EVALUATING VISUAL FUNCTION IN CATARACT

被引:60
作者
ELLIOTT, DB
机构
[1] Centre for Sight Enhancement, School of Optometry, University of Waterloo, Waterloo, ON
关键词
CATARACT; CONTRAST SENSITIVITY; GLARE TESTS; LIGHT SCATTER; VISUAL ACUITY;
D O I
10.1097/00006324-199311000-00006
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
This paper reviews recent research on the evaluation of visual function in cataract. Visual impairment in cataract is principally caused by increased intraocular forward light scatter. It is assumed that visual acuity (VA) measurements assess the impact of narrow angle light scatter. This also makes the measurement of high spatial frequency contrast sensitivity (CS) unnecessary. However, VA measurements alone are an inadequate assessment of visual impairment in some patients with cataract. In addition, it is suggested that a measurement of wide-angle light scatter is required. This can be evaluated directly using the van den Berg Straylightmeter, or indirectly using low spatial frequency CS or disability glare (DG) tests. The following are discussed: (1) the relative usefulness of these tests; (2) how they can be incorporated into the decision as to when to extract a cataract; and (3) the importance of considering binocular visual function.
引用
收藏
页码:896 / 902
页数:7
相关论文
共 63 条
[1]  
Grom E., An enquiry into the history of the crystalline lens, Cataract and Abnormalities of the Lens, pp. 1-28, (1975)
[2]  
May C.H., Diseases of the Eye, (1920)
[3]  
O'Day D.M., Management of cataract in adults, Arch Ophthalmol, 111, pp. 453-459, (1993)
[4]  
Cinotti A.A., Evaluation of indications for cataract surgery, Ophthal Surg, 10, pp. 25-31, (1979)
[5]  
Rubin M.L., The little point that isn’t there, Surv Ophthalmol, 17, pp. 52-53, (1972)
[6]  
Harbin T.S., Visual impairment by sunlight in posterior subcap-sular cataracts, Ophthal Surg, 4, pp. 34-36, (1973)
[7]  
Paulsson L.E., Sjostrand J., Contrast sensitivity in the presence of a glare light, Invest Ophthalmol Vis Sci, 19, pp. 401-406, (1980)
[8]  
Bernth-Petersen P., Visual functioning in cataract patients, Acta Ophthalmol (Kbh), 59, pp. 198-205, (1981)
[9]  
Nadler M.P., Miller D., Nadler D.J., Glare and Contrast Sensitivity for Clinicians, (1990)
[10]  
Holladay J.T., Prager T.C., Trujillo J.C., Ruiz R.S., Brightness acuity test and outdoor visual acuity in cataract patients, J Cataract Refract Surg, 13, pp. 67-69, (1987)