A new glare test based on low contrast letters--evaluation in cataract patients

A new simple glare test was designed and evaluated regarding clinical usefulness and reproducibility. The ability to recognize letters of equal size and varying contrast was determined with the absence and presence of glare sources above and below the letters. Ten patients with cataract, visual acuity of at least 0.3 and glare problems, and three age matched controls were tested, as well as one patient with glare complaints and exophoria, one with lens subluxation and one with cataract and no glare problem. The test was found to be cheap and simple to produce and useful for clinical testing. Normal eyes had no detectable reduction of letter contrast sensibility with glare. All cataractous eyes had a letter contrast sensitivity without glare that was well below that of the controls and under glare conditions they all had a drop in visual function that was unrelated to their visual acuity. The reproducibility was of a magnitude similar to that of other low contrast letter tests. Our conclusion is that this test will be a valuable tool in the evaluation of cataract patients providing information not only about glare-induced visual loss but also about contrast sensitivity, separating eyes with increased intraocular light scattering from normal eyes.