Effect of age related macular degeneration on the Eger macular stressometer photostress recovery time

Aim: To assess the repeatability of Eger macular stressometer (EMS) measures of photostress recovery and determine their association with other measures of visual function. Methods: EMS photostress recovery time was measured in 90 patients with bilateral exudative age related macular degeneration (A...

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Veröffentlicht in:British journal of ophthalmology 2006-04, Vol.90 (4), p.432-434
Hauptverfasser: Wolffsohn, J S, Anderson, S J, Mitchell, J, Woodcock, A, Rubinstein, M, Ffytche, T, Browning, A, Willbond, K, Amoaku, W M, Bradley, C
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container_end_page 434
container_issue 4
container_start_page 432
container_title British journal of ophthalmology
container_volume 90
creator Wolffsohn, J S
Anderson, S J
Mitchell, J
Woodcock, A
Rubinstein, M
Ffytche, T
Browning, A
Willbond, K
Amoaku, W M
Bradley, C
description Aim: To assess the repeatability of Eger macular stressometer (EMS) measures of photostress recovery and determine their association with other measures of visual function. Methods: EMS photostress recovery time was measured in 90 patients with bilateral exudative age related macular degeneration (AMD), 19 with bilateral atrophic AMD and 47 with both forms of the condition (mean age 79 (SD 13) years). Measurements were made on two occasions separated by 1 year. Intrasession repeatability was assessed by repeating the measures after a 10 minute recovery period at the first visit. Distance visual acuity was measured with a logMAR chart, near visual acuity with a MNRead chart at 25 cm, contrast sensitivity with a Pelli-Robson chart, and the presence of central visual disturbance assessed with an Amsler grid. A questionnaire was used to assess self reported difficulties with glare recovery. Results: The average EMS recovery time was 11.0 (SD 8.9) seconds, decreasing by 1.6 (5.2) seconds on repeated measurement (p0.05). EMS photostress recovery time did not predict those whose vision decreased over the following year compared with those among whom it remained stable. Conclusions: The EMS test is not a useful tool in determining the severity or progression of AMD.
doi_str_mv 10.1136/bjo.2005.085787
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Methods: EMS photostress recovery time was measured in 90 patients with bilateral exudative age related macular degeneration (AMD), 19 with bilateral atrophic AMD and 47 with both forms of the condition (mean age 79 (SD 13) years). Measurements were made on two occasions separated by 1 year. Intrasession repeatability was assessed by repeating the measures after a 10 minute recovery period at the first visit. Distance visual acuity was measured with a logMAR chart, near visual acuity with a MNRead chart at 25 cm, contrast sensitivity with a Pelli-Robson chart, and the presence of central visual disturbance assessed with an Amsler grid. A questionnaire was used to assess self reported difficulties with glare recovery. Results: The average EMS recovery time was 11.0 (SD 8.9) seconds, decreasing by 1.6 (5.2) seconds on repeated measurement (p&lt;0.05). EMS photostress recovery was not correlated with visual function measures or subjective difficulties with lights (p&gt;0.05). EMS photostress recovery time did not predict those whose vision decreased over the following year compared with those among whom it remained stable. Conclusions: The EMS test is not a useful tool in determining the severity or progression of AMD.</description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjo.2005.085787</identifier><identifier>PMID: 16547321</identifier><identifier>CODEN: BJOPAL</identifier><language>eng</language><publisher>BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group Ltd</publisher><subject>Adaptation, Ocular ; age related macular degeneration ; Aged ; Aged, 80 and over ; AMD ; Biological and medical sciences ; Clinical Science - Scientific Report ; Contrast Sensitivity ; Disease Progression ; Eger macular stressometer ; EMS ; Female ; Glare ; Humans ; Macular Degeneration - diagnosis ; Macular Degeneration - physiopathology ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Ophthalmology ; Photic Stimulation - methods ; photostress recovery time ; Reproducibility of Results ; vision ; Vision Tests - methods ; Visual Acuity</subject><ispartof>British journal of ophthalmology, 2006-04, Vol.90 (4), p.432-434</ispartof><rights>Copyright 2006 British Journal of Ophthalmology</rights><rights>2006 INIST-CNRS</rights><rights>Copyright: 2006 Copyright 2006 British Journal of Ophthalmology</rights><rights>Copyright © 2006 BMJ Publishing Group</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b522t-6c007cc088665d9c7f535f56cdcc9fe2c28a5d62338816bf29adcf9cd99e64953</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bjo.bmj.com/content/90/4/432.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://bjo.bmj.com/content/90/4/432.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,314,723,776,780,881,3182,23551,27903,27904,53770,53772,77347,77378</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=17598768$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16547321$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wolffsohn, J S</creatorcontrib><creatorcontrib>Anderson, S J</creatorcontrib><creatorcontrib>Mitchell, J</creatorcontrib><creatorcontrib>Woodcock, A</creatorcontrib><creatorcontrib>Rubinstein, M</creatorcontrib><creatorcontrib>Ffytche, T</creatorcontrib><creatorcontrib>Browning, A</creatorcontrib><creatorcontrib>Willbond, K</creatorcontrib><creatorcontrib>Amoaku, W M</creatorcontrib><creatorcontrib>Bradley, C</creatorcontrib><title>Effect of age related macular degeneration on the Eger macular stressometer photostress recovery time</title><title>British journal of ophthalmology</title><addtitle>Br J Ophthalmol</addtitle><description>Aim: To assess the repeatability of Eger macular stressometer (EMS) measures of photostress recovery and determine their association with other measures of visual function. Methods: EMS photostress recovery time was measured in 90 patients with bilateral exudative age related macular degeneration (AMD), 19 with bilateral atrophic AMD and 47 with both forms of the condition (mean age 79 (SD 13) years). Measurements were made on two occasions separated by 1 year. Intrasession repeatability was assessed by repeating the measures after a 10 minute recovery period at the first visit. Distance visual acuity was measured with a logMAR chart, near visual acuity with a MNRead chart at 25 cm, contrast sensitivity with a Pelli-Robson chart, and the presence of central visual disturbance assessed with an Amsler grid. A questionnaire was used to assess self reported difficulties with glare recovery. Results: The average EMS recovery time was 11.0 (SD 8.9) seconds, decreasing by 1.6 (5.2) seconds on repeated measurement (p&lt;0.05). EMS photostress recovery was not correlated with visual function measures or subjective difficulties with lights (p&gt;0.05). EMS photostress recovery time did not predict those whose vision decreased over the following year compared with those among whom it remained stable. 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Methods: EMS photostress recovery time was measured in 90 patients with bilateral exudative age related macular degeneration (AMD), 19 with bilateral atrophic AMD and 47 with both forms of the condition (mean age 79 (SD 13) years). Measurements were made on two occasions separated by 1 year. Intrasession repeatability was assessed by repeating the measures after a 10 minute recovery period at the first visit. Distance visual acuity was measured with a logMAR chart, near visual acuity with a MNRead chart at 25 cm, contrast sensitivity with a Pelli-Robson chart, and the presence of central visual disturbance assessed with an Amsler grid. A questionnaire was used to assess self reported difficulties with glare recovery. Results: The average EMS recovery time was 11.0 (SD 8.9) seconds, decreasing by 1.6 (5.2) seconds on repeated measurement (p&lt;0.05). EMS photostress recovery was not correlated with visual function measures or subjective difficulties with lights (p&gt;0.05). 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subjects Adaptation, Ocular
age related macular degeneration
Aged
Aged, 80 and over
AMD
Biological and medical sciences
Clinical Science - Scientific Report
Contrast Sensitivity
Disease Progression
Eger macular stressometer
EMS
Female
Glare
Humans
Macular Degeneration - diagnosis
Macular Degeneration - physiopathology
Male
Medical sciences
Middle Aged
Miscellaneous
Ophthalmology
Photic Stimulation - methods
photostress recovery time
Reproducibility of Results
vision
Vision Tests - methods
Visual Acuity
title Effect of age related macular degeneration on the Eger macular stressometer photostress recovery time
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