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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. [ 1 ] Eye charts are often used by health care professionals, such as optometrists , physicians and nurses , to screen persons for vision impairment .
The pupil of the human eye can range in size from 2 mm to over 8 mm to adapt to the environment The human eye can detect a luminance from 10 −6 cd/m 2 , or one millionth (0.000001) of a candela per square meter to 10 8 cd/m 2 or one hundred million (100,000,000) candelas per square meter.
Some clinics do not have 6-metre eye lanes available, and either a half-size chart subtending the same angles at 3 metres (9.8 ft), or a reversed chart projected and viewed by a mirror is used to achieve the correct sized letters. In the most familiar acuity test, a Snellen chart is placed at a standard distance: 6 metres.
For 6/6 = 1.0 acuity, the size of a letter on the Snellen chart or Landolt C chart is a visual angle of 5 arc minutes (1 arc min = 1/60 of a degree), which is a 43 point font at 20 feet. [10] By the design of a typical optotype (like a Snellen E or a Landolt C), the critical gap that needs to be resolved is 1/5 this value, i.e., 1 arc min.
The Neurological Pupil index, or NPi, is an algorithm developed by NeurOptics, Inc., that removes subjectivity from the pupillary evaluation. A patient's pupil measurement (including variables such as size, latency, constriction velocity, dilation velocity, etc.) is obtained using a pupillometer, and the measurement is compared against a normative model of pupil reaction to light and ...
The American Journal of Critical Care revealed that critical care and neurosurgical nurses consistently underestimated pupil size, were unable to identify anisocoria, and incorrectly assessed pupil reactivity (sPLR). It concluded that automated pupillometry is a necessary tool for accuracy and consistency, and that it might facilitate earlier ...
The entrance pupil is typically about 4 mm in diameter, although it can range from as narrow as 2 mm (f /8.3) in diameter in a brightly lit place to 8 mm (f /2.1) in the dark as part of adaptation. In rare cases in some individuals are able to dilate their pupils even beyond 8 mm (in scotopic lighting, close to the physical limit of the iris.
Many automated pupilometers can also function as a type of pupil response monitor by measuring pupil dilation in response to a visual stimulus.. In ophthalmology, a pupillary response to light is differentiated from a pupillary response to focus (i.e. pupils may constrict on near focus, as with the Argyll Robertson pupil) in the diagnosis of tertiary syphilis.