Measurement of dynamic visual acuity in patients with vestibular areflexia

Acta Otolaryngol. 2010 Jul;130(7):820-3. doi: 10.3109/00016480903426592.

Abstract

Conclusion: The test is simple and sensitive enough to separate normal subjects from patients suffering from a vestibular loss. There was also a good correlation between the objective results and the subjective complaint of oscillopsia.

Objectives: Oscillopsia (i.e. blurred vision while walking) is often reported by patients suffering from vestibular loss. We developed a test to quantify oscillopsia.

Methods: Visual acuity was determined in 16 normal subjects and in 8 patients suffering from a bilateral vestibular loss, at rest and while walking at increasing speed on a treadmill. Snellen optotypes were randomly projected on a screen and the visual acuity was determined with an adaptative staircase algorithm.

Results: In normal subjects, the visual acuity did not decrease markedly during walking, but decreased significantly in patients with a vestibular loss.

MeSH terms

  • Adult
  • Aged
  • Case-Control Studies
  • Exercise Test
  • Female
  • Humans
  • Male
  • Middle Aged
  • Reflex, Abnormal / physiology*
  • Reflex, Vestibulo-Ocular / physiology*
  • Vestibular Diseases / physiopathology*
  • Vestibular Function Tests / methods*
  • Vision Tests / methods
  • Visual Acuity / physiology*
  • Walking / physiology