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Distance PD is the separation between the visual axes of the eyes in their primary position, as the subject fixates on an infinitely distant object. [2] Near PD is the separation between the visual axes of the eyes, at the plane of the spectacle lenses, as the subject fixates on a near object at the intended working distance. [3]
In this test, an examiner shines a pen light at the patient's pupil and asks the patient to either point to the light source, or describe the direction that the light is coming from (up, out, straight ahead, down and out, etc.). If the patient is able to perceive light, the letters LP are recorded to represent the patient's acuity.
When performing the clinical test, the room lights should be dimmed and only one light source should be visible. When testing at near, the patient is to fixate on light source at 33 cm, which is held at eye level. When testing at distance, the patient is to fixate on a light source at 6m.
Near visual acuity or near vision is a measure of how clearly a person can see nearby small objects or letters.Visual acuity in general usually refers clarity of distance vision, and is measured using eye charts like Snellen chart, LogMAR chart etc. Near vision is usually measured and recorded using a printed hand-held card containing different sized paragraphs, words, letters or symbols.
An examiner presents a test light of variable size and intensity. The light may move towards the center from the perimeter (kinetic perimetry), or it may remain in one location (static perimetry). The Goldmann method is able to test the entire range of peripheral vision and has been used for years to follow vision changes in glaucoma patients. [3]
An example of the Landolt C eye chart (also known as the Japanese eye chart.). Numerous types of eye charts exist and are used in various situations. For example, the Snellen chart is designed for use at 6 meters or 20 feet, and is thus appropriate for testing distance vision, while the ETDRS chart is designed for use at 4 meters. [16]
The Jaeger chart is an eye chart used in testing near visual acuity.It is a card on which paragraphs of text are printed, with the text sizes increasing from 0.37 mm to 2.5 mm. [1] This card is to be held by a patient at a fixed distance from the eye dependent on the J size being read.
For an adequate test, vision must not be entirely lost. In dim room light, the examiner notes the size of the pupils. The patient is asked to gaze into the distance, and the examiner swings the beam of a penlight back and forth from one pupil to the other, and observes the size of pupils and reaction in the eye that is lit.