BACKGROUND: Metamorphopsia is common in macular disease. Current techniques for measuring metamorphopsia require good vision or costly equipment. The authors report a method that uses printed cards. METHODS: The cards have a grid of squares arranged in a ring around fixation. There are four rings, at different distances from fixation, divided into eight sectors. The separation of the grid elements ranges from 0.4° to 1.8°. Subjects indicate in which sector lines of squares are distorted. The sum of the maximum separation perceived as distorted in each sector gives the total metamorphopsia score. Thirty-three eyes with epiretinal membrane and 29 eyes with macular hole were tested. Twenty-four eyes were tested again after surgery. In 18 subjects, the preoperative test was performed twice to assess repeatability. RESULTS: The median preoperative total metamorphopsia score was 10.2 for macular hole and 5.2 for epiretinal membrane. After surgery, the median total metamorphopsia score was 0.5 for macular hole and 0.45 for epiretinal membrane. Test-retest results showed good correlation. Improvement in metamorphopsia did not correlate with change in visual acuity. CONCLUSION: Measurement of metamorphopsia may be useful in the management of macular hole and epiretinal membrane. D-charts are a simple and inexpensive method of quantifying metamorphopsia that can be used in a clinical setting.
BACKGROUND: Metamorphopsia is common in macular disease. Current techniques for measuring metamorphopsia require good vision or costly equipment. The authors report a method that uses printed cards. METHODS: The cards have a grid of squares arranged in a ring around fixation. There are four rings, at different distances from fixation, divided into eight sectors. The separation of the grid elements ranges from 0.4° to 1.8°. Subjects indicate in which sector lines of squares are distorted. The sum of the maximum separation perceived as distorted in each sector gives the total metamorphopsia score. Thirty-three eyes with epiretinal membrane and 29 eyes with macular hole were tested. Twenty-four eyes were tested again after surgery. In 18 subjects, the preoperative test was performed twice to assess repeatability. RESULTS: The median preoperative total metamorphopsia score was 10.2 for macular hole and 5.2 for epiretinal membrane. After surgery, the median total metamorphopsia score was 0.5 for macular hole and 0.45 for epiretinal membrane. Test-retest results showed good correlation. Improvement in metamorphopsia did not correlate with change in visual acuity. CONCLUSION: Measurement of metamorphopsia may be useful in the management of macular hole and epiretinal membrane. D-charts are a simple and inexpensive method of quantifying metamorphopsia that can be used in a clinical setting.
Authors: Kevin K Veverka; Sarah R Hatt; David A Leske; William L Brown; Raymond Iezzi; Jonathan M Holmes Journal: Am J Ophthalmol Date: 2017-04-27 Impact factor: 5.258
Authors: Edward J Casswell; David Yorston; Edward Lee; Tjebo F C Heeren; Nicola Harris; Tapiwa Margaret Zvobgo; Sonali Tarafdar; Wen Xing; Elli Bourmpaki; Catey Bunce; Pearse Keane; David G Charteris Journal: JAMA Ophthalmol Date: 2020-06-01 Impact factor: 7.389
Authors: Steven M Thurman; Marcello Maniglia; Pinakin G Davey; Mandy K Biles; Kristina M Visscher; Aaron R Seitz Journal: Transl Vis Sci Technol Date: 2018-10-16 Impact factor: 3.283