TY - JOUR T1 - Does visual acuity predict visual preference in progressive addition lenses? JO - Journal of Optometry T2 - AU - Legras,Richard AU - Vincent,Marc AU - Marin,Gildas SN - 18884296 M3 - 10.1016/j.optom.2022.04.003 DO - 10.1016/j.optom.2022.04.003 UR - https://www.journalofoptometry.org/en-does-visual-acuity-predict-visual-articulo-S188842962200019X AB - PurposeWe aimed to determine if visual acuity (VA) could differentiate the quality of vision with two ophthalmic lenses with unwanted astigmatism. MethodsTwenty presbyopic subjects (48 to 62 years old; VA better than 0.0 logMAR) graded the magnitude of their preference between two progressive addition lenses (plano addition 2.00D) and their visual acuities were measured with both lenses at various eccentricities from -12 to +12 mm from the near vision point every 3 mm in controlled conditions. ResultsThe Lens with the least peripheral astigmatism was preferred by 75% of the subjects. VA measured at the near vision point was statistically worse (p<0.01) with this lens whereas the contrary was observed in the periphery (± 12 and -9 mm of eccentricity). The Friedman test shows that the eccentricity (p<0.001) has a significant effect on visual acuity. However, the lens did not show any significant effect (p=0.76). The choice of the favorite lens was predicted for only 35% when considering central VA (up to 6mm) and 80% of the subjects when considering peripheral VA (9 to 12mm). However, the magnitude of the difference could be predicted by peripheral VA in only 60% of the subjects. ConclusionHigh contrast Visual acuity was clearly able to differentiate the 2 lens designs tested in our experiment. However, even under the controlled conditions of this study, it was not possible to predict the quality of vision, as measured by a subjective appreciation, through progressive addition lenses at various eccentricities from the near vision with an addition of 2.0D. ER -