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British Journal of Ophthalmology 2002;86:993-996
© 2002 British Journal of Ophthalmology


CLINICAL SCIENCE

Correlation between visual function and visual ability in patients with uveitis

A M Gardiner1,2, R A Armstrong1, M C M Dunne1, P I Murray2

1 Vision Sciences, Aston University, Birmingham, UK
2 Academic Unit of Ophthalmology, University of Birmingham, Birmingham, UK

Correspondence to:
Correspondence to:
Professor P I Murray, Academic Unit of Ophthalmology, Division of Immunity and Infection, Birmingham and Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, City Hospital, Dudley Road, Birmingham B18 7QU, UK;
P.I.Murray{at}bham.ac.uk

Aim: To investigate the correlation between tests of visual function and perceived visual ability recorded with a quality of life questionnaire for patients with uveitis.

Methods: 132 patients with various types of uveitis were studied. High (monocular and binocular) and low (binocular) contrast logMAR letter acuities were recorded using a Bailey-Lovie chart. Contrast sensitivity (binocular) was determined using a Pelli-Robson chart. Vision related quality of life was assessed using the Vision Specific Quality of Life (VQOL) questionnaire.

Results: VQOL declined with reduced performance on the following tests: binocular high contrast visual acuity (p = 0.0011), high contrast visual acuity of the better eye (p = 0.0012), contrast sensitivity (p = 0.005), binocular low contrast visual acuity (p = 0.0065), and high contrast visual acuity of the worse eye (p = 0.015). Stepwise multiple regression analysis revealed binocular high contrast visual acuity (p <0.01) to be the only visual function adequate to predict VQOL. The age of the patient was also significantly associated with perceived visual ability (p <0.001).

Conclusions: Binocular high contrast visual acuity is a good measure of how uveitis patients perform in real life situations. Vision quality of life is worst in younger patients with poor binocular visual acuity.


Keywords: uveitis; quality of life; visual function




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