Good-Lite Low Contrast Test Recording Form 2011-2025 free printable template

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

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

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

1. Begin by gathering all necessary patient information, including their name, age, and date of exam.
2. Record the date of the test in the designated space.
3. Indicate the patient's visual acuity level using the appropriate measurement scale provided on the form.
4. Document the test conditions, noting the lighting conditions and distance from the test chart.
5. Fill in the results for each tested eye separately, ensuring clarity in the recorded values.
6. Make any observations regarding the patient's performance during the test, including their comfort level and behavior.
7. Sign and date the form to verify the completion of the test.

Who needs Good-Lite Low Contrast Test Recording Form?

1. Optometrists and ophthalmologists conducting low contrast sensitivity tests.
2. Vision rehabilitation specialists assessing patient needs.
3. Researchers studying visual performance and contrast sensitivity.
4. Healthcare providers involved in diagnosing visual impairments.

People Also Ask about

What is the name of the contrast sensitivity chart?

Vistech Chart This consists of sine-wave gratings and is conducted at a distance of 3 meters from the patient. In this, the contrast is tested at several spatial frequencies, and the patient has to pinpoint the orientation of the grating, either vertical or 15 degrees or anticlockwise.

How do you document contrast sensitivity?

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.

What is the difference between high contrast visual acuity and low contrast visual acuity?

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.

What is the difference between low contrast and high contrast visual acuity?

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.

What does low contrast visual acuity mean?

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.

What is the LEA symbols low contrast test?

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.

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What is Good-Lite Low Contrast Test Recording Form?

The Good-Lite Low Contrast Test Recording Form is a standardized document used to record the results of low contrast sensitivity tests, which assess a person's ability to distinguish between objects and background that have similar colors or shades.

Who is required to file Good-Lite Low Contrast Test Recording Form?

Typically, healthcare professionals, optometrists, and vision researchers who conduct low contrast sensitivity tests are required to file the Good-Lite Low Contrast Test Recording Form for documentation and analysis purposes.

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

To fill out the Good-Lite Low Contrast Test Recording Form, the examiner should document the patient's details, the testing conditions, the results from the low contrast sensitivity test, and any observations made during the testing process.

What is the purpose of Good-Lite Low Contrast Test Recording Form?

The purpose of the Good-Lite Low Contrast Test Recording Form is to systematically collect and document data from low contrast sensitivity tests, which can be used for clinical assessment, research analysis, and tracking patient progress over time.

What information must be reported on Good-Lite Low Contrast Test Recording Form?

The information that must be reported on the Good-Lite Low Contrast Test Recording Form includes patient identification information, date of the test, specific test conditions, test results (sensitivity levels), and any relevant comments or findings from the examination.