Computer-based measurement of letter and word acuity.

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Title: Computer-based measurement of letter and word acuity.
Authors: Whatham, Andrew R., Mermoud, Christophe, Déruaz, Anouk, Goldschmidt, Mira, Zesiger, Pascal, Safran, Avinoam B.
Source: Ophthalmic & Physiological Optics. Mar2006, Vol. 26 Issue 2, p156-168. 13p. 7 Graphs.
Subjects: Reading disability, Low vision, People with visual disabilities, Visual acuity, Optometry, Ophthalmology
Abstract: Determining causes of poor reading ability is an important step in trying to ameliorate reading performance in low-vision patients. One important parameter is word acuity. The principal aim of the current study is to develop a method to reliably measure acuities for isolated lowercase letters and words of differing length that can be used to test low-vision patients. Using isolated stimuli means that testing is relatively free of potential crowding and/or distracting attentional effects from surrounding words, it is unambiguous which stimulus subjects are trying to read and response times can be recorded for each stimulus. Across a series of experiments, subjects with normal vision were asked to read isolated lowercase single letters and lowercase words of 4, 7 and 10 letters, in separate tests. Acuities for uppercase Sloan letters were also measured to provide a reference, as they are commonly used to measure visual acuity. Each test was based upon the design principles and scoring procedures used in the Bailey–Lovie and ETDRS charts. Acuities for uppercase Sloan letters were found to be equivalent whether measured using ETDRS charts or the computer-based method. Measurement of acuities for lowercase single letters and lowercase words of 4, 7 and 10 letters had a reliability that was no worse than acuities for uppercase Sloan letters. Lowercase word acuities were essentially independent of word length. Acuities for single lowercase letters and lowercase words were slightly better than uppercase Sloan letters acuity. Optimal processing of lowercase single letters and 4-, 7- and 10-letter words occurred at character sizes that were at least 0.2–0.40 log MAR above acuity threshold, i.e. between 1.5 and 3 times threshold acuity for that particular stimulus. In general, critical character sizes appear similar across word lengths as progressive increases or decreases in these values were not observed as a function of the number of letters in the stimulus. We conclude that a computer-based method of stimulus presentation can be used to obtain highly repeatable measures of acuity for lowercase single letters and lowercase words in normal vision. [ABSTRACT FROM AUTHOR]
Copyright of Ophthalmic & Physiological Optics is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Computer-based measurement of letter and word acuity.
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  Data: <searchLink fieldCode="AR" term="%22Whatham%2C+Andrew+R%2E%22">Whatham, Andrew R.</searchLink><br /><searchLink fieldCode="AR" term="%22Mermoud%2C+Christophe%22">Mermoud, Christophe</searchLink><br /><searchLink fieldCode="AR" term="%22Déruaz%2C+Anouk%22">Déruaz, Anouk</searchLink><br /><searchLink fieldCode="AR" term="%22Goldschmidt%2C+Mira%22">Goldschmidt, Mira</searchLink><br /><searchLink fieldCode="AR" term="%22Zesiger%2C+Pascal%22">Zesiger, Pascal</searchLink><br /><searchLink fieldCode="AR" term="%22Safran%2C+Avinoam+B%2E%22">Safran, Avinoam B.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Ophthalmic+%26+Physiological+Optics%22">Ophthalmic & Physiological Optics</searchLink>. Mar2006, Vol. 26 Issue 2, p156-168. 13p. 7 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Reading+disability%22">Reading disability</searchLink><br /><searchLink fieldCode="DE" term="%22Low+vision%22">Low vision</searchLink><br /><searchLink fieldCode="DE" term="%22People+with+visual+disabilities%22">People with visual disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Visual+acuity%22">Visual acuity</searchLink><br /><searchLink fieldCode="DE" term="%22Optometry%22">Optometry</searchLink><br /><searchLink fieldCode="DE" term="%22Ophthalmology%22">Ophthalmology</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Determining causes of poor reading ability is an important step in trying to ameliorate reading performance in low-vision patients. One important parameter is word acuity. The principal aim of the current study is to develop a method to reliably measure acuities for isolated lowercase letters and words of differing length that can be used to test low-vision patients. Using isolated stimuli means that testing is relatively free of potential crowding and/or distracting attentional effects from surrounding words, it is unambiguous which stimulus subjects are trying to read and response times can be recorded for each stimulus. Across a series of experiments, subjects with normal vision were asked to read isolated lowercase single letters and lowercase words of 4, 7 and 10 letters, in separate tests. Acuities for uppercase Sloan letters were also measured to provide a reference, as they are commonly used to measure visual acuity. Each test was based upon the design principles and scoring procedures used in the Bailey–Lovie and ETDRS charts. Acuities for uppercase Sloan letters were found to be equivalent whether measured using ETDRS charts or the computer-based method. Measurement of acuities for lowercase single letters and lowercase words of 4, 7 and 10 letters had a reliability that was no worse than acuities for uppercase Sloan letters. Lowercase word acuities were essentially independent of word length. Acuities for single lowercase letters and lowercase words were slightly better than uppercase Sloan letters acuity. Optimal processing of lowercase single letters and 4-, 7- and 10-letter words occurred at character sizes that were at least 0.2–0.40 log MAR above acuity threshold, i.e. between 1.5 and 3 times threshold acuity for that particular stimulus. In general, critical character sizes appear similar across word lengths as progressive increases or decreases in these values were not observed as a function of the number of letters in the stimulus. We conclude that a computer-based method of stimulus presentation can be used to obtain highly repeatable measures of acuity for lowercase single letters and lowercase words in normal vision. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Ophthalmic & Physiological Optics is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1111/j.1475-1313.2006.00345.x
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      – Code: eng
        Text: English
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        PageCount: 13
        StartPage: 156
    Subjects:
      – SubjectFull: Reading disability
        Type: general
      – SubjectFull: Low vision
        Type: general
      – SubjectFull: People with visual disabilities
        Type: general
      – SubjectFull: Visual acuity
        Type: general
      – SubjectFull: Optometry
        Type: general
      – SubjectFull: Ophthalmology
        Type: general
    Titles:
      – TitleFull: Computer-based measurement of letter and word acuity.
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            NameFull: Whatham, Andrew R.
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            NameFull: Mermoud, Christophe
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            NameFull: Déruaz, Anouk
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            NameFull: Goldschmidt, Mira
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            NameFull: Zesiger, Pascal
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            NameFull: Safran, Avinoam B.
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              Text: Mar2006
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              Y: 2006
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