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Effect of variable tinted spectacle lenses on visual performance in control subjects

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To evaluate quantitatively the effects of tinted spectacle lenses on visual performance in individuals without visual pathology. Twenty-five subjects were assessed by measuring contrast sensitivity with and without glare. Gray, brown, yellow, green, purple, and blue lens tints were evaluated. Measurements were repeated with each lens tint and with a clear lens, and the order was counterbalanced within and between subjects. Glare was induced with a modified brightness acuity tester. All subjects demonstrated an increase in contrast thresholds under glare conditions for all lens tints. However, purple and blue lens tints resulted in the least amount of contrast threshold increase; the yellow lens tint resulted in the largest contrast threshold increase. Purple and blue lens tints may improve contrast sensitivity in control subjects under glare conditions.
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Effect of Variable Tinted Spectacle Lenses on
Visual Performance in Control Subjects
Jason E. Lee, Jonathan J. Stein, M.D., Meredith B. Prevor,
William H. Seiple, Ph.D., Karen Holopigian, Ph.D.,
Vivienne C. Greenstein, Ph.D., Susan M. Stenson, M.D.
Purpose. To evaluate quantitatively the effects of tinted spectacle
lenses on visual performance in individuals without visual pathol-
ogy. Methods. Twenty-five subjects were assessed by measuring
contrast sensitivity with and without glare. Gray, brown, yellow,
green, purple, and blue lens tints were evaluated. Measurements
were repeated with each lens tint and with a clear lens, and the
order was counterbalanced within and between subjects. Glare was
induced with a modified brightness acuity tester. Results. All
subjects demonstrated an increase in contrast thresholds under
glare conditions for all lens tints. However, purple and blue lens
tints resulted in the least amount of contrast threshold increase; the
yellow lens tint resulted in the largest contrast threshold increase.
Conclusions. Purple and blue lens tints may improve contrast
sensitivity in control subjects under glare conditions.
Key Words: Contrast sensitivity—Contrast threshold—Tinted
lenses—Colored lenses—Variable tint lenses—Glare testing—
Disability glare.
Vision researchers have long tried to elucidate whether colored
lenses have an effect on visual performance. In a review of nearly
100 published reports, Clark
1
noted a variety of anecdotal benefits
from filters of various types and colors, although little objective
data was available. More recently, there have been some data
suggesting improved clarity of vision and reduced glare using
yellow-tinted lenses.
2
Yellow filters may also improve the contrast
sensitivity function of normal observers,
2
although this has been
disputed.
3
The use of yellow-tinted lenses improves reaction time
of normal subjects in response to grating stimuli, particularly
low-contrast targets of intermediate spatial frequencies.
4
In addi-
tion, yellow-tinted lenses may increase the apparent brightness of
large targets under daylight conditions.
5
Although recent studies
have examined the effects of yellow lenses, which have been
preferred by aviation pilots, marksmen, skiers, and people with
low vision, objective data for a variety of different colored lenses
are not readily available.
Contrast sensitivity is a measure of the amount of contrast
required to detect or recognize a target, and it describes one’s
ability to recognize large, low-contrast patterns. This test has been
promoted for use in clinical vision testing, and it differs from
standard visual acuity testing, which measures the ability to re-
solve fine detail at high contrast.
6
Following the work of early
pioneers,
7–9
most researchers have used patterns of alternating
light and dark bars called sine-wave gratings, which can vary in
spatial frequency (the number of light-dark cycles per degree). A
graphical representation of contrast sensitivity as a function of the
spatial frequency is called the contrast sensitivity function, which
may vary with age and ocular pathology.
10
The lowest degree of
contrast that an observer may consistently detect is called the
contrast threshold, and thus a lower threshold corresponds to better
visual performance.
Disability glare refers to the reduced visibility of a target caused
by the presence of a light source elsewhere in the visual field.
Opacities and inconsistencies in the ocular media cause intraocular
light scatter, which reduces the contrast of the image on the retina.
6
Disability glare testing measures the extent to which the glare
source impairs visibility of the target,
11
and it serves as a method
for isolating vision loss due to intraocular light scatter.
12
The goal of this study was to evaluate the effects of tinted
spectacle lenses of various colors on contrast sensitivity and
disability glare testing in subjects without ocular pathology.
METHODS
Twenty-five subjects (mean age 26.8 2.55 years; 17 men, 8
women) with no known visual pathology were enrolled in the
study. Best-corrected monocular letter acuity ranged from 20/15
to 20/25.
A clear lens and the following tinted lenses with 50% transmit-
tance were used in the study: gray, brown, yellow, green, purple,
and blue (equivalent to activated variable tint lenses, provided by
Transitions Optical, Inc., Pinellas Park, FL). Transmittance and
color values (Table 1) as well as absorption spectra for each lens
are provided (Fig. 1).
Best-corrected monocular contrast thresholds were measured
using computer software (Morphonome Image Psychophysics
Software, version 4.0, Smith-Kettlewell Eye Research Institute,
San Francisco, CA). Subjects were placed at a viewing distance of
1.44 m. The computer monitor was illuminated with two light
sources (Sylvania Par 38 floodlight, 150 W, 130 V; OSRAM
Accepted November 16, 2001.
From the Department of Ophthalmology, New York University Medical
Center, New York, New York.
Address reprint requests to William H. Seiple, Ph.D., 550 First Avenue,
NB 5N16, New York, NY 10016. Address correspondence to Susan
Stenson, M.D., 550 First Avenue, NB 5N18, New York, NY 10016.
E-mail: suestenson@aol.com.
The CLAO Journal 28(2): 80–82, 2002 © 2002 Lippincott Williams & Wilkins, Inc.
80
Sylvania, Westfield, IN) placed at a distance of 3 m from the
monitor and1mtoeach side of the subject. The stimulus was a
series of achromatic sine wave gratings of 0.4, 1.0, and 4.0 cycles
per degree (cpd). Contrast threshold measurements were repeated
using each of the six tints and a clear lens, and the order of the
lenses was counterbalanced within and between subjects.
The effects of the tinted lenses on contrast thresholds were
quantified with and without glare. Glare was induced with a
modified brightness acuity tester, utilizing a circular light source
(Marvel circular fluorescent, 10 cm diameter, 22 W, 5000 K, 1050
lumens; Marvel Lighting Corp., Peabody, MA) placed 15 cm in
front of the eye such that the line of sight passed through the center
of the light source.
RESULTS
Contrast thresholds varied significantly with spatial frequency,
F
2,48
7.52, P.001, and the lowest threshold was found in the
4.0 cpd condition (Fig. 2). Data were further analyzed for the 4.0
TABLE 1. Lens Characteristics
Lens color Ya*b*
Gray 49.3 0.81 2.06
Brown 50.3 6.9 14.7
Yellow 49.6 6.1 97.6
Green 50.5 18.9 21.2
Purple 50.8 16.3 20.8
Blue 50.2 15.0 30.1
Y, transmittance (%); a
*, red/green color coordinate; b
*, yellow/blue color coordinate.
FIG. 1. Absorbance as a function of the wavelength of light passing through each lens. Absorption
is expressed as a logarithmic function of transmittance (absorbance of 1 10% transmission,
absorbance of 2 1% transmission).
FIG. 2. A comparison of contrast threshold as a function of spatial
frequency under conditions with and without glare.
81EFFECT OF VARIABLE TINTED SPECTACLE LENSES
The CLAO Journal, Vol. 28, No. 2, 2002
cpd condition, using a 2 (glare: glare vs. no glare) 7 (lens color:
clear vs. green vs. gray vs. brown vs. purple vs. yellow vs. blue)
repeated measures analysis of variance. Glare and lens color were
within subject factors. For the 4.0 cpd condition, there was a
significant main effect of glare, F
1,24
7.62, P.011 (M no
glare 1.58, standard deviation [SD] 1.19; M glare 2.20,
SD 2.23). This indicates that control subjects demonstrated a
significant increase in contrast thresholds under glare conditions
for all lens tints. The effect was least for the purple and blue lens
tints, and greatest for the yellow lens tint (Fig. 3). There was not
a significant main effect of lens color, F
6,24
1.44, P.20. There
was also no significant interaction between lens and glare, F
6,144
0.50, P.80.
DISCUSSION
Contrast thresholds were lowest at a frequency of 4.0 cpd, a
result that is consistent with the contrast sensitivity function for
this age group.
10
The glare source was effective in producing a
measurable contrast threshold increase for each of the lenses.
Trends indicate that purple and blue tints may provide some
benefit under conditions of glare. Further studies may be helpful in
examining the possible effects of these colors on visual perfor-
mance.
Although previous reports have described potential benefits of
yellow lenses,
15
this study did not find a measurable improvement
in contrast sensitivity for an achromatic stimulus viewed through a
yellow lens. A recent study offers an explanation for the preference
of yellow lenses by outdoor enthusiasts, such as aviation pilots,
marksmen, and skiers. Yellow lenses improved contrast sensitivity
for a white stimulus upon a blue background, which suggests that
the benefit occurs only in the setting of a predominantly blue
background, such as the sky.
13
Further studies may find measur-
able improvements in contrast sensitivity using a variety of lens
tints to view targets and backgrounds of selected colors.
CONCLUSIONS
Although previous reports have described subjective prefer-
ences for a variety of lens tints, quantifying improvements in
visual performance by objective methods remains a valuable goal.
Purple and blue lenses may improve contrast sensitivity in normal
subjects under conditions of disability glare, and further investi-
gation may be warranted. Future studies may reveal an enhance-
ment in contrast sensitivity using various lens tints to view targets
and backgrounds of selected colors.
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FIG. 3. A comparison of the increase in contrast threshold expe-
rienced with each lens under conditions with glare, relative to
conditions without glare, at a spatial frequency of 4.0 cpd.
82 LEE ET AL.
The CLAO Journal, Vol. 28, No. 2, 2002
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... 80 Blue and purple tinted lenses proved to be effective in reducing large contrast differences produced by glare, leading to notable improvements in both contrast sensitivity and clarity. 66 Similar findings also advocated the use of blue or clear lenses in situations necessitating increased contrast sensitivity at high spatial frequencies. 67 This study revealed that the most prominent improvements were in relation to low spatial frequency content, while were subdued for high spatial frequencies. ...
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