Discrepancy in Vision Test Results: Eye Clinic vs. Health Check Center - Ophthalmology

Share to:

After ocular correction, the measurement was 1.0, but at the health check center, it could only be measured at 0.5/0.6?


Hello Doctor, I am 24 years old and have had severe astigmatism since childhood.
My left eye has a refractive error of -650 degrees and my myopia is -800 degrees, while my right eye has a refractive error of -600 degrees and my myopia is -850 degrees.
I am preparing to take my driving test and recently went to an ophthalmologist to get a new pair of glasses.
However, the vision measured at the ophthalmology clinic was 1.0, while at the hospital's health check center, I could only see 0.5/0.6.
I have already visited two different health check centers and received the same results.
When I returned to the ophthalmologist for another check, the doctor said everything was fine.
I am confused about why I am unable to pass the vision test.
Could you please help me understand what the issue might be? Is there a discrepancy between the equipment used by the ophthalmologist and the health check center? Or could there be a problem with my eyes? The ophthalmologist's test involved sitting in a chair and viewing a wall that projected a symbol with gaps, while the health check center used a machine for direct viewing.
Could this difference in testing methods be affecting the results? I would appreciate your insights.
Thank you.

Pei, 20~29 year old female. Ask Date: 2020/10/14

Dr. Gao Pilin reply Ophthalmology


Hello Peii: Every method of measuring vision has some degree of error, and the intensity of light within the machine can affect the examination results.
If a projection method can detect a vision of 1.0, then there should be no issues with your eyesight.
It may be due to differences in the machines used.
Vision is greatly influenced by the environment, especially lighting.
If you cannot pass the tests with the machine-based methods, you might want to try a center that uses projection methods.
In Taiwan, the Department of Ophthalmology at Puzi Hospital is available: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; it is necessary to seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2020/10/14

More Info


The discrepancy in vision test results between an eye clinic and a health check center can be attributed to several factors, including the testing methods used, the equipment involved, and the conditions under which the tests are conducted.
Firstly, it is important to understand that different facilities may use different types of equipment for vision testing. In an eye clinic, the testing is often done using a phoropter, which allows for precise adjustments of lenses to determine the best correction for your vision. The eye doctor may also use additional tests, such as retinoscopy or subjective refraction, to ensure that the prescription is accurate. In contrast, health check centers may use simpler machines or automated devices that may not account for all the nuances of your vision, particularly if you have significant refractive errors like high myopia and astigmatism.

Secondly, the testing environment can also play a crucial role in the results. In an eye clinic, the lighting, distance from the chart, and the way the test is administered can be controlled more effectively. For instance, in your case, the eye clinic uses a projection system to display the symbols, which may allow for a more comfortable and accurate assessment of your vision. On the other hand, health check centers might use a static chart or a different type of machine that could potentially introduce variables affecting your performance, such as glare or reflections.

Moreover, the psychological aspect of testing should not be overlooked. When you are in a clinical setting, you might feel more at ease and focused, knowing that the doctor is there to help you. In contrast, the more clinical and less personalized environment of a health check center may induce anxiety or discomfort, which can affect your performance during the test.

Regarding your specific situation, where you have significant refractive errors (myopia and astigmatism), it is crucial to ensure that your glasses are correctly prescribed and that you are wearing the right lenses during the tests. If you were tested without your corrective lenses or with outdated prescriptions, it could lead to inaccurate results.
If you are consistently getting different results, it may be beneficial to have a comprehensive eye examination that includes a thorough assessment of your refractive error, eye health, and any other underlying conditions that could affect your vision. This could include tests for ocular health, such as checking for retinal issues or other conditions that may not be directly related to refractive errors.

In summary, the differences in vision test results between the eye clinic and health check centers can stem from variations in testing methods, equipment, environmental factors, and psychological influences. It is advisable to consult with your eye care provider to discuss these discrepancies and ensure that you receive the most accurate assessment of your vision. If necessary, consider seeking a second opinion or further testing to clarify your visual acuity and ensure that your prescription is appropriate for your needs, especially as you prepare for your driving test.

Similar Q&A

Understanding Vision Tests: Differences Between Naked Eye and Glasses

Hello, doctor. I went to the clinic for a vision test (to find out the current prescription of my eyes). At that time, I was wearing glasses and could see the letter "C" on the chart, but I rarely wear glasses. They did not ask me to remove my glasses for a retest. I wo...


Dr. Gao Pilin reply Ophthalmology
Hello KCF: 1. Visual acuity testing without correction and with glasses are different; the prescription is measured by a phoropter, while the C value indicates visual acuity. The visual acuity measured with correctly prescribed glasses is referred to as corrected visual acuity....

[Read More] Understanding Vision Tests: Differences Between Naked Eye and Glasses


Understanding Myopia: Which Vision Measurement is More Accurate?

Hello: Five months ago, I had my vision checked at a clinic, and my left eye was 650 and my right eye was 625, with slight dilation. Today, I went to an optical store to buy contact lenses and had my vision tested using a vision measurement device. The results showed my left eye ...


Dr. Wang Zhishun reply Ophthalmology
Hello, your condition is common among young people. This is the difference between subjective (machine) refraction and objective (patient's perception) refraction. The primary focus is on correcting vision, and both methods should be considered. If you need a more precise pr...

[Read More] Understanding Myopia: Which Vision Measurement is More Accurate?


Understanding Color Vision Deficiency: What to Expect at the Eye Doctor

Recently, during a health check-up, I was suspected of having color vision deficiency, but I see colors normally in my daily life. Afterward, I downloaded a color vision test and the results were fine. In my previous eye examinations, there were no issues, but now this color visi...


Dr. Cai Wenyuan reply Ophthalmology
Please check other hospitals and clinics for examination. Thank you.

[Read More] Understanding Color Vision Deficiency: What to Expect at the Eye Doctor


Unexplained Vision Issues: What Tests Should You Consider?

I have worn contact lenses for too long. My vision check shows a prescription of -5.50 diopters, and with glasses, I can only see 0.4 to 0.5. After dilation, all checks were normal, including visual field, ocular coherence tomography, and optic nerve assessment. Doctor, what addi...


Dr. Gao Pilin reply Ophthalmology
Hello, Shih-Feng: May I ask what your previous vision was? If contact lenses are worn for too long, the most common issue is corneal edema. If it is amblyopia, it is a developmental issue rather than a pathological condition. I apologize, but I cannot determine what additional te...

[Read More] Unexplained Vision Issues: What Tests Should You Consider?


Related FAQ

Vision Discrepancy

(Ophthalmology)

Visual Acuity Test

(Ophthalmology)

Refraction Test

(Ophthalmology)

Retinal Exam

(Ophthalmology)

Pediatric Vision Screening

(Ophthalmology)

Vision Care

(Ophthalmology)

Eye Misalignment

(Ophthalmology)

Hyperopia

(Ophthalmology)

False Myopia

(Ophthalmology)

Vision Correction For Myopia

(Ophthalmology)