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Near visual acuity or near vision is a measure of how clearly a person can see nearby small objects or letters.Visual acuity in general usually refers clarity of distance vision, and is measured using eye charts like Snellen chart, LogMAR chart etc. Near vision is usually measured and recorded using a printed hand-held card containing different sized paragraphs, words, letters or symbols.
A Snellen chart is an eye chart that can be used to measure visual acuity. Snellen charts are named after the Dutch ophthalmologist Herman Snellen who developed the chart in 1862 as a measurement tool for the acuity formula developed by his professor Franciscus Cornelius Donders .
For 6/6 = 1.0 acuity, the size of a letter on the Snellen chart or Landolt C chart is a visual angle of 5 arc minutes (1 arc min = 1/60 of a degree), which is a 43 point font at 20 feet. [10] By the design of a typical optotype (like a Snellen E or a Landolt C), the critical gap that needs to be resolved is 1/5 this value, i.e., 1 arc min.
An example of the Landolt C eye chart (also known as the Japanese eye chart.). Numerous types of eye charts exist and are used in various situations. For example, the Snellen chart is designed for use at 6 meters or 20 feet, and is thus appropriate for testing distance vision, while the ETDRS chart is designed for use at 4 meters. [16]
The entire process of Subjective Refraction involves the patient fixating at the Snellen Chart, whilst the clinician presents a variety of lenses and alters the power of the lenses in the trial frames according to the patient's subjective responses regarding improvements to their vision.
Whereas for adults a small Snellen chart letter or number can be used. [1] Distance Targets (6m) Spotlight – In those patients with amblyopia a spotlight could be used. (Same as near targets). [1] Snellen chart – This is the most commonly used target when assessing a patient's far component of a cover test. [1]
The chart contains rows of the letter "E" in various kinds of rotation. The patient is asked to state (usually by pointing) where the limbs of the E are pointing, "up, down, left or right." Depending on how far the patient can "read", his or her visual acuity is quantified. It works on the same principle as Snellen's distant vision chart.
The MNREAD chart consists of sentences with print size decreasing by 0.1 log unit steps, from 1.3 logMAR (Snellen equivalent 20/400 at 40 cm) to −0.5 logMAR (Snellen equivalent 20/6). [4] Charts are available in many languages. It allows near visual acuity recording in logMAR notation, Snellen notation or M-units. [5]