Construction and Validation of LEA Hindi Chart: A Multicenter Study.

SIGNIFICANCE: This study explains the construction and validation of a chart in Hindi language, one of the commonly spoken languages in the world. The new visual acuity chart is called LEA Hindi chart. The calligraphy construction method described here can help develop other such acuity charts. PURPOSE: The purpose of this study was to construct and validate a new logMAR Hindi visual acuity chart (LEA Hindi chart) using principles similar to that of LEA symbols acuity chart. METHODS: A multicenter (three centers) study was conducted in two phases. The first phase consisted of identifying and constructing the Hindi optotypes using calligraphy techniques. The Hindi optotypes were calibrated against the Landolt C optotypes by measuring the threshold distance for visual acuity. In the second phase, the newly constructed LEA Hindi chart was validated against the Early Treatment Diabetic Retinopathy Study (ETDRS) and Landolt C visual acuity charts. Sixty participants were enrolled for the first phase (centers 1 and 2) and for the second phase of the study (centers 1 and 3). Additional 15 participants were enrolled (center 1) for testing repeatability. RESULTS: Four Hindi optotypes were identified and used for the construction of the chart (first phase). In the second phase, the LEA Hindi chart was found to be comparable with both the Landolt C, (logMAR acuity difference, 0.03 ± 0.13; P > .18) and ETDRS (logMAR acuity difference, -0.02 ± 0.09; P > .25) charts. All the three charts were also found to be repeatable (95% limits of agreement within 0.24 logMAR). CONCLUSIONS: The newly constructed LEA Hindi visual acuity chart gave comparable levels of visual acuity as that measured in an ETDRS or Landolt C charts. The repeatability was also similar to the standard charts. The LEA Hindi visual acuity chart can be used for patients comfortable with Hindi language and also in studies requiring multiple measurements of visual acuity, to avoid familiarity to a given chart.

Do normal pupil diameter differences in the population underlie the color selection of #thedress?

The fundamental question that arises from the color conundrum of #thedress is "What are the phenomena that underlie the individual differences in the reported colors when all other conditions like light and device for the display are identical?" A survey of 384 participants showed near-equal distribution into blue/black (b/b) and white/gold (w/g) groups. We looked at pupil size differences in a sample population of 53 individuals from these two groups and a group that switched from w/g to b/b. Our results showed that the w/g and switch groups had significantly lower pupil size than the b/b group (w/g

Visual acuity deficits in the fellow eyes of children with unilateral amblyopia.

PURPOSE: To study the visual acuity deficits and maturation in the fellow eyes of children with unilateral amblyopia who were treated with patching. METHODS: Medical records of patients aged 4-13 years visiting a tertiary eye care center between January 2003 and December 2007 who were diagnosed for the first time with unilateral amblyopia were reviewed. Subjects included in the study were followed through April 2009. The baseline visual acuity in the fellow eye of amblyopic subjects was compared with that of age-matched healthy subjects. Changes in visual acuity in the amblyopic and fellow eyes during subsequent visits were analyzed. RESULTS: A total of 112 children with amblyopia were included (strabismic, 14; anisometropic, 51; combined mechanism, 47). Baseline visual acuity in the fellow eye of these children differed significantly from that of age-matched controls up to 8 years of age. Average logMAR acuity reached 0.0 at age 5 years in controls versus age 9 years in patients. Although the mean visual acuity of the fellow eyes improved during treatment, 21% developed temporary occlusion amblyopia. Full-time patching had no additional benefit when compared with part-time patching. CONCLUSIONS: Visual acuity in the fellow eye of children with unilateral amblyopia is reduced at baseline and matures more slowly than in healthy control patients. The risk for temporary occlusion amblyopia in the fellow eye is similar what has been previously reported.

Construction and validation of a Tamil logMAR chart.

PURPOSE: To design, construct and validate a new Tamil logMAR visual acuity chart based on current recommendations. METHODS: Ten Tamil letters of equal legibility were identified experimentally and were used in the chart. Two charts, one internally illuminated and one externally illuminated, were constructed for testing at 4 m distance. The repeatability of the two charts was tested. For validation, the two charts were compared with a standard English logMAR chart (ETDRS). RESULTS: When compared to the ETDRS chart, a difference of 0.06 +/- 0.07 and 0.07 +/- 0.07 logMAR was found for the internally and externally illuminated charts respectively. Limits of agreement between the internally illuminated Tamil logMAR chart and ETDRS chart were found to be (-0.08, 0.19), and (-0.07, 0.20) for the externally illuminated chart. The test - retest results showed a difference of 0.02 +/- 0.04 and 0.02 +/- 0.06 logMAR for the internally and externally illuminated charts respectively. Limits of agreement for repeated measurements for the internally illuminated Tamil logMAR chart were found to be (-0.06, 0.10), and (-0.10, 0.14) for the externally illuminated chart. CONCLUSIONS: The newly constructed Tamil logMAR charts have good repeatability. The difference in visual acuity scores between the newly constructed Tamil logMAR chart and the standard English logMAR chart was within acceptable limits. This new chart can be used for measuring visual acuity in the literate Tamil population.

Detection of Gabor patterns of different sizes, shapes, phases and eccentricities.

Contrast thresholds of vertical Gabor patterns were measured as a function of their eccentricity, size, shape, and phase using a 2AFC method. The patterns were 4 c/deg and they were presented for 90 or 240 ms. Log thresholds increase linearly with eccentricity at a mean rate of 0.47 dB/wavelength. For patterns centered on the fovea, thresholds decrease as the area of the pattern increases over the entire standard deviation range of 12 wavelengths. The TvA functions are concave up on log-log coordinates. For small patterns there is an interaction between shape and size that depends on phase. Threshold contrast energy is a U-shaped function of area with a minimum in the vicinity of 0.4 wavelength indicating detection by small receptive fields. Observers can discriminate among patterns of different sizes when the patterns are at threshold indicating that more than one mechanism is involved. The results are accounted for by a model in which patterns excite an array of slightly elongated receptive fields that are identical except that their sensitivity decreases exponentially with eccentricity. Excitation is raised to a power and then summed linearly across receptive fields to determine the threshold. The results are equally well described by an internal-noise-limited model. The TvA functions are insufficient to separately estimate the noise and the exponent of the power function. However, an experiment that shows that mixing sizes within the trial sequence has no effect on thresholds, suggests that the limiting noise does not increase with the number of mechanisms monitored.