Telemedicine distance and near visual acuity tests for adults and children

Joseph M Miller, Hyun Soo Jang, Divya Ramesh, Maria Sandra Gonzalez Marshall, Selenne Yescas, Erin M Harvey, Joseph M Miller, Hyun Soo Jang, Divya Ramesh, Maria Sandra Gonzalez Marshall, Selenne Yescas, Erin M Harvey

Abstract

We describe a set of distance and near, adult and child, visual acuity tests for home use. The five charts are packaged in a PDF document and are also available as JPEG images that can be printed on standard letter paper or displayed on a monitor or handheld device. Adult distance visual acuity is tested using a modified ETDRS Chart R; child distance vision is tested using a similarly formatted HOTV logMAR chart. Testing distance is 5 or 10 feet, appropriate for home use. Near visual acuity is displayed in the range of J16 to J1 using random words (for adults) or in HOTV matching format (for young children). An Amsler Grid and HOTV matching card are included. The charts include a calibration circle. For those without a printer, sending a JPEG image as an email attachment initiates onscreen testing with a single click. Devices with smaller screens require an assistant to scroll through the display. The test can performed without assistance from a printed page.

Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.

References

    1. Ferris F.L., III, Kassoff A., Bresnick G.H., Bailey I. New visual acuity charts for clinical research. Am J Ophthalmol. 1982 Jul 1;94:91–96.
    1. Sheridan M.D. Vision screening of very young or handicapped children. Br Med J. 1960;2:453–456.
    1. Vision in Preschoolers Study Group Preschool vision screening tests administered by nurse screeners compared with lay screeners in the Vision in Preschoolers Study. Invest Ophthalmol Vis Sci. 2005;46:2639–2648.
    1. Beck R.W., Moke P.S., Turpin A.H. A computerized method of visual acuity testing: adaptation of the Early Treatment of Diabetic Retinopathy Study testing protocol. Am J Ophthalmol. 2003;135:194–205.
    1. Moke P.S., Turpin A.H., Beck R.W. Computerized method of visual acuity testing: adaptation of the Amblyopia Treatment Study visual acuity testing protocol. Am J Ophthalmol. 2001;132:903–909.
    1. Runge P.E. Eduard Jaeger's test-types (Schrift-Scalen) and the historical development of vision tests. Trans Am Ophthalmol Soc. 2000;98:375–438.
    1. Amsler M. Earliest symptoms of diseases of the macula. Br J Ophthalmol. 1953;37:521–537.
    1. Augustin A.J., Offermann I., Lutz J., Schmidt-Erfurth U., Tornambe P. Comparison of the original Amsler grid with the modified Amsler grid: result for patients with age-related macular degeneration. Retina. 2005;25:443–445.

Source: PubMed

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