Disability Glare in the Aging Eye. Assessment and Impact on Driving

Purpose: To compare different methods for the assessment of disability glare sensitivity in the elderly, to arrive at an objective assessment of the condition of the eye. To delineate the importance of straylight values in vision. Methods: Three groups of subjects were studied: 1) Young subjects wit...

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Main Authors: Thomas J.T.P. van den Berg, L.J. (René) van Rijn, R. Kaper-Bongers, D.J. Vonhoff, H.J. Völker-Dieben, G. Grabner, C. Nischler, M. Emesz, H. Wilhelm, D. Gamer, A. Schuster, L. Franssen, G.C. de Wit, J.E. Coppens
Format: Article
Language:English
Published: Elsevier 2009-01-01
Series:Journal of Optometry
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1888429609700330
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author Thomas J.T.P. van den Berg
L.J. (René) van Rijn
R. Kaper-Bongers
D.J. Vonhoff
H.J. Völker-Dieben
G. Grabner
C. Nischler
M. Emesz
H. Wilhelm
D. Gamer
A. Schuster
L. Franssen
G.C. de Wit
J.E. Coppens
author_facet Thomas J.T.P. van den Berg
L.J. (René) van Rijn
R. Kaper-Bongers
D.J. Vonhoff
H.J. Völker-Dieben
G. Grabner
C. Nischler
M. Emesz
H. Wilhelm
D. Gamer
A. Schuster
L. Franssen
G.C. de Wit
J.E. Coppens
author_sort Thomas J.T.P. van den Berg
collection DOAJ
description Purpose: To compare different methods for the assessment of disability glare sensitivity in the elderly, to arrive at an objective assessment of the condition of the eye. To delineate the importance of straylight values in vision. Methods: Three groups of subjects were studied: 1) Young subjects without any eye disease, 2) elderly subjects without any eye disease and 3) elderly subjects with (early) cataract in at least one eye. All subjects underwent 2 glare tests, 2 straylight tests, ETDRS visual acuity test, Pelli Robson contrast sensitivity test, refraction, LOCS III cataract classification. Straylight was quantified by means of the straylight parameter s. Results: Repeatability, discriminative ability, and added value as compared to visual acuity were low for the glare tests and good for the straylight measurements. For young normal subjects, with log(s)=0.9, the standard glare situation with low beams gives a contrast reduction of 1.3, whereas for the healthy 77 year olds this increases to 2. With cataract hardly affecting visual acuity, log(s) can be as high as 1.8, resulting in a contrast reduction of 3.4. Conclusion: Straylight measurement is of relevance for the assessment of the glare-related hindrance during driving, and can be used to objectify complaints and aid in the decision-making regarding cataract surgery.
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spelling doaj.art-9755401efec340b6b20d2212873b3b432022-12-21T23:24:09ZengElsevierJournal of Optometry1888-42962009-01-012311211810.3921/joptom.2009.112Disability Glare in the Aging Eye. Assessment and Impact on DrivingThomas J.T.P. van den Berg0L.J. (René) van Rijn1R. Kaper-Bongers2D.J. Vonhoff3H.J. Völker-Dieben4G. Grabner5C. Nischler6M. Emesz7H. Wilhelm8D. Gamer9A. Schuster10L. Franssen11G.C. de Wit12J.E. Coppens13Netherlands Institute for Neuroscience, an institute of the Royal Netherlands Academy of Arts and Sciences. Meibergdreef 47, 1105 BA Amsterdam, The NetherlandsFrom the The Free University Ophthalmology Dept., Amsterdam, the NetherlandsFrom the The Free University Ophthalmology Dept., Amsterdam, the NetherlandsFrom the The Free University Ophthalmology Dept., Amsterdam, the NetherlandsFrom the The Free University Ophthalmology Dept., Amsterdam, the NetherlandsFrom the Universitätsklinik für Augenheilkunde und Optometrie der Paracelsus Medizinischen Privatuniversität, Salzburg, AustriaFrom the Universitätsklinik für Augenheilkunde und Optometrie der Paracelsus Medizinischen Privatuniversität, Salzburg, AustriaFrom the Universitätsklinik für Augenheilkunde und Optometrie der Paracelsus Medizinischen Privatuniversität, Salzburg, AustriaFrom the Universitäts-Augenklinik, Tübingen, GermanyFrom the Universitäts-Augenklinik, Tübingen, GermanyFrom the Universitäts-Augenklinik, Tübingen, GermanyNetherlands Institute for Neuroscience, an institute of the Royal Netherlands Academy of Arts and Sciences. Meibergdreef 47, 1105 BA Amsterdam, The NetherlandsNetherlands Institute for Neuroscience, an institute of the Royal Netherlands Academy of Arts and Sciences. Meibergdreef 47, 1105 BA Amsterdam, The NetherlandsNetherlands Institute for Neuroscience, an institute of the Royal Netherlands Academy of Arts and Sciences. Meibergdreef 47, 1105 BA Amsterdam, The NetherlandsPurpose: To compare different methods for the assessment of disability glare sensitivity in the elderly, to arrive at an objective assessment of the condition of the eye. To delineate the importance of straylight values in vision. Methods: Three groups of subjects were studied: 1) Young subjects without any eye disease, 2) elderly subjects without any eye disease and 3) elderly subjects with (early) cataract in at least one eye. All subjects underwent 2 glare tests, 2 straylight tests, ETDRS visual acuity test, Pelli Robson contrast sensitivity test, refraction, LOCS III cataract classification. Straylight was quantified by means of the straylight parameter s. Results: Repeatability, discriminative ability, and added value as compared to visual acuity were low for the glare tests and good for the straylight measurements. For young normal subjects, with log(s)=0.9, the standard glare situation with low beams gives a contrast reduction of 1.3, whereas for the healthy 77 year olds this increases to 2. With cataract hardly affecting visual acuity, log(s) can be as high as 1.8, resulting in a contrast reduction of 3.4. Conclusion: Straylight measurement is of relevance for the assessment of the glare-related hindrance during driving, and can be used to objectify complaints and aid in the decision-making regarding cataract surgery.http://www.sciencedirect.com/science/article/pii/S1888429609700330straylightglare sensitivitydisability glareCIEagingdriving
spellingShingle Thomas J.T.P. van den Berg
L.J. (René) van Rijn
R. Kaper-Bongers
D.J. Vonhoff
H.J. Völker-Dieben
G. Grabner
C. Nischler
M. Emesz
H. Wilhelm
D. Gamer
A. Schuster
L. Franssen
G.C. de Wit
J.E. Coppens
Disability Glare in the Aging Eye. Assessment and Impact on Driving
Journal of Optometry
straylight
glare sensitivity
disability glare
CIE
aging
driving
title Disability Glare in the Aging Eye. Assessment and Impact on Driving
title_full Disability Glare in the Aging Eye. Assessment and Impact on Driving
title_fullStr Disability Glare in the Aging Eye. Assessment and Impact on Driving
title_full_unstemmed Disability Glare in the Aging Eye. Assessment and Impact on Driving
title_short Disability Glare in the Aging Eye. Assessment and Impact on Driving
title_sort disability glare in the aging eye assessment and impact on driving
topic straylight
glare sensitivity
disability glare
CIE
aging
driving
url http://www.sciencedirect.com/science/article/pii/S1888429609700330
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