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Degradation of Visual Performance by Comparing After Low-Illumination Conditions

Francesco Martino

Purpose: To evaluate the influence of alcohol consumption on the retinal-image quality and visual performance under surrounding low-illumination conditions.

Methods: A volunteer sample of 67 subjects was analyzed. Optical quality of the eye was evaluated by means of the Strehl ratio, the Objective Scattering Index (OSI), and the tear-film quality. We used the visual disturbance index (VDI) to evaluate visual performance under low-illumination conditions and we measured the pupil size under these conditions. The tear film volume was also measured. All measurements were made before and after alcohol consumption and patients were classified into two groups depending on their breath alcohol content (BrAC): low-alcohol (BrAC < 0.25 mg/L) and high-alcohol content.

Results: The VDI was significantly higher after alcohol consumption: the higher the BrAC, the higher the deterioration of the visual discrimination capacity. The pupil size increased significantly for the high-BrAC group. Parameters evaluating optical quality deteriorated after alcohol consumption.

Conclusion: The visual performance under low-illumination conditions and the retinal-image quality were deteriorated after alcohol consumption, especially for the high-alcohol group. Furthermore, some physiological changes were observed under effects for high-alcohol contents, such as an increase in the pupil size and disturbances in the tear film, which deteriorated optical quality.