent in the test method are evaluated and discussed.

Adult↗
PubMed1986

Radial keratotomy and glare effects on contrast sensitivity.

After radial keratotomy (RK) to correct myopia, some patients complain of 'glare'. Effects of a glare source on contrast sensitivity were measured in fifteen patients after unilateral RK. With each eye, determinations were made of the contrast required for detection of steady gratings (spatial frequencies of 0.7 and 2.9 cycles/deg), and for detection of flicker (unpatterned field flickering at rates of 8, 16, and 32 Hz). Grating or flicker was presented on a centrally fixated 4 deg test target (34 cd/m2 mean luminance), surrounded by a diffuse glare source (1700 cd/m2 mean luminance). For each stimulus, contrast thresholds were determined with glare-source off and with glare-source on. 'Glare loss' was defined as the decrement in contrast sensitivity measured with the glare source on. Significant findings were: (1) Both eyes showed glare losses for detection of gratings and for detection of flicker; (2) Spectacle lenses increased glare losses both for gratings and for flicker; (3) The RK eye showed a larger glare loss for flicker than the unoperated eye, but a smaller glare-loss for gratings; (4) For both flicker and gratings, glare loss tended to be greater in the RK eye, compared to the unoperated eye, in subjects who had larger pupil diameters in the testing situation; (5) The psychophysical measurements obtained in this study were not significantly correlated either with a questionnaire index of glare complaints or with the score obtained with the Miller-Nadler GlareTester.

Adult↗
PubMed1998

Comparison of methods to assess visual impairment from glare and light scattering with posterior capsule opacification.

PURPOSE: To compare 2 glare tests to determine their relative usefulness in the assessment of posterior capsule opacification (PCO) and to evaluate the potential benefits of combined visual, acuity, contrast sensitivity, and glare testing. SETTING: Teaching hospital ophthalmology department. METHODS: Sixteen patients had glare, visual acuity, and contrast sensitivity testing before and after neodymium:YAG (Nd:YAG) capsulotomy. Results with the Brightness Acuity Tester (BAT, Mentor), which measures disability glare, and the Straylightmeter (Foundation for Eye Research, The Netherlands), which quantifies forward scatter by direct compensation techniques, were compared. The correlation between glare, ETDRS visual acuity, and Pelli-Robson contrast sensitivity was determined. RESULTS: Pretreatment visual acuity was significantly correlated with contrast sensitivity (P < .01). However, visual acuity and contrast sensitivity were poorly correlated with both the BAT and Straylightmeter (P > .05), indicating that visual acuity is predictive of contrast sensitivity but a poor predictor of glare. Glare was significantly improved (Straylightmeter, P < .0001; BAT, P < .05) following capsulotomy. While the Straylightmeter consistently measured precapsulotomy forward scatter that improved with treatment, corresponding BAT disability glare was unmeasurable in 18.8% of patients with PCO, as their visual acuities improved rather than deteriorated with glare testing. CONCLUSIONS: Glare testing provided more information than contrast sensitivity when combined with visual acuity in the evaluation of PCO. Glare related to PCO is better assessed using the Straylightmeter because the BAT may yield aberrant disability glare results.

Aged↗
PubMed1992

Quantification of the reduction of glare disability after standard extracapsular cataract surgery.

Glare disability is often cited as an indication for cataract extraction, but very little objective data exist showing improvement of glare disability following standard extracapsular cataract extraction with posterior chamber intraocular lens implantation. In a series of 25 patients we determined glare disability by the reduction in visual acuity with dim room lighting (baseline) and with full room lights; with the brightness acuity tester (BAT) on low, medium, and high; with the true vision analyzer (TVA) glare light. Glare disability was quantified by the difference between the log VA postoperatively and the log VA preoperatively. Glare disability with BAT medium was no different than that with bright room lights (P greater than .05). Glare disability with BAT high was greater than that with BAT medium (P less than .01) but did not differ from that with TVA (P greater than .05). Glare disability was significantly reduced (P less than .01) six weeks postoperatively as measured by all tests except BAT low. Cataract surgery can be expected to reduce glare disability as measured by these tests.

Adult↗
PubMed1990

A new glare test based on low contrast letters--evaluation in cataract patients.

A new simple glare test was designed and evaluated regarding clinical usefulness and reproducibility. The ability to recognize letters of equal size and varying contrast was determined with the absence and presence of glare sources above and below the letters. Ten patients with cataract, visual acuity of at least 0.3 and glare problems, and three age matched controls were tested, as well as one patient with glare complaints and exophoria, one with lens subluxation and one with cataract and no glare problem. The test was found to be cheap and simple to produce and useful for clinical testing. Normal eyes had no detectable reduction of letter contrast sensibility with glare. All cataractous eyes had a letter contrast sensitivity without glare that was well below that of the controls and under glare conditions they all had a drop in visual function that was unrelated to their visual acuity. The reproducibility was of a magnitude similar to that of other low contrast letter tests. Our conclusion is that this test will be a valuable tool in the evaluation of cataract patients providing information not only about glare-induced visual loss but also about contrast sensitivity, separating eyes with increased intraocular light scattering from normal eyes.

Adult↗
PubMed1999

Improvement of visual function with glare testing after photorefractive keratectomy and radial keratotomy.

PURPOSE: To evaluate the effect of a glare source on visual function in patients after photorefractive keratectomy and radial keratotomy. METHODS: Thirteen patients (22 eyes) who underwent photorefractive keratectomy and 20 patients (40 eyes) who underwent radial keratotomy were evaluated in this cross-sectional study. LogMAR visual acuity and contrast sensitivity were measured. Pupils were measured with the Rosenbaum card. A halogen/tungsten glare source approximated the luminance of headlights of an oncoming car at 100 feet. RESULTS: In the photorefractive keratectomy and radial keratotomy groups, pupils were significantly smaller (P<.01) and the pupillary clearance of the ablation zone in photorefractive keratectomy and the clear zone in radial keratotomy were significantly larger under the glare condition (P<.01). In the photorefractive keratectomy group, visual acuity and contrast sensitivity under the glare condition were significantly higher than in the no-glare condition (P = .02). In the radial keratotomy group, contrast sensitivity under the glare condition was significantly higher than under the no-glare condition (P = .001 to .003). CONCLUSIONS: After photorefractive keratectomy or radial keratotomy, the traditional glare source constricted the pupil and partially masked the optical aberrations, which resulted in an improvement in visual function. A "pupil-sparing" aberration test is needed for evaluation of visual function after refractive surgery.

Adult↗
PubMed1998

Scatter-glare estimation for digital radiographic systems: comparison of digital filtration and sampling techniques.

The scatter and veiling glare distribution in images acquired with a digital subtraction angiography imaging system was estimated using a digital filtration and a beam-stop technique. The digital filtration technique utilizes exposure parameters and image gray levels to estimate scatter-glare intensity based on previous phantom measurements. The beam-stop technique uses an array of lead discs in order to sample scatter-glare intensity for each patient. To test the ability of digital filtration and beam-stop techniques to estimate the scatter-glare intensity, they were applied to images of postmortem swine animal models at different projections and beam energies. The systematic and root-mean-square (rms) percentage errors of these estimates were obtained by comparison to directly measured scatter-glare images using a scanning lead strip technique. The average rms percentage error for the digital filtration and beam-stop techniques were 8.07% and 6.67%, respectively. The changes in scatter-glare intensity due to contrast injection during coronary arteriography and ventriculography were also measured using the beam-stop technique. The maximum changes in scatter-glare intensities during coronary arteriography and ventriculography were 19 and 88%, respectively. The results indicate that the digital filtration technique is more suited for applications such as coronary arteriography and ventriculography where the iodinated contrast material significantly changes the scatter-glare intensity.

Angiography, Digital Subtraction↗
PubMed1999

Scatter and veiling glare estimation based on sampled primary intensity.

Scatter and veiling glare are predominant sources of error in videodensitometric iodine quantification. Standard beam stop techniques such as lead strips or an array of lead discs, placed before the patients, have previously been used to measure scatter and veiling glare in digital radiographic images. However, these techniques significantly increase patient x-ray exposure. In order to overcome this limitation, a scatter measurement technique based on sampled primary intensity has been investigated. This technique uses an array of apertures in a lead sheet to sample the primary x-ray intensity. The scatter-glare intensity in these locations is calculated by subtracting the sampled primary intensity from an open field image which contains both primary and scatter-glare. The calculated scatter-glare values can be interpolated or combined with digital filtration to estimate the scatter-glare intensity on a pixel by pixel basis. The technique was evaluated using a Lucite step phantom and an anthropomorphic chest phantom. The average rms percentage errors of scatter and veiling glare estimation using bi-cubic interpolation and digital filtration techniques were 8.02% and 7.53%, respectively. The average rms percentage errors of primary intensity estimation using bi-cubic interpolation and digital filtration techniques were 10.01% and 8.91%, respectively. The x-ray exposure-area product (EAP) from the aperture array was only 4.38% of the EAP from the open field. These results indicate that the scatter-glare intensity can be accurately estimated with minimal x-ray exposure using sampled primary intensity.

Densitometry↗
PubMed1985

Glare measurements before and after neodymium-YAG laser posterior capsulotomy.

We measured glare produced by opacified posterior capsules before and after neodymium-YAG laser posterior capsulotomy. In many eyes, particularly those with visual acuities of 20/200 or worse, glare threshold could not be determined. In 32 eyes with measurable preoperative glare, the median glare threshold improved from 45% to 12% and median visual acuity improved from 20/60 to 20/25. For 56 eyes the median postoperative glare threshold was also 12% and the median visual acuity improved from 20/80 to 20/25. Forty eyes achieved postoperative visual acuities of 20/25 or better, but in 16 eyes other ocular conditions limited visual acuity to 20/30 or worse. Glare and visual acuity were correlated preoperatively and usually improved concomitantly. One patient in whom wrinkles in a clear capsule produced streaks around bright lights had a glare threshold lower than other types of opacities. Capsulotomy improved the glare threshold and relieved the symptoms.

Adolescent↗
PubMed1989

Glare testing in cataract patients: instrument evaluation and identification of sources of methodological error.

This study sought to determine the relative sensitivity of two commercially available glare testers in predicting outdoor acuity in a population of patients with minimal cataracts. Two target optotypes were evaluated: high contrast letters and varying contrast sinusoidal gratings. Although both instruments demonstrated a significant correlation between indoor and outdoor acuity, they showed a significant difference between predicted outdoor acuity and obtained visual acuity. The brightness acuity tester on high intensity was inaccurate in predicting outdoor vision regardless of test optotype, overpredicting glare disability in 76% (average) of the study population. Glare disability overpredictions fell to 8% on the medium setting with +/- 2 lines of vision classified as "no change." Using the same criterion, the Miller-Nadler glare tester overpredicted glare disability in 2% of the cataract population but underpredicted glare disability in 62%. In this study, letter optotypes resulted in less variability than sinusoidal grating stimuli. In addition, we identify several methodological factors to consider before designing a glare experiment. These potential sources of error can influence the outcome of any glare study that compares indoor and outdoor acuity and include the study population, visual stimuli (optotypes), and elements of the outdoor testing situation.

Adolescent↗