open access

Vol 5 (2020): Continuous Publishing
Original paper
Published online: 2020-07-09
Get Citation

Comparison between traditional and electronic ETDRS charts

Claudio Campa1
·
Ophthalmol J 2020;5:46-50.
Affiliations
  1. Ophthalmic Surgery Unit, University Hospital of Ferarra, Cona, Ferrara, Italy

open access

Vol 5 (2020): Continuous Publishing
ORIGINAL PAPERS
Published online: 2020-07-09

Abstract

Background: The aim of the study was to compare the visual acuity (VA) score obtained in both normal subjects and patients with different eye diseases by using TOPCON CP-22 electronic ETDRS charts (i.e. E-ETDRS) and standard ETDRS charts (S-ETDRS).

Material and methods: The primary outcome of this observational prospective study was the difference in median VA score (in letters) recorded in 60 patients by using both E-ETDRS and S-ETDRS. There were 60 subjects enrolled in the study: 20 normal, 20 with diabetic retinopathy and 20 with age-related macular degeneration.

Results: Median number of letters read was 72.5 S-ETDR and 77 for E-ETDR (p < 0.01). A subgroup analysis disclosed that the difference in VA score between the 2 devices was more pronounced (p < 0.01) when considering healthy subjects compared to patients affected by diabetic retinopathy (p = 0.02) or age-related macular degeneration (p = 0.04).

Conclusions: Small but significant discrepancies between the 2 devices have been detected, especially when recording high VA values.

Abstract

Background: The aim of the study was to compare the visual acuity (VA) score obtained in both normal subjects and patients with different eye diseases by using TOPCON CP-22 electronic ETDRS charts (i.e. E-ETDRS) and standard ETDRS charts (S-ETDRS).

Material and methods: The primary outcome of this observational prospective study was the difference in median VA score (in letters) recorded in 60 patients by using both E-ETDRS and S-ETDRS. There were 60 subjects enrolled in the study: 20 normal, 20 with diabetic retinopathy and 20 with age-related macular degeneration.

Results: Median number of letters read was 72.5 S-ETDR and 77 for E-ETDR (p < 0.01). A subgroup analysis disclosed that the difference in VA score between the 2 devices was more pronounced (p < 0.01) when considering healthy subjects compared to patients affected by diabetic retinopathy (p = 0.02) or age-related macular degeneration (p = 0.04).

Conclusions: Small but significant discrepancies between the 2 devices have been detected, especially when recording high VA values.

Get Citation

Keywords

visual acuity measurements; electronic ETDRS charts; traditional ETDRS charts; age-related macular degeneration; diabetic retinopathy

About this article
Title

Comparison between traditional and electronic ETDRS charts

Journal

Ophthalmology Journal

Issue

Vol 5 (2020): Continuous Publishing

Article type

Original paper

Pages

46-50

Published online

2020-07-09

Page views

602

Article views/downloads

983

DOI

10.5603/OJ.2020.0013

Bibliographic record

Ophthalmol J 2020;5:46-50.

Keywords

visual acuity measurements
electronic ETDRS charts
traditional ETDRS charts
age-related macular degeneration
diabetic retinopathy

Authors

Claudio Campa

References (9)
  1. Ferris F, Kassoff A, Bresnick G, et al. New Visual Acuity Charts for Clinical Research. Am J Ophthalmol. 1982; 94(1): 91–96.
  2. Beck RW, Moke PS, Turpin AH, et al. A computerized method of visual acuity testing: adaptation of the early treatment of diabetic retinopathy study testing protocol. Am J Ophthalmol. 2003; 135(2): 194–205.
  3. Rosser DA, Murdoch IE, Cousens SN. The effect of optical defocus on the test-retest variability of visual acuity measurements. Invest Ophthalmol Vis Sci. 2004; 45(4): 1076–1079.
  4. Photodynamic therapy of subfoveal choroidal neovascularization in age-related macular degeneration with verteporfin: one-year results of 2 randomized clinical trials — TAP report. Treatment of age-related macular degeneration with photodynamic therapy (TAP) Study Group. Arch Ophthalmol. 1999; 117(10): 1329.
  5. Kaiser PK. Prospective evaluation of visual acuity assessment: a comparison of snellen versus ETDRS charts in clinical practice (An AOS Thesis). Trans Am Ophthalmol Soc. 2009; 107: 311–324.
  6. Geddes M, McLean J, McMonnies C, et al. The variation of visual acuity with observation distance. Austral J Optometry. 1966; 49(6): 164–9.
  7. Lovie-Kitchin JE. Validity and reliability of visual acuity measurements. Ophthalmic Physiol Opt. 1988; 8(4): 363–370.
  8. Arditi A, Cagenello R. On the statistical reliability of letter-chart visual acuity measurements. Invest Ophthalmol Vis Sci. 1993; 34(1): 120–129.
  9. Blackhurst DW, Maguire MG. Reproducibility of refraction and visual acuity measurement under a standard protocol. The Macular Photocoagulation Study Group. Retina. 1989; 9(3): 163–169.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Publisher: VM Media Group sp. z o.o., Grupa Via Medica, 73 Świętokrzyska St., 80–180 Gdańsk

tel.:+48 58 310 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl