Abstract
Comparative studies of different visual acuity charts among illiterate adults are lacking.
Aim and objectives -This study tries to ascertain the role of HOTV chart in assessing vision among illiterate adults as compared with conventional illiterate E Chart.
Design – Descriptive cross sectional study
Methods – Phakic illiterate adults with an uncorrected visual acuity better than or equal to 6/18 on Snellens chart were included. The visual acuity of each individual was tested with both E chart and HOTV chart by separate observers. These were compared.
Results - The study group included 48 adult illiterate patients. 58.33% (n=28) were females. The mean age of this group was 60.23 with SD of ±9.518. Among 40 eyes, HOTV overestimated the vision. An improvement of one line was observed in 82.5% (n=33). Out of the nine eyes which showed underestimation of vision on HOTV test, 88.9% (n=8) showed a worsening of one line. The difference in the visual acuity was more evident among those with vision less than 6/9 (p= 0.000).
Conclusion – HOTV may be an easy and better choice for estimating potential vision among illiterate adults without ocular co morbidities.
Keywords – Snellen’s visual acuity, illiterate E chart, HOTV chart, Recognition acuity.
References
- Jennifer Bevan, Toby Dale and Mary Kavur. Preschool visual acuity tests: A comparison between two prototype charts and two visual acuity charts in current use. Article Clinical and Experimental Optometry Volume 72, Issue 6, November 1989; Pages: 186–193.
- Moganeswari D, Thomas J, Srinivasan K, Jacob GP.Test Re-Test Reliability and Validity of Different Visual Acuity and Stereoacuity Charts Used in Preschool Children.J ClinDiagn Res. 2015 Nov;9(11):NC01-5.
- Leone JF, Mitchell P, Kifley A, Rose KA..Normative visual acuity in infants and preschool-aged children in Sydney.Sydney Childhood Eye Studies.ActaOphthalmol. 2014 Nov;92(7):e521-9.
- Cotter SA, Tarczy-Hornoch K, Wang Y, Azen SP, Dilauro A, BorchertM,etal. Visual acuity testability in African-American and Hispanic children: the multi-ethnic pediatric eye diseasestudy. Multi-Ethnic Pediatric Eye Disease Study Am J Ophthalmol. 2007 Nov; 144(5):663-7
- Hered RW, Murphy S, Clancy M. Comparison of the HOTV and Lea Symbols chartsfor preschool vision screening.J PediatrOphthalmol Strabismus. 1997 Jan-Feb;34(1):24-8.
- Cyert L, Schmidt P, Maguire M, Moore B, Dobson V, Quinn G. Threshold visual acuity testing of preschool children using the crowded HOTV and Lea Symbols acuity Vision in Preschoolers (VIP) Study Group.J AAPOS. 2003 Dec;7(6):396-9.
- Singman EL,Matta NS, Tian J, Silbert DI.Comparing Visual Acuity Measured by Lea Symbols and Patti Pics.AmOrthopt J. 2015;65:94-8.
- Kniestedt C, Stamper RL.Visual acuity and its measurement. OphthalmolClin North Am. 2003;16(2):155-70.
- Barry L Cole. Measuring visual acuity is not as simple as it seemsClinical and Experimental Optometry Volume 97, Issue 1, January 2014, Pages: 1–2.
- Becker R, Gräf M Klin Monbl Augenh-eilkd. Landolt C and snellen e acuity: differences in strabismus amblyopia? 2006 Jan;223(1):24-8. German.
- Dobson V, Clifford-Donaldson CE, Miller JM, Garvey KA, Harvey EM. A comparison of Lea Symbol vs ETDRS letter distance visual acuity in a population of young children with a high prevalence of astigmatism J AAPOS. 2009 Jun;13(3):253-7.
- The measurement of visual acuity in children: an evidence-based update. Nicola S Anstice and Benjamin Thompson. Clinical and Experimental Optometry Volume 97, Issue 1, January 2014, Pages: 3–11.
- Tripathi R, Kumar K. Illiteracy and cognition in older adults.Indian J Psychol Med. 2012 Oct;34(4):406.
- McMonnies CW. Chartconstruction and letter legibility/ readability. Ophthalmic Physiol Opt. 1999 Nov;19(6):498-506.
Corresponding Author
Valiyaveettil Babitha