Small letter contrast sensitivity: an alternative measure of visual resolution for aviation candidates.

Exceptional vision is needed to maintain high levels of aviation performance. Current standards for helicopter pilot training include superior visual acuity with minimal refractive error. Despite these demanding criteria, it is likely that visual ability varies among those who meet the standards for pilot training. A more complete knowledge of visual capabilities in these individuals will allow us to better correlate vision with performance and to develop more incisive criteria for selection. The purpose of this study was to investigate an alternative test of visual resolution for aviation candidates using small letter contrast sensitivity (SLCS). Computer-generated letter charts were used to measure visual acuity (VA) and SLCS in 16 candidates who had satisfied military vision standards for pilot training. The acuity and contrast charts varied, by line, in equal log steps such that the letter recognition task was comparable for the two types of measurement. VA and SLCS were highly correlated in these subjects, indicating that the two tests measure similar aspects of visual resolution. Scores were distributed across two lines on the acuity chart, but across four lines on the contrast chart, suggesting that SLCS offers a more discriminating test of resolution. This assumption was confirmed in that SLCS was more highly correlated with small amounts of refractive error in the candidates tested. SLCS offers a sensitive, adjunctive measure of visual resolution which may be useful for identifying the unique visual abilities required for aviation.