“…1,2 Initially, acuity cards were constructed of gray cardboard, with a grating that varied in spatial frequency from card to card mounted behind an aperture on one side of the card, and a high spatial frequency grating, composed of very fine black-and-white stripes, mounted behind an aperture on the other side of the card. 1,[3][4][5] After the initial success of the cards in clinical settings, [6][7][8][9] a commercially produced version of the acuity cards became available (Teller Acuity Cards™ [TAC], Vistech Consultants, Inc., Dayton, OH). The commercially produced acuity cards differed from the prototype cards in 3 important ways: (1) the patch of grating that varied from card to card was square, rather than circular, (2) the grating was printed on the card rather than being mounted behind an aperture, and (3) there was no welldefined, high spatial frequency "blank" target on the side of the card opposite the patch of grating.…”