Sixty young (18-25 years) and 91 older volunteers (60-87 years) were tested for static visual acuity under six different luminance levels ranging from 245.5 cd/m2 (photopic) to 0.2 cd/m2 (mesopic). The results showed significant differences in log decimal acuity and in passing a 20/40 acuity criterion score as a function of age and luminance level. There were no differences, however, in comparisons between young subjects and those aged 60-64. It seems, therefore, that when using visual acuity measures, as is done for driver licensing, 65 years is the critical age after which visual acuity becomes significantly poorer under conditions of degraded illumination. The implications for issuing driver's licenses to individuals over age 65 based on standard visual acuity testing are discussed.
Rod sensitivity was measured with a criterion-free psychophysical method at 10 deg in the horizontal meridian of the nasal field of the left eye on 26 young (mean age, 24.1 yr) and 14 older (mean age 72.6 yr) observers in good ocular health. A 1 deg, 90 msec stimulus was delivered by means of a free-viewing optical system under computer control. Stimulus wavelengths were chosen to have either significant (406 nm) or minimal (560 nm) absorption by the older lens. After correction for senile miosis and lens density, 0.39 log unit higher thresholds for the older observers remained and are interpreted as being due to neural factors.
Comprehension of typewritten informed consent information was evaluated for young-old (60-69 years) through old-old (80-89 years) volunteers as a function of years of education (less than 12, 12, and greater than 12), readability of information (low [college level] vs high [7th grade]), and typeface used in the preparation of the materials (Prestige Elite 72, Letter Gothic, and Orator). All volunteers (N = 235) read a typewritten information sheet and retained it for review while answering eight multiple choice questions. Immediate feedback was provided, and a second test was administered if any answers were incorrect. The findings indicated that comprehension varied directly with education and inversely with age. Typeface and age interacted due to age-related differences with the two smaller (Prestige Elite and Letter Gothic), but not with the largest of the typefaces (Orator). These findings suggest that the observed age-related differences may have been due to visual and not cognitive deficits. Readability did not affect performance either by itself or in combination with any other variable.
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