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Some clinics do not have 6-metre eye lanes available, and either a half-size chart subtending the same angles at 3 metres (9.8 ft), or a reversed chart projected and viewed by a mirror is used to achieve the correct sized letters. In the most familiar acuity test, a Snellen chart is placed at a standard distance: 6 metres.
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.
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]
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.
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[2] [3] Many eye conditions are associated with systemic health, and many diseases can have manifestations in the eye. Certain systematic medications can carry ocular side effects and warrant routine eye exams. [3] Personal and family history of eye diseases can help providers identify individuals at higher risk, allowing for early interventions.