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Visual Acuity
practical
Dr. Nanees EL-Malkey
Lecturer of medical physiology
Definition :
Landolt chart
(brocken circles chart)
7 raws of brocken circles { C }
The first raw can be seen by normal eye at a distance
of 60 m, next at 36 m, next at 24 m, next at 18m, next at
12 m, next at 9 m, The last raw can be seen at 6m.
60
36
24
18
12
9
6
The 2 separate points of the brocken circles can be seen by
normal eye at different distances.
facts
Defferentiation between 2 separate points?
when these 2 points stimulate 2 separate cones in between them
Un stimulated cone (diameter of one cone is 4 micron).
When 2 separate points stimulate 2 separate cones?
If the rays coming from them meet at the nodal point (15 mm in
front of the retina).
Forming a visual angel = 1 minute (1/60 degree).
facts
6 m 9m 12 m 18 m
A
A
B
B
C
C
D
D
1. Rays coming from 2 points meet at the nodal point
a visual angel = 1 minute
Remember
The patient sits at 6 m from the chart.
test each eye separately.
.Start testing the patient from the first raw (60 m).
Comments
This mean the patient can see at 6 m what the normal
can see at 9 m {VA=6/9}
This mean the patient can see at 6 m what the normal
can see at 36 m {VA=6/36}
What do you do if the patient couldn’t see the first raw?
Now the chart at a
distance of 5 m
from the patient VA= 5/ the last raw
can be seen by
patient
What do you do if the patient couldn’t see the first raw from the new
distance (5 m)?
Be nearer at
4 m
And so on… till the chart is only 1 meter from the patient
The patient still can’t see
Use counting fingers
The patient still can’t see P L No PL
Patient is
blind
Factors affecting visual acuity
i. Degree of illumination.
ii. Degree of contrast.
iii. Error of refraction.
iv. Eye diseases.
v. Age.
letters chart

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Visual acuity

  • 1. Visual Acuity practical Dr. Nanees EL-Malkey Lecturer of medical physiology
  • 3. Landolt chart (brocken circles chart) 7 raws of brocken circles { C } The first raw can be seen by normal eye at a distance of 60 m, next at 36 m, next at 24 m, next at 18m, next at 12 m, next at 9 m, The last raw can be seen at 6m.
  • 4. 60 36 24 18 12 9 6 The 2 separate points of the brocken circles can be seen by normal eye at different distances.
  • 5. facts Defferentiation between 2 separate points? when these 2 points stimulate 2 separate cones in between them Un stimulated cone (diameter of one cone is 4 micron).
  • 6. When 2 separate points stimulate 2 separate cones? If the rays coming from them meet at the nodal point (15 mm in front of the retina). Forming a visual angel = 1 minute (1/60 degree). facts
  • 7. 6 m 9m 12 m 18 m A A B B C C D D 1. Rays coming from 2 points meet at the nodal point a visual angel = 1 minute
  • 8. Remember The patient sits at 6 m from the chart. test each eye separately. .Start testing the patient from the first raw (60 m).
  • 9. Comments This mean the patient can see at 6 m what the normal can see at 9 m {VA=6/9} This mean the patient can see at 6 m what the normal can see at 36 m {VA=6/36}
  • 10. What do you do if the patient couldn’t see the first raw? Now the chart at a distance of 5 m from the patient VA= 5/ the last raw can be seen by patient
  • 11. What do you do if the patient couldn’t see the first raw from the new distance (5 m)? Be nearer at 4 m And so on… till the chart is only 1 meter from the patient The patient still can’t see Use counting fingers The patient still can’t see P L No PL Patient is blind
  • 12. Factors affecting visual acuity i. Degree of illumination. ii. Degree of contrast. iii. Error of refraction. iv. Eye diseases. v. Age.