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GB 11533-2011Standard for logarithmic visual acuity charts (English PDF)

标准对数视力表

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Issued by

Ministry of Health of the P. R. China;

Level / Type

National · Mandatory

Issue date

December 30, 2011

Implementation date

May 1, 2012

Scope

GB 11533-2011 is the English-translated version of 标准对数视力表.

GB 11533-2011 — This Standard specifies the design criteria, printing specification, use methods, and visual acuity statistical methods, etc. of visual acuity charts.

This Standard is applicable to general physical examinations for children, adolescents and adults aged 3 years and above, distant and near optometry and visual impairment screening for physical examinations such as enrollment and recruitment.

It can also be used for reference in ophthalmology and optometry clinical aspects.

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Document preview — GB 11533-2011

National Standard of the People's Republic of China

ICS
13.100

Issued by: Ministry of Health of the P. R. China;

Contents

  • Foreword3
  • 1 Scope5
  • 2 Terms and definitions5
  • 3 Design criteria for visual acuity charts9
  • 4 Printing specification for visual acuity charts10
  • 5 Use methods of visual acuity charts12
  • 6 Visual acuity statistics16
  • 7 Others17
  • Appendix A (Informative) Standard for logarithmic distant visual acuity charts18
  • Appendix B (Informative) Standard for logarithmic near visual acuity charts19

Foreword

3.1, 3.2, 3.3, 3.4, 3.5, 4.1, 4.3.2, 4.3.4, 5.2, 5.3, 5.6.1 of this Standard are mandatory.

The rest are recommended.

This Standard replaces GB 11533-1989 "The standard logarithmic visual acuity charts".

Compared with GB 11533-1989, the main changes of this Standard are as follows.

- Revise the Scope (Clause 1 of the 1989 edition; Clause 1 of this edition).

- Add the term and definition "Logarithm record" (2.13 of this edition).

- Modify the provisions on the maximum optotype size, the minimum optotype size, and the measurable range of near visual acuity charts (3.6.2 of the 1989 edition;

3.6.2 of this edition).

- Modify the provisions on the breadth of near visual acuity charts (4.2.2 of the 1989 edition; 4.2.2 of this edition).

- Modify the number of optotypes in the first line of distant visual acuity charts (Table 2 of the 1989 edition; Table 2 of this edition).

- Modify the provisions on the number of lines of optotypes, the number of optotypes per line, and the line spacing of near visual acuity charts (4.3.2 and Table 5 of the 1989 edition; 4.3.2 and Table 4 of this edition).

- Delete the table to express the number of optotypes and line spacing of near visual acuity charts (Table 3 of the 1989 edition).

- Add requirements for the orientation of adjacent optotypes (4.3.4 of the 1989 edition; 4.3.4 of this edition).

- Modify the record values on both sides of distant and near visual acuity charts AND other printing requirements (4.3.5, 4.3.6, 4.3.7 of the 1989 edition; 4.3.5 and 4.3.6 of this edition).

- Add another regulation on the use method of distant visual acuity charts (5.1.1 of the 1989 edition; 5.1.1 of this edition).

- Modify the provisions on the lighting of visual acuity charts (5.3 of the 1989 edition;

5.3 of this edition).

- Delete a method for the determination of extraordinary visual acuity (5.4.2.2 of the 1989 edition).

- Modify the minimum value that can be measured by the near visual acuity chart [5.4.3.3 of the 1989 edition; 5.4.3.b) of this edition)].

- Modify the table for variable distance correction of near visual acuity chart (Table 7 of the 1989 edition; Table 6 of this edition).

- Delete two methods of special cases for variable distance application (5.5.2.2 and 5.5.2.3 of the 1989 edition).

- Add the informative Appendix "Standard for logarithmic distant visual acuity charts" (see Appendix A).

- Add the informative Appendix "Standard for logarithmic near visual acuity charts" (see Appendix B).

Appendix A and Appendix B of this Standard are informative appendices.

This Standard was proposed by and shall be under the jurisdiction of Ministry of Health P. R. China.

This Standard shall be interpreted by Ministry of Health P. R. China.

1 Scope

This Standard specifies the design criteria, printing specification, use methods, and visual acuity statistical methods, etc. of visual acuity charts.

This Standard is applicable to general physical examinations for children, adolescents and adults aged 3 years and above, distant and near optometry and visual impairment screening for physical examinations such as enrollment and recruitment. It can also be used for reference in ophthalmology and optometry clinical aspects.

2 Terms and definitions

The following terms and definitions apply to this Standard.

Optotype

Various characters, numbers, and graphics etc. used to measure visual acuity.

Visual angle

The angle between two points on the external object at the eye nodal point (N), expressed as alpha, in minutes (') (see Figure 1).

Nodal point, N

The optical center of the eye's refractive system, which is about 7 mm behind the corneal vertex on the optical axis of the eye. When light passes through the nodal point, the direction does not change (see Figure 1).

Examine distance, d' Actual examine distance.

The distance from the visual acuity chart to the eye nodal point (N) of the examinee during the examination. The design distance of all optotypes can be selected as the examine distance in actual use.

2.11

Fraction record

Use the examine distance (numerator) and the design distance (denominator) at the same time to express the visual acuity, namely d/D or d'/D. Its essence is to express visual acuity by the reciprocal of visual angle.

2.12

Decimal record, V

Use the reciprocal of visual angle to express the visual acuity. The unit of visual angle is (') (minute). It is formulated as.

2.13

Logarithm record

Use the logarithm of visual angle to express the visual acuity, i.e. lgalpha.

3 Design criteria for visual acuity charts

3.1 Optotype shape

Use a square " "-shaped optotype with three strokes of equal length. Each stroke or gap is one-fifth of the side length of the square (see Figure 2).

3.2 Standard of normal visual acuity

It is stipulated that the visual acuity that can distinguish 1' visual angle is the normal visual acuity standard, which is recorded as 5-mark, that is, 5.0.It is equivalent to 1.0 visual acuity in decimal record, 6/6 or 20/20 visual acuity in fraction record.

3.5 Record

Use the 5-mark record method. For each additional line of optotypes above 3.0, the record is added by 0.1, which is arranged in an arithmetical progression. Each line of optotypes can be accompanied by the corresponding decimal record value (approximate value) at the same time.

3.6 Directly measurable range

4 Printing specification for visual acuity charts

4.1 Paper

4.2 Breadth

4.2.1 The distant visual acuity chart adopts the 5K (777 mm×217 mm) breadth of 787 mm×1092 mm paper. The allowable deviation is ±3 mm.

4.3 Format

4.3.1 The distant visual acuity chart is arranged with 14 lines of optotypes from top to bottom according to the size. The line spacing is 24 mm. The number of optotypes in each line is shown in Table 2.

4.3.4 The number of each orientation of the optotypes is equal. The order of appearance shall be randomly distributed. The orientations of two adjacent optotypes shall be different.

4.4 Printing requirements

The optotype is thick black. The ink color is uniform. No white spots are exposed. The boundary is clear. The lines are straight. The allowable error of optotype size is ±5%.

There are no black spots on white background.

5 Use methods of visual acuity charts

5.1 Placement distance of visual acuity chart (examine distance)

5.2 Placement height of visual acuity chart

5.2.1 The 5.0-line optotype on the distant visual acuity chart is the same height as the eye to be examined.

5.2.2 The near visual acuity chart is perpendicular to the line of sight of the eye to be examined.

5.3 Lighting of visual acuity chart

Artificial lighting shall be used. If direct lighting is used, the illumination shall not be less than 300 lx.

5.4 Determination of visual acuity

5.4.1 Determination of general visual acuity

According to the general use method of the visual acuity chart, measure the smallest line of optotypes that can be recognized by the examined eye (the number of correctly-recognized optotypes shall be more than half of the total number of optotypes in this line). Record the visual acuity record value of the line of optotypes, which is the visual acuity of the eye.

5.4.2 Determination of extraordinary visual acuity

When the distant visual acuity exceeds 5.3 (2.0), the following method can be used to measure.

5.4.3 Determination of low visual acuity

When the visual acuity is less than 4.0 (0.1), the following method can be used to measure.

5.5 Variable distance application of visual acuity chart

5.5.1 General principles of variable distance application

According to the site distance, the design distance (see Table 3 and Table 4) of any line of optotypes on the distant and near visual acuity charts of this Standard can be selected as the examine distance.

5.5.2 Special cases for variable distance application

5.6 Record

5.6.1 The visual acuity measured according to this Standard is recorded by a 5-mark record method, such as 5.2 or 5.2 (1.5).

5.6.2 The conversion of 5-mark record to decimal record and various fraction records is shown in Table 7.The conversion formula is formula (5) or formula (6).

6 Visual acuity statistics

6.1 The visual acuity in 5-mark record can be used for direct comparison of visual acuity level and statistical processing such as visual acuity average, standard deviation, standard error, and significance test. An example is as follows.

6.1.1 The visual acuity comparison can be directly expressed by the number of visual acuity differences (number of lines of optotypes).

6.2 All decimal records, fraction records, and values such as visual angle, optotype size, and design distance cannot be directly compared and counted by the method of 6.1;

7 Others

Other methods of using the visual acuity chart shall comply with the general regulations.

5-mark record

......
This preview omits tables, figures, formulas and parts of the technical clauses. The complete document — 19 pages — is available in the English PDF.

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