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Visual acuity VA commonly refers to the clarity of visionbut technically rates an examinee's ability to recognize small details with precision. Visual acuity is dependent on optical and neural factors, i. A common cause of low visual acuity is refractive error ametropiaerrors in how the light is refracted in the eyeball, and errors in how the retinal image is interpreted by the brain. The latter The Color Vision Testing Is Performed By the primary cause for low vision in people with albinism. Causes of refractive errors include aberrations in the shape of the eyeball or the corneaand reduced flexibility of the lens. Too high or too low refraction in relation to the length of the eyeball is, respectively, the cause of near-sightedness myopia or far-sightedness hyperopia ; normal refractive status is referred to as emmetropia. Other optical causes are astigmatism or more complex corneal irregularities.
These anomalies can mostly be corrected by optical means such as eyeglassescontact lensesrefractive surgeryetc. Neural factors that limit acuity are located in the retina or the brain or the pathway leading there. Examples for the first are a detached retina and macular degenerationto name just two.

Another common impairment, amblyopiais caused by the visual brain not having developed properly in early childhood. In some cases, low visual acuity is caused by brain damage, such as from traumatic brain injury or stroke.
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When optical factors are corrected for, acuity can be considered a measure of neural well-functioning. Visual acuity is typically measured while fixating, i. However, acuity in peripheral vision can be of equal importance in everyday life. Acuity declines towards the periphery first steeply and then more gradually, in an inverse-linear fashion i. Note that visual acuity is a measure of how well small details are resolved in the very center of the visual field; it does not tell us how larger patterns are recognized.
How to use the Amsler grid test
Visual acuity alone thus cannot determine the overall quality of visual function. Visual acuity is a measure of the spatial resolution of the visual processing system. VA, as it is sometimes referred to by optical professionals, is tested by requiring the person whose vision is being tested to identify so-called optotypes — stylized letters, Landolt ringspediatric symbolsTestong for the illiteratestandardized Cyrillic letters in the Golovin—Sivtsev tableor other patterns — on a printed chart or some other means from a set viewing distance.
Optotypes are represented as black symbols against a white background i. The distance between the person's eyes and the testing chart is set so Colot to approximate " optical infinity " in the way the lens attempts to focus far acuityor at a defined reading distance near acuity.
The precise distance at which acuity is measured is not important as long as it is sufficiently far away and the size of the optotype on the retina is the same. That size is specified https://www.ilfiordicappero.com/custom/foster-partners-holdings-limited/how-children-learn-in-taiwan.php a visual anglewhich is the angle, at the eye, under which the optotype appears. The latter is the value used in the international definition of visual acuity:. Acuity is a measure of visual performance and does not relate to the eyeglass prescription required click at this page correct vision. Instead, an eye exam seeks to find the prescription that will provide the best corrected visual performance achievable.
Measurement can be by using an eye chart invented by Ferdinand Monoyerby optical The Color Vision Testing Is Performed By, or by computerized tests Perdormed like the FrACT. Care must be taken that viewing conditions correspond to the standard, [11] such as correct illumination of the room and the eye chart, correct viewing distance, enough time for responding, error allowance, and so forth. Theodor Wertheim in Berlin presents detailed Peeformed of acuity in peripheral vision. Hugh Taylor uses these design principles for a "Tumbling E Chart" for illiterates, later used [17] to study the visual acuity of Australian Aboriginals. Rick Ferris et al. These charts are used in all subsequent clinical studies, and did much to familiarize the profession with the new layout and progression.
Data from the ETDRS were used to select letter combinations that give each line the same average difficulty, without using all letters on each line. Antonio Medina and Bradford Howland of the Massachusetts Institute of Technology develop a novel eye testing chart using letters that become invisible with decreasing acuity, rather than Tge as in standard The Color Vision Testing Is Performed By. They demonstrate the arbitrary nature of the Snellen fraction and warn about the accuracy of visual acuity determined by using charts of different letter types, calibrated by Snellen's system. Daylight vision i. In low light i. Spatial resolution is then much lower.]
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