351. Reading with central vision loss: binocular summation and inhibition
- Author
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Valeria Silvestri, Filippo Amore, Luminita Tarita-Nistor, Paola Sasso, Stanislao Rizzo, Robert G. Devenyi, and Paola Piscopo
- Subjects
Male ,medicine.medical_specialty ,Visual acuity ,macular degeneration ,Binocular summation ,genetic structures ,central vision loss ,media_common.quotation_subject ,Visual Acuity ,Fixation, Ocular ,Audiology ,Contrast Sensitivity ,Vision, Monocular ,Reading (process) ,medicine ,Contrast (vision) ,Humans ,Prospective Studies ,Scotoma ,media_common ,Vision, Binocular ,Monocular ,Blind spot ,Original Articles ,Middle Aged ,binocular inhibition ,Sensory Systems ,eye diseases ,Ophthalmology ,Stereopsis ,Reading ,binocular summation ,Original Article ,Female ,medicine.symptom ,Psychology ,Words per minute ,Optometry - Abstract
Purpose There are conflicting reports as to whether there is a binocular advantage or disadvantage when reading with central vision loss. This study examined binocular reading summation in patients with macular degeneration. Methods Seventy‐one patients with bilateral central vision loss [mean age: 63 (S.D. = 21) years] participated. Reading performances during binocular and monocular viewing with the better eye (i.e., the eye with the best monocular visual acuity) were evaluated using different versions of the Italian MNREAD reading chart (www.precision‐vision.com). Fixation stability and preferred retinal loci (PRLs) were recorded monocularly for each eye. The overall sample was split into inhibition, equality, and summation groups based on the binocular ratio (i.e., binocular/monocular) of the maximum reading speed. Results 41% of patients experienced binocular inhibition, 42% summation, and 17% equality. Binocular reading speed of the inhibition group was approximately 30 words per minute slower than those of the equality and summation groups, although the inhibition group had the best visual acuity. These patients generally had monocular PRLs in non‐corresponding locations temporal or nasal to the scotoma, had the largest interocular acuity difference and lacked residual stereopsis. The three groups did not differ in fixational control, contrast sensitivity or critical print size. Conclusions Equal proportions of patients with central vision loss show binocular reading summation and inhibition. Patients with binocular reading inhibition have poorer reading performance and different clinical characteristics than those with binocular reading summation and equality.
- Published
- 2020