Professional Documents
Culture Documents
Cover test:
• Have client fixate on a near or far object
• Cover one eye and observe for movement in the
uncovered eye
Visual Acuity
• Assess near vision : Ask the client to read from a
magazine or newspaper held at a distance of 36 cm (14
in)
• a Rosenbaum eye chart may be used
Assess distance vision
• A Snellen or character chart will be used
Stand at 6m (20ft) from the chart
Take 3 readings: right eye, left eye, both eyes
Record the readings of each eye and both eyes
If the client is unable to see even the top line of the
chart, perform functional vision tests (light perception,
hand movements, counting fingers)
Lifespan Considerations
• Visual acuity is about 20/300 at 4 months and
progressively improves
• Preschool children’s acuity can be checked with
picture cards or the E chart
• Acuity should approach 20/20 by 6 years of age
• Visual acuity of elders decreases, becomes more
opaque and loses elasticity
• Peripheral vision of elders diminishes
• Arcus senilis is common