From visual acuity to hyperacuity: a 10-year update

Visual acuity, the most basic measure of developing pattern vision in human infants, has been used extensively for detecting anomalies of vision and oculomotor coordination. In the past 10 years much has been learned about the development of two hyperacuities, namely, vernier acuity and stereoacuity. These two acuities become superior to grating acuity after the third month and remain so throughout life. Compared to females, males show slower development of stereopsis and vernier acuity, but not grating acuity, during the third through sixth months. We have suggested that this may result from the neurotrophic effects of the early pulse of testosterone found in males. Measures of vernier acuity have proven effective in detecting meridional amblyopia in older children who had significant astigmatism in the first year and subsequently lost it. The susceptible period for acquiring meridional amblyopia extends from the second half of the first year to at least the end of the second year. Deviations from the typical oblique effect (equal acuity for vertical and horizontal edges; equal, but lower, acuity for left oblique and right oblique) may result from uncorrected astigmatism early in life.