Dutch ophthalmologist Hermann Snellen (1834-1908) first came up with the idea of a standardized test to measure how well a person can see and also allow comparisons of different people's visual capabilities. The Snellen Chart, developed in 1862, consists of eleven rows of block letters. The first row consists of very large letters; subsequent rows decrease in size. A person taking the test covers one eye and reads aloud the letters of each row, beginning at the top. The smallest row that can be read accurately indicates the patient's visual acuity in that eye. The patient then reads the letters with the other eye, and then again with both eyes. A traditional Snellen Chart features only the letters C, D, E, F, L, N, 0, P, T, and Z.
The relationship between the size of letters and the distance at which they are seen has become the standard method of
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