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In the expression 6/x vision, the numerator (6) is the distance in metres between the subject and the chart and the denominator (x) the distance at which a person with 6/6 acuity would discern the same optotype. Thus, 6/12 means that a person with 6/6 vision would discern the same optotype from 12 metres away (i.e. at twice the distance).
Minor hypermetropia in young patients is usually corrected by their accommodation, without any defects in vision. [2] But, due to this accommodative effort for distant vision, people may complain of eye strain during prolonged reading. [2] [7] If the hypermetropia is high, there will be defective vision for both distance and near. [2]
Emmetropia is the state of vision in which a faraway object at infinity is in sharp focus with the ciliary muscle [1] in a relaxed state. That condition of the normal eye is achieved when the refractive power of the cornea and eye lens and the axial length of the eye balance out, which focuses rays exactly on the retina, resulting in perfectly sharp distance vision.
When an eye focuses light correctly on to the retina when viewing distant objects, this is called emmetropia or being emmetropic. This means that the refractive power of the eye matches what is needed to focus parallel rays of light onto the retina. A distant object is defined as an object located beyond 6 meters (20 feet) from the eye.
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 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]
where FP is the distance to the patient's far point. P is negative, because a diverging lens is required. This calculation can be improved by taking into account the distance between the spectacle lens and the human eye, which is usually about 1.5 cm:
Light from a single point of a distant object and light from a single point of a near object being brought to a focus. The accommodation reflex (or accommodation-convergence reflex) is a reflex action of the eye, in response to focusing on a near object, then looking at a distant object (and vice versa), comprising coordinated changes in vergence, lens shape (accommodation) and pupil size.