[Skip to Content]
[Skip to Content Landing]
June 1982

Arden Contrast Sensitivity Testing in Glaucoma

Author Affiliations

From the Department of Ophthalmology, Pacific Medical Center, San Francisco.

Arch Ophthalmol. 1982;100(6):947-950. doi:10.1001/archopht.1982.01030030955012

• Two hundred sixteen eyes (164 patients) were studied with the Arden printed contrast gratings to test Arden's hypothesis that an abnormal score would distinguish between eyes with and without glaucoma. Ninety-five eyes were normal and 75 eyes were glaucomatous; 46 eyes suspected of being glaucomatous were also studied to determine whether such eyes would score differently than eyes with normal intraocular pressures. No age-dependent trend in scoring was found in the different diagnostic categories, except with the age group younger than 40 years, which had consistently better contrast sensitivity. The tests were demonstrated to be reproducible over time and showed little or no intertester variability. Decreased contrast sensitivity was found in the glaucomatous eyes compared with normal eyes. The scores of the eyes suspected of being glaucomatous fell between the scores of the glaucomatous and normal eyes. Overlapping distributions among the three groups, however, limit the diagnostic value of the test.

Campbell FW, Green DG:  Optical and retinal factors affecting visual resolution . J Physiol 1965;181:576-593.
Bodis-Wollner I:  Visual acuity and contrast sensitivity in patients with cerebral lesions . Science 1972;178:769-771.Article
Arundale K:  An investigation into the variation of human contrast sensitivity with age and ocular pathology . Br J Ophthalmol 1978;62:213-215.Article
Hess RF, Garner LF:  The effect of corneal edema on visual function . Invest Ophthalmol Vis Sci 1977;16:5-13.
Levi DM, Harwerth RS:  Spatio-temporal interactions in anisometropic and strabismic amblyopia . Invest Ophthalmol Vis Sci 1977;16:90-95.
Arden GB:  The importance of measuring contrast sensitivity in cases of visual disturbance . Br J Ophthalmol 1978;62:198-209.Article
Arden GB, Jacobson JJ:  A simple grating test for contrast sensitivity: Preliminary results indicate value in screening for glaucoma . Invest Ophthalmol Vis Sci 1978;17:1, 23-32.
Woodhouse JM:  Effect of pupil size on grating detection at various contrast levels . Vision Res 1975;15:645-648.Article
Arden GB, Gucokoglu AG:  Grating test of contrast sensitivity in patients with retrobulbar neuritis . Arch Ophthalmol 1978;96:1626-1629.Article
Estevez O, Cavonius CR:  Low frequency attenuation in the detection of gratings: Sorting out the artifacts . Vision Res 1976;16:497-500.Article
Minnassian DC, Jones BR, Zargarizadeh A:  The Arden grating test of visual function: A preliminary study of its practicability and application in a rural community in northwest Iran . Br J Ophthalmol 1978;62:210-212.Article
Fiorentini A, Maffei L:  Spatial contrast sensitivity of myopic subjects . Vision Res 1976;16:437-438.Article