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98 Cards in this Set
- Front
- Back
Superior Rectus
Major Action? Innervation? |
Elevation
CN 3 |
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Inferior Rectus
Major Action? Innervation? |
Depression
CN 3 |
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Medial Rectus
Major Action? Innervation? |
Adduction
CN 3 |
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Lateral Rectus
Major Action? Innervation? |
Abduction
CN 6 |
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Superior Oblique
Major Action? Innervation? |
Depression
CN 4 |
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Inferior Oblique
Major Action? Innervation? |
Elevation
CN 3 |
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the function, whereby the eyes turn in to maintain single vision
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Convergence
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total amount of turning in of two eyes to fixate at a distance
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Fusion-Meter Angles (Dioptric Stimulus)
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1 cm deviation of light at 1 meter
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Prism Diopter
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distance between the two eyes
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Interpupillary distance
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Name all the EOMs
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Superior and Inferior Rectus, Medial and Lateral Rectus, Superior and Inferior Oblique
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movement of the line of sight of one eye toward the body's midline
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adduction
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movement of the line of sight of one eye away from the body's midline
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abduction
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movement of the line of sight of one eye above the straight ahead position
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supraduction
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movement of the line of sight of one eye below the straight ahead position
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infraduction
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parallel movement to the right
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dextroversion
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parallel movement to the left
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levoversion
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parallel movement upward
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supraversion
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parallel movement downward
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infraversion
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movement of lines of sight towards the body's midline, or towards each other
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convergence
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movement of lines of sight away from the body's midline, or way from each other
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divergence
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the lines of sight meet at the same point, after any tendency has been overcome
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phorias
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convergence movement with no associated change in accommodation
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fusional vergence
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the two eyes converge directly on the target, with no tendency to turn in or out, up or down
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orthophoria
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the tendency of the two eyes to turn out for target
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exophoria
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exophoria is overcome with what type of fusional vergence
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postive (PFV)
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the tendency of the two eyes to turn in for a target
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esophoria
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esophoria is overcome with what type of fusional vergence
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negative (NFV)
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the tendency of one eye to look above the other
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hyperphoria
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hyperphoria is overcome with what type of vergence
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Vertical fusional vergence
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a deviation of one eye relative to the other
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strabismus
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tropia, squint, strab are all collectively known as a
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strabismus
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the deviation of one eye out; without fusional vergence
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exotropia
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the deviation of one eye in; without fusional vergence
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esotropia
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the deviation of one eye up; without fusional vergence
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hypertropia
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the deviation of one eye down; without fusional vergence
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hypotropia
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the images seen by two eyes being coordinated into one image cortically
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fusion
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What do we see with?
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occipital cortex
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cutting off vision in one eye cortically, because fusion is not possible
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suppression
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depth perception; highest level of binocular vision
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stereopsis
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only one function eye, or only one of the two eyes seeing
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monocular
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each eye focusing on an object, but two images are not fused; the patient sees double vision or diplopia
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biocular
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the ability of the two eyes to focus on one object and fuse the two images into one
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binocular
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the poistion of the two eyes at far point (6m) with no STIMULUS TO ACCOMMODATION OR CONVERGENCE
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tonic position
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the physiological position of rest and measured at far point
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Tonic position
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aka as psychic; vergence brought about due to the awareness of the nearness of an object
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proximal convergence
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vergence movement with no associated change in accommodation
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fusional vergence
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when all innervation to the EOMs has been removed, in deep anesthesia or death; the eyes are usually up and out
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anatomical position of rest
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a series of prisms apex to apex
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minus lens
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a series of prisms base to base
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plus lens
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where does the light go in the prism?
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to the base
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where does the image go in the prism?
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to the apex
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An orthophore is made artificially esophoric by the addition of _______. The patient then has to use ________ to maintain fusion.
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BI prism; NFV
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where does BI prism on anyone move the image?
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further out
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What type of prism is needed to make an orthophore and artificial exophore and why type of vergence is required to maintain single vision?
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BO prism; PFV
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Where does BO prism on anyone move the image?
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closer in
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what is the goal when correcting phorias?
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making them work less
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What type of prisms do exophores need to neutrilize and what type of vergence are they using less?
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BI prism; PFV
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What type of prisms make exophores worse?
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BO prism
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What type of prism will correct esophore and what type of fusional vergence do they use?
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BO and NFV
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When correcting a phoria, where do you place the image?
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at their tendency to take away all fusional vergence
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What type of prism makes and esophore worse?
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BO prism
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the position of the lines of sight when fusion is removed during far point fixation with accommodation relaxed, position of tonic convergence; the distance from which the eyes have to move located on the z-axis
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punctum remotum
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where is the PR of an orthophore?
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infinity
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Where is the PR of an exophore?
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beyond infinity
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Where is the PR of an esophore?
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inside infinity
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the closes point at which the patient can maintain single binocular vision; determined by performing the near point of convergence
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punctum proximum
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How are hyperphores corrected?
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with base down prism in from of the ye with the tendency to move up or base up in front of the other eye
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if light hits the fovea where does the pt think the image is
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straight ahead
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how would a right hyperphore be correct?
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base down in front of the OD or base up in front of the OS
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what happens to the accommodative convergence with the accommodation is stimulated?
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it is stimulated
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what happens to the accommodative convergence when accommodation is relaxed?
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it is relaxed
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the amount of accommodative-convergence change per diopter change in accommodation
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AC/A ratio
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what is the AC/A ratio?
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6/1
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do plus lenses relax or stimulate accommodation on an orthophore?
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relax
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What do minus lens do to orthophores?
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artificial esophore
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With an esophore, what type of lens makes the NFV less and what type of lens makes it more?
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plus less; minus more
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With an exophore, what type of lens makes the PFV less and what type of lens makes it more?
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minus less; plus more
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shifts the image further away from the pt
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base in prism
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helps exophoric patients
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base in prism
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what type of prism hurts an esophore?
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base in
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prism that shifts the image closer to the pt
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base out prism
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what type of pt needs base out prism?
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esophore
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accommodative/convergence points the eyes at the target after the accommodative stimulus for target is met
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orthophoria
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accommodative/convergence points the eyes further out than the target after accommodating for the target
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exophoria
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what are two ways to correct exophores?
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base in or over-minus
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accommodative/convergence points the eyes closer in than the target after accommodating for the target
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esophoria
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what are two ways to correct esophores?
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base out or over-plus
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where there is inadequate fusional vergence or accommodative/convergence to maintain focus, or improper function of the EOMs, or improper innervation of the cranial nerves, or refractive problems
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tropia
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name the things that can cause tropia.
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1- Inadequate fusional vergence
2- Inadequate accommodative/convergence 3- improper function of the EOMs 4- Improper innervation of the cranial nerves 5- refractive problem causing misalignment of the eyes |
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Types of Visual Acuities
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1- Detection
2- Resolution 3- Recognition 4- Contrast |
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the visualization of an object on a background different from the object itself
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detection acuity
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the ability to just recognize a lateral misalignment on a frontal plane; the most accurate type of acuity
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resolution acuity
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the determination of a threshold of recognition of two ore more targets or objects on a contrasting background
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recognition acuity
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minimum contrast which is required to distinguish that there is a bar pattern rather than a uniform grey
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contrast sensitivity
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Visual acuity notation: distance of testing situation or where the patient stands
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numerator
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Visual Acuity notation: distance at which the letters subtend 5' of arc at the nodal point of the eye or the letter the patient reads
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denominator
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what is the metric conversion of 20/20?
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6/6
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