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Related Experiment Video

Updated: Nov 15, 2025

The Optokinetic Response as a Quantitative Measure of Visual Acuity in Zebrafish
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Age-related laryngoscopic visual acuity.

Abdul-Maajid Mathews1, Christopher Stein1, Marietjie Richter2

  • 1Department of Emergency Medical Care, Faculty of Health Sciences, University of Johannesburg, South Africa.

African Journal of Emergency Medicine : Revue Africaine De La Medecine D'Urgence
|March 8, 2021
PubMed
Summary

Older intubators experience reduced visual acuity (VA) during laryngoscopy, impacting airway management. Adjusting viewing distance can help, but corrective eyewear may be needed for optimal performance.

Keywords:
Endotracheal intubationLaryngoscopyVisual acuity

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Area of Science:

  • Emergency Medicine
  • Ophthalmology
  • Anesthesiology

Background:

  • Direct laryngoscopy is crucial for airway management in emergency settings.
  • Visual acuity (VA) is a critical factor influencing laryngoscopy performance.
  • Age-related decline in VA may affect intubation success, particularly in individuals over 40.

Purpose of the Study:

  • To compare visual acuity (VA) in younger and older intubators.
  • To assess the impact of simulated laryngoscopy on VA in different age groups.
  • To evaluate the effect of viewing distance on VA during laryngoscopy.

Main Methods:

  • Visual acuity (VA) was measured using the Early Treatment Diabetic Retinopathy Study (EDTRS) chart.
  • Participants performed simulated laryngoscopy at fixed and chosen viewing distances.
  • Logarithm of the minimum angle of resolution (logMAR) quantified VA differences between age cohorts.

Main Results:

  • Older intubators exhibited significantly reduced near VA at baseline and during laryngoscopy compared to younger counterparts.
  • VA decreased significantly during laryngoscopy at a fixed distance for both age groups.
  • Reducing the viewing distance improved VA during simulated laryngoscopy for all participants.

Conclusions:

  • Advanced age is linked to diminished VA, affecting laryngoscopy.
  • Adjusting viewing distance can partially mitigate age-related VA reduction.
  • Older intubators should consider corrective eyewear to maintain adequate VA for endotracheal intubation.