Visual acuity
Visual acuity depends upon how accurately light is focused on the retina, the integrity of the eye's neural elements, and the interpretative faculty of the brain. "Normal" visual acuity (in central, i.e. foveal vision) is frequently considered to be what was defined by Herman Snellen as the ability to recognize an optotype when it subtended 5 minutes of arc, that is Snellen's chart 6/6-metre, 20/20 feet, 1.00 decimal or 0.0 logMAR. In young humans, the average visual acuity of a healthy, emmetropic eye (or ametropic eye with correction) is approximately 6/5 to 6/4, so "it is inaccurate to refer to 6/6 visual acuity as "perfect" vision". 6/6 is the visual acuity needed to discriminate two contours separated by 1 arc minute – 1.75 mm at 6 metres. This is because a 6/6 letter, E for example, has three limbs and two spaces in between them, giving 5 different detailed areas. The ability to resolve this therefore requires 1/5 of the letter's total size, which in this case would be 1 minute of arc (visual angle). The significance of the 6/6 standard can best be thought of as the lower limit of normal, or as a screening cutoff. When used as a screening test, subjects that reach this level need no further investigation, even though the average visual acuity with a healthy visual system is typically better.