Measuring What Matters: Beyond Visual Fields to Functional Vision
Introduction Eyesight is more than letters on a chart. While visual field testing is the gold standard for glaucoma and other eye diseases, patients o...
Deep research and expert guides on maintaining your visual health.
Introduction Eyesight is more than letters on a chart. While visual field testing is the gold standard for glaucoma and other eye diseases, patients o...
Introduction Glaucoma is an eye disease that damages the optic nerve, causing peripheral vision loss. Once damage occurs, conventional treatments (lik...
Electrical Stimulation for Glaucoma: Signal Boost or True Neurorestoration? Glaucoma is a leading cause of irreversible vision loss (affecting >70 mil...
Macular Carotenoids (Lutein, Zeaxanthin, Meso-zeaxanthin) Beyond the Macula Introduction: Lutein, zeaxanthin and meso-zeaxanthin are yellow-carotenoid...
Contrast sensitivity is the eye’s ability to detect differences in light and dark between an object and its background, especially when those differences are small. It measures how well you can see objects that do not stand out clearly, such as a gray car on a foggy morning or faint print on a page. This skill is different from sharpness of vision, which is usually tested by reading small letters on an eye chart; someone can have good sharpness but poor contrast sensitivity and still struggle in everyday situations. Tests for contrast sensitivity use patterns or letters at varying levels of contrast and size to find the lowest contrast you can reliably see. Many eye conditions — including aging changes, cataracts, glaucoma, and retinal disease — reduce contrast sensitivity before they affect standard visual acuity. Reduced contrast sensitivity also makes glare from headlights, bright sunlight, or oncoming street lamps more disabling. Because it affects practical tasks like driving at night, reading in dim light, recognizing faces, and moving safely in unfamiliar places, contrast sensitivity is a crucial measure of real-world vision. Treatments and strategies to help include better lighting, higher-contrast materials, anti-glare coatings, vision rehabilitation, and medical or nutritional approaches that support eye health. Detecting problems with contrast sensitivity early can prompt changes that improve daily functioning even when standard eye charts look normal. In short, contrast sensitivity tells us how well a person can see subtle differences in brightness that are essential for safe, comfortable vision in many everyday situations.