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What Does 20/40 Vision Mean?

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A Snellen chart overlaid over a blurry image of a person's eye.

When it comes to eye health, you may have heard terms like “20/20 vision” or “20/40 vision.” But what do these terms actually mean? 

20/40 vision indicates that you can read at 20 feet what a person with normal vision can read at 40 feet. For instance, you might need to be 20 feet away to read a particular road sign, whereas a person with normal vision could read the same sign from 40 feet away.

 At Sage Eyecare, we provide comprehensive eye exams to assess your vision, identify visual acuity problems, and address any other concerns you may have.

Understanding Visual Acuity

Visual acuity is a measure of how well you can see at a given distance compared to a person with normal vision. “20/20 vision” is considered standard vision; it means that, at 20 feet, you can read what a person with normal vision should be able to read at the same distance. If you have 20/40 vision, you can read at 20 feet what a person with normal vision can read at 40 feet. 

The visual acuity scale can be summarised as follows:

  • 20/20: Normal vision.
  • 20/30: Slightly worse than normal vision.
  • 20/40: Moderate visual impairment.
  • 20/50: Significant visual impairment – this is the minimum visual acuity required for driving without correction in Ontario.
  • 20/200 or worse: Legal blindness.
Optometrist performing an eye exam on female patient.

How Good or Bad is 20/40 Vision?

While 20/40 vision is not considered optimal, it’s important to note that many people can still function well with this level of acuity. For instance, 20/40 vision may allow you to perform daily tasks, such as reading a book or watching TV, with minimal difficulty. However, certain activities, particularly those that require sharp vision, such as driving, may be affected.

Driving Regulations

In Ontario, the minimum requirement for obtaining a driver’s licence is 20/50 vision (meaning that you can read at 20 feet what a person with normal vision can read at 50 feet). Outside of Ontario, this requirement is dependent on local regulations. If your vision falls below the acuity level required by governing legislation, you may need to wear glasses or contact lenses while driving to meet legal standards. 

Common Causes of 20/40 Vision

Several factors can contribute to 20/40 vision, including:

  • Refractive Errors: Conditions such as nearsightedness (myopia) and farsightedness (hyperopia) can affect your visual acuity. These conditions occur when the shape or curvature of the eye prevents light from focusing directly on the retina.
  • Aging: As we age, the lens of the eye may become less flexible, leading to presbyopia, which can make it difficult to focus on close objects.
  • Eye Diseases: Conditions like cataracts, glaucoma, and macular degeneration can also impact visual acuity and may result in a decrease in visual sharpness.
  • Eye Injuries: Trauma to the eye can cause changes in vision and may lead to a decline in acuity.

How is Visual Acuity Measured?

Visual acuity is typically measured using an eye chart during an eye exam. The most common chart is the Snellen chart, which has letters of various sizes printed on it. 

During an eye exam, you’ll be asked to read the letters from a distance of 20 feet. Your visual acuity will be recorded as a fraction, with the top number representing the distance (in feet) you are from the chart and the bottom number representing the distance at which a person with normal vision can read the same line.

Corrective Options for 20/40 Vision

If you have 20/40 vision and find that it affects your quality of life, several corrective options can help improve your eyesight:

  • Eyeglasses: Prescription glasses can help you see more clearly at various distances. If your visual acuity is the result of refractive errors like nearsightedness, your eye care provider can prescribe glasses tailored to your specific needs.
  • Contact Lenses: Many people prefer contact lenses to glass for their convenience and the wider field of vision they provide. Your eye care professional can help you choose the right type of contact lenses for your lifestyle.
  • Laser Eye Surgery: Procedures like LASIK can permanently reshape the cornea to improve visual acuity. However, not everyone is a suitable candidate for these surgeries, so a thorough consultation with your eye care provider is necessary.
  • Vision Therapy: For some people, particularly children, vision therapy may help improve visual skills and acuity through guided exercises and treatments.

When to Seek Professional Help

If you notice a sudden change in your vision, such as a decrease in visual acuity or any other visual disturbances, it’s important to seek professional help. Regular eye exams are essential for maintaining good eye health and detecting any potential issues early on. 

At Sage Eyecare, we recommend scheduling an eye exam every one to two years, or more frequently if you have existing eye conditions or are experiencing vision changes. Our experienced team is here to provide you with the care and guidance you need to maintain healthy vision.

Taking Control of Your 20/40 Vision

To recap, 20/40 vision means you can read things at 20 feet that a person with normal vision can read at 40 feet. In other words, “20/40” is a way of measuring how clear your vision is.

 While 20/40 visual acuity may present some challenges, many people with 20/40 vision can still navigate daily life effectively. 

At Sage Eyecare, we’re dedicated to providing comprehensive eye care based on years of experience and expertise. If you have concerns about your vision, consider scheduling a comprehensive eye exam with Sage Eyecare to discuss your options for improving your visual acuity and overall eye health.

Mae

Written by
Dr. Mae Chiu

Dr. Mae Chiu obtained her Honours Bachelor of Science and Doctor of Optometry degrees from the University of Waterloo. She completed clinical externships in Hong Kong and in Canada specializing in ocular pathologies such as macular degeneration, glaucoma, diabetic retinopathy and cataracts. She received further training in the areas of specialty multifocal contact lens fittings and co-management of refractive laser and cataract surgeries.

Dr. Chiu is certified for prescribing therapeutic agents. She is a member of the Canadian Association of Optometrists and Ontario Association of Optometrists. Dr. Chiu enjoys travelling and trying out different cuisines from all over the world. Dr. Chiu is fluent in English and Cantonese.

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Dr. Mae Chiu

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