Table 2. Visual Structure and Function Slope Measures in TBI and Control Subjects: Analysis of Variance and Mixed-Effects Model Results.
Variable | Slope, mean (SE) | F | P value | Cohen d | Mixed-effects model | ||
---|---|---|---|---|---|---|---|
TBI | Controls | Difference in slope, βa,b | P value | ||||
OCT retinal nerve fiber thickness, μm/y (n = 63 TBI; n = 61 controls) | |||||||
Averaged eyes | −1.47 (0.24) | −0.31 (0.32) | 8.42 | .004c | 0.52 | −1.80 | .001c |
OD | −1.55 (0.27) | −0.01 (0.36) | 11.77 | <.001c | 0.62 | −1.50 | .001c |
OS | −1.16 (0.33) | −0.29 (0.52) | 2.01 | .16 | 0.26 | −0.81 | .02c |
OCT ganglion cell layer complex, μm/y (n = 63 TBI; n = 66 controls) | |||||||
Averaged eyes | −0.17 (0.07) | −0.02 (0.09) | 2.00 | .16 | 0.25 | 0.08 | .51 |
OD | −0.20 (0.08) | −0.11 (0.10) | 0.46 | .49 | 0.12 | −0.08 | .58 |
OS | −0.19 (0.06) | 0.01 (0.10) | 2.76 | .10 | 0.29 | −0.19 | .16 |
Visual acuity in change, No. of letters correct per y (n = 60 TBI; n = 62 controls)a | |||||||
Averaged eyes | −0.71 (0.41) | 0.36 (0.45) | 3.08 | .08 | 0.32 | Not analyzed | |
OD | −0.98 (0.50) | −0.10 (0.60) | 1.25 | .27 | 0.20 | −1.50 | .26 |
OS | −0.42 (0.48) | 0.80 (0.53) | 2.93 | .09 | 0.31 | −1.16 | .05 |
Visual field mean deviation, dB/y (n = 60 TBI; n = 64 controls) | |||||||
Averaged eyes | −0.09 (0.14) | 0.46 (0.23) | 4.08 | .046c | 0.36 | Not analyzed | |
OD | −0.004 (0.18) | 0.26 (0.26) | 0.71 | .40 | 0.15 | −0.19 | .46 |
OS | −0.14 (0.14) | 0.66 (0.23) | 8.43 | .004c | 0.52 | −0.52 | .03c |
Visual field pattern standard deviation, dB/y (n = 60 TBI; n = 64 controls) | |||||||
Averaged eyes | 0.09 (0.06) | −0.10 (0.07) | 4.78 | .03c | 0.39 | Not analyzed | |
OD | 0.06 (0.07) | −0.14 (0.08) | 3.23 | .07 | 0.32 | 0.12 | .15 |
OS | 0.11 (0.07) | −0.07 (0.07) | 3.33 | .07 | 0.33 | 0.11 | .11 |
Contrast sensitivity (2 units/y = 0.3 log unit change) (n = 63 TBI; n = 62 controls)d | |||||||
1.5 cpd | |||||||
Averaged eyes | −1.91 (0.99) | 0.20 (0.91) | 2.48 | .12 | 0.28 | Not analyzed | |
OD | −2.04 (1.03) | 2.01 (1.03) | 7.73 | .006c | 0.50 | −3.14 | .008c |
OS | −1.48 (1.22) | −2.39 (1.37) | 0.25 | .62 | 0.09 | 0.56 | .70 |
3 cpd | |||||||
Averaged eyes | 0.44 (1.22) | 0.31 (1.77) | 0.003 | .95 | 0.01 | Not analyzed | |
OD | 1.61 (1.75) | 1.69 (1.82) | 0.001 | .97 | 0.01 | −1.55 | .42 |
OS | −0.51 (1.26) | −0.81 (2.54) | 0.01 | .92 | 0.02 | −0.53 | .78 |
6 cpd | |||||||
Averaged eyes | −0.73 (1.82) | 2.15 (2.06) | 1.11 | .29 | 0.19 | Not analyzed | |
OD | −1.08 (2.17) | 2.74 (2.55) | 1.31 | .25 | 0.20 | −3.86 | .13 |
OS | 0.23 (2.20) | 1.73 (2.40) | 0.21 | .65 | 0.08 | −2.19 | .37 |
12 cpd | |||||||
Averaged eyes | −1.51 (0.93) | 1.49 (0.84) | 5.70 | .02c | 0.43 | Not analyzed | |
OD | −1.51 (1.10) | 1.33 (1.04) | 3.50 | .06 | 0.33 | −1.15 | .39 |
OS | −1.55 (1.01) | 1.78 (1.06) | 5.15 | .02c | 0.41 | −1.26 | .30 |
18 cpd | |||||||
Averaged eyes | −0.30 (0.52) | 0.41 (0.44) | 1.08 | .30 | 0.19 | Not analyzed | |
OD | −0.62 (0.81) | 0.23 (0.54) | 0.76 | .39 | 0.16 | 0.008 | .99 |
OS | 0.02 (0.56) | 0.37 (0.54) | 0.21 | .65 | 0.08 | 0.23 | .69 |
Abbreviations: cpd, cycles per degree; OCT, optical coherence tomography; OD, oculus dexter (right eye); OS, oculus sinister (left eye); TBI, traumatic brain injury.
Visual acuity is measured in number of letters correct; a change in 5 letters = 0.1 logMAR acuity and 1 line of letters on an EDTRS chart. For example, a slope of 1 letter lost per year means that in 5 years, it would be expected that 1 line of letters would be lost (eg, 20/25 worsening to 20/30 visual acuity).
The test of β = 0 assesses whether the mean slopes are the same in the mixed-effects model. Change is defined as the difference from control. If change is negative, TBI slope is less than control slope.
Denotes statistical significance.
For each spatial frequency, 9 sine-wave gratings in 0.15 log contrast sensitivity decrements were presented (eg, a negative slope of 2/y would mean that there was a loss of 0.3 log contrast sensitivity).