Low-contrast vision

Low-contrast vision assessments on iPhone and iPad

Guided low-contrast tasks to help track subtle visual changes.

What this helps track

Guided on-screen tasks with reduced-contrast letters and shapes help track subtle changes in visual sensitivity over time.

Why it matters

Low-contrast visual changes can be an early indicator of neurologic shifts, particularly for people living with multiple sclerosis. Repeating short, structured tasks makes it easier to notice trends that everyday vision checks may miss.

What this assessment measures

Low-contrast letter acuity is a well-recognized marker of subtle visual pathway change and is used in MS clinical research and care to complement standard high-contrast acuity. Alumina's task samples letter identification at reduced contrast so that gradual shifts, often unnoticed in everyday vision, can be tracked across weeks and months.

How it works

What a typical session looks like

Each session is short and guided end-to-end, so you can focus on the task.

  1. 1Sit in a well-lit room and hold the device at a comfortable, consistent distance.
  2. 2Wear your usual glasses or contacts if you use them.
  3. 3Identify letters as they appear at decreasing contrast levels.
  4. 4Complete the session with each eye and both eyes together as guided.
  5. 5Repeat weekly or on a schedule that fits your care plan.

What your results show

You'll see a per-eye contrast score and how it compares with your recent range. Reviewers look for meaningful directional change rather than a single session, and often correlate results with fatigue, temperature, or MS relapse history.

Example tasks

Guided assessments in this category

Tasks are designed to be short, repeatable, and easy to complete on iPhone or iPad.

  • Low-contrast letter recognition
  • Faded shape identification
  • Contrast sensitivity prompts
  • Repeated baseline check-ins
Commonly used for

Conditions where this assessment is often used

Alumina is a tracking tool, not a diagnostic device. These are conditions where this category is commonly used to monitor change over time.

Common questions

Frequently asked questions

Quick answers about the low-contrast vision assessment on Alumina Health.

Is this a replacement for an eye exam?

No. Comprehensive eye care requires an in-person examination by a qualified professional. Alumina supports at-home tracking of contrast sensitivity trends and does not diagnose eye disease.

Why low contrast specifically?

Standard eye charts test high-contrast acuity, which can remain normal even when subtle changes in the visual pathway are present. Low-contrast tasks are more sensitive to these changes, particularly in MS.

Should I run the test with each eye?

Yes. Alternating between eyes and testing both together helps surface asymmetries that may be relevant to a clinical discussion.

Does room lighting matter?

It matters a lot. Try to run the task in similar lighting each time so results stay comparable, and note any changes in setup at the end of the session.

Who it may help

Helpful for monitoring related concerns

  • People living with multiple sclerosis (MS)
  • People monitoring vision-related neurologic change
  • Caregivers tracking subtle visual shifts

Alumina Health is designed to support structured tracking, not diagnosis. Always consult a qualified healthcare professional for medical advice.

Related

Other assessment categories

Alumina Health is now available on iPhone and iPad

Download Alumina Health today and take advantage of special launch pricing through June 30, 2026, designed for patients, caregivers, and ongoing care discussions.

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