Teller
Acuity System Vs Lea GratingsĀ® Products
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In adults,
visual acuity is measured as 'recognition acuity' which uses standard
line tests. This type of test cannot be used in examining infants and
children with multiple handicaps. Visual acuity in this younger group can be
measured with grating acuity tests.
In a grating
acuity test, the infant or child detects the presence of parallel lines of
decreasing width, a task simpler than recognizing optotypes. When a striped
pattern is presented in front of the young patient simultaneously with a
gray surface of the same size and luminance, the young patient is likely to
look at the striped pattern because there is more to see than on the gray
surface.
In addition
to gratings, the Teller System uses a large blind behind which observations
are made. This unit requires substantial table space and is very awkward for
the examiner. Since the Lea Gratings® do not require a cumbersome blind
between examiner and the young patient, the Lea solution is much more
economical and useable than the traditional Teller Acuity System.
The Lea Gratings® Test test uses paddles to present gratings. The handle allows the tester
to hold the test easily. The gratings are defined by the frequency, i.e.,
the number of pairs of black-and-white stripes or cycles, within one degree
of visual angle. When the grating is printed on a surface, it can be defined
also as the number of cycles per centimeter of surface.
When a
grating is held at 57cm (~2 feet) distance from the young person's face,
one centimeter equals one degree of visual angle. This is a convenient test
distance because the number of cycles/cm corresponds to grating acuity as
cycles per degree.
Infants
and children at an early development level many not respond to stimuli placed at
57cm distance. Their visual sphere mat be limited to less than 30 cm (~one ft.).
When the gratings are held at half the 57cm distance, the number of cycles per
degree (cpd) is half of that at 57cm. If the infants response can be elicited
only at 15cm (~6 inches) (or ¼ of the original distance), the frequency of the
grating is ¼ of the value printed on the test. At one meter, the values are
twice the values printed on the test.
Lea
GratingsĀ® Test
New Cardiff Acuity Test Set
Teller Acuity Card Set
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