Eye chart
Eye chart
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Eye chart

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Eye chart

An eye chart is a chart used to measure visual acuity comprising lines of optotypes in ranges of sizes. Optotypes are the letters or symbols shown on an eye chart. Eye charts are often used by health care professionals, such as optometrists, physicians and 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 optotypes on the chart, starting with the larger ones and continuing with progressively smaller ones until the person cannot identify the optotypes. The size of the smallest optotypes 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 Jaeger chart. Eye charts do not provide doctors with information on eye diseases such as glaucoma, problems with the retina, or loss of peripheral vision.

The concept of using eye glasses in order to improve eyesight has been prevalent since the late thirteenth century. As science progressively improved, reputable doctors within the ophthalmology field like Franciscus Cornelius Donders began to describe a clear definition as to what should be done in order to improve impairments of a patient's vision. Although it slowly became clear which procedures benefitted patients, there was no uniform test to document impairment and improvement in someone's vision. Around this time, the knowledge within the field of ophthalmology grew immensely.

To measure visual acuity, in 1835 German ophthalmologist, Heinrich Küchler, made the first eye chart consisting of pictures of objects of decreasing size that patients were to identify. In 1843, he published another chart comprising alphabetic letters . In 1854, Austrian ophthalmologist, Eduard Jaeger created a chart comprising paragraphs with decreasing font sizes to test near vision acuity. In 1862, the then most effective and popular chart to test visual acuity was published by Dutch ophthalmologist Herman Snellen. Snellen was Donders' first assistant.

Because of Donders' fame and Snellen's natural talent towards the field of ophthalmology, many doctors were enticed to visit in order to share ideas with them in Utrecht. As he worked closely through his practice, Snellen created his own chart that measured visual acuity. Snellen's eye chart became the first of its type, hence it being the most scientifically reliable design in order to test vision distance in that time period. Snellen's success within his charts was because they differed from past models that measured visual acuity. His chart varied the sizes of stimuli. Snellen's eye chart opened the door to testing visual acuity, hence it became the global standard.

The high demand for this chart was everywhere. Even Japanese ophthalmologist Ema Tenko, who studied under Snellen, created an eye chart that was used in Japan. Because of the creation of eye charts, examinations like vision screening (roughly beginning in 1899) within schools took place in order to test children's eyes.

Charts display several rows of optotypes, which are standardized symbols for testing vision. Optotypes are usually letters, numbers, or geometric symbols. Each row of the chart depicts optotypes of a different size. Typically the largest optotypes are in the top row. The optotypes become progressively smaller towards the bottom of the chart.

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