Skip to main content

Advertisement

Log in

Repeatability of visual function measures in age-related macular degeneration

  • Retinal Disorders
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To assess repeatability of visual function measures in patients with early, intermediate or late age-related macular degeneration (AMD) without active neovascular disease in the study eye, but active neovascular AMD in the fellow eye.

Methods

One hundred subjects from an ongoing trial were screened for this study in which their LogMAR acuity, contrast sensitivity and reading performance were assessed using standardised protocols by trained optometrists. The same measures were repeated one month later and repeatability of the visual functions assessed.

Results

Data from 83 subjects satisfied inclusion criteria for analysis. Coefficient of repeatability was 14.9 letters for LogMAR visual acuity , 7.2 letters for Pelli Robson contrast sensitivity, 0.72 for LogMAR reading acuity, 110.4 words/ min for reading speed and 0.67 for LogMAR critical print size. Intraclass correlation coefficients allowed comparison between measures and were found to be 0.96 for LogMAR visual acuity, 0.93 for contrast sensitivity, 0.75 for LogMAR reading acuity, 0.79 for reading speed and 0.74 for LogMAR critical print size. Coefficients of variation were 9.4 %, 10.7 %, 48.4 %, 28.4 % and 31.8 % respectively.

Conclusions

We found coefficients of repeatability that concurred with previous studies demonstrating variability of visual functions in patients with AMD. In addition, we found intraclass correlation coefficients to be better with visual acuity and contrast sensitivity than with measures of reading performance.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Arditi A, Cagenello R (1993) On the statistical reliability of letter-chart visual acuity measurements. Invest Ophthalmol Vis Sci 34:120–129

    CAS  PubMed  Google Scholar 

  2. Klein R, Wang Q, Klein BE, Moss SE, Meuer SM (1995) The relationship of age-related maculopathy, cataract, and glaucoma to visual acuity. Invest Ophthalmol Vis Sci 36:182–191

    CAS  PubMed  Google Scholar 

  3. Lalwani GA, Rosenfeld PJ, Fung AE, Dubovy SR, Michels S, Feuer W, Davis JL, Flynn HW Jr, Esquiabro M (2009) A variable-dosing regimen with intravitreal ranibizumab for neovascular age-related macular degeneration: year 2 of the PrONTO Study. Am J Ophthalmol 148:43–58

    Article  CAS  PubMed  Google Scholar 

  4. Neelam K, Nolan J, Chakravarthy U, Beatty S (2009) Psychophysical function in age-related maculopathy. Surv Ophthalmol 54:167–210

    Article  PubMed  Google Scholar 

  5. Rosser DA, Cousens SN, Murdoch IE, Fitzke FW, Laidlaw DA (2003) How sensitive to clinical change are ETDRS logMAR visual acuity measurements? Invest Ophthalmol Vis Sci 44:3278–3281

    Article  PubMed  Google Scholar 

  6. Midena E, Angeli CD, Blarzino MC, Valenti M, Segato T (1997) Macular function impairment in eyes with early age-related macular degeneration. Invest Ophthalmol Vis Sci 38:469–475

    CAS  PubMed  Google Scholar 

  7. Rubin GS, Turano K (1994) Low vision reading with sequential word presentation. Vision Res 34:1723–1733

    Article  CAS  PubMed  Google Scholar 

  8. Sunness JS, Applegate CA, Haselwood D, Rubin GS (1996) Fixation patterns and reading rates in eyes with central scotomas from advanced atrophic age-related macular degeneration and Stargardt disease. Ophthalmology 103:1458–1466

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Patel PJ, Chen FK, Da Cruz L, Rubin GS, Tufail A, ABC Trial Study Group (2011) Contrast sensitivity outcomes in the ABC Trial: a randomized trial of bevacizumab for neovascular age-related macular degeneration. Invest Ophthalmol Vis Sci 52:3089–3093

    Article  CAS  PubMed  Google Scholar 

  10. Patel PJ, Bunce C, Tufail A (2008) A randomised, double-masked phase III/IV study of the efficacy and safety of Avastin(R) (Bevacizumab) intravitreal injections compared to standard therapy in subjects with choroidal neovascularisation secondary to age-related macular degeneration: clinical trial design. Trials 9:56

    Article  PubMed Central  PubMed  Google Scholar 

  11. Patel PJ, Chen FK, Rubin GS, Tufail A (2008) Intersession repeatability of visual acuity scores in age-related macular degeneration. Invest Ophthalmol Vis Sci 49:4347–4352

    Article  PubMed  Google Scholar 

  12. Patel PJ, Chen FK, Rubin GS, Tufail A (2009) Intersession repeatability of contrast sensitivity scores in age-related macular degeneration. Invest Ophthalmol Vis Sci 50:2621–2625

    Article  PubMed  Google Scholar 

  13. Patel PJ, Chen FK, Da Cruz L, Rubin GS, Tufail A (2011) Test-retest variability of reading performance metrics using MNREAD in patients with age-related macular degeneration. Invest Ophthalmol Vis Sci 52:3854–3859

    Article  PubMed  Google Scholar 

  14. Kottner J, Audige L, Brorson S, Donner A, Gajewski BJ, Hróbjartsson A, Roberts C, Shoukri M, Streiner DL (2011) Guidelines for Reporting Reliability and Agreement Studies (GRRAS) were proposed. J Clin Epidemiol 64:96–106

    Article  PubMed  Google Scholar 

  15. Bird AC, Bressler NM, Bressler SB, Chisholm IH, Coscas G, Davis MD, de Jong PT, Klaver CC, Klein BE, Klein R (1995) An international classification and grading system for age-related maculopathy and age-related macular degeneration. The International ARM Epidemiological Study Group. Surv Ophthalmol 39(5):367–374

    Article  CAS  PubMed  Google Scholar 

  16. Carkeet A (2001) Modeling logMAR visual acuity scores: effects of termination rules and alternative forced-choice options. Optom Vis Sci 78:529–538

    Article  CAS  PubMed  Google Scholar 

  17. Elliott DB, Sanderson K, Conkey A (1990) The reliability of the Pelli-Robson contrast sensitivity chart. Ophthalmic Physiol Opt 10:21–24

    Article  CAS  PubMed  Google Scholar 

  18. Bland JM, Altman DG (1986) Statistical method for assessing agreement between two methods of clinical measurement. Lancet i:307–310

    Article  Google Scholar 

  19. British Standards Institution (1979) Precision of test methods, part 1: guide for the determination of repeatability and reproducibility for a standard test method. BS 5497, Part 1. BSI, London

    Google Scholar 

  20. Tulving E, Gold C (1963) Stimulus information and contextual information as determinants of tachistoscopic recognition of words. J Exp Psychol 66:319–327

    Article  CAS  PubMed  Google Scholar 

  21. Doris N, Hart PM, Chakravarthy U, McCleland J, Stevenson M, Hudson C, Jackson J (2001) Relation between macular morphology and visual function in patients with choroidal neovascularisation of age-related macular degeneration. Br J Ophthalmol 85:184–188

    Article  CAS  PubMed  Google Scholar 

  22. Kiser AK, Mladenovich D, Eshraghi F, Bourdeau D, Dagnelie G (2005) Reliability and consistency of visual acuity and contrast sensitivity measures in advanced eye disease. Optom Vis Sci 82(11):946–954

    Article  PubMed  Google Scholar 

  23. Blackhurst DW, Maguire MG (1989) Reproducibility of refraction and visual acuity measurement under a standard protocol. The Macular Photocoagulation Study Group. Retina 9(3):163–169

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

We gratefully acknowledge financial support from Greater Manchester Primary Care Trusts and the NIHR Manchester Biomedical Research Centre.

Conflict of Interests

None of the authors declare any proprietary interests

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Konstantinos Balaskas.

Additional information

Trial Registration site: http://www.isrctn.org, Registration Number: ISRCTN34221234

Rights and permissions

Reprints and permissions

About this article

Cite this article

Aslam, T., Mahmood, S., Balaskas, K. et al. Repeatability of visual function measures in age-related macular degeneration. Graefes Arch Clin Exp Ophthalmol 252, 201–206 (2014). https://doi.org/10.1007/s00417-013-2421-5

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00417-013-2421-5

Keywords

Navigation