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Visual Acuity with Reversed-Contrast Charts: II. Clinical Investigation

 

作者: GERALD WESTHEIMER,   PATRICIA CHU,   WENDY HUANG,   THUY TRAN,   and ROBERT DISTER,  

 

期刊: Optometry and Vision Science  (OVID Available online 2003)
卷期: Volume 80, issue 11  

页码: 749-752

 

ISSN:1040-5488

 

年代: 2003

 

出版商: OVID

 

关键词: visual acuity;Snellen charts;retinal image;resolution;aging

 

数据来源: OVID

 

摘要:

Snellen visual acuity was measured in 106 patients ranging in age from 20 to 88 years in routine examinations in the general refraction clinic with two kinds of charts: the standard chart using black letters on a white background and a reversed-contrast display featuring white letters on a black background. The overall ratio of the white-on-black to the black-on-white Snellen fractions was 1.043. A scattergram relating this ratio to patient age revealed that the older the patient, the more the visual acuity was improved by switching to the reversed-contrast chart, with a regression line slope of 0.5 ± 0.10. Impairment of the eye’s optics, in particular by intraocular scatter causing a widening and flattening of the eye’s point-spread function, explains these findings and suggests prognostic and therapeutic value of reversing the contrast polarity of displays.

 

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