The standard vision test using visual acuity is not always an accurate indicator of functional visual loss. The contrast sensitivity was measured in low vision patients. the contrast sensitivity of low vision patients showed a substantila decrease in all spatial frequencies(P<0.001). Of the 34 patients, the preferred eye was the eye with better peak sensitivity in 31 patients(91%) while the perferred eye was the eye with better visual acuity in 24 patients(71%). There were no characteristics of contrast sensitivity according to the diagnosis. The contributions of the contrast sensitivity function to the low vision care are evaluated.
Contrast Sensitivity* ; Diagnosis ; Humans ; Vision Tests ; Vision, Low* ; Visual Acuity

OBJECTIVE: To explore the feasibility of fixation characteristics to evaluate visual acuity. METHODS: The fixation characteristics were examined in 75 subjects by MP-1 microperimeter. These subjects were divided into 3 groups: central fixation group, uncertain group and eccentric fixation group, and the differences of visual acuity among them were analyzed. Pearson correlation and regression analysis were performed on visual acuity and average retinal light sensitivity. RESULTS: (1) The visual acuity was 4.80±0.16 for central fixation group; 4.20±0.45 for uncertain group; and 3.40±0.57 for eccentric fixation group, respectively. Based on the one-way ANOVA, the visual acuities in the three groups had statistically significant differences (P<0.05). (2) There was linear relationship between visual acuity (y) and average retinal light sensitivity (x). And the linear regression equations was y=-18.76+6.21x. The Pearson correlation coefficient was 0.707 (P<0.05). CONCLUSION There is significant positive correlation between visual acuity and fixation characteristics. Testing of fixation characteristics could be used to assess visual acuity objectively, which has a practical value in forensic clinical medicine.
Humans ; Retina ; Vision Disorders ; Visual Acuity ; Visual Field Tests

124 cases with congenital red-green color defects were examined using hahn`s color vision test, double 15 hue test, and Nagel`s anomaloscope. In the Neitz anomaloscope test, 5 cases(4%) showed protanomaly, 1 case(1%) extreme protanomaly, 16 cases (13%) protanopia, 45 cases(36%) deuteranomaly, 52 cases(42%) deuteranopia, and 5 cases (4%) normal state. 5 cases(4%) of protan was classified by degree of color defects, 1 case with mild defect, 1 case with moderate defect, and 3 cases with severe defect by the Hahn`s color vision test. 14 cases (10.4%) of deutan eye the following:5 cases in mild, 6 cases in noderate, and 3 cases in severe defect. 105 cases (85.6%) were the unclassified type. In comparision with Hahn`s color vision test and anomaloscope, the concordance rate was 57.1%(8/14) in only mild and severe color defect of deutan. In the Double 15 hue test, 29 cases (23%) showed in 60.9%(25/41) in deutan. By the degree of color defect, 6 cases showed medium response, 23 cases strong response in protan. 4 cases showed medium, 37 cases strong response in deutan. The concordance rates are 57%(13/23) in protan and 68%(25/37) in deutan in strong response. We conclude that Neitz anomaloscope test is better method than Hahn`s color vision test and double 15 hue test in qualitative and qualntitative dignosis of cogenital red-green color defects.
Color Perception Tests* ; Color Perception* ; Color Vision

In 2004, the University of the Philippines Manila published the Philippine Guidelines on Periodic Health Examination (PHEX): Effective Screening for Diseases among Apparently Healthy Filipinos. 1 The document was envisioned to “contribute… to the quality and efficiency of health care and health maintenance for all Filipinos… It was an appeal for rational medical decision-making, and an important step toward “equitable distribution of health and health resources.” The guidelines were prepared by designated task forces, with vision disorders, specifically vision impairment, and glaucoma identified as areas of interest. PHEX recommendations were drafted using standardized principles and a common protocol, with each statement undergoing four phases of development: (1) preparation of the evidence- based draft; (2) en banc meeting that gave panelists a chance to assess and revise the draft, where issues of feasibility, resource limitations, value judgment, and experts’ opinions were taken into account. A consensus was declared when at least 75% agreed on a recommendation; (3) for unresolved issues, modified Delphi technique was employed by correspondence until a consensus was reached or a maximum of three circulations were accomplished. If still unresolved, the issue was labeled as such and included in the final draft; (4) lastly, a public forum was conducted before the final draft was written. In this manner, the recommendations for Screening for Visual Impairment were written by the Task Force for Vision Disorders.
Human ; Male ; Female ; Child Preschool ; Vision Screening ; Vision Tests ; Diagnosis ; Standards ; Vision Disorders ; Amblyopia ; Strabismus ; Visual Acuity ; Vision Tests

This review summarizes objective assessment of visual function using visual electrophysiology. Objective assessment of visual acuity using pattern visual evoked potential (PVEP) and sweep pattern visual evoked potential (SPVEP), objective assessment of visual field using multifocal visual evoked potential (MVEP).
Electrophysiology ; Evoked Potentials, Visual ; Humans ; Photic Stimulation ; Vision Tests/methods* ; Vision, Ocular/physiology* ; Visual Acuity/physiology* ; Visual Field Tests ; Visual Pathways/physiology*

In condition of direct vision on hindus of eye, microperimeter can quantitatively detect the retinal light sensitivity of macular area, and record real time tracking of the eye, automatically analyze the location and stability of fixation. Microperimeter matches hindus image with micro cyclogram point-to-point, thus it achieves the combination of visual function and structure. The characteristics of microperimeter have good relations with subjective vision, so it can be a new method for the accurate vision evaluation and has application potential to assess the visual function in legal medicine. In this article, we summarize the principle, method and parameters of microperimeter. Also, the applications of microperimeter in vision assessment are focused in order to provide a reference for the assessment of visual function in the legal medicine.
Forensic Medicine/legislation & jurisprudence* ; Humans ; Retina ; Vision, Ocular ; Visual Acuity ; Visual Field Tests

The standard vision test using Snellen acuity is not always an accurate indicat or of functional vision loss. Acuity measures optical blur, but psudophakic eyes frequently do not affect optical blur. Therefore, acuity cannot provide relevant informations on the loss of vision experienced by the patients. Contrast sensitivity, not acuity, has been shown to be effective in determining functional vision loss due to psudophakic eyes. The MCT 8000(R), glare and contrast sensitivity system. was used for measurement of contrast sensitivity in 19 pseudophakic eyes at postoperative 1 month, 18 pseudophakic eyes at post-operative 3 months and 18 normal control eyes. The results were as follows: 1) Contrast sensitivity decreased in pseudophakic eyes compared to normal eyes in four different conditions; day vision, day vision with perpheral glare, night vision and night vision with central glare. 2) In pseudophakic eyes, contrast sensitivity was not different between 1 month and 3 months postoperatively.
Contrast Sensitivity* ; Glare ; Humans ; Night Vision ; Pseudophakia ; Vision Tests

PURPOSE: We report two familial cases of occult macular dystrophy (OMD) presenting with a progressive decrease in central vision. CASE SUMMARY: Both patients exhibited a normal ophthalmologic examination including slit lamp biomicroscope, fundus examination, fluorescein angiography, and full-field electroretinogram. However, there were central visual field defects on a Humphrey static visual field test (C 24-2) and abnormal multifocal electroretinogram (mfERG) findings affecting the central portion of the test field. Foveal thinning was also observed by optical coherence tomography images in 1 case. These findings are consistent with the clinical characteristics of occult macular dystrophy, and close observation was recommended. CONCLUSIONS: OMD is a disease characterized by a reduction in central visual acuity without visible fundus abnormalities and full field ERG. It may be misdiagnosed as optic nerve disease, a central nervous system problem, non-organic visual disorder or malingering; therefore, mfERG is essential for the diagnosis of this rare type of macular dystrophy.
Central Nervous System ; Fluorescein Angiography ; Humans ; Macular Degeneration ; Optic Nerve Diseases ; Tomography, Optical Coherence ; Vision Disorders ; Vision, Ocular ; Visual Acuity ; Visual Field Tests ; Visual Fields

OBJECTIVE: Pituitary apoplexy is one of the most serious life-threatening complications of pituitary adenoma. The purpose of this study is to investigate the visual outcome after early transsphenoidal surgery for the patients with pituitary apoplexy. METHODS: We retrospectively reviewed the 31 patients with pituitary apoplexy who were admitted due to acute visual acuity or field impairment and treated by transsphenoidal surgery. Five patients were excluded because of the decreased conscious level. The visual acuity of each individual eye was evaluated by Snellen's chart. Visual fields were also checked using automated perimetry. To compare the visual outcome according to the surgical timing, we divided the patients into 2 groups. The first group, 21 of the patients have been undertaken transsphenoidal approach (TSA) within at least 48 hours after admission. The second group included 8 patients who have been undertaken TSA beyond 48 hours. All patients were monitored at least 12 months after surgery. RESULTS: Patients were 21 males and 8 females (M : F=2.6 : 1) with the mean age of 42.4 years. Among the enrolled 29 patients, 26 patients presented with decreased visual acuity and 23 patients revealed the defective visual field respectively. Postoperatively, improvement in the visual acuity was seen in 15 patients (83.3%) who underwent surgery within the first 48 hours of presentation, as compared to those in whom surgery was delayed beyond 48 hours (n=5; 62.5%) (p=0.014). Improvement in the visual field deficits was observed in 15 (88.2%) of patients who had been operated on within the first 48 hours of presentation, as compared to those in whom surgery was delayed beyond 48 hours (n=3; 50.0%) (p=0.037). CONCLUSION: This study suggests that rapid transsphenoidal surgery is effective to recover the visual impairment in patients with pituitary apoplexy. If there are associated abnormalities of visual acuity or visual fields in patients with hemorrhagic pituitary apoplexy, early neurosurgical intervention within 48 hours should be also required to recover visual impairment.
Eye ; Female ; Humans ; Male ; Pituitary Apoplexy ; Pituitary Neoplasms ; Retrospective Studies ; Vision Disorders ; Vision, Ocular ; Visual Acuity ; Visual Field Tests ; Visual Fields

OBJECTIVE: To study the correlativity between the projected visual chart vision ("projector vision" in this paper) and the measured values of contrast vision, and to explore the application of contrast vision in identifying visual impairment after eye injury in the clinical forensic medicine. METHODS: One hundred and twenty nine eyes of seventy-nine young volunteers were collected for examination both of projector vision and contrast vision. In the examination of contrast vision, the contrast of optotypes were set to 100%, 25% and 10%, respectively. The correlativity of both collected experimental data were statistically analyzed. RESULTS: Projector vision was consistent with 100% contrast vision. There was a close and positive correlation between the contrast of optotypes and measured vision values. Under the same contrast of optotypes, projector vision presented a linear correlation with the average value of contrast vision. CONCLUSION There is a close correlation between projector vision and contrast vision. The contrast vision can be applied to judicial identification in the clinical forensic medicine.
Adult ; Contrast Sensitivity ; Eye Injuries/diagnosis* ; Female ; Humans ; Male ; Middle Aged ; Vision Tests ; Visual Acuity ; Young Adult