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Is +5.5 Eyesight Bad?

Published in Vision Impairment 3 mins read

Yes, based on the provided reference, a visual acuity level equivalent to +5.5 is considered significantly impaired.

While "+5.5" typically refers to a lens prescription power (diopters) for conditions like farsightedness, the reference specifically states that a visual acuity of 5.5 is equivalent to 20/400.

Understanding Visual Acuity

Visual acuity is a measure of how clearly you see at a distance. It's commonly expressed as a fraction, like 20/20 (normal vision).

  • 20/20: You can see at 20 feet what a person with normal vision sees at 20 feet.
  • 20/400: You need to be at 20 feet to see what a person with normal vision can see clearly at 400 feet.

As the reference indicates, a visual acuity of 20/400 is very low.

Visual Acuity of 5.5 (Equivalent to 20/400)

According to the reference:

A visual acuity of 5.5 is equivalent to 20/400, which is considered blind in a legal sense [based on acuity].

This means that seeing at this level is extremely difficult and falls within the range often associated with legal blindness based purely on sharpness of vision.

Legal Blindness: Acuity vs. Visual Field

It is crucial to understand that visual acuity is just one factor in determining legal blindness.

The reference highlights:

However, it is important to note that visual acuity is not the only factor in determining legal blindness. Someone with a visual acuity of 5.5 may not be considered legally blind if their visual field is within the normal range.

  • Visual Field: This refers to the entire area you can see without moving your eyes (peripheral vision).
  • Even with very poor central vision (low visual acuity), a person might still have a wide visual field.

Therefore, while a visual acuity of 5.5 (equivalent to 20/400) is legally blind based on acuity alone, a comprehensive assessment including visual field testing is necessary for a formal legal blindness determination.

Practical Implications of 20/400 Vision

Someone with 20/400 visual acuity would face significant challenges in daily life, such as:

  • Recognizing faces from a short distance.
  • Reading standard print even up close without magnification.
  • Seeing road signs or driving (driving typically requires significantly better vision, often 20/40 or 20/50 corrected).
  • Performing tasks that require fine detail vision.

In summary, based on the provided information equating a visual acuity of 5.5 to 20/400, this level of vision is considered legally blind from an acuity standpoint and represents severe visual impairment.

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