Methods and diagnostic tools are provided for assessing contrast sensitivity in a subject in the presence and absence of luminance noise by: i) presenting to the subject a series of scenes, each scene comprising at least a first target having a preselected level of contrast superimposed on a uniform background and a second target having a preselected level of contrast superimposed on a luminance noise background, wherein in each successively presented scene the first and second targets that are superimposed on the uniform background and on the luminance noise background, respectively, have contrast levels that are different from the contrast levels of the first and second targets superimposed on the uniform background and on the luminance noise background, respectively, in the previously presented scene; ii) monitoring responses by the subject to step i); and iii) evaluating the contrast sensitivity of the subject based on the monitored responses.