Reduced Mesopic and Photopic Foveal Contrast Sensitivity in Glaucoma

OBJECTIVE To demonstrate differences in foveal constrast sensitivity (CS) between glaucomatous and nonglaucomatous eyes using a simple, rapid computerized test. METHODS This study included consecutive patients with glaucoma (35 eyes) and age-matched control participants (23 eyes) with visual acuity...

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Veröffentlicht in:Archives of ophthalmology (1960) 2011-01, Vol.129 (1), p.16-22
Hauptverfasser: Lahav, Karen, Levkovitch-Verbin, Hani, Belkin, Michael, Glovinsky, Yoseph, Polat, Uri
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container_title Archives of ophthalmology (1960)
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creator Lahav, Karen
Levkovitch-Verbin, Hani
Belkin, Michael
Glovinsky, Yoseph
Polat, Uri
description OBJECTIVE To demonstrate differences in foveal constrast sensitivity (CS) between glaucomatous and nonglaucomatous eyes using a simple, rapid computerized test. METHODS This study included consecutive patients with glaucoma (35 eyes) and age-matched control participants (23 eyes) with visual acuity of 20/30 or better. Patients with any other ocular disease, including cataract, were excluded. All participants underwent a comprehensive ocular examination, perimetry, and CS. Contrast sensitivity was examined by means of 2 computerized psychophysical tests. The transient method included the presentation of a target in a temporal, 2-alternative, forced-choice procedure, and the static method involved 4 forced-choice procedures. The targets were Gabor patches with spatial frequencies of 1.5 to 9.0 cycles per degree. The tests were conducted under photopic and mesopic conditions. RESULTS Significantly lower foveal CS was found in glaucomatous eyes under photopic and mesopic conditions for all spatial frequencies (P 
doi_str_mv 10.1001/archophthalmol.2010.332
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METHODS This study included consecutive patients with glaucoma (35 eyes) and age-matched control participants (23 eyes) with visual acuity of 20/30 or better. Patients with any other ocular disease, including cataract, were excluded. All participants underwent a comprehensive ocular examination, perimetry, and CS. Contrast sensitivity was examined by means of 2 computerized psychophysical tests. The transient method included the presentation of a target in a temporal, 2-alternative, forced-choice procedure, and the static method involved 4 forced-choice procedures. The targets were Gabor patches with spatial frequencies of 1.5 to 9.0 cycles per degree. The tests were conducted under photopic and mesopic conditions. RESULTS Significantly lower foveal CS was found in glaucomatous eyes under photopic and mesopic conditions for all spatial frequencies (P &lt; .01). The transient and static methods yielded similar results and were significantly correlated (P &lt; .001). All transient photopic and mesopic CSs were significantly correlated with cup to disc ratio (P &lt; .05). The static photopic spacial frequency of 6 cycles per degree was significantly correlated with the severity of the glaucomatous damage. CONCLUSIONS The results indicate that foveal CS is impaired in glaucoma despite good visual acuity, suggesting that central visual function damage occurs in glaucoma. The similarity between the 2 methods of testing implies that the static method, being the shorter and easier one, may be used in future research. Further research is necessary to establish a CS testing role in the screening and monitoring of glaucoma.Arch Ophthalmol. 2011;129(1):16-22--&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/archophthalmol.2010.332</identifier><identifier>PMID: 21220624</identifier><language>eng</language><publisher>Chicago, IL: American Medical Association</publisher><subject>Biological and medical sciences ; Color Vision - physiology ; Contrast Sensitivity - physiology ; Female ; Fovea Centralis - physiology ; Glaucoma ; Glaucoma - physiopathology ; Glaucoma and intraocular pressure ; Health informatics ; Humans ; Male ; Medical sciences ; Medical screening ; Mesopic Vision - physiology ; Middle Aged ; Miscellaneous ; Ophthalmology ; Patients ; Studies ; Vision Tests ; Visual Acuity - physiology</subject><ispartof>Archives of ophthalmology (1960), 2011-01, Vol.129 (1), p.16-22</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright American Medical Association Jan 2011</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a387t-6b2f2ddbab030bad81df609d2625e7612d8ce42cbd041b4485048b20021cfdcf3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=23752785$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21220624$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lahav, Karen</creatorcontrib><creatorcontrib>Levkovitch-Verbin, Hani</creatorcontrib><creatorcontrib>Belkin, Michael</creatorcontrib><creatorcontrib>Glovinsky, Yoseph</creatorcontrib><creatorcontrib>Polat, Uri</creatorcontrib><title>Reduced Mesopic and Photopic Foveal Contrast Sensitivity in Glaucoma</title><title>Archives of ophthalmology (1960)</title><addtitle>Arch Ophthalmol</addtitle><description>OBJECTIVE To demonstrate differences in foveal constrast sensitivity (CS) between glaucomatous and nonglaucomatous eyes using a simple, rapid computerized test. METHODS This study included consecutive patients with glaucoma (35 eyes) and age-matched control participants (23 eyes) with visual acuity of 20/30 or better. Patients with any other ocular disease, including cataract, were excluded. All participants underwent a comprehensive ocular examination, perimetry, and CS. Contrast sensitivity was examined by means of 2 computerized psychophysical tests. The transient method included the presentation of a target in a temporal, 2-alternative, forced-choice procedure, and the static method involved 4 forced-choice procedures. The targets were Gabor patches with spatial frequencies of 1.5 to 9.0 cycles per degree. The tests were conducted under photopic and mesopic conditions. RESULTS Significantly lower foveal CS was found in glaucomatous eyes under photopic and mesopic conditions for all spatial frequencies (P &lt; .01). The transient and static methods yielded similar results and were significantly correlated (P &lt; .001). All transient photopic and mesopic CSs were significantly correlated with cup to disc ratio (P &lt; .05). The static photopic spacial frequency of 6 cycles per degree was significantly correlated with the severity of the glaucomatous damage. CONCLUSIONS The results indicate that foveal CS is impaired in glaucoma despite good visual acuity, suggesting that central visual function damage occurs in glaucoma. The similarity between the 2 methods of testing implies that the static method, being the shorter and easier one, may be used in future research. 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Levkovitch-Verbin, Hani ; Belkin, Michael ; Glovinsky, Yoseph ; Polat, Uri</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a387t-6b2f2ddbab030bad81df609d2625e7612d8ce42cbd041b4485048b20021cfdcf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Biological and medical sciences</topic><topic>Color Vision - physiology</topic><topic>Contrast Sensitivity - physiology</topic><topic>Female</topic><topic>Fovea Centralis - physiology</topic><topic>Glaucoma</topic><topic>Glaucoma - physiopathology</topic><topic>Glaucoma and intraocular pressure</topic><topic>Health informatics</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medical screening</topic><topic>Mesopic Vision - physiology</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Ophthalmology</topic><topic>Patients</topic><topic>Studies</topic><topic>Vision Tests</topic><topic>Visual Acuity - physiology</topic><toplevel>online_resources</toplevel><creatorcontrib>Lahav, Karen</creatorcontrib><creatorcontrib>Levkovitch-Verbin, Hani</creatorcontrib><creatorcontrib>Belkin, Michael</creatorcontrib><creatorcontrib>Glovinsky, Yoseph</creatorcontrib><creatorcontrib>Polat, Uri</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; 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All transient photopic and mesopic CSs were significantly correlated with cup to disc ratio (P &lt; .05). The static photopic spacial frequency of 6 cycles per degree was significantly correlated with the severity of the glaucomatous damage. CONCLUSIONS The results indicate that foveal CS is impaired in glaucoma despite good visual acuity, suggesting that central visual function damage occurs in glaucoma. The similarity between the 2 methods of testing implies that the static method, being the shorter and easier one, may be used in future research. Further research is necessary to establish a CS testing role in the screening and monitoring of glaucoma.Arch Ophthalmol. 2011;129(1):16-22--&gt;</abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>21220624</pmid><doi>10.1001/archophthalmol.2010.332</doi><tpages>7</tpages></addata></record>
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subjects Biological and medical sciences
Color Vision - physiology
Contrast Sensitivity - physiology
Female
Fovea Centralis - physiology
Glaucoma
Glaucoma - physiopathology
Glaucoma and intraocular pressure
Health informatics
Humans
Male
Medical sciences
Medical screening
Mesopic Vision - physiology
Middle Aged
Miscellaneous
Ophthalmology
Patients
Studies
Vision Tests
Visual Acuity - physiology
title Reduced Mesopic and Photopic Foveal Contrast Sensitivity in Glaucoma
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