Visual acuity

Visual acuity (VA) commonly refers to the clarity of vision, but technically rates an animal's ability to recognize small details with precision. Visual acuity depends on optical and neural factors. Optical factors of the eye influence the sharpness of an image on its retina. Neural factors include the health and functioning of the retina, of the neural pathways to the brain, and of the interpretative faculty of the brain. The most commonly referred-to visual acuity is distance acuity or far acuity (e.g., "20/20 vision"), which describes someone's ability to recognize small details at a far distance. This ability is compromised in people with myopia, also known as short-sightedness or near-sightedness. Another visual acuity is near acuity, which describes someone's ability to recognize small details at a near distance. This ability is compromised in people with hyperopia, also known as long-sightedness or far-sightedness. A common optical cause of low visual acuity is refractive error (ametropia): errors in how the light is refracted in the eye. Causes of refractive errors include aberrations in the shape of the eye or the cornea, and reduced ability of the lens to focus light.…

Visual acuity (VA) commonly refers to the clarity of vision, but technically rates an animal's ability to recognize small details with precision. Visual acuity depends on optical and neural factors. Optical factors of the eye influence the sharpness of an image on its retina. Neural factors include the health and functioning of the retina, of the neural pathways to the brain, and of the interpretative faculty of the brain. The most commonly referred-to visual acuity is distance acuity or far acuity (e.g., "20/20 vision"), which describes someone's ability to recognize small details at a far distance. This ability is compromised in people with myopia, also known as short-sightedness or near-sightedness. Another visual acuity is near acuity, which describes someone's ability to recognize small details at a near distance. This ability is compromised in people with hyperopia, also known as long-sightedness or far-sightedness. A common optical cause of low visual acuity is refractive error (ametropia): errors in how the light is refracted in the eye. Causes of refractive errors include aberrations in the shape of the eye or the cornea, and reduced ability of the lens to focus light. When the combined refractive power of the cornea and lens is too high for the length of the eye, the retinal image will be in focus in front of the retina and out of focus on the retina, yielding myopia. A similar poorly focused retinal image happens when the combined refractive power of the cornea and lens is too low for the length of the eye except that the focused image is behind the retina, yielding hyperopia. Normal refractive power is referred to as emmetropia. Other optical causes of low visual acuity include astigmatism, in which contours of a particular orientation are blurred, and more complex corneal irregularities. Refractive errors can mostly be corrected by optical means (such as eyeglasses, contact lenses, and refractive surgery). For example, in the case of myopia, the correction is to reduce the power of the eye's refraction by a so-called minus lens. Neural factors that limit acuity are located in the retina, in the pathways to the brain, or in the brain. Examples of conditions affecting the retina include detached retina and macular degeneration. Examples of conditions affecting the brain include amblyopia (caused by the visual brain not having developed properly in early childhood) and by brain damage, such as from traumatic brain injury or stroke. When optical factors are corrected for, acuity can be considered a measure of neural functioning. Visual acuity is typically measured while fixating, i.e. as a measure of central (or foveal) vision, for the reason that it is highest in the very center. However, acuity in peripheral vision can be of equal importance in everyday life. Acuity declines towards the periphery first steeply and then more gradually, in an inverse-linear fashion (i.e. the decline follows approximately a hyperbola). The decline is according to E 2 /(E 2 +E), where E is eccentricity in degrees visual angle, and E 2 is a constant of approximately 2 degrees. At 2 degrees eccentricity, for example, acuity is half the foveal value. Visual acuity is a measure of how well small details are resolved in the very center of the visual field; it therefore does not indicate how larger patterns are recognized. Visual acuity alone thus cannot determine the overall quality of visual function. The precise distance at which acuity is measured is not important as long as it is sufficiently far away and the size of the optotype on the retina is the same. That size is specified as a visual angle, which is the angle, at the eye, under which the optotype appears. 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. 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 latter is the value used in the international definition of visual acuity: Acuity is a measure of visual performance and does not relate to the eyeglass prescription required to correct vision. Instead, an eye exam seeks to find the prescription that will provide the best corrected visual performance achievable. The resulting acuity may be greater or less than 6/6 = 1.0. Indeed, a subject diagnosed as having 6/6 vision will often actually have higher visual acuity because, once this standard is attained, the subject is considered to have normal (in the sense of undisturbed) vision and smaller optotypes are not tested. Subjects with 6/6 vision or "better" (20/15, 20/10, etc.) may still benefit from an eyeglass correction for other problems related to the visual system, such as hyperopia, ocular injuries, or presbyopia. D \lessapprox \sqrt{\frac{S \cdot v}{\dot{\theta_{t}}}-\frac{S^2}{4}}, where the term is omitted for small objects relative to great distances by small-angle approximation. To exceed the SAVT, an object of size moving as velocity must be closer than ; beyond that distance, subjective constancy is experienced. The SAVT \dot\theta_t can be measured from the distance at which a looming object is first detected: \dot\theta_t \approx \frac{4S \cdot v}{S^2 + 4D^2}, where the term is omitted for small objects relative to great distances by small-angle approximation. The SAVT has the same kind of importance to driving safety and sports as the static limit. The formula is derived from taking the derivative of the visual angle with respect to distance, and then multiplying by velocity to obtain the time rate of visual expansion ( ). \dot\theta_t \approx \frac{B \cdot v}{B^2 + D^2}. Because the tangent of the subtended angle is the ratio of the orthogonal distance to the set-back distance, the angular time rate (rad/s) of lateral motion is simply the derivative of the inverse tangent multiplied by the velocity ( ). In application this means that an orthogonally traveling object will not be discernible as moving until it has reached the distance D \lessapprox \sqrt{\frac{B \cdot v}{\dot\theta_t} - B^2}, where \dot\theta_t for lateral motion is generally ≥ 0.0087 rad/s with probable dependence on deviation from the fovea and movement orientation, velocity is in terms of the distance units, and zero distance is straight ahead. Far object distances, close set-backs, and low velocities generally lower the salience of lateral motion. Detection with close or null set-back can be accomplished through the pure scale changes of looming motion. \dot\theta_t \lessapprox \frac{v}{R}. Radial motion is encountered in clinical and research environments, in dome theaters, and in virtual-reality headsets.

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