Feasibility of the Radner Reading Charts in low-vision patients

  • Marloes C. BurggraaffEmail author
  • Ruth M. A. van Nispen
  • Sharon Hoek
  • Dirk L. Knol
  • Ger H. M. B. van Rens
Low Vision



Being unable to read is a major problem for visually impaired patients. Since distance visual acuity (VA) does not adequately reflect reading ability, it is important to also evaluate near VA. The Radner Reading Charts (RRCs) are available to measure patients’ reading performance. The present study tested the inter-chart and test-retest reliability of the RRCs in Dutch low-vision patients (i.e., visual acuity ≥0.3 logMAR) with various eye disorders.


Thirty-eight patients read the three RRCs in random order. Then, about 1 month after the initial measurements, a test-retest procedure was performed in 15 of the 38 patients. Tested variables were reading acuity (logRAD), logRAD score, logRAD/logMAR ratio, maximum reading speed (MRS), and critical print size (CPS). Both MRS and CPS were calculated in two different ways. To determine the variability, a mixed-model analysis was used.


For all variables, the largest part of the variance was explained by the individual subject (86–89%) whereas the chart accounted for only 0–0.78% of the variability. Therefore, the inter-chart and test-retest reliability was high, except for the CPS which had a poor to moderate reliability (31–62%) when calculated in the two different ways.


The inter-chart and test-retest results showed high reliability in patients with low vision due to various diseases; therefore, the charts are feasible to determine effects in large groups.


Radner Reading Charts Reliability Low vision Reading acuity 



The authors thank Michiel Panhuysen, Gabriëlle Janssen, and Tamara Brusee for their help in recruiting patients, measuring distance VA, and providing optimal refractive corrections.


This study was supported by a grant from ZonMw InZicht (the Netherlands Organization for Health Research and Development-InSight Society) and the Catholic Foundation for the Blind and Visually Impaired. The authors have no financial interest in the Radner Reading Charts and did not receive any royalties for its sale.

Supplementary material

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Marloes C. Burggraaff
    • 1
    • 2
    Email author
  • Ruth M. A. van Nispen
    • 1
    • 2
  • Sharon Hoek
    • 1
    • 2
  • Dirk L. Knol
    • 3
  • Ger H. M. B. van Rens
    • 1
    • 4
  1. 1.Department of OphthalmologyVU University Medical CenterAmsterdamThe Netherlands
  2. 2.EMGO Institute for Health and Care ResearchVU University Medical CenterAmsterdamThe Netherlands
  3. 3.Department of Epidemiology and BiostatisticsVU University Medical CenterAmsterdamThe Netherlands
  4. 4.Department of OphthalmologyElkerliek HospitalHelmondThe Netherlands

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