Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Etdrs Chart Worksheetdoc

Get Etdrs Chart Worksheetdoc

Comparison of Agerelated Macular Degeneration Treatments Trials EW (201.1) 10/19/2007 ETDRS Chart Worksheet Page 1 of 2 ID. No.: Alpha Code: Clinic #: Week: DIRECTIONS. Circle each correct letter.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to use or fill out the ETDRS Chart Worksheetdoc online

The ETDRS Chart Worksheetdoc is a crucial tool used for assessing visual acuity in clinical settings. This guide provides clear, step-by-step instructions on how to accurately fill out the form online, ensuring compliance and accuracy in documentation.

Follow the steps to complete the ETDRS Chart Worksheetdoc online.

  1. Click ‘Get Form’ button to access the form and open it in your preferred editor.
  2. Begin by entering identifying information in the provided fields: ID No., Alpha Code, Clinic #, and Week. This information is essential for tracking and referencing the worksheet correctly.
  3. Follow the directions at the top of the worksheet: circle each correct letter and place an X on each incorrect letter for both the right and left eye charts. Make sure to leave any letters not attempted unmarked.
  4. For each eye, record the number of letters read correctly at a 4.0-meter distance in the designated section. This is vital for calculating the visual acuity score.
  5. If the total number of letters read correctly at 4.0 meters is less than 20, note this in the appropriate field and calculate the visual acuity letter score accordingly.
  6. Complete the visuals for both eyes by filling in the letters read correctly at a 1.0-meter distance as instructed. This will assist in corroborating the visual acuity assessment.
  7. After entering all information, review the worksheet for completeness and accuracy. Make any necessary amendments before finalizing.
  8. Once you have filled out the form, save any changes you have made. You may also choose to download, print, or share the completed worksheet as needed.

Begin filling out the ETDRS Chart Worksheetdoc online to ensure accurate visual acuity assessment.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Vision.pdf
Charts that measure visual acuity using low contrast letters include low contrast versions...
Learn more
Banner Eye Care Visual Acuity Test (BECVAT) V 2.0
This PDF document contains the following vision tests and instructions: • Letter...
Learn more
1 AGE-RELATED EYE DISEASE STUDY 2 MANUAL OF ...
If the EVA is malfunctioning, manual ETDRS charts may be substituted for the assessment...
Learn more

Related links form

Petition For Writ Of Certiorari In Hinton V Alabama - Equal Justice Bb 18004354000 Ato Early Engagement Advice Request Agricultural Exemption Certificate ST-28F Exemption Certificates

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

CSV-1000 ETDRS The CSV-1000 allows testing up to 20/200 at a test distance of 8 feet, or up to 20/125 at a distance of 4 meters.

The ETDRS charts are 64.8 cm wide and 62.2 cm high (25.5 x 24.5 inches).

The ETDRS Disease Severity Scale was developed to differentiate severe proliferative from nonproliferative diabetic retinopathy.

To compare accuracy, reproducibility and test duration for the Snellen and the Early Treatment Diabetic Retinopathy Study (ETDRS) charts, two main tools used to measure visual acuity (VA).

An ETDRS letter score can be calculated as follows: when 20 or more letters are read correctly at 4.0 m, the visual acuity letter score is equal to the total number of letters read correctly at 4.0 m plus 30.

ETDRS charts provide three methods for recording VA, including logMAR, fractional and decimal recording methods. The measuring range is 1.0 to -0.3 (logMAR recording method).

The visual acuity test is used to determine the smallest letters you can read on a standardized chart (Snellen chart) or a card held 20 feet (6 meters) away.

ETDRS letter score can be calculated when 20 or more letters are read correctly at 4.0 metres; the visual acuity letter score is equal to the total number of letters read correctly at 4.0 metres plus 30.

ETDRS charts were theoretically superior to Snellen charts because interpatient differences were more accurately measured and longitudinal follow-up measurements had more consistent precision, regardless of whether the patients had high or low levels of visual acuity.

ETDRS charts present a series of five letters of equal difficulty on each row, with standardized spacing between letters and rows, for a total of 14 lines (70 letters).

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get ETDRS Chart Worksheetdoc
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232