Optotypes
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Optotypes
__NOTOC__ An eye chart, or optotype, is a chart used to subjectively measure visual acuity. Eye charts are often used by health care professionals, such as optometrists, physicians or nurses, to screen persons for vision impairment. Ophthalmologists, physicians who specialize in the eye, also use eye charts to monitor the visual acuity of their patients in response to various therapies such as medications or surgery. The chart is placed at a standardized distance away from the person whose vision is being tested. The person then attempts to identify the symbols on the chart, starting with the larger symbols and continuing with progressively smaller symbols until the person cannot identify the symbols. The smallest symbols that can be reliably identified is considered the person's visual acuity. The Snellen chart is the most widely used. Alternative types of eye charts include the logMAR chart, Landolt C, E chart, Lea test, Golovin–Sivtsev table, the Rosenbaum chart, and the Jae ...
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Visual Acuity
Visual acuity (VA) commonly refers to the clarity of vision, but technically rates an examinee's ability to recognize small details with precision. Visual acuity is dependent on optical and neural factors, i.e. (1) the sharpness of the retinal image within the eye, (2) the health and functioning of the retina, and (3) the sensitivity of the interpretative faculty of the brain. The most commonly referred visual acuity is the far acuity (e.g. 6/6 or 20/20 acuity), which describes the examinee's ability to recognize small details at a far distance, and is relevant to people with myopia; however, for people with hyperopia, the near acuity is used instead to describe the examinee's ability to recognize small details at a near distance. A common cause of low visual acuity is refractive error (ametropia), errors in how the light is refracted in the eyeball, and errors in how the retinal image is interpreted by the brain. The latter is the primary cause for low vision in people with a ...
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Optotype
__NOTOC__ An eye chart, or optotype, is a chart used to subjectively measure visual acuity. Eye charts are often used by health care professionals, such as optometrists, physicians or nurses, to screen persons for vision impairment. Ophthalmologists, physicians who specialize in the eye, also use eye charts to monitor the visual acuity of their patients in response to various therapies such as medications or surgery. The chart is placed at a standardized distance away from the person whose vision is being tested. The person then attempts to identify the symbols on the chart, starting with the larger symbols and continuing with progressively smaller symbols until the person cannot identify the symbols. The smallest symbols that can be reliably identified is considered the person's visual acuity. The Snellen chart is the most widely used. Alternative types of eye charts include the logMAR chart, Landolt C, E chart, Lea test, Golovin–Sivtsev table, the Rosenbaum chart, and the Jae ...
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Snellen Chart
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. Many ophthalmologists and vision scientists now use an improved chart known as the LogMAR chart. History Snellen developed charts using symbols based in a 5×5 unit grid. The experimental charts developed in 1861 used abstract symbols. Snellen's charts published in 1862 used alphanumeric capitals in the 5×5 grid. The original chart shows A, C, E, G, L, N, P, R, T, 5, V, Z, B, D, 4, F, H, K, O, S, 3, U, Y, A, C, E, G, L, 2. Description The normal Snellen chart is printed with eleven lines of block letters. The first line consists of one very large letter, which may be one of several letters, for example E, H, or N. Subsequent rows have increasing numbers of letters that decrease in size. A person taking the test covers one eye from 6 metres or 20 feet away, and reads aloud the letters of each row, ...
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Jaeger Chart
The Jaeger chart is an eye chart used in testing near vision acuity. It is a card on which paragraphs of text are printed, with the text sizes increasing from 0.37 mm to 2.5 mm. This card is to be held by a patient at a fixed distance from the eye dependent on the J size being read. The smallest print that the patient can read determines their visual acuity. The original 1867 chart had a text containing seven paragraphs and a corresponding seven-point scale. Jaeger cards are not standardized, and the variability of the actual size of test letters on different Jaeger cards currently in use is very high. Therefore, test results with different Jaeger cards are not comparable. More commonly, distance vision acuity is tested using the Snellen chart 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. Many ophthalmologists and vision scientists now use an ...
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Landolt C
The Landolt C, also known as a Landolt ring, Landolt broken ring, or Japanese vision test, is an optotype: a standardized symbol used for testing vision. It was developed by the Swiss-born ophthalmologist Edmund Landolt. The Landolt C consists of a ring that has a gap, thus looking similar to the letter C. The gap can be at various positions (usually left, right, bottom, top and the 45° positions in between) and the task of the tested person is to decide on which side the gap is. The size of the C and its gap are reduced until the subject makes a specified rate of errors. The minimum perceivable angle of the gap is taken as measure of the visual acuity. It is generally practised in the laboratory. The stroke width is of the diameter, and the gap width is the same. This is identical to the letter C from a Snellen chart. The Landolt C is the standard optotype for acuity measurement in most European countries. It was standardized, together with measurement procedures, by the Germa ...
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Lea Test
The LEA Vision Test System is a series of pediatric vision tests designed specifically for children who do not know how to read the letters of the alphabet that are typically used in eye charts. There are numerous variants of the LEA test which can be used to assess the visual capabilities of near vision and distance vision, as well as several other aspects of occupational health, such as contrast sensitivity, visual field, color vision, visual adaptation, motion perception, and ocular function and accommodation (eye). History The first version of the LEA test was developed in 1976 by Finnish pediatric ophthalmologist Lea Hyvärinen, MD, PhD. Dr. Hyvärinen completed her thesis on fluorescein angiography and helped start the first clinical laboratory in that area while serving as a fellow at the Wilmer Eye Institute of Johns Hopkins Hospital in 1967. During her time with the Wilmer Institute, she became interested in vision rehabilitation and assessment and has been working in that ...
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Pinhole Occluder
A pinhole occluder is an opaque disk with one or more small holes through it, used by ophthalmologists, orthoptists and optometrists to test visual acuity. The occluder is a simple way to focus light, as in a pinhole camera, temporarily removing the effects of refractive errors such as myopia. Because light passes only through the center of the eye's lens, defects in the shape of the lens (errors of refraction) have no effect while the occluder is used. In this way, the ophthalmologist, orthoptist or optometrist can estimate the maximum improvement in a patient's vision that can be attained by lenses to correct errors of refraction. This can be used to distinguish visual defects caused by refractive error, which improve when the occluder is used, from other problems, which do not. The pinhole occluder can also be used in testing visual acuity in mydriatic patients. In this case, the pinhole occluder compensates for the inability to contract the iris assisting the eye in obtaining ...
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Refractive Error
Refractive error, also known as refraction error, is a problem with focus (optics), focusing light accurately on the retina due to the shape of the human eye, eye and or cornea. The most common types of refractive error are myopia, near-sightedness, hyperopia, far-sightedness, astigmatism, and presbyopia. Near-sightedness results in far away objects being blurred vision, blurry, far-sightedness and presbyopia result in close objects being blurry, and astigmatism causes objects to appear stretched out or blurry. Other symptoms may include double vision, headaches, and eye strain. Near-sightedness is due to the length of the eyeball being too long, far-sightedness the eyeball too short, astigmatism the cornea being the wrong shape, and presbyopia aging of the lens of the eye such that it cannot change shape sufficiently. Some refractive errors occur more often among those whose parents are affected. Diagnosis is by eye examination. Refractive errors are corrected with eyeglasses, ...
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Duochrome Test
A duochrome test is a test commonly used to refine the final sphere in refraction, which makes use of the longitudinal chromatic aberration of the eye. Because of the chromatic aberration of the eye, the shorter wavelengths (green) are focused in front of the longer red wavelengths. Testing The patient is asked to compare the clarity of the letters on the green and the red side. If the letters of the green side are clearer +0.25 D sphere is added and if the letters on the red side are clearer -0.25 D sphere is added. With optimal spherical correction, the letters on the red and green halves of the chart appear equally clear. Because this test is based on chromatic aberration and not on color discrimination, it is used even with people having color vision deficiency. The eye with overactive accommodation may still require too much minus sphere in order to balance the red and green. Cycloplegia may be necessary. The duochrome test is not used with patients whose visual acuity is ...
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Numerator
A fraction (from la, fractus, "broken") represents a part of a whole or, more generally, any number of equal parts. When spoken in everyday English, a fraction describes how many parts of a certain size there are, for example, one-half, eight-fifths, three-quarters. A ''common'', ''vulgar'', or ''simple'' fraction (examples: \tfrac and \tfrac) consists of a numerator, displayed above a line (or before a slash like ), and a non-zero denominator, displayed below (or after) that line. Numerators and denominators are also used in fractions that are not ''common'', including compound fractions, complex fractions, and mixed numerals. In positive common fractions, the numerator and denominator are natural numbers. The numerator represents a number of equal parts, and the denominator indicates how many of those parts make up a unit or a whole. The denominator cannot be zero, because zero parts can never make up a whole. For example, in the fraction , the numerator 3 indicates that the ...
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Utrecht
Utrecht ( , , ) is the List of cities in the Netherlands by province, fourth-largest city and a List of municipalities of the Netherlands, municipality of the Netherlands, capital and most populous city of the Provinces of the Netherlands, province of Utrecht (province), Utrecht. It is located in the eastern corner of the Randstad conurbation, in the very centre of mainland Netherlands, about 35 km south east of the capital Amsterdam and 45 km north east of Rotterdam. It has a population of 361,966 as of 1 December 2021. Utrecht's ancient city centre features many buildings and structures, several dating as far back as the High Middle Ages. It has been the religious centre of the Netherlands since the 8th century. It was the most important city in the Netherlands until the Dutch Golden Age, when it was surpassed by Amsterdam as the country's cultural centre and most populous city. Utrecht is home to Utrecht University, the largest university in the Netherlands, as well as seve ...
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