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Developed by Australian ophthalmologist Noel Alpins and introduced in 1993, the Alpins Method provides a coherent basis for reporting astigmatism results, and on this basis became the standard in the major ophthalmology journals, [9] [10] [11] and was accepted worldwide for studies that include refraction and corneal astigmatism measurements.
The patient's fixation is directed to a round letter on the lowest line they can read. In order to determine if the patient has astigmatism at a particular meridian, the -0.50 JCC is presented at the following axes: 90°, 180° and then check the oblique axes at 35° and 145°. [6]
The visual acuity is assigned in the form of a fraction. Visual acuity is recorded as "20/20" (or another fraction like 20/40) when all optotypes (letters or symbols) on a specific line of the eye chart are correctly identified. When an individual correctly identifies additional 2 letters in the next 20/30 lines, then they will be assigned 20/40+2.
Higher order aberrations are a relatively small component, comprising about 10% of the eye's total aberrations. [3] High order aberrations increase with age and mirror symmetry exists between the right and the left eyes. [4] Several studies have reported a compensation of the aberration of the cornea by the aberration of the crystalline lens.
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Visual or vision impairment (VI or VIP) is the partial or total inability of visual perception.In the absence of treatment such as corrective eyewear, assistive devices, and medical treatment, visual impairment may cause the individual difficulties with normal daily tasks, including reading and walking. [6]
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