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  • Good-lite Low Contrast Test Recording Form 2011

Get Good-lite Low Contrast Test Recording Form 2011-2025

LOW CONTRAST TEST RECORDING FORM xx OD zoos patient: date # of 16 symbols 6.5 read contrast sensitivity Distance of the test 20 8 25 30 40 50 cm 10 12 16 20 1 m 40 3 m 4 m 5 m 10 13 16.4 2 m.

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How to fill out the Good-Lite Low Contrast Test Recording Form online

Filling out the Good-Lite Low Contrast Test Recording Form online is an essential process for accurately recording visual sensitivity assessments. This guide will provide you with clear, step-by-step instructions to complete the form effectively.

Follow the steps to fill out the form correctly.

  1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
  2. Fill in the patient's name in the designated field, ensuring accurate spelling to maintain proper documentation.
  3. Enter the date of the test in the appropriate section, using the format MM/DD/YYYY for clarity.
  4. Complete the 'number of symbols read' section, indicating the total symbols the patient was able to read during the test.
  5. Specify the distance of the test by selecting one of the provided options, such as 20 cm, 40 cm, or any other listed distance.
  6. Record the contrast sensitivity thresholds as indicated in the chart provided on the form, ensuring accurate notations for each value.
  7. Document the high contrast visual acuity by using the appropriate values as shown in the table, noting each in its designated column.
  8. Review all the information entered to ensure completeness and accuracy before finalizing the submission.
  9. Once the form is filled out, users can save changes, download, print, or share the completed form as required.

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Visual acuity is a psychophysical test that measures central visual function. Low contrast VA (LCVA), tested using grey letters on a white background, has increased sensitivity for neurological visual pathway disease over high contrast VA (HCVA), which is tested using black letters on a white background.

Visual acuity refers to the clarity of vision and the ability to distinguish details of objects. Contrast sensitivity is the ability to distinguish an object from its background.

Visual acuity determines the sharpness and clarity of your vision from a distance. Contrast sensitivity refers to your ability to differentiate between an object and its background. Contrast sensitivity is also more sensitive than visual acuity, which makes monitoring it potentially more important.

Low contrast visual acuity (LC-VA) is known to be able to capture visual loss not seen in conventional high-contrast visual acuity (HC-VA) in MS. Therefore, to increase the sensitivity of ON detection, we investigated the advantage of LC-VA over conventional HC-VA.

LEA SYMBOLS® Low Contrast Test, 10M Test for quick measurement of low contrast visual acuity at 25%, 10%, 5%, 2.5%, and 1.25% contrast by measuring the distance where the symbols are seen. 10M symbols correspond to visual acuity 0.10 at 1 m, 0.05 at 0.5 m and 0.3 at 3 m. VA values are thus easy to calculate.

Contrast is usually expressed as percent, then the ratio is multiplied by 100. The maximum contrast is thus 100% contrast. The symbols of the visual acuity charts are close to the maximum contrast. If the lowest contrast perceived is 5%, contrast sensitivity is 100/5=20.

At all blur and luminance levels, visual acuity decreases gradually for contrast levels down to 20%, and decreases sharply for lower contrast levels. Over the range of background luminances we tested (75.0 to 0.075 cd/m2), visual acuity decreases linearly with reductions in luminance.

The most common contrast sensitivity test is the Pelli-Robson contrast sensitivity chart. This test is a chart with different capital letters organized in horizontal lines. The contrast decreases with each line. The person will move down the chart to determine the least level of contrast they can see.

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© Copyright 1997-2025
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
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
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
airSlate WorkFlow
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 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232