Comparison of Backlit and Novel Automated ETDRS Visual Acuity Charts.

Background: This study was conducted to compare two different methods and presentation systems of testing visual acuity to determine whether they are equivalent. Methods: We compared the results of taking visual acuity (VA) measures with the standard backlit Early Treatment of Diabetic Retinopathy S...

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Publicado en:Optometry & Visual Performance Vol. 6; no. 2; pp. 87 - 97
Autores principales: Harris, Paul A., Roberts, Laurel E., Grant, Rachel
Formato: pictorial research tables/charts Journal Article
Publicado: Optometric Extension Program Apr2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2018
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      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
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        atl: Comparison of Backlit and Novel Automated ETDRS Visual Acuity Charts.
      aug:
        au:
          Harris, Paul A.
          Roberts, Laurel E.
          Grant, Rachel
        affil: OD, Southern College of Optometry, Memphis, Tennessee
      sug:
        subj:
          Visual Acuity
          Vision Tests Methods
          Diabetic Retinopathy Diagnosis
          Diabetic Retinopathy Therapy
          Human
          Correlation Coefficient
          Comparative Studies
          Eyeglasses
      ab: Background: This study was conducted to compare two different methods and presentation systems of testing visual acuity to determine whether they are equivalent. Methods: We compared the results of taking visual acuity (VA) measures with the standard backlit Early Treatment of Diabetic Retinopathy Study (backlit ETDRS) and Automated ETDRS (A-ETDRS) VA charts (M&S Technologies, Inc., Niles, IL) on 111 healthy subjects with corrected visual acuity of 20/20 or better. Testing was done under four conditions-- with spectacles, uncorrected, with +1.50 blur over spectacles, and with +3.00 blur over spectacles--to assess correlation of primary outcomes between charts across a wide range of acuity measures. Visual acuity measures were recorded in letter count, logMAR, and standard Snellen measures. Results: Correlations between the backlit ETDRS and the A-ETDRS chart types were 0.93 (uncorrected), 0.60 (with spectacles), 0.76 (+1.50 blur over spectacles), and 0.50 (+3.00 blur over spectacles), with all correlations statistically significant at p< 0.001. Conclusion: This study shows that traditional backlit ETDRS and A-ETDRS charts are functionally equivalent to each other under a variety of testing conditions, mimicking both clinical and research applications. Additional benefits of the automated system over the backlit charts include: the ability to calibrate the system precisely, faster testing and scoring times combined, and less chance for error to enter into the conversion of the raw data into logMAR, letter, or Snellen scores. For all of these reasons, Automated-ETDRS testing is preferred.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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