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Related Concept Videos

Visual Agnosia01:12

Visual Agnosia

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Visual agnosia is a condition characterized by the inability to recognize visually presented objects despite having normal vision. For instance, a person with visual agnosia can describe the shape and color of an object but cannot identify or name it. This impairment does not affect their visual field, acuity, color vision, brightness discrimination, language, or memory. An example of this condition in a social setting is someone at a dinner party asking for "that silver thing with a round...
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Related Experiment Video

Updated: Mar 30, 2026

Author Spotlight: An Automated Method for Assessing Visual Acuity in Infants and Toddlers Using an Eye-Tracking System
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Comparing Visual Acuity Measured by Lea Symbols and Patti Pics.

Eric L Singman1, Noelle S Matta2, Jing Tian3

  • 1From the Wilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland;

The American Orthoptic Journal
|November 14, 2015
PubMed
Summary
This summary is machine-generated.

This study found that Patti Pics eye charts provide similar visual acuity measurements to well-validated Lea Symbols charts in both children and adults. The charts showed comparable results across various age groups and visual acuities.

Keywords:
Lea Symbols®Patti Pics®pediatric ophthalmologypediatric vision screeningvisual acuity

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Area of Science:

  • Ophthalmology
  • Optometry
  • Vision Science

Background:

  • Limited validation data exists for many illiterate eye charts.
  • Lea Symbols® charts are well-validated in numerous studies.
  • This study compares two ETDRS-style charts: Lea Symbols® and Patti Pics®.

Purpose of the Study:

  • To compare visual acuity assessment using Lea Symbols® and Patti Pics® ETDRS-style charts.
  • To determine if these two charts provide clinically similar data for visual acuity measurement.
  • To inform clinical decisions regarding eye chart selection.

Main Methods:

  • Visual acuity was tested on the right eyes of 52 consecutive patients (ages 3-88).
  • The order of chart presentation (Lea Symbols® vs. Patti Pics®) was alternated.
  • Patients were categorized by age and visual acuity for analysis.

Main Results:

  • 83% of measurements showed equal visual acuity between the two charts.
  • Lea Symbols® measured one line better in 8% of eyes.
  • Patti Pics® measured one line better in 9% of eyes.
  • No significant differences were observed between adults and children, or across different visual acuities.

Conclusions:

  • Patti Pics® charts perform similarly to Lea Symbols® charts in assessing visual acuity.
  • The findings are applicable to multi-specialty ophthalmology practices.
  • Similar performance is suspected in primary care and school settings.