Level of Agreement Between Clinical Defocus Curves and the Web-based Democritus Digital Acuity Reading Test wDDART
Study Details
Study Description
Brief Summary
The primary objective of this study is to compare the level of agreement between clinical defocus curves and the web Democritus Digital Acuity Reading Test (wDDART), which is a web-based digital near and intermediate vision reading test.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
The 'defocus curve' assessment technique aims to simulate different distances from near to far over which the patient's visual acuity (VA) is evaluated. Defocus curves are created by first measuring best-corrected distance and near VA of the examinee. Then, a series of positive- and negative-powered trial lenses are added to the best-corrected distance visual acuity (BCDVA) of the patient's eye. Viewing through the addition of a minus lens creates divergent light rays with the same refractive effect as bringing the eye chart closer to the viewer. For instance, a -2.50 D lens represents the distance of 40 cm.
The "defocus curve" assessment technique is a method used widely for the assessment of the functional vision range following multifocal intraocular lens (IOL) implantation. Since this method is a simulation of the near vision, it would be ideal if near vision could be evaluated objectively with a near vision chart. However, the conventional printed near vision charts are not available for a variety of reading distances. In addition, the measurement of near VA at different distances with a printed reading chart intended for one predefined distance (e.g. printed chart for 40 cm) and the transformation of the reading score at 40 cm to an equivalent score for the examined distances is impractical in clinical setting.
For this reason, a digital reading test that allows the text calibration for all reading distances could be a practical method for the rapid and ease evaluation of the near VA, especially in patients implanted with multifocal IOLs. The web-based digital near and intermediate vision reading test wDDART offers the ability to estimate VA at different distances with automated measurement of the patient-screen distance.
Therefore, the present study aims to investigate the level of agreement between clinical defocus curves and the web-based digital near and intermediate vision reading test wDDART.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Defocus curve group The monocular distance visual acuity of each participant' eye is evaluated using trial lenses of -3.00 sph, -2.50 sph, -1.75 sph, and -1.25 sph (added to the best correction for distance), which correspond to the distances of 30 cm, 40 cm, 60 cm, and 80 cm, respectively. |
Diagnostic Test: Defocus curves - Monocular distance visual acuity with trial lenses added to the best correction for distance
The monocular distance visual acuity of each participant' eye is evaluated using trial lenses of -3.00 sph, -2.50 sph, -1.75 sph, and -1.25 sph (added to the best correction for distance), which correspond to distances 30 cm, 40 cm, 60 cm and 80 cm, respectively.
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| wDDART group The same participants undergo visual acuity test via the web-based digital near vision reading test wDDART at 30 cm, 40 cm, 60 cm and 80 cm, having their best correction for distance. |
Diagnostic Test: wDDART - Monocular near visual acuity using the best correction for distance
The same participants undergo visual acuity test via the web-based digital near vision reading test wDDART at 30 cm, 40 cm, 60 cm and 80 cm, having their best correction for distance.
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Outcome Measures
Primary Outcome Measures
- Distance-corrected near visual acuity (DCNVA) at 30 cm via defocus curves [through study completion, 6 months]
The monocular distance visual acuity of each participant's eye is evaluated using a trial lens of -3.00 sph (added to the best correction for distance), which corresponds to the distance of 30 cm
- Distance-corrected near visual acuity (DCNVA) at 40 cm via defocus curves [through study completion, 6 months]
The monocular distance visual acuity of each participant's eye is evaluated using a trial lens of -2.50 sph (added to the best correction for distance), which corresponds to the distance of 40 cm
- Distance-corrected intermediate visual acuity (DCIVA) at 60 cm via defocus curves [through study completion, 6 months]
The monocular distance visual acuity of each participant's eye is evaluated using a trial lens of -1.75 sph (added to the best correction for distance), which corresponds to the distance of 60 cm
- Distance-corrected intermediate visual acuity (DCIVA) at 80 cm via defocus curves [through study completion, 6 months]
The monocular distance visual acuity of each participant's eye is evaluated using a trial lens of -1.25 sph (added to the best correction for distance), which corresponds to the distance of 80 cm
- Distance-corrected near visual acuity (DCNVA) at 30 cm via wDDART [through study completion, 6 months]
The monocular near (30 cm) visual acuity of each participant's eye is evaluated using the best correction for distance
- Distance-corrected near visual acuity (DCNVA) at 40 cm via wDDART [through study completion, 6 months]
The monocular near (40 cm) visual acuity of each participant's eye is evaluated using the best correction for distance
- Distance-corrected intermediate visual acuity (DCIVA) at 60 cm via wDDART [through study completion, 6 months]
The monocular intermediate (60 cm) visual acuity of each participant's eye is evaluated using the best correction for distance
- Distance-corrected intermediate visual acuity (DCIVA) at 80 cm via wDDART [through study completion, 6 months]
The monocular intermediate (80 cm) visual acuity of each participant's eye is evaluated using the best correction for distance
Eligibility Criteria
Criteria
Inclusion Criteria:
- Previous cataract lens extraction, age> 40 years, monocular best corrected distance visual acuity > 7/10
Exclusion Criteria:
- Glaucoma, corneal diseases, macular diseases, postoperative opacification of the posterior capsule, former mental diseases
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Department of Ophthalmology, University Hospital of Alexandroupolis | Alexandroupolis | Evros | Greece | 68100 |
Sponsors and Collaborators
- Democritus University of Thrace
Investigators
- Study Chair: Georgios Labiris, MD, PhD, Department of Ophthalmology, University Hospital of Alexandroupolis, Alexandroupolis, Greece
Study Documents (Full-Text)
None provided.More Information
Publications
- ES1/Th4/21-1-2021