A new set of variable-contrast visual acuity charts

Using a computer plotting technique, we designed four variable-contrast visual acuity charts. The contrast of the first 3 is 90, 15, and 2.5%, respectively. The fourth is 90%, but the luminance of the optotypes and background are the reverse of the first chart. The main features of these charts are as follows. Both contrast sensitivity and spatial frequency are in geometric gradation, which observes the laws of Weber and Fechner. The mean average luminance, (Lmax + Lmin)/2, is constant for all four charts, which follows the concept of contrast sensitivity function (CSF). Charts 1 and 4, which have the same contrasts but different glare backgrounds, measure the glare that is related to the transparency of the refractive media of the eye. Because the charts are rotatable, patient memorization and guessing are minimized. Results compared with those of the conventional visual acuity test and are understandable by patients and eye care practitioners. The charts, which are simple, easy, and require little time, are inexpensive and portable.