Literature DB >> 34458662

Active Learning of Contrast Sensitivity to Assess Visual Function in Macula-off Retinal Detachment.

Merina Thomas1, Rebecca F Silverman2, Filippos Vingopoulos2, Megan Kasetty2, Gina Yu3, Esther L Kim2, Amro A Omari3, Katherine A Joltikov3, Eun Y Choi2, Leo A Kim2, David N Zacks3, John B Miller2.   

Abstract

PURPOSE: To characterize the contrast sensitivity function (CSF) in patients with successful repair of macula-off rhegmatogenous retinal detachment (RD) using an adaptive computerized contrast testing device.
METHODS: CSF was prospectively measured in macula-off RD patients following successful repair and age-matched controls at W. K. Kellogg Eye Center and Massachusetts Eye and Ear, employing the active learning device Manifold Contrast Vision Meter (Adaptive Sensory Technology, San Diego, CA). Outcome measures included average area under the CSF curve (AULCSF), CS thresholds at 1-18 cycles per degree (cpd) and best correctd visual acuity (BCVA) in RD eyes fellow eyes and controls. A sub-analysis was performed in eyes with BCVA of 20/30 or better.
RESULTS: Twenty-three macula-off RD eyes status post repair, fellow healthy eyes and 45 age-matched control eyes underwent CSF testing. The mean BCVA of the 23 RD eyes was 0.250 logMAR, significantly reduced compared to fellow eyes 0.032 (p<0.001) and controls 0.026 (p< 0.00001). There was a statistically significant reduction in AULCSF in RD eyes compared to the fellow eyes (p<0.0001) and to age-matched controls (Z-score -0.90, p<0.0001) and CSF reduction across all spatial frequencies. In the 15 RD eyes with BCVA of 20/30 or better, the mean CSF was significantly reduced compared to fellow eyes (p=0.0158) and controls (p=0.0453).
CONCLUSIONS: CSF in macula-off RD eyes following repair was significantly reduced compared to fellow eyes and age-matched controls. CSF seems to be a promising visual function endpoint with potential applications in the clinical practice and future clinical trials.

Entities:  

Keywords:  Contrast Sensitivity Function; Macula-off Retinal Detachment; Visual Function; Visual Function Endpoints; qCSF

Year:  2020        PMID: 34458662      PMCID: PMC8387972          DOI: 10.1177/2474126420961957

Source DB:  PubMed          Journal:  J Vitreoretin Dis        ISSN: 2474-1264


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