[A chart for low visual acuities: experience in a center for low vision and rehabilitation].
BACKGROUND
Commonly used visual test charts can be used to measure 1-m minimal visual acuities (VA) of 20/1000 (Snellen chart) and 1/40 (Early Treatment of Diabetic Retinopathy Study [ETDRS] charts).


METHODS
In a prospective study, we considered all patients who visited in a Low Vision and Rehabilitation Center between September 2007 and January 2009. Distance best corrected VA (DBCVA) was evaluated with the ETDRS LogMAR 4-m chart and a customized ETDRS 1-m chart, while near best corrected VA (NBCVA) was measured with the LogMAR conversion of the Parinaud 30-cm chart.


RESULTS
One hundred and sixteen eyes (58 patients; 34 males and 24 females with a mean age of 69+/-19.4 [19-94] years) were included in the study. Mean DBCVA was 0.97+/-0.58 LogMAR, mean NBCVA was 0.28+/-0.2 LogMAR. In 52 eyes (44.8%), distance VA was less than 1/20 (DBCVA 1.86+/-0.5 LogMAR, NBCVA 0.08+/-0.05 LogMAR). Among the 58 best seeing eyes, DBCVA was 0.87+/-0.6 LogMAR, while NBCVA was 0.34+/-0.2 LogMAR. In 18 of 58 cases (31%), distance VA was less than 1/20 (DBCVA 1.86+/-0.59 and NBCVA 1.51+/-0.42).


CONCLUSIONS
In a center for low vision and visual rehabilitation, a customized chart was necessary in 31% of cases for evaluation of VA. A fine measurement of low VA is useful for baseline assessment and for evaluation of changes during rehabilitation.
Bonavolonta
P
P
Service d'ophtalmologie, université Federico II, Naples, Italy.
Travade
I
I
Forte
R
R
Rebeyrotte
I
I
Adenis
J-P
JP
Robert
P-Y
PY
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001296:Audiovisual Aids / Q000592:standards; D015984:Causality; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012047:Rehabilitation Centers; D012720:Severity of Illness Index; D014787:Vision Tests / Q000295:instrumentation*; D015354:Vision, Low / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D014792:Visual Acuity