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Medical Forum / General / Vision / February 2005

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?? Acuity <-> Diopters Conversion ??

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Joe Stella - 11 Feb 2005 01:13 GMT
I can find lots of web sites that tell me what 20/20,
20/60, 20/100 etc. mean.

I also find lots of sites that explain diopters (d = 1/f)

But how do I relate the two?

e.g. if someone is -4.5 sph, is that 20/100, 20/200, or what?

TIA
Scott - 11 Feb 2005 01:52 GMT
As a non-professional I don't think they are necessarily related.
My prescription is -2.5 but my bcva (best corrected visual acuity) is 20/40.
However my underlying eye condition (CSNB) may make me the exception not the
rule.

Scott

> I can find lots of web sites that tell me what 20/20,
> 20/60, 20/100 etc. mean.
[quoted text clipped - 6 lines]
>
> TIA
Joe Stella - 11 Feb 2005 02:18 GMT
>As a non-professional I don't think they are necessarily related.
>My prescription is -2.5 but my bcva (best corrected visual acuity) is 20/40.
>However my underlying eye condition (CSNB) may make me the exception not the
>rule.

Maybe I didn't describe it properly, but I am interested in
*uncorrected* acuity.  i.e. if -4.25 corrects the eyesight to
20/20, what is the acuity without the glasses?  Is there a
formula for this?
otisbrown@pa.net - 11 Feb 2005 02:44 GMT
Dear Joe,

Subject:  VA and "Diopters".

There is no formula -- but the
APPROXIMATE judgment
is that if you are reading
20/70, a lens strength
of from -3/4 to -1.5 diopters
will clear the 20/20 line.

This measurement is "critical"
for light intensity.  Some
people can read the Snellen-DMV
test at 20/30 and 20/40, (Pass)
but in a darkened room using
a "projected" Snellen will
measure about -2.0 diopters
using a phoropter (trial-lens)
measurement system.

Hope this clarifies the
issue.

Best,

Otis
Engineer
ryoung8918@juno.com - 11 Feb 2005 16:23 GMT
One of the docs probably has some info on this, but I don't think it is
a hard and fast formula. Of course, this assumes you want to know about
minus diopters. If you're like me (currently +3.25, +2.25) you're more
interested in the plus side of the equation. Up until 3 or 4 years ago
(I'm 42 now) I could squint my way to passing the DMV test (though I
had a very generous tester the last time - let me use two different
methods, and took the results of the better)
g.gatti@agora.it - 13 Feb 2005 21:47 GMT
> (I'm 42 now) I could squint my way to passing the DMV test (though I
> had a very generous tester the last time - let me use two different
> methods, and took the results of the better)

Is this a science?

I thought that science was against tricks.

But this forum is all about tricks that some cunning people is making
against the gullible.
g.gatti@agora.it - 13 Feb 2005 21:46 GMT
> Maybe I didn't describe it properly, but I am interested in
> *uncorrected* acuity.  i.e. if -4.25 corrects the eyesight to
> 20/20, what is the acuity without the glasses?  Is there a
> formula for this?

Is there a formula that explains how your mind functions?
Robert Redelmeier - 13 Feb 2005 22:49 GMT
> Maybe I didn't describe it properly, but I am interested
> in *uncorrected* acuity.  i.e. if -4.25 corrects the
> eyesight to 20/20, what is the acuity without the
> glasses?  Is there a formula for this?

There is a _rough_ correlation.  Look up the "Dead Horse"
formula discussed in this group a few years back.

-- Robert
g.gatti@agora.it - 13 Feb 2005 21:45 GMT
> As a non-professional I don't think they are necessarily related.
> My prescription is -2.5 but my bcva (best corrected visual acuity) is 20/40.
> However my underlying eye condition (CSNB) may make me the exception not the
> rule.

Now see this learned man named Scott.

He has a BCVA of only HALF of normal vision.

He still believes in glasses!!!

Is he really learned or just a stupid man who has just dropped any
faith in his own intelligence?
otisbrown@pa.net - 11 Feb 2005 18:25 GMT
Dear Joe,

If you wish to establish this relationship
for yourself -- why not down-load
a chart from

www.i-see.org

and read it?  Why attempt
a "formula" conversion.

Roughly 20/70 is ABOUT 1.0 diopters.

70 x 4 = 20/280 -- as a rough guess

It is better just to read the eye chart
for yourself to establish this
relationship.

Otis
Engineer
Robert Martellaro - 11 Feb 2005 19:08 GMT
>I can find lots of web sites that tell me what 20/20,
>20/60, 20/100 etc. mean.
[quoted text clipped - 6 lines]
>
>TIA

Too many variables for a formula. I'd guess your uncorrected VA is 20/400 to
20/600 if your eyes are healthy.

Hope this helps
Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
robopt@execpc.com
~~~~~~~~~~~~~~~~~~
"If a million people believe a foolish thing, it is still a foolish thing."
-  Anatole France
otisbrown@pa.net - 12 Feb 2005 03:59 GMT
For Joe:

It would now be interesting to find out exactly
what line you can read on the Snellen in
a room with good illumination.

Why not give it a shot and find out
who is closer?

Best,

Otis
g.gatti@agora.it - 13 Feb 2005 21:49 GMT
> Too many variables for a formula. I'd guess your uncorrected VA is 20/400 to
> 20/600 if your eyes are healthy.
>
> Hope this helps
> Robert Martellaro

Now look how this seller makes up a GREAT manipulation of data.

How can an eye with 20/600 BE CALLED HEALTHY???

It is all a whole big trick played on the minds of the weaker.
Dr Judy - 13 Feb 2005 18:48 GMT
> I can find lots of web sites that tell me what 20/20,
> 20/60, 20/100 etc. mean.
[quoted text clipped - 4 lines]
>
> e.g. if someone is -4.5 sph, is that 20/100, 20/200, or what?

The two measures are not related in a way that is predictable, uncorrected
acuity depends not only on Rx but on light level, pupil size, lid squinting,
your individual willingness to guess and your ability to deduce letters from
there shape, test distance (whether 5 ft, 10 ft or 20 ft).  If you want to
know your unaided acuity, have it measured.  With an Rx over -4, by rule of
thumb, you likely have unaided acuity worse than 20/400.

If you are hyperopic or have astigmatism, then rules of thumb don't work at
all.

BTW, despite Otis's claims, unaided acuity cannot be reliably used to
predict refractive error either.

Why did you want to know your unaided acuity?

Dr Judy
g.gatti@agora.it - 13 Feb 2005 21:51 GMT
> The two measures are not related in a way that is predictable, uncorrected
> acuity depends not only on Rx but on light level, pupil size, lid squinting,
> your individual willingness to guess and your ability to deduce letters from
> there shape, test distance (whether 5 ft, 10 ft or 20 ft).  If you want to
> know your unaided acuity, have it measured.  With an Rx over -4, by rule of
> thumb, you likely have unaided acuity worse than 20/400.

NOW EXPLAIN PLEASE HOW CAN YOU PRESCRIBE THE RIGHT GLASSES GIVEN ALL
THESE UNPREDICTABLE VARIABLES!!!

> If you are hyperopic or have astigmatism, then rules of thumb don't work at
> all.

AND YOU CALL YOUR WORK A SCIENCE???

> BTW, despite Otis's claims, unaided acuity cannot be reliably used to

> predict refractive error either.

OTIS IS RIGHT, THE ONLY SOLUTION TO THE PROBLEM IS A MODEL IN WHICH THE
EYE IS A DYNAMIC SYSTEM THAT SHIFTS HIS OWN POWER OF REFRACTION.

To harness that system by the use of the mind is the whole Bates
Discovery.

http://TheCentralFixation.com
Joe Stella - 13 Feb 2005 22:39 GMT
>Why did you want to know your unaided acuity?

I asked this question out of nothing more than idle curiosity.

Please, let this thread die.  It's not important.
 
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