Evidence map›Paper›PMID 27106623›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2016

Fiat Lux: the effect of illuminance on acuity testing.

Laurence P Tidbury, Gabriela Czanner, David Newsham

Abstract read
In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Article
  2. Article
  3. Effects on Stereopsis Under Different Lighting Conditions.The British and Irish orthoptic journal · 2026
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  12. Classification of Presbyopia by Severity.Ophthalmology and therapy · 2022
    Article
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  18. The influence of age, refractive error, visual demand and lighting conditions on accommodative ability in Malay children and adults.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2019
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Laurence P TidburyDirectorate of Orthoptics and Vision Science, University of Liverpool, Thompson Yates Building, Brownlow Hill, Liverpool, L69 3GB, UK.
Gabriela CzannerDepartment of Biostatistics, University of Liverpool, Liverpool, UK.
David NewshamDirectorate of Orthoptics and Vision Science, University of Liverpool, Thompson Yates Building, Brownlow Hill, Liverpool, L69 3GB, UK. d.newsham@liv.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the effect of changing illuminance on visual and stereo acuity.

methodsTwenty-eight subjects aged 21 to 60 years were assessed. Monocular visual acuity (ETDRS) of emmetropic subjects was assessed under 15 different illuminance levels (50-8000 lux), provided by a computer controlled halogen lighting rig. Three levels of myopia (-0.50DS, -1.00DS & 1.50DS) were induced in each subject using lenses and visual acuity (VA) was retested under the same illuminance conditions. Stereoacuity (TNO) was assessed under the same levels of illuminance.

resultsA one log unit change in illuminance level (lx) results in a significant change of 0.060 LogMAR (p < 0.001), an effect that is exacerbated in the presence of induced myopic refractive error (p < 0.001). Stereoacuity scores demonstrate statistically significant overall differences between illuminance levels (p < 0.001).

conclusionsThe findings of this study demonstrate that changes in illuminance have a statistically significant effect on VA that may contribute to test/retest variability. Increases in illuminance from 50 to 500 lx resulted in an improved VA score of 0.12 LogMAR. Differences like these have significant clinical implications, such as false negatives during vision screening and non-detection of VA deterioration, as the full magnitude of any change may be hidden. In research where VA is a primary outcome measure, differences of 0.12 LogMAR or even less could affect the statistical significance and conclusions of a study. It is recommended that VA assessment always be performed between 400 lx and 600 lx, as this limits any effect of illuminance change to 0.012 LogMAR.

Indexed as

LightingAdultFemaleHumansMaleMiddle AgedMyopiaVision, BinocularVision TestsVisual AcuityYoung AdultIlluminationLightingMyopiaStereoacuityVisionVisual acuity

Identifiers

PMID27106623
PMCPMC4884565

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.