Comparison of horizontal and vertical dynamic visual acuity in patients with vestibular dysfunction and nonvestibular dizziness.

Blurred vision with head movement is a common symptom reported by patients with vestibular dysfunction affecting the vestibulo-ocular reflex (VOR). Impaired VOR can be measured by comparing visual acuity in which there is no head movement to visual acuity obtained with head movement. A previous stud...

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Publicado en:Journal of the American Academy of Audiology Vol. 18; no. 3; pp. 236 - 245
Autores principales: Roberts RA, Gans RE
Formato: research tables/charts Journal Article
Publicado: Thieme Medical Publishing Inc. Mar2007
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Thieme Medical Publishing Inc.
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        atl: Comparison of horizontal and vertical dynamic visual acuity in patients with vestibular dysfunction and nonvestibular dizziness.
      aug:
        au:
          Roberts RA
          Gans RE
        affil: American Institute of Balance, 8200 Bryan Dairy Road, Suite 340, Largo, FL 33777; rroberts@dizzy.com
      sug:
        subj:
          Dizziness
          Vestibule, Labyrinth Physiopathology
          Vision Disorders
          Adolescence
          Adult
          Aged
          Analysis of Variance
          Case Control Studies
          Clinical Assessment Tools
          Comparative Studies
          Data Collection, Computer Assisted
          Female
          Head
          Male
          Middle Age
          Movement
          Post Hoc Analysis
          Sensitivity and Specificity
          Vestibular Diseases
          Vision Tests
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Blurred vision with head movement is a common symptom reported by patients with vestibular dysfunction affecting the vestibulo-ocular reflex (VOR). Impaired VOR can be measured by comparing visual acuity in which there is no head movement to visual acuity obtained with head movement. A previous study demonstrated that dynamic visual acuity (DVA) testing using vertical head movement revealed deficits in impaired VOR. There is evidence that horizontal head movement is more sensitive to impaired VOR. The objective of this investigation was to compare horizontal and vertical DVA in participants with normal vestibular function (NVF), impaired vestibular function (IVF), and participants with nonvestibular dizziness (NVD). Participants performed the visual acuity task in a baseline condition with no movement and also in two dynamic conditions, horizontal head movement and vertical head movement. Horizontal DVA was twice as sensitive to impaired VOR than vertical DVA. Results suggest that horizontal volitional head movement should be incorporated into tasks measuring functional deficits of impaired VOR.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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