REPEATED VISUAL-ACUITY MEASUREMENT - ESTABLISHING THE PATIENTS OWN CRITERION FOR CHANGE

被引：43

作者：

BROWN, B

LOVIEKITCHIN, J

机构：

[1] Department of Optometry and Radiography, Hong Kong Polytechnic

[2] School of Optometry, Queensland University of Technology, Brisbane

来源：

OPTOMETRY AND VISION SCIENCE | 1993年 / 70卷 / 01期

关键词：

SNELLEN ACUITY; VISUAL ACUITY; LOGMAR; VARIABILITY; REFERRAL CRITERION;

D O I：

10.1097/00006324-199301000-00009

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

We measured visual acuity in 10 young subjects, 10 times each over a period of approximately 3 weeks, using Bailey-Lovie charts. We used a consistent end-point criterion and scored each letter read on the chart. We derived the mean and standard deviation of visual acuity measures for each subject, and for the group. The standard deviation for the group was about 3 times that of the individuals in the group. We calculated the criterion for reduction of visual acuity for the group, as group mean plus 1.96 group standard deviations; use of this criterion would consistently fail to detect patients with clinically significant reductions in visual acuity. We recommend that visual acuity be measured to threshold for every patient. Measuring visual acuity between three and five times provides an estimate of the patient's variability and allows a criterion for reduction of visual acuity to be established for the individual patient. Use of this criterion will enhance the sensitivity of visual acuity measurement as a diagnostic tool.

引用

页码：45 / 53

页数：9

共 41 条

[21]

Wild J.M., Hussey M.K., Some statistical concepts in the analysis of vision and visual acuity, Ophthal Physiol Opt, 5, pp. 63-71, (1985)

[22]

Frisen L., Frisen M., How good is normal visual acuity?, Von Graefes Arch Klin Exp Ophthalmol, 215, pp. 149-157, (1981)

[23]

Owsley C., Sloane M.E., Vision and aging, Handbook of Neuropsychology, 4, pp. 229-249, (1990)

[24]

Elliott D.B., Contrast sensitivity decline with ageing: A neural or optical phenomenon?, Ophthal Physiol Opt, 7, pp. 415-419, (1987)

[25]

Ferris F.L., Kassoff A., Bresnick G., Bailey I., New visual acuity charts for clinical research, Am J Ophthalmol, 94, pp. 91-96, (1982)

[26]

Elliott D.B., Whitaker D., Thompson P., Use of displacement threshold hyperacuity to Isolate the neural component of senile vision loss, Appl Opt, 28, pp. 1914-1918, (1989)

[27]

Elliott D.B., Whitaker D., Changes in macular function throughout adulthood, Doc Ophthalmol, 76, pp. 251-259, (1991)

[28]

Whitaker D., Elliott D.B., Macveigh D., Variations In hyperacuity performance with age, Ophthal Physiol Opt, 12, pp. 29-32, (1992)

[29]

Blackhurst D.W., Maguire M.G., Reproducibility of refraction and visual acuity measurement under a standard protocol, Retina, 9, pp. 163-169, (1989)

[30]

Kahn H.A., Leibowltz H.M., Ganley J.P., Kini M.M., Colton T., Nickerson R.S., Dawber T.R., The Framingham eye study. I. Outline and major prevalence findings, Am J Epidemiol, 106, pp. 17-32, (1977)

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