Contrast Sensitivity Flashcards

1
Q

What is the significance to doing contrast sensitivity test

A

evaluates the patients ability to see a range of target sizes at various contrast levels under optimum conditions

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2
Q

What is the most common equation that defines contrast

A

Michelson Contrast
contrast = (Lmax - Lmin) / (Lmax + Lmin)

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3
Q

What is the less common equation that defines contrast

A

Weber Fxn
Contrast = (Lt -Lb) / Lb

Lt - luminance of target
Lb = luminance of background

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4
Q

What does visual acuity test in terms of contrast, how ideal is this to the real world ?

A

Measures sharp edges at high contrast
not ideal to real life scenarios

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5
Q

Define contrast sensitivity in terms of threshold

A

CS = 1 / threshold

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6
Q

what is threshold

A

the minimum amount of contrast needed to see a letter

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7
Q

what is the relationship between contrast sensitivity and threshold

A

high threshold = low contrast sensitivity
indirect relationship

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8
Q

if a pt has contrast threshold = 10%, find their contrast sensitivity

A

1/ 0.10 = 10

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9
Q

what are the contrast sensitivity and threshold

A

none

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10
Q

if a pt has contrast threshold = 50%, find their contrast sensitivity

A

1/ 0.50 = 2

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11
Q

What does spatial frequency tell us

A

measuring the width of stripes in cycles per degree

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12
Q

What are the two most common spatial frequency gratings used ?

A

square wave and sine wave

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13
Q

what is square wave frequency

A

the change between black and white shades are abrupt, producing sharp edges on the graph

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14
Q

what is sine wave frequency

A

where the change in black and white shades are smooth, producing a gradual change on the graph

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15
Q

what is the definition of one cycle

A

one cycle includes one light bar (peak) and one dark bar (trough)

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16
Q

how many stripes per degree appear for each cycle per degree

A

1 cycle = 2 stripes

17
Q

if a pt has A SF of 20cpd, what level of snellen VA does this correspond to

A

20 cpd = 40spd
40 stipes per 60min
1 stripe = 60min/40 stripes = 1.5 min of arc
MAR = 1.5, VA = 1/MAR
VA = 20/30

18
Q

What is the grating acuity limit

A

represents the theoretical maximum VA at 100% contrast

19
Q

which target size is a patient most sensitive to

A

medium size

20
Q

what is type 1 CS loss

A

challenges with HIGH SF, small targets

21
Q

what is the most common reason to have type 1 CS

A

uncorrected myopia

22
Q

What is type 2 CS

A

challenges with LOW and HIGH SF

23
Q

what is the most common reason to have type 2 CS

24
Q

What is type 3 CS

A

unable to see LOW SF, large targets

25
What are the most common reasons to have type 3 CS
optic neuritis MS parkinson's disease dibaetes POAG papilledema alzheimers
26
When contrast sensitivity doubles, what happens to the threshold
decreases by 0.30
27
Clinically testing CS with Pelli Robson Chart, what distance should it be performed
1 meter
28
what is the clinical goal with CS testing
find lowest triplet a pt can see
29
each set of triple is how much of the previous line
0.15 log units
30
At what distance is the MARS test for CS performed at
0.5m
31
What is the clinical goal for Melbourne Edge test
have pt find where the edge is located, all pt needs to see is the different direction of lines
32
What is the relationship between Melbourne edge test and VA
independent of VA given pt uses edge detection
33
If a pt has low vision, which test should be used ?
Melbourne Edge Test
34
What is the Vistech Chart
pt informs you the orientation of a given letter - testing sine wave gratings at 1.5, 3, 6, 12 and 18 CPD
35
What distance is the Vistech chart performed at
3m
36
What are the vectorvision charts
similar to vistech charts - testing sine wave gratings at 3, 6,12, and 18 cpd
37
As we age, what is the relationship with contrast and sensitivity
increased age = decreases contrast = decreased high spatial frequency
38
What are the main finding of CS
- detects visual loss that would be missed by testing VA alone - gives better assessment of visual performance in the real world - highest predictor of falls in elderly - great predictor of driving recognition performance