Concept of functional visual acuity and its applications

Minako Kaido, Murat Dogru, Reiko Ishida, Kazuo Tsubota

Research output: Contribution to journalArticlepeer-review

82 Citations (Scopus)


Functional visual acuity (FVA) has been suggested to reflect an individual's performance in relation to certain daily activities involving visual tasks. The concept of FVA has been thought applicable to the detection of masked impairment of visual function in patients with dry eye who complain of decreased visual acuity despite normal conventional visual acuity. A stable tear-film layer over the surface of the cornea is essential for a smooth ocular surface and the formation of clear visual images. In dry eye, the ocular surface tends to dry out when normal blinking is suppressed during gazing, and patients with dry eye may have problems maintaining clear vision while gazing. The FVA measurement system is a device to measure changes in continuous visual acuity over time. Visual maintenance ratio (VMR) is the ratio between FVA and baseline visual acuity. FVA and VMR are indices for the assessment of functional vision. FVA has been thought applicable to the detection of changes in functional vision in relation to the tear film over the ocular surface. It may also be useful for the assessment of subjective visual complaints in diseases that do not involve dry eye.

Original languageEnglish
Pages (from-to)S29-S35
Issue numberSUPPL. 1
Publication statusPublished - 2007 Oct
Externally publishedYes


  • Dry eye
  • Functional visual acuity
  • Stevens-Johnson syndrome
  • Tear film
  • Visual maintenance ratio

ASJC Scopus subject areas

  • Ophthalmology


Dive into the research topics of 'Concept of functional visual acuity and its applications'. Together they form a unique fingerprint.

Cite this