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What Does 20-20 Vision Mean?

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When you hear someone mention 20-20 vision, it’s easy to assume that they’re talking about having perfect eyesight. While this measurement does indeed refer to clear vision, there’s more nuance involved than simply being able to read letters from an eye chart. 

The term 20-20 vision is often used during an eye exam, providing optometrists with a standard method to assess the sharpness and clarity of your vision at specific distances. Having 20-20 vision means you can clearly see an object from 20 feet away—the distance that most people with healthy vision should be able to read letters clearly. 

What Does “20-20” Actually Mean?

The phrase 20-20 vision originates from the Snellen eye chart, a tool optometrists use during routine adult and senior eye exams and children’s eye exams. On this chart, each row of letters becomes progressively smaller, testing your ability to distinguish shapes and letters at specific distances.

The first number (“20”) always remains consistent—it represents the standard distance from the chart (20 feet). The second number varies based on your eyesight quality. When an eye doctor says your vision is 20-20, it means you can read at 20 feet what an average person with normal vision would be expected to read clearly at the same distance.

If your vision measures 20-40, this means you need to be 20 feet away to clearly see what a person with normal vision can see from 40 feet. Conversely, if your vision is better than average, like 20-15, you can see at 20 feet what most people can only clearly see from 15 feet away.

Is 20-20 Vision Considered Perfect?

While having 20-20 vision is ideal, it doesn’t necessarily mean your vision is perfect. The measurement of 20-20 primarily evaluates visual acuity, or how clearly you can see at a given distance. It doesn’t account for other crucial aspects of your eyesight, including peripheral vision, depth perception, eye coordination, colour vision, or the ability to adjust to varying levels of brightness.

For example, someone might have 20-20 vision yet still experience difficulties with night driving or reading comfortably over long periods. Similarly, someone with excellent visual acuity could still have underlying eye conditions such as glaucoma, cataracts, or macular degeneration, which may only be detected through comprehensive eye exams.

Factors That Affect Your Visual Acuity

A variety of factors contribute to visual acuity. Understanding these can help you maintain healthy vision, even if you currently have 20-20 eyesight.

Eye Shape & Refractive Errors

Visual clarity largely depends on how accurately your eyes focus incoming light onto the retina. Common refractive errors, including myopia (nearsightedness), hyperopia (farsightedness), and astigmatism, can cause blurry vision at certain distances, reducing visual acuity.

Age-Related Changes

As you age, your eyes undergo natural changes. Adults often experience presbyopia—a loss of flexibility in the lens—making it difficult to see objects up close. Regular adult and senior eye exams are essential to monitor these changes and manage any developing vision concerns.

Hereditary Factors

Genetics also plays a significant role in your vision quality. Many eye conditions and visual problems are hereditary, meaning they can run in families. Knowing if eyesight is hereditary can encourage people to schedule regular eye check-ups, especially if vision problems are common in their family history.

An older person in white and a child in a yellow shirt with coveralls smiling together at an eyeglass store.

Can You Improve Your Vision to Reach 20-20?

Many people strive to improve their eyesight, wondering if achieving or maintaining 20-20 vision is possible. While certain refractive errors like myopia, hyperopia, and astigmatism can’t be reversed naturally, they can often be corrected or managed effectively with prescription eyeglasses, contact lenses, or even laser surgery such as LASIK.

Maintaining overall eye health can also help you preserve good vision over time. Simple lifestyle practices include:

  • Eating a balanced diet rich in omega-3 fatty acids, vitamins, and antioxidants.
  • Wearing protective sunglasses to shield your eyes from harmful UV rays.
  • Avoiding excessive screen time and practising the 20-20-20 rule—taking a 20-second break every 20 minutes to focus on an object 20 feet away—to reduce eye strain.
  • Scheduling regular comprehensive eye exams, allowing your optometrist to detect and manage potential eye conditions early.

Regular Eye Exams—The Key to Healthy Vision

Even if you have 20-20 vision, regular eye exams remain vital. Comprehensive eye examinations assess your visual acuity and screen for early signs of eye diseases and vision problems. Conditions such as glaucoma and diabetic retinopathy can develop silently, causing permanent vision loss if left untreated.

Eye exams for adults and seniors are recommended at least once every two years, and more frequently for those with existing vision issues or health concerns like diabetes or high blood pressure. Children’s eye exams should begin at a young age to detect vision problems early, enabling prompt intervention and support for healthy vision development.

When to Visit an Eye Doctor

It’s essential to schedule an eye exam if you notice any changes in your vision or experience symptoms such as:

  • Blurred or double vision
  • Frequent headaches or eye strain
  • Difficulty seeing clearly at night
  • Sensitivity to bright lights
  • Sudden floaters or flashes in your vision

Early diagnosis and treatment of vision issues can significantly impact your quality of life and long-term eye health.

Protect Your Vision for Life

Understanding what 20-20 vision means is just one part of maintaining clear vision and healthy eyes throughout your life. Regular eye exams, knowledge of your family’s eye health history, and awareness of vision changes can significantly help preserve your eyesight in the long term.

At Doctors EyeCare Grande Prairie, your vision and comfort are our top priorities. Your insurance should be the last thing on your mind during your visit, which is why we offer direct billing to various insurance providers and flexible payment plans through Paybright by Affirm. Whether you require routine adult and senior eye exams, detailed children’s eye exams, or have specific concerns about hereditary vision issues, our experienced team is here to support you. Schedule an appointment today to take a proactive step towards lifelong eye health.

Written by Dr. Shonah Finlay

Dr. Finlay grew up by the gold mines in South Africa and knew from a young age she wanted to follow a medically related career. She applied to and was accepted to study optometry at the former Rand Afrikaans University in South Africa. During her last year of studies, Dr. Finlay worked on the Train of Hope: South Africa’s Phelophepa. This custom-built train (now 2) travels throughout rural South Africa to deliver top-quality primary healthcare to disadvantaged communities. It was a wonderful experience to bring sight to so many people that otherwise do without. Those memories always remind her of why she loves practicing optometry.
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