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Published on: March 17, 2023
Monocular chromatic contrast threshold and achromatic contrast sensitivity in children born prematurely
Timothy L Jackson1, Gek L Ong, Morag A McIndoe
1The Sussex Eye Hospital, Brighton, United Kingdom. timljackson@hotmail.com
Insights
Premature birth did not affect children's color vision or contrast sensitivity. This study found similar chromatic contrast thresholds and achromatic contrast sensitivity in children born prematurely compared to full-term controls.
Area of Science:
- Ophthalmology
- Developmental Neuroscience
- Visual Psychophysics
Background:
- Previous research indicates prematurity may negatively impact visual functions.
- Assessing visual development in premature infants is crucial for early intervention.
Purpose of the Study:
- To investigate the impact of prematurity on monocular chromatic contrast thresholds (CCT) and achromatic contrast sensitivity (ACS).
Main Methods:
- A case-control study compared 59 children born preterm (<33 weeks gestation) with 68 full-term controls.
- Monocular CCT and ACS were measured using a computerized psychophysical test with sinusoidal gratings.
- Testing included red-green and tritan axes for CCT and five spatial frequencies for ACS.
Main Results:
- No significant differences were found in red-green or tritan CCT between preterm and full-term children.
- Achromatic contrast sensitivity (ACS) was also similar across all tested spatial frequencies.
Conclusions:
- Contrary to previous findings, this study suggests prematurity does not adversely affect CCT or ACS.
- Advanced psychophysical testing minimized errors, yielding unexpected results regarding visual development in preterm individuals.
Purpose:
To study the effect of prematurity on monocular chromatic contrast thresholds (CCT) and achromatic contrast sensitivity (ACS).
Design:
Case-control study.
Methods:
A prospective study of 59 children born at less than 33 weeks' gestation was undertaken. Subjects were identified during routine neonatal screening for retinopathy of prematurity and recalled for testing at age 7 to 13 years. Five had stage 1 retinopathy of prematurity, seven had stage 2, and three had stage 3. Sixty-eight full-term children were recruited as controls. Those with major cerebral or eye disease were excluded. The CCT and ACS were measured monocularly in the eye with better visual acuity using static, computer-generated, sinusoidal gratings, displayed on a high-resolution monitor. The CCT and ACS were determined using a randomized double-staircase reversal algorithm. The ACS was measured at five spatial frequencies (0.22, 0.44, 0.88, 1.75, and 3.50 cycles/degree), and the CCT was measured along red-green and tritan confusion axes.
Results:
Red-green (P =.326) and tritan (P =.910) contrast thresholds and ACS (P >.394 for all spatial frequencies) were similar to the control group.
Conclusions:
Previous research suggests that prematurity adversely affects color vision and ACS. This study used a computerized psychophysical test that minimized the test errors inherent in many previous studies. Unexpectedly, CCT and ACS were found to be similar to full-term children.
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