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Study: Research Coordinator :

Distance Visual Acuity Measurement


Patient Name: Current Spectacles/Refraction

Patient ID: OD OS

Date of Test:
Addition:

Chart 1 OD or OS (Circle) Test Distance Chart 2 OD or OS (Circle) Test Distance

Meters Feet logMAR 6m logMA 1m Meters Feet logMAR 6m logMAR 1m


6m R 1m 6m 1m

40 20/20 N C K Z O 1.0 6/60 1.6 6/240 40 20/20 D S R K N 1.0 6/60 1.6 6/240
32 160 R H S D K 0.9 48 1.5 6/190 32 160 C K Z O H 0.9 48 1.5 6/190
25 125 D O V H R 0.8 38 1.4 6/150 25 125 O N R K D 0.8 38 1.4 6/150
20 100 C Z R H D 0.7 30 1.3 6/120 20 100 K Z V D C 0.7 30 1.3 6/120
16 80 O N H R C 0.6 24 1.2 6/95 16 80 V S H Z O 0.6 24 1.2 6/95
12 60 D K S N V 0.5 19 1.1 6/75 12 60 H D K C R 0.5 19 1.1 6/75
10 50 Z S O K N 0.4 15 1 6/60 10 50 C S R H N 0.4 15 1 6/60
8 40 C K D N R 0.3 12 0.9 6/48 8 40 S V Z D K 0.3 12 0.9 6/48
6 32 S R Z K D 0.2 9.5 0.8 6/38 6 32 N C V O Z 0.2 9.5 0.8 6/38
5 25 H Z O V C 0.1 7.5 0.7 6/30 5 25 R H S D V 0.1 7.5 0.7 6/30
4 20/20 N V D O K 0.0 6/6 0.6 6/24 4 20/20 S N R O H 0.0 6/6 0.6 6/24
3 16 V H C N O -0.1 4.8 0.5 6/19 3 16 O D H K R -0.1 4.8 0.5 6/19
2,5 12,5 S V H C Z -0.2 3.8 0.4 6/15 2,5 12,5 Z K C S N -0.2 3.8 0.4 6/15
2 10 O Z D V K -0.3 6/3 0.3 6/12 2 10 C R H D V -0.3 6/3 0.3 6/12

VA= 6/ VA= 6/

logMAR at endpoint = logMAR at endpoint =

add + add +

no.errors x 0.02 = no.errors x 0.02 =

logMAR (per letter) = logMAR (per letter) =

Chart deisgned for use at 4 m Feet= equivalent snellen notation @ 20 ft test dist.
6 m = equivalent snellen notation @ 6 m test dlogMAR 6m = equivalent logMAR
1 m = equivalent snellen notation @ 6 m test dist., if this chart used @ 1 m
logMAr 1 m = quivalent logMAr, if this chart used @ 1 m