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Contrast sensitivity, acuity, and the perception of 'real-world' targets.
  1. C. Owsley and
  2. M. E. Sloane
  1. Department of Ophthalmology, School of Medicine, Eye Foundation Hospital, University of Alabama, Birmingham 35294.


    A major assumption underlying the use of contrast sensitivity testing is that it predicts whether a patient has difficulty seeing objects encountered in everyday life. However, there has been no large-scale attempt to examine whether this putative relationship actually exists. We have examined this assumption using a clinic based sample of adults aged 20-77 years. Contrast thresholds were measured for both: (1) gratings of 0.5-22.8 cycles/degree; and (2) real-world targets (faces, road signs, objects). Multiple regression techniques indicated that the best predictors of thresholds for real-world targets were age and middle to low spatial frequencies. Models incorporating these variables accounted for 25-40% of the variance. Although acuity significantly correlated with thresholds for real-world targets, the inclusion of acuity as a predictor variable did not improve the model. These data provide direct evidence that spatial contrast sensitivity can effectively predict how well patients see targets typical of everyday life.

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