A comparative study of the efficiency of chart versus computer-generated contrast sensitivity testing in glaucoma patients and controls
Keywords:glaucoma, contrast sensitivity, spatial contrast sensitivity
Purpose. The goal of this study was to assess the efficiency of chart vs. computergenerated contrast sensitivity tests in glaucoma patients and controls. Methods. A total of 64 individuals (30 young controls, 18 older controls, 16 glaucoma patients) were tested for contrast sensitivity using 4 different tests. Two tests determined contrast sensitivity (CS) for detecting large targets with sharp borders. One of these was the MARS printed chart, and the other a computerized number search test by Bailey. The second assessment determined spatial contrast sensitivity (SCS) for sinusoidal grating targets at several spatial frequencies. One of these was the printed Vistech chart, the other a computerized test by Faubert. Results. Both CS tests showed a decrease in the glaucoma group versus both the control groups (p < 0.001). The tests for SCS demonstrated a decrease in sensitivity both with age (p < 0.001) and in the presence of glaucoma (p < 0.001) across all spatial frequencies. Conclusion. The data indicated that SCS was superior in separating the three study groups. Neither of the computer-generated tests was more sensitive than its printed counterpart.