Contrast Sensitivity in Eyes with Central Scotoma: Effect of Stimulus Drift.

Significance: In the field of visual rehabilitation of patients with central visual field loss (CFL), knowledge on how peripheral visual function can be improved is essential. This study presents measurements of peripheral dynamic contrast sensitivity (with optical correction) for off-axis viewing a...

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Publicado en:Optometry & Vision Science Vol. 95; no. 4; pp. 354 - 362
Autores principales: Lewis, Peter, Venkataraman, Abinaya Priya, Lundström, Linda
Formato: research Journal Article
Publicado: Wiley-Blackwell Apr2018
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Optometry & Vision Science
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      dt: Apr2018
      vid: 95
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1097/OPX.0000000000001195
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        atl: Contrast Sensitivity in Eyes with Central Scotoma: Effect of Stimulus Drift.
      aug:
        au:
          Lewis, Peter
          Venkataraman, Abinaya Priya
          Lundström, Linda
        affil: Department of Medicine and Optometry, Linnæus University, Kalmar, Sweden.
      sug:
        subj:
          Vision Disorders Physiopathology
          Visual Acuity Physiology
          Middle Age
          Aberrometry
          Female
          Retina Physiopathology
          Vision, Subnormal Physiopathology
          Refractive Errors Physiopathology
          Human
          Adult
          Visual Fields Physiology
          Male
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Female
          Male
      ab: Significance: In the field of visual rehabilitation of patients with central visual field loss (CFL), knowledge on how peripheral visual function can be improved is essential. This study presents measurements of peripheral dynamic contrast sensitivity (with optical correction) for off-axis viewing angles in subjects with CFL.Purpose: Subjects with CFL rely on a peripheral preferred retinal locus (PRL) for many visual tasks. It is therefore important to ascertain that contrast sensitivity (CS) is maximized in the PRL. This study evaluates the effect of stimulus motion, in combination with optical correction, on CS in subjects with CFL.Methods: The off-axis refractive errors in the PRL of five young CFL subjects were measured with a COAS open-view Hartmann-Shack aberrometer. Low-contrast (25% and 10%) and high-contrast resolution acuity for stationary gratings was assessed with and without optical correction. High-contrast resolution was also measured for gratings drifting at 7.5 Hz (within a fixed Gaussian window). Furthermore, resolution CS was evaluated for both stationary and moving gratings with optical correction for a total of two to three spatial frequencies per subject.Results: High-contrast resolution acuity was relatively insensitive to stimulus drift motion of 7.5 Hz, whereas CS for gratings of 0.5 cycles per degree improved with drift for all subjects. Furthermore, both high- and low-contrast static resolution improved with optical correction.Conclusions: Just as for healthy eyes, stimulus motion of 7.5 Hz enhances CS for gratings of low spatial frequency also in the PRL of eyes with CFL. Concurrently, high-contrast resolution is unaffected by the 7.5-Hz drift but improves with off-axis optical correction. This highlights the importance of providing optimal refractive correction for subjects with CFL and that stimulus motion can be used to further enhance CS at low spatial frequencies.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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