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Deborah D. Hargadon; Jeffrey Wood; J. Daniel Twelker, OD, PhD; Erin M. Harvey, PhD; Velma Dobson, PhD

Arch Ophthalmol. 2010;128(1):70-74. doi:10.1001/archophthalmol.2009.343

Objective  To measure monocular distance visual acuity (VA), grating VA, contrast sensitivity, and visual field extent in full-term, 6-year-old children.

Methods  Subjects were 59 healthy full-term children aged 5.8 to 6.3 years who had no ocular abnormalities and no myopia of 1.00 diopter (D) or greater, hyperopia of 4.00 D or greater, astigmatism of 1.50 D or greater, or anisometropia of 1.50 D or greater spherical equivalent or cylinder, as evaluated by a standard eye examination with cycloplegic refraction. All were tested monocularly for recognition acuity (Early Treatment Diabetic Retinopathy Study VA charts), grating acuity (Teller acuity cards), contrast sensitivity (Pelli-Robson contrast sensitivity charts), and visual field extent (white-sphere kinetic perimetry).

Results  Right and left eye values did not differ significantly. Mean values for the right eye were 0.040 logMAR (SD, 0.075 log units) for Early Treatment Diabetic Retinopathy Study VA, 24.5 cycles per degree (SD, 0.3 octaves) for grating acuity, and 1.63 (SD, 0.12 log units) for contrast sensitivity. Mean visual field extent for the inferonasal, superonasal, superotemporal, and inferotemporal meridians was 59.1° (SD, 9.7°), 57.8° (SD, 9.6°), 71.2° (SD, 12.3°), and 100.4° (SD, 6.6°), respectively.

Conclusions  The results provide additional normative monocular data on visual function in 6-year-old children and indicate that their thresholds are less than those of adults for distance recognition VA, grating VA, and contrast sensitivity, but similar to those of adults for white-sphere kinetic perimetry.

Author Affiliations: Department of Ophthalmology and Vision Science (Ms Hargadon, Mr Wood, and Drs Twelker, Harvey, and Dobson), the College of Public Health (Dr Harvey), and the Department of Psychology (Dr Dobson), University of Arizona, Tucson.

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