Effect of Vitamin D Deficiency on Contrast Sensitivity Function

Curr Eye Res. 2020 Dec;45(12):1619-1624. doi: 10.1080/02713683.2020.1781194. Epub 2020 Jun 18.

Abstract

Purpose: The purpose of this study is to investigate the effects of vitamin D (vit D) deficiency on contrast sensitivity (CS) function and retinal layers.

Materials and methods: Group 1 consisted of 42 patients aged between 18 and 50 years with vit D deficiency and Group 2 consisted of sex- and age-matched 34 healthy subjects with normal vit D levels. Functional acuity contrast testing (FACT) was performed using the Optec 6500 vision testing system. The average retinal nerve fiber layer (RNFL) thickness and macular thickness (MT) obtained from nine macular areas in the Early Treatment Diabetic Retinopathy Study were evaluated using SD-OCT (RS-3000; Nidek Inc., Fremont, CA, USA) following a detailed ophthalmologic examination. Measurements were performed on both eyes.

Results: A lower CS was found in Group 1 compared to Group 2 in all spatial frequencies. A statistically significant difference was observed between the groups in 6, 12 and 18 cpd spatial frequencies, respectively. (p = .004, p = .001, p = .042, respectively). There was no statistically significant difference between groups in terms of RNFL thicknesses (p = .200). There was an increase in MT in Group 1. However, this increase was statistically significant in the inferior inner area in the right eye, and in the inferior inner, temporal inner and outer macular areas in the left eye (p = .018, p = .003, p = .033, p = .040, respectively).

Conclusion: It was observed that vit D deficiency had negative effects on CS function and also caused thickness difference in certain segments of retinal layers.

Keywords: Contrast sensitivity; macular thickness; retinal nerve fiber layer; visual function; vitamin D deficiency.

MeSH terms

  • Adolescent
  • Adult
  • Contrast Sensitivity / physiology*
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nerve Fibers / pathology
  • Prospective Studies
  • Retina / diagnostic imaging
  • Retina / physiopathology
  • Retinal Ganglion Cells / pathology
  • Tomography, Optical Coherence
  • Visual Acuity / physiology
  • Vitamin D / blood
  • Vitamin D Deficiency / physiopathology*
  • Young Adult

Substances

  • Vitamin D