Contrast Sensitivity and Glare Disability After Radial Keratotomy and Photorefractive Keratectomy

OBJECTIVES To study the effects of radial keratotomy (RK) and photorefractive keratectomy (PRK) on contrast sensitivity and glare disability using 4 different devices, and to correlate subjective complaints with objective scores of visual performance. METHODS Preoperative contrast sensitivity for 30...

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Veröffentlicht in:Archives of ophthalmology (1960) 1998-01, Vol.116 (1), p.12-18
Hauptverfasser: Ghaith, Alaa A, Daniel, Jan, Stulting, R. Doyle, Thompson, Keith P, Lynn, Michael
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container_issue 1
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container_title Archives of ophthalmology (1960)
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creator Ghaith, Alaa A
Daniel, Jan
Stulting, R. Doyle
Thompson, Keith P
Lynn, Michael
description OBJECTIVES To study the effects of radial keratotomy (RK) and photorefractive keratectomy (PRK) on contrast sensitivity and glare disability using 4 different devices, and to correlate subjective complaints with objective scores of visual performance. METHODS Preoperative contrast sensitivity for 30 eyes undergoing RK and 30 eyes undergoing PRK was compared with contrast sensitivity at 1, 3, and 6 months postoperatively using the CSV 1000, MCT (Multivision Contrast Tester) 8000, and Pelli-Robson chart. The BAT (Brightness Acuity Tester) and MCT 8000 were used to test for daytime and nighttime glare disability, respectively. At 3 and 6 months postoperatively, a questionnaire was administered to assess visual performance subjectively. RESULTS Contrast sensitivity decreased after RK and PRK up to the sixth postoperative month, while glare disability was significantly increased at 1 month after PRK as determined by the MCT 8000 and the BAT, and at the third and sixth months after RK using the MCT 8000. Compared with RK, PRK significantly decreased contrast sensitivity as measured with the MCT 8000 at all spatial frequencies 1 month postoperatively. No significant difference in visual performance between patients undergoing RK and PRK was observed with the CSV 1000, the Pelli-Robson chart, or the BAT up to 6 months postoperatively. No consistent difference was found between glare disability scores of patients undergoing RK and PRK when measured with the MCT 8000. Subjective reports of problems with night driving and blurring correlated only with glare disability scores of the MCT 80003 months after RK. CONCLUSIONS Both RK and PRK reduce contrast sensitivity and cause glare disability; however, the relative effect is highly dependent on the time postoperative testing is performed and the instrument used for testing. Contrast sensitivity and glare disability, as measured by the instruments used in this study, do not accurately reflect patients' subjective assessment of visual performance in daily life.Arch Ophthalmol. 1998;116:12-18-->
doi_str_mv 10.1001/archopht.116.1.12
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Doyle ; Thompson, Keith P ; Lynn, Michael</creator><creatorcontrib>Ghaith, Alaa A ; Daniel, Jan ; Stulting, R. Doyle ; Thompson, Keith P ; Lynn, Michael</creatorcontrib><description>OBJECTIVES To study the effects of radial keratotomy (RK) and photorefractive keratectomy (PRK) on contrast sensitivity and glare disability using 4 different devices, and to correlate subjective complaints with objective scores of visual performance. METHODS Preoperative contrast sensitivity for 30 eyes undergoing RK and 30 eyes undergoing PRK was compared with contrast sensitivity at 1, 3, and 6 months postoperatively using the CSV 1000, MCT (Multivision Contrast Tester) 8000, and Pelli-Robson chart. The BAT (Brightness Acuity Tester) and MCT 8000 were used to test for daytime and nighttime glare disability, respectively. At 3 and 6 months postoperatively, a questionnaire was administered to assess visual performance subjectively. RESULTS Contrast sensitivity decreased after RK and PRK up to the sixth postoperative month, while glare disability was significantly increased at 1 month after PRK as determined by the MCT 8000 and the BAT, and at the third and sixth months after RK using the MCT 8000. Compared with RK, PRK significantly decreased contrast sensitivity as measured with the MCT 8000 at all spatial frequencies 1 month postoperatively. No significant difference in visual performance between patients undergoing RK and PRK was observed with the CSV 1000, the Pelli-Robson chart, or the BAT up to 6 months postoperatively. No consistent difference was found between glare disability scores of patients undergoing RK and PRK when measured with the MCT 8000. Subjective reports of problems with night driving and blurring correlated only with glare disability scores of the MCT 80003 months after RK. CONCLUSIONS Both RK and PRK reduce contrast sensitivity and cause glare disability; however, the relative effect is highly dependent on the time postoperative testing is performed and the instrument used for testing. Contrast sensitivity and glare disability, as measured by the instruments used in this study, do not accurately reflect patients' subjective assessment of visual performance in daily life.Arch Ophthalmol. 1998;116:12-18--&gt;</description><identifier>ISSN: 0003-9950</identifier><identifier>ISSN: 2168-6165</identifier><identifier>EISSN: 1538-3601</identifier><identifier>EISSN: 2168-6173</identifier><identifier>DOI: 10.1001/archopht.116.1.12</identifier><identifier>PMID: 9445203</identifier><language>eng</language><publisher>Chicago, IL: American Medical Association</publisher><subject>Adult ; Biological and medical sciences ; Contrast Sensitivity - physiology ; Cornea - surgery ; Female ; Follow-Up Studies ; Glare ; Humans ; Keratotomy, Radial - adverse effects ; Lasers, Excimer ; Male ; Medical sciences ; Photorefractive Keratectomy - adverse effects ; Postoperative Complications - physiopathology ; Refractive Surgical Procedures ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the eye and orbit ; Surveys and Questionnaires ; Vision Disorders - etiology ; Vision Disorders - physiopathology ; Vision Tests</subject><ispartof>Archives of ophthalmology (1960), 1998-01, Vol.116 (1), p.12-18</ispartof><rights>1998 INIST-CNRS</rights><rights>Copyright American Medical Association Jan 1998</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a479t-8bd34d69d9fac351aafa9be518706a4a1be941c18239424c4a8d8385e7e3168a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4021,27921,27922,27923</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=2124287$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9445203$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ghaith, Alaa A</creatorcontrib><creatorcontrib>Daniel, Jan</creatorcontrib><creatorcontrib>Stulting, R. Doyle</creatorcontrib><creatorcontrib>Thompson, Keith P</creatorcontrib><creatorcontrib>Lynn, Michael</creatorcontrib><title>Contrast Sensitivity and Glare Disability After Radial Keratotomy and Photorefractive Keratectomy</title><title>Archives of ophthalmology (1960)</title><addtitle>Arch Ophthalmol</addtitle><description>OBJECTIVES To study the effects of radial keratotomy (RK) and photorefractive keratectomy (PRK) on contrast sensitivity and glare disability using 4 different devices, and to correlate subjective complaints with objective scores of visual performance. METHODS Preoperative contrast sensitivity for 30 eyes undergoing RK and 30 eyes undergoing PRK was compared with contrast sensitivity at 1, 3, and 6 months postoperatively using the CSV 1000, MCT (Multivision Contrast Tester) 8000, and Pelli-Robson chart. The BAT (Brightness Acuity Tester) and MCT 8000 were used to test for daytime and nighttime glare disability, respectively. At 3 and 6 months postoperatively, a questionnaire was administered to assess visual performance subjectively. RESULTS Contrast sensitivity decreased after RK and PRK up to the sixth postoperative month, while glare disability was significantly increased at 1 month after PRK as determined by the MCT 8000 and the BAT, and at the third and sixth months after RK using the MCT 8000. Compared with RK, PRK significantly decreased contrast sensitivity as measured with the MCT 8000 at all spatial frequencies 1 month postoperatively. No significant difference in visual performance between patients undergoing RK and PRK was observed with the CSV 1000, the Pelli-Robson chart, or the BAT up to 6 months postoperatively. No consistent difference was found between glare disability scores of patients undergoing RK and PRK when measured with the MCT 8000. Subjective reports of problems with night driving and blurring correlated only with glare disability scores of the MCT 80003 months after RK. CONCLUSIONS Both RK and PRK reduce contrast sensitivity and cause glare disability; however, the relative effect is highly dependent on the time postoperative testing is performed and the instrument used for testing. Contrast sensitivity and glare disability, as measured by the instruments used in this study, do not accurately reflect patients' subjective assessment of visual performance in daily life.Arch Ophthalmol. 1998;116:12-18--&gt;</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Contrast Sensitivity - physiology</subject><subject>Cornea - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glare</subject><subject>Humans</subject><subject>Keratotomy, Radial - adverse effects</subject><subject>Lasers, Excimer</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Photorefractive Keratectomy - adverse effects</subject><subject>Postoperative Complications - physiopathology</subject><subject>Refractive Surgical Procedures</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the eye and orbit</subject><subject>Surveys and Questionnaires</subject><subject>Vision Disorders - etiology</subject><subject>Vision Disorders - physiopathology</subject><subject>Vision Tests</subject><issn>0003-9950</issn><issn>2168-6165</issn><issn>1538-3601</issn><issn>2168-6173</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkF1rFDEUhkOp1LX2B_RCGIp4N2tOvia5LKtWsWCpeh3OZDJsynxsk6zQf2-WWVvwKh_vc16Sh5BLoGugFD5idNt5t81rALWGNbATsgLJdc0VhVOyopTy2hhJX5M3KT2UowJqzsiZEUIyylcEN_OUI6Zc_fRTCjn8CfmpwqmrbgaMvvoUErZhOFxe99nH6h67gEP13UfMc57HBb7bln30fURXKvwSe3fI35JXPQ7JXxzXc_L7y-dfm6_17Y-bb5vr2xpFY3Kt246LTpnO9Oi4BMQeTesl6IYqFAitNwIcaMaNYMIJ1J3mWvrGc1Aa-Tn5sPTu4vy49ynbMSTnhwEnP--TbYxSUlAo4NV_4MO8j1N5m2UciixJRYFggVycUyo_s7sYRoxPFqg9uLf_3Nvi3oIFVmbeHYv37ei754mj7JK_P-aYHA5F1uRCesYYMMF0U7DLBcMRX0IFICn_C2SGlxk</recordid><startdate>19980101</startdate><enddate>19980101</enddate><creator>Ghaith, Alaa A</creator><creator>Daniel, Jan</creator><creator>Stulting, R. Doyle</creator><creator>Thompson, Keith P</creator><creator>Lynn, Michael</creator><general>American Medical Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>19980101</creationdate><title>Contrast Sensitivity and Glare Disability After Radial Keratotomy and Photorefractive Keratectomy</title><author>Ghaith, Alaa A ; Daniel, Jan ; Stulting, R. Doyle ; Thompson, Keith P ; Lynn, Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a479t-8bd34d69d9fac351aafa9be518706a4a1be941c18239424c4a8d8385e7e3168a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Contrast Sensitivity - physiology</topic><topic>Cornea - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glare</topic><topic>Humans</topic><topic>Keratotomy, Radial - adverse effects</topic><topic>Lasers, Excimer</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Photorefractive Keratectomy - adverse effects</topic><topic>Postoperative Complications - physiopathology</topic><topic>Refractive Surgical Procedures</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Surveys and Questionnaires</topic><topic>Vision Disorders - etiology</topic><topic>Vision Disorders - physiopathology</topic><topic>Vision Tests</topic><toplevel>online_resources</toplevel><creatorcontrib>Ghaith, Alaa A</creatorcontrib><creatorcontrib>Daniel, Jan</creatorcontrib><creatorcontrib>Stulting, R. Doyle</creatorcontrib><creatorcontrib>Thompson, Keith P</creatorcontrib><creatorcontrib>Lynn, Michael</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of ophthalmology (1960)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ghaith, Alaa A</au><au>Daniel, Jan</au><au>Stulting, R. Doyle</au><au>Thompson, Keith P</au><au>Lynn, Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Contrast Sensitivity and Glare Disability After Radial Keratotomy and Photorefractive Keratectomy</atitle><jtitle>Archives of ophthalmology (1960)</jtitle><addtitle>Arch Ophthalmol</addtitle><date>1998-01-01</date><risdate>1998</risdate><volume>116</volume><issue>1</issue><spage>12</spage><epage>18</epage><pages>12-18</pages><issn>0003-9950</issn><issn>2168-6165</issn><eissn>1538-3601</eissn><eissn>2168-6173</eissn><abstract>OBJECTIVES To study the effects of radial keratotomy (RK) and photorefractive keratectomy (PRK) on contrast sensitivity and glare disability using 4 different devices, and to correlate subjective complaints with objective scores of visual performance. METHODS Preoperative contrast sensitivity for 30 eyes undergoing RK and 30 eyes undergoing PRK was compared with contrast sensitivity at 1, 3, and 6 months postoperatively using the CSV 1000, MCT (Multivision Contrast Tester) 8000, and Pelli-Robson chart. The BAT (Brightness Acuity Tester) and MCT 8000 were used to test for daytime and nighttime glare disability, respectively. At 3 and 6 months postoperatively, a questionnaire was administered to assess visual performance subjectively. RESULTS Contrast sensitivity decreased after RK and PRK up to the sixth postoperative month, while glare disability was significantly increased at 1 month after PRK as determined by the MCT 8000 and the BAT, and at the third and sixth months after RK using the MCT 8000. Compared with RK, PRK significantly decreased contrast sensitivity as measured with the MCT 8000 at all spatial frequencies 1 month postoperatively. No significant difference in visual performance between patients undergoing RK and PRK was observed with the CSV 1000, the Pelli-Robson chart, or the BAT up to 6 months postoperatively. No consistent difference was found between glare disability scores of patients undergoing RK and PRK when measured with the MCT 8000. Subjective reports of problems with night driving and blurring correlated only with glare disability scores of the MCT 80003 months after RK. CONCLUSIONS Both RK and PRK reduce contrast sensitivity and cause glare disability; however, the relative effect is highly dependent on the time postoperative testing is performed and the instrument used for testing. Contrast sensitivity and glare disability, as measured by the instruments used in this study, do not accurately reflect patients' subjective assessment of visual performance in daily life.Arch Ophthalmol. 1998;116:12-18--&gt;</abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>9445203</pmid><doi>10.1001/archopht.116.1.12</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Biological and medical sciences
Contrast Sensitivity - physiology
Cornea - surgery
Female
Follow-Up Studies
Glare
Humans
Keratotomy, Radial - adverse effects
Lasers, Excimer
Male
Medical sciences
Photorefractive Keratectomy - adverse effects
Postoperative Complications - physiopathology
Refractive Surgical Procedures
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Surveys and Questionnaires
Vision Disorders - etiology
Vision Disorders - physiopathology
Vision Tests
title Contrast Sensitivity and Glare Disability After Radial Keratotomy and Photorefractive Keratectomy
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