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ORIGINAL ARTICLE Visual Acuity While Walking and Oscillopsia Severity in Healthy Subjects and Patients With Unilateral and Bilateral Vestibular Function Loss Nils Guinand, MD; Mark Pijnenburg, MSc; Maurice Janssen, PhD; Herman Kingma, PhD Objectives: To assess visual acuity (VA) while the pa- Main Outcome Measures: Differences in VA at 2, 4, tient is walking and to evaluate oscillopsia severity in pa- and 6 km/h and oscillopsia severity score. tients with bilateral vestibulopathy (BV) and in patients with unilateral vestibular loss (UVL). Results: As a group, patients with BV showed a signifi- cant increase of the VA differences compared with healthy subjects (P .001) and patients with UVL (P .001) for Design: Prospective study with a group of patients with all 3 walking velocities. Normality thresholds were de- BV, a group of patients with UVL, and a control group fined as healthy subjects’ 95% CI. Sensitivity of the test of healthy subjects. was 97% for discriminating patients with BV. Moderate to extreme oscillopsia severity was found in 81% of pa- Setting: Tertiary academic center. tients with BV and in 9% of patients with UVL. Differ- ences in VA did not correlate with oscillopsia severity Participants: Thirty seven patients with BV(age
JAMA Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Mar 1, 2012
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