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August 1994

Grating Acuity Tests Should Not Be Used for Social Service Purposes in Preliterate Children

Author Affiliations

Madison, Wis

Arch Ophthalmol. 1994;112(8):1030-1031. doi:10.1001/archopht.1994.01090200036017

The Field of pediatric ophthalmology has had a major need for a meaningful method to assess visual acuity in preliterate children. Meaningful visual acuity assessment is important in determining treatment plans for children with amblyopia. Also, it is important as an aid in determining prudent indications for surgical intervention in children with potentially correctable causes of vision loss such as opacities of the ocular media. For many years, clinicians have had to rely on a qualitative subjective determination of visual function by assessing the ability to fix and follow, the steadiness of fixation, and the ability to maintain fixation. The development of two tests of visual function, Teller Acuity Card testing1 and Sweep Visually Evoked Cortical Potential (VECP) testing,2 have held out the promise of providing an assessment of visual function in preliterate children that is quantifiable and meaningful. The development of these tests offered the hope that

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