Orientational contrast sensitivity and chromatic contrast thresholds in multiple sclerosis.

PURPOSE

To investigate abnormalities of orientational contrast sensitivity (CS) and chromatic contrast threshold (CCT) in multiple sclerosis (MS).

DESIGN

Case control study.

METHODS

Nine subjects (mean age, 42 +/- 11 years; range, 20-62 years) with MS, an expanded disability status scale of 3 or less, and normal visual acuity (VA) (logarithm of the minimum angle of resolution [logMAR] VA less than.1) in the tested eye were age-matched with 20 controls. Achromatic CS and CCT were measured using static, computer-generated sinusoidal gratings displayed on a high-resolution monitor. The CS and CCT of each subject were determined using a randomized double-staircase reversal algorithm; CS was measured at five spatial frequencies with horizontal orientation and three with vertical orientation; CCT was measured along the red-green and tritan confusion axes. The sensitivity thresholds of subjects were examined in relation to the mean sensitivity of controls for each spatial frequency.

RESULTS

Two subjects had loss of horizontal and vertical CS, and three had isolated vertical loss. When compared with the control mean, there were significant reductions in red-green (P =.016) and tritan (P =.016) discrimination thresholds.

CONCLUSION

This study used a computerized psychophysical test designed to minimize many of the test errors associated with earlier studies. It provides confirmatory evidence that MS may be associated with a loss of orientational CS and color vision, in the absence of reduced VA.