The Myth of 20/20 Vision

Are you aware that 20/20 eyesight measures only one component of our vision? Though we often think 20/20 vision is perfect, is it really?

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What is 20/20 Vision?

Most of us grew up equating 20/20 vision with perfect vision and at a certain point, it seemed that having “the best” eyesight was a goal for which we needed to strive. However, many years of education and learning later have taught us that there is no such goal. Perfect vision, it seems, is a myth. And the biggest surprise of all is that 20/20 vision is merely average. In fact many competitive athletic programs screen their athletes to assess much more than 20/20 vision including visual skills such as spatial awareness, depth perception, hand-eye coordination, color contrast, and peripheral vision.

When we talk about 20/20 vision, it’s important to know what the numbers mean and how they've come to define how well, or not, we see. In the United States, where distance is measured in inches and feet, the number 20 represents the number of feet between patients and the standard E chart optometrists use to test visual acuity. In turn, your ability to see clearly is based on how well you can read the letters and numbers on the chart from this distance. In the UK and other countries that use the metric system, 20/20 vision is known as 6/6 vision, an indication of how many meters rather than feet, stand between patient and chart.

The Snellen 20/20 fraction, named for the ophthalmologist who created this system, corresponds to two distinct factors. The top number of the fraction represents the distance between the patient and the chart, and the bottom number corresponds to lines on the chart. If for example, you can read the large E at the top from a distance of 20 feet, you have 20/200 vision. Because the system measures how well people see on average, 20/200 actually indicates rather poor visual acuity. To further clarify, 20/20 vision is a measure of how well the average person sees, not the one with unrealistically “perfect” vision.”

What 20/20 Vision Means For You

If you have been told you have 20/20 vision, chances are you don’t need glasses, contact lenses, or magnifiers to see or read clearly. If however it is determined that you are nearsighted (meaning, you see well when things are close up), farsighted (you’re able to see things in the distance clearly), or a combination of the two, you’re likely to need corrective lenses. Regardless of whether or not you need glasses, it is important to remember that the sum total of your vision cannot be based on how well you read the E chart.

How to Determine if You Have a Vision Problem

If 20/20 isn’t a true measure of how well your eyes work, how do you know when you have a vision problem?

School Eye Testing

Vision tests administered in schools are not the be-all, end-all to vision screening, but they can give you a good starting point to identify if your child sees and if they need help. It’s important to understand that these screenings cannot detect a number of visual deficits, which is why reliance on them as proof of “perfect vision” is highly discouraged. According to the College of Optometrists in Vision Development, the most common vision problems are not associated with visual acuity (20/20 vision).

Still, the results of any school vision test should be brought to your eye doctor, as they can compare what they see in-office to what’s been recorded in school.

Eye Function

If you’re experiencing blurred vision, headaches, neck strain, dizziness, have difficulty with recall, reading comprehension, or other significant visual functions, it is important you see our eye doctor for a functional vision exam. Although you or your child may not need corrective lenses, you may be a candidate for vision therapy. It is important not to place too much trust in a school screening that only assesses 4% of a functional vision examination; this screening will not reveal many vision problems.

Common Questions

What else do my eyes need to do in order to see well? Isn’t going to the optometrist all about whether or not I need glasses?

Determining if you’re nearsighted, farsighted or both is just one way your vision is measured. There is a tremendous amount of behind the scenes communication that takes place between your brain and your eyes that needs to be tested and checked regularly. There are 17 visual skills that you need to have good vision, so getting glasses is only one part of a complex ocular puzzle.

Does my child need to see the optometrist if they pass the school eye test?

You should always have your child (and yourself!) seen by an optometrist annually. Remember that passing a vision screening doesn't mean there aren't other problems. While it is great to do well on this test, you should know that it does not measure the skills your brain and eyes need for clear vision and for success in the classroom.

The Importance of Eye Exams

It is important and, frankly, good practice to have your eyes, as well as that of your family members, checked at least annually. 20/20 vision isn’t about having “perfect” vision and doesn’t give you a full picture as to what your eyes can really do. Remember too, that if you or your child struggle with any key visual skills, it's best to contact our optometrist. It’s possible you’ll need glasses or perhaps vision therapy. Our eye doctor is the one who can guide you best and recommend the interventions that are right for you. To schedule a functional vision exam, please call (562) 925-6591. Patients looking for a functional vision exam visit our clinic from all over California, and we are proud to be a leading provider of functional vision services for patients from Bellflower, Long Beach, Lakewood, and Los Angeles.

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Testimonials

I haven't actually used the optometrist side, so my review is limited to the vision therapy offered. This office was recommended by my occupational therapist for the treatment of my double vision following a stroke.

Claire A.

Love this location. I had a brain injury accident from day one one. All the team make you feel you still important and hope in the horizon after when the medical system fell you miserably. Dr. Ikeda very professional and very understanding about your issue. Two tombs up.

Jim K.

My husband and I were immediately impressed with Dr Ikeda. I was hit by a car while cycling which caused broken bones and three brain injuries. The brain injuries caused double vision. Dr. Ikeda examined my eyes and got me started on vision therapy with his occupational therapist who specializes in vision therapy. She (Chris) is absolutely great. I am impressed with the array of tools used to help recover my binocular vision. I am doing things I never thought were possible (balance boards etc). Chris pushes me and keeps me motivated. I really enjoy my sessions with her. The office staff is always friendly and they have a wonderful appointment reminder tool that makes it easy to keep my calendar up to date. I am happy the rehab center at Little Co. of Mary recommended them!!

Teresa S.

The Vision Therapy is handled in a separate office through a different door from the shared waiting room. Chris, the vision therapist, has a wide and varied assortment of tools, equipment and resources to best evaluate and treat most vision issues. After just a few visits, my double vision became easier to control, using exercises developed during the therapy process. It was time well-spent.

Joe M.

I have been coming here since I can remember. I love it here. The staff is so amazing and nice. They explain everything they gonna do and never make you feel rushed. Dr. Ikeda has always been my doctor and I would never want another one. He is the doctor for my whole family and is always asking how everyone is doing. I am also so crazy about picking out my frames and have to try so many and each person who helps me take the time and lets me try them all on. I would never want to go anywhere else! I definitely would recommend this office to anyone looking for a great eye doctor.

Kayla W.

This is not for the eye exam but for the frames selection portion. I brought my prescription from Kaiser here with my VSP insurance. The reception staff was very polite and professional. Manny helped me to pick out frames and explain my coverage. Very helpful and patient not like the individual at the other place I rated here on Yelp. I was running late and he still helped me and was not bothered at all. I am so glad I came here ..........very pleased.

Very professional staff and pleasant.