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designed by DG Pelli, JG Robson and A J Wilkins to use contrast sensitivity as a realistic assessment of how well the patient sees large faint objects, the chart follows the luminance, font and letter spacing recommendations of the Committee on Vision of the National Academy of Sciences and National Research Council (Adv. Ophthal 41, 103-148, 1980) - the letter sequences are organized into groups of three (triplets) with two triplets per line; within each triplet, all letters have the same contrast - the contrast decreases from one triplet to the next, even within one line - the testing of contrast sensitivity on a regular basis is key to detecting early signs of diseases such as Parkinson's, Glaucoma, and Cataracts; by testing with several different contrast levels configured together, the patient's contrast sensitivity level is better assessed and records will be more precise - the set includes 3 charts 31x26 cm with scrambled letters to avoid memorization in patients requiring repetitive testing and 3 scoring pads - for use at 16 inches (40cm) - illumination of 85 cd/m² is the key to accurate results