The Freiburg Visual Acuity Test???Automatic Measurement of Visual Acuity

Michael Bach

Optometry and Vision Science · 1996 · 1K citations · 7 references

Concepts

TL;DR

The Freiburg Visual Acuity Test is an automated, self‑administered method for measuring visual acuity, but pixel‑discreteness on computer monitors limits the presentation of very small stimuli. The test presents Landolt‑Cs in eight orientations on a monitor, records the subject’s button press from an eight‑position response box, and estimates the acuity threshold using a best‑PEST algorithm with a fixed‑slope psychometric function, stopping after a set number of trials. Anti‑aliasing smoothing of Landolt‑C contours by multiple gray levels quadrupled spatial resolution, enabling accurate testing of visual acuities from 5/80 to 5/1.4 at a 5‑meter distance.

Abstract

The Freiburg Visual Acuity test is an automated procedure for self-administered measurement of visual acuity. Landolt-Cs are presented on a monitor in one of eight orientations. The subject presses one of eight buttons, which are spatially arranged on a response box according to the eight possible positions of the Landolt-Cs' gap. To estimate the acuity threshold, a best PEST (best Parameter Estimation by Sequential Testing) procedure is used in which a psychometric function having a constant slope on a logarithmic acuity scale is assumed. Measurement terminates after a fixed number of trials. With computer monitors, pixel-discreteness artifacts limit the presentation of small stimuli. By using anti-aliasing, i.e., smoothing of contours by multiple gray levels, the spatial resolution was improved by a factor of four. Thus, even the shape of small Landolt-Cs with oblique gaps is adequate and visual acuities from 5/80 (0.06) up to 5/1.4 (3.6) can be tested at a distance of 5 m.

References

7