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Test #5 Binocular Acuity
Actual Test
A B C
1.
20 = 857432 25 = 674235 30 = 382457
2.
40 = 563472 50 = 859423 60 = 8927
3.
70 = 2978 100 = 43 200 = 9
A B C
1.
20 = 547638 25 = 428576 30 = 943852
2.
40 = 795823 50 = 357248 60 = 7236
3.
70 = 9574 100 = 92 200 = 5
Note: Double Check the day/nite switch for desired position.
Ask your subject to read the first block of characters, Column A. If they are read correctly, he/she has 20/20
acuity, and they need not read any further. Five of six characters must be read. Continue across each row,
from left to right until your test subject reads the characters in a block successfully.
The above table indicates the acuity level associated with the corresponding test characters: 20/20, 20/25,
20/30, etc… For example, in Row 1, Column B, “25” indicates that the acuity level tested here is 20/25.
Actual Test
Proceed in the same fashion as test #5. Be sure to instruct the subject to keep both eyes open at all times.
He/she may report that no characters are seen, in which case a visual suppression is evident and should be
referred for a full professional eye examination.
Test #6 Right Eye Acuity
7