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Hart chart

The hart chart is an accomodation exercise.

These exercise helps train the focusing ability in the eye to react quickly to changes in viewing distance. The focusing ability is called 'accomodation'. Slow or sluggish accommodation means that the eyes take a long time to see clearly when changing their focus. This can be focusing on objects far away to close-up or close-up to far away. Weak accommodation can also mean that doing lots of close work like reading or writing can be uncomfortable or gets blurry.

Hart chart instructions:

  1. The letter charts have 2 parts. A large chart and a small chart. Cut the small chart out using scissors. 
  2. Stick the large chart to a wall at eye level. This should be:
    • in good light
    • far away so that the letters can only just be seen.
  3. Hold the small chart very close to your face. It should be in a position where the large chart can still be seen when looking at the small chart. 
  4. Cover 1 eye.
  5. Read the first 5 letters on the large chart. 
  6. Change your focus to the small print and read the next 5 letters. 
  7. Repeat this until the chart is complete.
  8. Uncover your eye and then cover the other eye.
  9. Repeat steps 5 to 7.

Once you have completed the exercise, your eyes will need to rest. Rest your eyes by closing them or looking at something far away by looking out a window. 

Your orthoptist may recommend reading 3 letters or 1 letter at a time. This is to make the exercise harder. 

Important notes

  • Both charts must be seen at the same time. 
  • The chart should be positioned so that you do not move your head when looking from one chart to the other.
  • You should notice that when looking at the distance chart the near chart is blurry, and when looking at the near chart the distance chart is blurry. 

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Last reviewed: 1 November, 2024

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