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Published on: March 17, 2023
Contrast sensitivity--an unnoticed factor of visual perception in children with developmental delay: normal data of
Lisbeth Sandfeld Nielsen1, Sidse Kringelholt Nielsen, Liselotte Skov
1Ophthalmologic Department, Herlev Hospital, University of Copenhagen, Denmark. l.sandfeld@dadlnet.dk
Insights
This study established normal contrast sensitivity data in children using the Cambridge Low Contrast Gratings test. Children with developmental delay showed significantly lower scores, indicating the test
Area of Science:
- Ophthalmology
- Developmental Pediatrics
- Visual Science
Background:
- Contrast sensitivity is crucial for overall visual quality.
- Developmental norms for contrast sensitivity in children are essential for identifying visual impairments.
- The Cambridge Low Contrast Gratings (CLCG) test is a potential tool for assessing pediatric vision.
Purpose of the Study:
- To establish normative data for the CLCG test in a healthy pediatric population.
- To compare contrast sensitivity in children with developmental delay to that of typically developing children.
- To evaluate the CLCG test's utility in diagnosing visual issues in children with developmental delays.
Main Methods:
- Tested 99 typically developing children (ages 2-14) and 146 children with developmental delay using the CLCG test.
- All participants had normal visual acuity and stereopsis.
- Contrast sensitivity was measured using the CLCG test.
Main Results:
- Contrast sensitivity demonstrated age-dependent development in normal children, reaching adult levels after age 10.
- Children with developmental delay exhibited significantly lower contrast sensitivity scores compared to normal children.
- The CLCG test proved simple and suitable for preschool children and those with developmental delays.
Conclusions:
- The CLCG test provides valuable normative data for pediatric contrast sensitivity.
- Children with developmental delay have impaired contrast sensitivity.
- The CLCG test is a promising diagnostic tool for ophthalmologic conditions in children with developmental delays.
Abstract:
Contrast sensitivity is one of several factors necessary to obtain good visual quality. The aim of this study was to develop normal data on the Cambridge Low Contrast Gratings test in children and to compare these data with data from a group of children with developmental delay. Ninety-nine normal children (aged 2-14 years) and 146 children with developmental delay were tested with the contrast sensitivity test. All children had normal visual acuity and stereopsis. The normal children had an age-dependent development in contrast sensitivity, and adult level was reached after the age of 10 years. A significantly lower score was found in children with developmental delay compared to normal children. The Cambridge Low Contrast Gratings test is suitable for preschool children and children with developmental delay because of its simplicity, and it might be a valuable tool in diagnosing ophthalmologic diseases in children with developmental delay.
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