Contrast sensitivity functions (CSFs) were determined on a large group of patients with macular degeneration to better assess qualitative aspects of their residual vision. Contrast sensitivity was also determined through the telescopic low-vision aids of selected patients. In general, the patients have a substantial loss of contrast sensitivity for all spatial frequencies. The preferred eye of these patients appeared to be related to the peak of the CSF more so than to the Snellen visual or resolution acuity. Through the low-vision aid, not only was there the predictable increase in resolution acuity but also a notable increase in peak contrast sensitivity. These findings indicate that contrast sensitivity testing provides useful information that should be considered in the visual rehabilitation of the patient with macular degeneration.