Visual Acuity Expression
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| Foot | Metre | Decimal | LogMAR |
|---|---|---|---|
| 20/200 | 6/60 | 0.10 | 1.00 |
| 20/160 | 6/48 | 0.125 | 0.90 |
| 20/125 | 6/38 | 0.16 | 0.80 |
| 20/100 | 6/30 | 0.20 | 0.70 |
| 20/80 | 6/24 | 0.25 | 0.60 |
| 20/63 | 6/19 | 0.32 | 0.50 |
| 20/50 | 6/15 | 0.40 | 0.40 |
| 20/40 | 6/12 | 0.50 | 0.30 |
| 20/32 | 6/9.5 | 0.63 | 0.20 |
| 20/25 | 6/7.5 | 0.80 | 0.10 |
| 20/20 | 6/6.0 | 1.00 | 0.00 |
| 20/16 | 6/4.8 | 1.25 | −0.10 |
| 20/12.5 | 6/3.8 | 1.60 | −0.20 |
| 20/10 | 6/3.0 | 2.00 | −0.30 |
Visual acuity is often measured according to the size of letters viewed on a Snellen chart or the size of other symbols, such as Landolt Cs or Tumbling E.
In some countries, acuity is expressed as a vulgar fraction, and in some as a decimal number.
Using the foot as a unit of measurement, (fractional) visual acuity is expressed relative to 20/20. Otherwise, using the metre, visual acuity is expressed relative to 6/6. For all intents and purposes, 6/6 vision is equivalent to 20/20. In the decimal system, the acuity is defined as the reciprocal value of the size of the gap (measured in arc minutes) of the smallest Landolt C that can be reliably identified. A value of 1.0 is equal to 20/20.
LogMAR is another commonly used scale, expressed as the (decadic) logarithm of the minimum angle of resolution. LogMAR scale converts the geometric sequence of a traditional chart to a linear scale. It measures visual acuity loss; positive values indicate vision loss, while negative values denote normal or better visual acuity. This scale is rarely used clinically; it is more frequently used in statistical calculations because it provides a more scientific equivalent for the traditional clinical statement of “lines lost” or “lines gained”, which is valid only when all steps between lines are equal, which is not usually the case.
A visual acuity of 20/20 is frequently described as meaning that a person can see detail from 20 feet (6.1 m) away the same as a person with normal eyesight would see from 20 feet. If a person has a visual acuity of 20/40, he is said to see detail from 20 feet (6.1 m) away the same as a person with normal eyesight would see it from 40 feet (12 m) away.
It is possible to have vision superior to 20/20: the maximum acuity of the human eye without visual aids (such as binoculars) is generally thought to be around 20/10 (6/3), although recent test subjects have exceeded 20/8 vision. Some birds of prey, such as hawks, are believed to have an acuity of around 20/2; in this respect, their vision is much better than human eyesight.
When visual acuity is below the largest optotype on the chart, the reading distance is reduced until the patient can read it. Once the patient is able to read the chart, the letter size and test distance are noted. If the patient is unable to read the chart at any distance, he or she is tested as follows:
| Name | Abbreviation | Definition |
|---|---|---|
| Counting Fingers | CF | Ability to count fingers at a given distance. |
| Hand Motion | HM | Ability to distinguish a hand if it is moving or not in front of the patient's face. |
| Light Perception | LP | Ability to perceive any light. |
| No Light Perception | NLP | Inability to see any light. Total blindness. |
Many humans have one eye that has superior visual acuity to the other.
Read more about this topic: Visual Acuity
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