In standard vision testing, an eye chart is viewed in high contrast conditions, where black letters or numbers of varying sizes are sharply displayed against well-lit, white backgrounds. But the real world is full of shades of grey in which people hampered by poor contrast sensitivity can have serious problems seeing distinct images under certain conditions.
Even if you have 20/20 vision, you could have poor contrast sensitivity. Contrast sensitivity testing is important because it allows Optometrists to determine how well you function in real-world conditions where objects may "blend" and become indistinguishable in backgrounds with similar colouring. In addition this measurement gives a more realistic assessment of sports related acuity.
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