RT Journal Article SR Electronic T1 Effect of pupil size on uncorrected visual acuity in astigmatic eyes JF British Journal of Ophthalmology JO Br J Ophthalmol FD BMJ Publishing Group Ltd. SP 267 OP 270 DO 10.1136/bjo.2011.202481 VO 96 IS 2 A1 Kamiya, Kazutaka A1 Kobashi, Hidenaga A1 Shimizu, Kimiya A1 Kawamorita, Takushi A1 Uozato, Hiroshi YR 2012 UL http://bjo.bmj.com/content/96/2/267.abstract AB Aim To determine the effects of pupil size on uncorrected visual acuity (UCVA) in astigmatic eyes.Methods The authors examined 20 normal eyes of 20 healthy volunteers (age 26.7±4.9 years (mean±SD); 8 men, 12 women). After fully correcting cycloplegic refraction, the authors created with-the-rule and against-the-rule astigmatism of 1, 2, and 3 dioptres (D) in each eye, and then assessed UCVA using artificial pupils (1 to 5 mm) in these astigmatic eyes. Measurements were performed three times, and the mean value was used for statistical analysis.Results In eyes with with-the-rule astigmatism of 1, 2 and 3 D, logMAR UCVA was 0.04±0.08, 0.09±0.09 and 0.16±0.16 for 1 mm pupils, −0.01±0.09, 0.12±0.15 and 0.33±0.24 for 2 mm pupils, 0.02±0.09, 0.20±0.19 and 0.46±0.30 for 3 mm pupils, 0.02±0.08, 0.24±0.20 and 0.48±0.21 for 4 mm pupils, and 0.08±0.10, 0.33±0.18 and 0.53±0.22 for 5 mm pupils, respectively. The variance of the data was statistically significant (p=0.03 for 1 D, p<0.001 for 2 D, p<0.001 for 3 D, analysis of variance). Similar results were obtained in eyes with against-the-rule astigmatism.Conclusions Both the amount of astigmatism and the pupil size can affect UCVA in astigmatic eyes. It is suggested that not only the amount of astigmatism but also the pupil size should be taken into consideration for acquiring better visual performance in astigmatic eyes.