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If a patient could read a line of type 20 feet away with what Snellen judged to be normal acuity, he proclaimed them to have 20/20 vision. Ophthalmology has since advanced far beyond anything ...
In a typical eye exam, the patient covers one eye and reads the letters. The smallest row that can be read from 20 feet (six meters in most countries) demonstrates the visual acuity of the eye.
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