Literature DB >> 16971841

Metrics of retinal image quality predict visual performance in eyes with 20/17 or better visual acuity.

Raymond A Applegate1, Jason D Marsack, Larry N Thibos.   

Abstract

PURPOSE: The purpose of this study is to determine the ability of single-value metrics of retinal image quality of the eye to predict visual performance as measured by high (HC) and low (LC) -contrast acuity at photopic (P) and mesopic (M) light levels in eyes with 20/17 and better visual acuity.
METHODS: Forty-nine normal subjects in good health ranging in age from 21.8 to 62.6 with 20/17 or better monocular high-contrast logarithm of the minimum angle of resolution (logMAR) acuity served as subjects. Wavefront error through the 10th Zernike radial order over a 7-mm pupil was measured on each test eye using a custom-built Shack/Hartmann wavefront sensor. For each eye, 31 different single-value retinal image quality metrics were calculated. Visual acuity was measured using HC (95%) and LC (11%) logMAR at photopic (270 cd/m) and mesopic (0.75 cd/m) light levels. To determine the ability of each metric of retinal image quality to predict each type of logMAR acuity (P HC, P LC, M HC, and M LC), each acuity measure was regressed against each optical quality metric.
RESULTS: The ability of the metrics of retinal image quality to predict logMAR acuity improved as luminance and/or contrast is lowered. The best retinal image quality metric (logPFSc) accounted for 2.6%, 15.1%, 27.6%, and 40.0% of the variance in P HC, P LC, M HC, and M LC logMAR acuity, respectively.
CONCLUSIONS: In eyes with 20/17 and better P HC acuity, P HC logMAR acuity is insensitive to variations in retinal image quality compared with M LC logMAR acuity. Retinal image quality becomes increasingly predictive of logMAR acuity as contrast and/or luminance is decreased. Everyday life requires individuals to function over a large range of contrast and luminance levels. Clinically, the impact of retinal image quality as a function of luminance and contrast is readily measurable in a time-efficient manner with M LC logMAR acuity charts.

Entities:  

Mesh:

Year:  2006        PMID: 16971841      PMCID: PMC1764494          DOI: 10.1097/01.opx.0000232842.60932.af

Source DB:  PubMed          Journal:  Optom Vis Sci        ISSN: 1040-5488            Impact factor:   1.973


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  21 in total

1.  Three-dimensional relationship between high-order root-mean-square wavefront error, pupil diameter, and aging.

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Authors:  Xu Cheng; Arthur Bradley; Sowmya Ravikumar; Larry N Thibos
Journal:  Optom Vis Sci       Date:  2010-05       Impact factor: 1.973

5.  Dynamic simulation of the effect of soft toric contact lenses movement on retinal image quality.

Authors:  Yafei Niu; Edwin J Sarver; Scott B Stevenson; Jason D Marsack; Katrina E Parker; Raymond A Applegate
Journal:  Optom Vis Sci       Date:  2008-04       Impact factor: 1.973

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7.  Repeatability of mesopic visual acuity measurements using high- and low-contrast ETDRS letter charts.

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8.  Repeatability of Monocular Acuity Testing in Adults with and without Down Syndrome.

Authors:  Ayeswarya Ravikumar; Julia S Benoit; Kelsie B Morrison; Jason D Marsack; Heather A Anderson
Journal:  Optom Vis Sci       Date:  2018-03       Impact factor: 1.973

9.  Performance of wavefront-guided soft lenses in three keratoconus subjects.

Authors:  Jason D Marsack; Katrina E Parker; Raymond A Applegate
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10.  Change in visual acuity is highly correlated with change in six image quality metrics independent of wavefront error and/or pupil diameter.

Authors:  Ayeswarya Ravikumar; Edwin J Sarver; Raymond A Applegate
Journal:  J Vis       Date:  2012-09-14       Impact factor: 2.240

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