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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]
(Top) 0.50 confirmation set; (Middle) trial lens box, including pinhole and occluder; (Bottom) Snellen chart. Subjective Refraction is a technique to determine the combination of lenses that will provide the best corrected visual acuity (BCVA). [1]
Visual acuity is usually measured with a Snellen or LogMAR chart with a lit background to give the reader the best chance of detecting the optotypes (letters or non-letter symbols). Distance visual acuity and near visual acuity are often measured separated.
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 was designed by Ian Bailey [5] and Jan E. Lovie-Kitchin at the National Vision Research Institute of Australia. [1] [3] They described their motivation for designing the LogMAR chart as follows: "We have designed a series of near vision charts in which the typeface, size progression, size range, number of words per row and spacings were chosen in an endeavour to achieve a ...