Near visual acuity in the context of Visual impairment

Visual acuity (VA) commonly refers to the clarity of vision, but technically rates an animal's ability to recognize small details with precision. Visual acuity depends on optical and neural factors. Optical factors of the eye influence the sharpness of an image on its retina. Neural factors include the health and functioning of the retina, of the neural pathways to the brain, and of the interpretative faculty of the brain.

The most commonly referred-to visual acuity is distance acuity or far acuity (e.g., "20/20 vision"), which describes someone's ability to recognize small details at a far distance. This ability is compromised in people with myopia, also known as short-sightedness or near-sightedness. Another visual acuity is near acuity, which describes someone's ability to recognize small details at a near distance. This ability is compromised in people with hyperopia, also known as long-sightedness or far-sightedness.

The Jaeger chart is an eye chart used in testing near visual acuity. It is a card on which paragraphs of text are printed, with the text sizes increasing from 0.37 mm to 2.5 mm. This card is to be held by a patient at a fixed distance from the eye dependent on the J size being read. The smallest print that the patient can read determines their visual acuity.The original 1867 chart had a text containing seven paragraphs and a corresponding seven-point scale.

Jaeger cards are not standardized, and the variability of the actual size of test letters on different Jaeger cards currently in use is very high. Therefore, test results with different Jaeger cards are not comparable.