{"id":19691,"date":"2022-06-10T08:36:08","date_gmt":"2022-06-10T13:36:08","guid":{"rendered":"https:\/\/thepapergown.zocdoc.com\/?p=19691"},"modified":"2023-03-27T10:04:21","modified_gmt":"2023-03-27T15:04:21","slug":"what-does-it-mean-to-have-20-20-vision","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/what-does-it-mean-to-have-20-20-vision\/","title":{"rendered":"What Does it Mean to Have 20\/20 Vision?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">In American culture, we typically call perfect eyesight \u201c20\/20 vision.\u201d We treat it as a bragging right; however, roughly <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7982707\/\"><span style=\"font-weight: 400;\">75 percent of American adults<\/span><\/a><span style=\"font-weight: 400;\"> (at least 230 million people) need some kind of vision correction, whether contacts or glasses.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When you head to an optometrist for an annual vision test or to get fitted for corrective lenses, you\u2019ll likely encounter a screen showing letters in descending sizes. Your doctor will ask what you can see with and without assistance. This isn\u2019t just a fun quiz \u2014 it\u2019s <\/span><span style=\"font-weight: 400;\">the Snellen test, also called the 20\/20 vision test, and it measures the sharpness of your vision.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Contrary to popular belief, 20\/20 vision isn\u2019t actually perfect, and your eye doctor uses many other tests to assess your eyesight.\u00a0<\/span><\/p>\n<hr class=\"squiggle\" \/>\n<h3>The vision vernacular<\/h3>\n<p><span style=\"font-weight: 400;\">Dutch ophthalmologist Dr. Herman Snellen invented the 20\/20 vision test in 1862, to \u201cstandardize vision testing,\u201d says Dr. Jennifer Tsai, a New York-based optometrist.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Prior to that, every doctor had their own method of determining how well their patients could see. Many of these were rudimentary at best: One 17-century doctor <\/span><a href=\"https:\/\/cyberleninka.org\/article\/n\/1384061\"><span style=\"font-weight: 400;\">presented<\/span><\/a><span style=\"font-weight: 400;\"> a row of mustard seeds to his patients and measured how far they could step back before they couldn\u2019t count them anymore.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Snellen streamlined these methods with a uniform ratio for measuring eyesight. Instead of mustard seeds, he used standardized characters, called octotypes, and created the distinctive typeface that\u2019s still used today. Snellen\u2019s charts <\/span><a href=\"https:\/\/www.researchgate.net\/publication\/232081008_The_Historical_Evolution_of_Visual_Acuity_Measurement\"><span style=\"font-weight: 400;\">were an instant hit<\/span><\/a><span style=\"font-weight: 400;\"> among both doctors and patients. One of his first big orders came from the British army, to accurately test the vision of their recruits.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The 20\/20 vision chart measures visual acuity, or the sharpness and clarity of your vision. A patient who can see the Snellen characters clearly from 20 feet away has 20\/20 vision. Yet 20\/20 vision isn\u2019t perfect; it\u2019s average, normal vision<\/span><i><span style=\"font-weight: 400;\">, <\/span><\/i><span style=\"font-weight: 400;\">distinguishing people who don\u2019t need glasses or contacts from the rest.<\/span><i><span style=\"font-weight: 400;\">\u00a0<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">Here\u2019s how the ratio works: The first number stays constant, since the patient always measures their visual acuity from 20 feet away. The second number compares your vision with this average. For example, if your vision is 20\/30, you can read letters at 20 feet that most people can read from 30 feet away. (The 20\/20 designation only applies to countries that use the British imperial system of feet. Where the metric system dominates, that standard is 6\/6 vision.)\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The smaller the second number is, the better your vision. Having 20\/8 vision means you could be 20 feet away from the chart and still see it clearly. Someone with 20\/20 vision would have to stand eight feet away to see what you\u2019re seeing.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Having 20\/15, 20\/10 or 20\/8 vision is widely sought-after in certain fields. The average Major League Baseball player\u2019s vision is <\/span><a href=\"https:\/\/www.baseballamerica.com\/stories\/scope-and-rope-a-visual-profile-of-major-league-hitters\/\"><span style=\"font-weight: 400;\">about 20\/13<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Still, 20\/20 remains the standard because \u201cit\u2019s the average of what people can get to\u201d with glasses or contacts, says Tsai.\u00a0<\/span><\/p>\n<hr \/>\n<h3>More than 20\/20<\/h3>\n<p><span style=\"font-weight: 400;\">Not every visual acuity test is perfect, or created equal.Some critique the Snellen chart because the spacing between rows and letters varies from chart to chart. Not only that, but since the number of letters on each line differs, visual crowding might interfere with the patient\u2019s results. So why are we using it?\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cEven if there are ways that are a little bit better and more accurate, which we use in clinics for research, the 20\/20 chart was [always] something that was easy to reproduce and spread,\u201d says Dr. Laura Di Meglio, an ophthalmology instructor at Johns Hopkins University. \u201cPeople would have to invest a lot to be able to switch over.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In 1982, the National Eye Institute chart created ETDRS charts. They were originally produced for the <\/span><a href=\"https:\/\/clinicaltrials.gov\/ct2\/show\/NCT00000151\"><span style=\"font-weight: 400;\">Early Treatment of Diabetic Retinopathy Study<\/span><\/a><span style=\"font-weight: 400;\">, a clinical trial that began in 1979. The charts were so successful that the National Eye Institute began requiring them for use in all future clinical trials. These test eyesight at a difference of 13 feet, and present five letters in a single row compared to the Snellen test\u2019s nine.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Perhaps the most well-liked alternative to the Snellen test is the <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/opo.12310\"><span style=\"font-weight: 400;\">logMAR chart,<\/span><\/a><span style=\"font-weight: 400;\"> created at the National Vision Research Institute of Australia in 1976. This chart codifies the distance between the letters themselves and the numbers of letters on each line.Its creators <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/998716\/\"><span style=\"font-weight: 400;\">wanted to design a <\/span><\/a><span style=\"font-weight: 400;\">tool<\/span><span style=\"font-weight: 400;\"> \u201cin which the typeface, size progression, size range, number of words per row and spacings \u2026 achieve a standardization of the test task.&#8221;\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That said, your local eye doctor probably will stick to the Snellen test for the foreseeable future. It\u2019s primarily retina specialists and researchers who use the logMAR system. Still, 20\/20 vision remains a worthwhile target \u2014 whether you were born with it or whether you get there with a little help.<\/span><\/p>\n<hr \/>\n<h1 class=\"p1\"><span class=\"s1\">Ready to book a doctor\u2019s appointment? Visit\u00a0<a href=\"https:\/\/www.zocdoc.com\/\"><span class=\"s2\">Zocdoc.<\/span><\/a><\/span><\/h1>\n","protected":false},"excerpt":{"rendered":"<p>20\/20 vision isn\u2019t perfect, and neither is the century-old method we use for evaluating it. <\/p>\n","protected":false},"author":65,"featured_media":19692,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[229],"tags":[81,106,224,83],"class_list":["post-19691","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthcare-trends","tag-preventive-care","tag-treatment","tag-vision","tag-wellness","reviewer-dr-nassim-assefi","specialist_by_city-ophthalmologists"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What Does it Mean to Have 20\/20 Vision? - Healthcare Trends<\/title>\n<meta name=\"description\" content=\"20\/20 vision isn\u2019t perfect, and neither is the century-old method we use for evaluating it.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/what-does-it-mean-to-have-20-20-vision\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What Does it Mean to Have 20\/20 Vision? 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