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March 12, 2013; 80 (11 Supplement 3) NIH Toolbox for assessment of neurological and behavioral function

Vision assessment using the NIH Toolbox

Rohit Varma, Roberta McKean-Cowdin, Susan Vitale, Jerry Slotkin, Ron D. Hays
First published March 11, 2013, DOI: https://doi.org/10.1212/WNL.0b013e3182876e0a
Rohit Varma
From the Departments of Ophthalmology (R.V.) and Preventive Medicine (R.M.-C.), University of Southern California Keck School of Medicine, Los Angeles; Division of Epidemiology and Clinical Applications (S.V.), National Eye Institute, National Institutes of Health, Bethesda, MD; Department of Medical Social Sciences (J.S.), Northwestern University, Chicago, IL; and Department of Medicine (R.D.H.), UCLA, Los Angeles, CA.
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Roberta McKean-Cowdin
From the Departments of Ophthalmology (R.V.) and Preventive Medicine (R.M.-C.), University of Southern California Keck School of Medicine, Los Angeles; Division of Epidemiology and Clinical Applications (S.V.), National Eye Institute, National Institutes of Health, Bethesda, MD; Department of Medical Social Sciences (J.S.), Northwestern University, Chicago, IL; and Department of Medicine (R.D.H.), UCLA, Los Angeles, CA.
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Susan Vitale
From the Departments of Ophthalmology (R.V.) and Preventive Medicine (R.M.-C.), University of Southern California Keck School of Medicine, Los Angeles; Division of Epidemiology and Clinical Applications (S.V.), National Eye Institute, National Institutes of Health, Bethesda, MD; Department of Medical Social Sciences (J.S.), Northwestern University, Chicago, IL; and Department of Medicine (R.D.H.), UCLA, Los Angeles, CA.
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Jerry Slotkin
From the Departments of Ophthalmology (R.V.) and Preventive Medicine (R.M.-C.), University of Southern California Keck School of Medicine, Los Angeles; Division of Epidemiology and Clinical Applications (S.V.), National Eye Institute, National Institutes of Health, Bethesda, MD; Department of Medical Social Sciences (J.S.), Northwestern University, Chicago, IL; and Department of Medicine (R.D.H.), UCLA, Los Angeles, CA.
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Ron D. Hays
From the Departments of Ophthalmology (R.V.) and Preventive Medicine (R.M.-C.), University of Southern California Keck School of Medicine, Los Angeles; Division of Epidemiology and Clinical Applications (S.V.), National Eye Institute, National Institutes of Health, Bethesda, MD; Department of Medical Social Sciences (J.S.), Northwestern University, Chicago, IL; and Department of Medicine (R.D.H.), UCLA, Los Angeles, CA.
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Citation
Vision assessment using the NIH Toolbox
Rohit Varma, Roberta McKean-Cowdin, Susan Vitale, Jerry Slotkin, Ron D. Hays
Neurology Mar 2013, 80 (11 Supplement 3) S37-S40; DOI: 10.1212/WNL.0b013e3182876e0a

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Abstract

Vision is a sensation that is created from complex processes and provides us with a representation of the world around us. There are many important aspects of vision, but visual acuity was judged to be the most appropriate vision assessment for the NIH Toolbox for Assessment of Neurological and Behavioral Function, both because of its central role in visual health and because acuity testing is common and relatively inexpensive to implement broadly. The impact of visual impairments on health-related quality of life also was viewed as important to assess, in order to gain a broad view of one's visual function. To test visual acuity, an easy-to-use software program was developed, based on the protocol used by the E-ETDRS. Children younger than 7 years were administered a version with only the letters H, O, T, and V. Reliability and validity of the Toolbox visual acuity test were very good. A 53-item vision-targeted, health-related quality of life survey was also developed.

Footnotes

  • Go to Neurology.org for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.

  • Received June 21, 2012.
  • Accepted January 10, 2013.
  • © 2013 American Academy of Neurology
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