Macular degeneration is the leading cause of blindness in older adults in the United States. Approximately 20 million adults in […]
Purpose.
Past research has not fully ascertained the extent to which people with glaucoma have difficulties with reading. This study measures change in reading speed when letter contrast is reduced, to test the hypothesis that patients with glaucoma are more sensitive to letter contrast than age-similar visually healthy people.
Methods.
Fifty-three patients with glaucoma [mean age: 66 years (standard deviation: 9)] with bilateral visual field (VF) defects and 40 age-similar visually healthy control subjects [mean age: 69 (standard deviation: 8) years] had reading speeds measured using sets of fixed size, non-scrolling texts on a computer setup that incorporated an eye tracking device. All participants had visual acuity ≥6/9, and they underwent standard tests of visual function including Humphrey 24-2 and 10-2 VFs. Potential non-visual confounders were also tested, including cognitive ability (Middlesex Elderly Assessment of Mental Status Test) and general reading ability. Individual average raw reading speeds were calculated from 8 trials (different passages of text) at both 100% and 20% letter contrast.
Results.
Patients had an average 24-2 VF MD of −6.5 (range: 0.7 to −17.3) dB in the better eye. The overall median reduction in reading speed due to decreasing the contrast of the text in the patients was 20%, but with considerable between-individual variation (interquartile range, 8%–44%). This reduction was significantly greater (p = 0.01) than the controls [median: 11% (interquartile range, 6%–17%)]. Patients and controls had similar average performance on Middlesex Elderly Assessment of Mental Status Test (p = 0.71), a modified Burt Reading ability test (p = 0.33), and a computer-based lexical decision task (p = 0.53) and had similar self-reported day-to-day reading frequency (p = 0.12).
Conclusions.
Average reduction in reading speed caused by a difference in letter contrast between 100% and 20% is significantly more apparent in patients with glaucoma when compared with visually healthy people with a similar age and similar cognitive/reading ability.
I haven't actually used the optometrist side, so my review is limited to the vision therapy offered. This office was recommended by my occupational therapist for the treatment of my double vision following a stroke.
Love this location. I had a brain injury accident from day one one. All the team make you feel you still important and hope in the horizon after when the medical system fell you miserably. Dr. Ikeda very professional and very understanding about your issue. Two tombs up.
My husband and I were immediately impressed with Dr Ikeda. I was hit by a car while cycling which caused broken bones and three brain injuries. The brain injuries caused double vision. Dr. Ikeda examined my eyes and got me started on vision therapy with his occupational therapist who specializes in vision therapy. She (Chris) is absolutely great. I am impressed with the array of tools used to help recover my binocular vision. I am doing things I never thought were possible (balance boards etc). Chris pushes me and keeps me motivated. I really enjoy my sessions with her. The office staff is always friendly and they have a wonderful appointment reminder tool that makes it easy to keep my calendar up to date. I am happy the rehab center at Little Co. of Mary recommended them!!
The Vision Therapy is handled in a separate office through a different door from the shared waiting room. Chris, the vision therapist, has a wide and varied assortment of tools, equipment and resources to best evaluate and treat most vision issues. After just a few visits, my double vision became easier to control, using exercises developed during the therapy process. It was time well-spent.
I have been coming here since I can remember. I love it here. The staff is so amazing and nice. They explain everything they gonna do and never make you feel rushed. Dr. Ikeda has always been my doctor and I would never want another one. He is the doctor for my whole family and is always asking how everyone is doing. I am also so crazy about picking out my frames and have to try so many and each person who helps me take the time and lets me try them all on. I would never want to go anywhere else! I definitely would recommend this office to anyone looking for a great eye doctor.
This is not for the eye exam but for the frames selection portion. I brought my prescription from Kaiser here with my VSP insurance. The reception staff was very polite and professional. Manny helped me to pick out frames and explain my coverage. Very helpful and patient not like the individual at the other place I rated here on Yelp. I was running late and he still helped me and was not bothered at all. I am so glad I came here ..........very pleased.
Very professional staff and pleasant.
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