Purpose. The aim of the study is to investigate whether applications for mobile devices are suitable for the professional determination of visual acuity. Material and Methods. The best-corrected logMAR was determined in 25 healthy subjects (age: 25.7 ± 6.7; Vcc ≥ 1.0) using the Konan Acuity and the Snellen chart applications with letters (B) and with Landolt rings at 4 orientations (L) both without an additional lens (0) and with additional spherical lenses +0.50 D (0.5) or +1.00 D (1.0), and compared with the logMAR determined on the corresponding ETDRS charts. Furthermore, the best-corrected logMAR was investigated for 6 of the 25 participants on the tablet at three different screen brightnesses (80, 200 and 370 cd/m²). Results. For the Konan Acuity app, the following mean values and significant logMAR differences to the ETDRS charts were determined: B0: −0.20; ∆ = −0.03 (p = 0.045); B0.5: −0.13; ∆ = −0.04; (p < 0.001); B1.0: 0.06; ∆ = −0.08 (p < 0.001); L0: −0.20; ∆ = −0.06 (p < 0.001); L0.5: −0,13; ∆ = −0.09 (p < 0.001); L1.0: 0.08; ∆ = −0.11 (p < 0.001). For the Snellen chart app, the following mean values and significant logMAR differences to the ETDRS charts were determined: B0: −0.22; ∆ = −0.05 (p < 0.001); B0.5: −0.16; ∆ = −0.07 (p < 0.001); B1.0: 0.05; ∆ = −0.09 (p < 0.001); L0: −0.23; ∆ = −0.08 (p < 0.001); L0.5: −0.17; ∆ = −0.12 (p < 0.001); L1.0: 0.08; ∆ = −0.11 (p < 0.001). The median logMAR differences between the different screen brightnesses were 0.02 (80 – 200 cd/m²) and 0.00 (370 – 200 cd/m²). Conclusion. At ideal screen brightness, both applications show significant differences to the ETDRS charts. However, these can be regarded as tolerable in clinical practice, at least in young, healthy eyes. The measurements with deviating screen brightness show only minor differences. With the right app, tablets are suitable for determining visual acuity in everyday clinical practice, but are unsuitable for scientific or expert purposes. Keywords Visual acuity, ETDRS chart, Konan acuity chart, Snellen chart
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