Contrast thresholds for letter identification in retinitis pigmentosa

To assess mechanisms of foveal vision loss in retinitis pigmentosa (RP), contrast thresholds were measured for the identification of Sloan letters at four adapting field luminances (0.4, 1.4, 2.4, and 3.4 log td) in a group of 16 patients with RP who had best-corrected Snellen visual acuities of 20/30 or better, minimal or no posterior subcapsular cataracts, and no atrophic or cystic-appearing foveal lesions. Letter contrast sensitivities of the patients with RP were reduced below those of a group of ten subjects with normal vision for all letter sizes and at all adapting field luminances. The overall pattern of these results indicated that neither a reduced quantal absorption by foveal cones nor spatial undersampling from a loss of foveal cones accounted for the reductions in letter contrast sensitivities. The findings were most consistent with a uniform increase in intercone spacing in the foveas of this group of patients with RP and mild visual acuity loss.