Evidence map›Paper›PMID 42920077›Full record

ArticleOphthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)2026

Reading Arabic Under Simulated Low Vision: Orthographic Complexity Shapes the Effect of Contrast Polarity.

Balsam Alabdulkader, Alhanouf Alghannam, Ali Almustanyir, Essam Almutleb, Mosaad Alhassan

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Article in Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Balsam AlabdulkaderOptometry and Vision Sciences, Applied Medical Science College, King Saud University, Riyadh, Saudi Arabia. alabdulkader@ksu.edu.sa.ORCID http://orcid.org/0000-0002-4804-7866
Alhanouf AlghannamOptometry and Vision Sciences, Applied Medical Science College, King Saud University, Riyadh, Saudi Arabia.
Ali AlmustanyirOptometry and Vision Sciences, Applied Medical Science College, King Saud University, Riyadh, Saudi Arabia.ORCID http://orcid.org/0000-0002-3225-3075
Essam AlmutlebOptometry and Vision Sciences, Applied Medical Science College, King Saud University, Riyadh, Saudi Arabia.ORCID http://orcid.org/0000-0001-5465-5924
Mosaad AlhassanOptometry and Vision Sciences, Applied Medical Science College, King Saud University, Riyadh, Saudi Arabia.ORCID http://orcid.org/0000-0002-7986-1326

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeReading is a critical visual task that depends on the resolution of fine character features, and how these features are affected by display variables under degraded viewing conditions remains an important question in clinical psychophysics. While contrast polarity effects on reading have been documented in Latin scripts, evidence from non-Latin orthographies is limited. This study investigated the effect of contrast polarity on Arabic reading performance under simulated visual impairment.

methodsReading acuity (RA), maximum reading speed (MRS) and critical print size (CPS) were assessed in 47 normally sighted adults using the Balsam Alabdulkader-Leat (BAL) reading chart. Testing was conducted under baseline and simulated visual impairment using a Bangerter filter, with both black-on-white and white-on-black charts.

resultsThe simulation significantly degraded all reading measures (MRS, p = 0.001; RA, p < 0.0001; CPS, p < 0.0001). A significant simulation × polarity interaction was found for RA (p < 0.0001), with black-on-white charts producing better visual acuity at baseline and white-on-black producing better visual acuity under simulated impairment. Chart polarity did not affect MRS (p = 0.38) or CPS (p = 0.82) significantly.

conclusionArabic relies on small, high-spatial-frequency features such as dots for letter discrimination, which appear to modulate how contrast polarity interacts with optical degradation at threshold. These findings provide preliminary evidence that may guide future studies of reading performance in Arabic-speaking patients with visual impairment.

Indexed as

ArabicBangerter filtersContrast polarityLow visionReading performance

Identifiers

PMID42920077

What OpenQuestion holds

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Registered trials

None linked

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.