Cataract Clinical Trial
Official title:
Comparison of Vision Measured by the Vimetrics Central Vision Analyzer With That Measured by logMAR Acuity Chart Testing Under Similar Conditions of Luminance and Contrast
Purpose of The Study:
The purpose of this study is the following:
A)To gather age-related normative visual acuity data for the Vimetrics Central Vision
Analyzer (CVA, Vimetrics, LLC, Media, Pa) B)To gather visual acuity data for patients with
known ocular problems, including cataract and maculopathy.
C)To correlate and compare the CVA visual acuity findings with the acuity measured with
standard LogMAR acuity charts viewed under similar conditions of contrast and lighting
The measurement of visual acuity involves the determination of the smallest high contrast
target that can be resolved by the patient. Classically, this has been approached by the use
of letter style optotypes, each having successively smaller stroke and gap resolution. More
recently, the arrangements of letter charts have been redesigned with a logarithmic scale
and with attention being paid to the uniformity of other effects such as crowding or of the
choice of optotype. The resultant Ferris-Bailey-Lovie chart has become a standard for acuity
testing, especially for clinical research. The letters of such acuity charts have a 0.1
logMAR step progression (1.26 X) between lines and have 5 letters per line. It has been
noted that the logMAR chart could have greater resolution with finer steps between the lines
and with improved repeatability by converting to a letter-by-letter scoring system.
While these advances have improved the resolution and reliability of acuity measures, they
require relatively cumbersome wall charts and do not provide any of the advantages of an
interactive program that would enable a threshold to be approached by stimulus presentation
on both the seeing as well as non-seeing sides.
The Vimetrics CVA is an interactive computer device that measures threshold visual acuity by
presenting a Landolt-C with the gap randomly tumbled in one of 4 positions to which the
patient responds with a response pad. The threshold is approached in a logarithmic,
staircase fashion to define the test subject's acuity threshold with a resolution similar to
letter by letter scoring in chart testing but with the ability to rapidly test under a
number of conditions of luminance and contrast that simulate activities of daily living.
The CVA determination of visual acuity under six conditions of contrast and lighting will be
compared with that acquired by logMAR chart testing under similar conditions.
;
Observational Model: Case-Only, Time Perspective: Prospective
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