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Impact of the Ability to Divide Attention on Reading Performance in Glaucoma

Swenor, BK; Varadaraj, V; Dave, P; West, SK; Rubin, GS; Ramulu, PY; (2017) Impact of the Ability to Divide Attention on Reading Performance in Glaucoma. Investigative Ophthalmology & Visual Science , 58 (5) pp. 2456-2462. 10.1167/iovs.17-21520. Green open access

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Abstract

PURPOSE: To determine if the ability to divide attention affects the relationship between glaucoma-related vision loss and reading speed. METHODS: Better eye mean deviation (MD), contrast sensitivity (CS), and better-eye distance visual acuity (VA) were measured in 28 participants with glaucoma and 21 controls. Reading speeds were assessed using MNRead, IRest, and sustained silent reading tests (words per minute, wpm). The ability to divide attention was measured using the Brief Test of Attention (BTA; scored 0-10). Multivariable linear regression models were used to determine the relationship between visual factors and reading speeds. Effect modification by BTA score (low BTA: <7; high BTA: ≥7) was examined. RESULTS: Worse CS (per 0.1 log unit) was associated with slower maximum reading speed on MNRead test for participants with low BTA scores (β = -9 wpm; 95% confidence interval [CI]: -16, -2), but not for those with high BTA scores (β = -2 wpm; 95% CI: -6, +2). Similarly, for the IRest test, worse CS was associated with slower reading speeds (β = -12 wpm; 95% CI: -20, -4) among those with low, but not high BTA scores (β = -4 wpm; 95% CI: -10, +2). For the sustained silent reading test, glaucoma status (versus controls), worse visual field (VF) MD (per 5 dB), and worse CS were associated with 39%, 21%, and 19% slower reading speeds, respectively, for those with low BTA scores (P < 0.05), but these associations were not significant among those with high BTA scores (P > 0.1 for all). CONCLUSIONS: Decreased ability to divide attention, indicated by lower BTA scores, is associated with slower reading speeds in glaucoma with reduced CS and VF defects.

Type: Article
Title: Impact of the Ability to Divide Attention on Reading Performance in Glaucoma
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1167/iovs.17-21520
Publisher version: http://doi.org/10.1167/iovs.17-21520
Language: English
Additional information: Copyright 2017 The Authors. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Keywords: Reading, glaucoma, low vision, epidemiology
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Ophthalmology
URI: https://discovery.ucl.ac.uk/id/eprint/1557695
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