The Amsler grid eye test is a grid pattern you can use to monitor for changes to your field of vision. This test makes it easier to see vision changes that affect the macula, a part of your retinas responsible for the center of your visual field. Using the Amsler grid daily is essential if you have macular degeneration or related conditions.

What is the Amsler grid eye test?

The Amsler grid is a visual testing tool that makes it easier for you to see distortions in your vision from conditions that affect your retinas. It’s also sometimes known as the Amsler eye chart. This chart is a 10-centimeter by 10-centimeter square grid. Each side of the grid has 20 cells, and there’s a circular dot marking the grid’s center.

The Amsler grid eye test helps you see vision distortions (metamorphopsia) that can happen if you have certain conditions affecting your macula. The Amsler grid also helps you show an eye care specialist where the distortions are in your visual field. That lets them know where the problem is on your macula.

Eye specialists commonly recommend that people with certain retinal conditions use an Amsler grid daily. Doing so can help you see changes in your vision that may quickly turn into permanent vision loss.

When is the Amsler grid eye test used?

The Amsler eye grid test can help with diagnosing and monitoring any condition that could distort the surface of the macula. That includes:

  • Macular degeneration (both the dry and wet types).
  • Central serous retinopathy.
  • Conditions that make new blood vessels form (neovascularization) in certain areas of your eye.
  • Blind spots (scotomas).
  • Macular pucker (epiretinal membrane).
  • Cystoid macular edema.
  • Diabetes-related macular edema.
  • Pituitary gland tumors (these cause bilateral hemianopia, which is vision loss in the left half of your left eye and the right half of your right eye).
  • Injury-related damage to the macula.
  • Other retinal diseases or retina-related causes of sudden vision loss.

Experts can also use the Amsler grid as a screening tool to check for issues with your macula before you undergo cataract surgery.

How does the Amsler grid eye test work?

To use an Amsler grid, you first hold it at a normal reading distance, about 12 to 15 inches (30 to 38 centimeters) in front of you. If you wear glasses or contacts, be sure you’re wearing them before you proceed.

You test each eye individually, covering the unused eye. When you test an eye, focus on the dot at the very center of the grid. Make sure you hold the grid at the same distance each time you test an eye. While you’re focusing on the dot at the center of the grid — but without moving your eye — make sure the following are all true:

  • You can see all four corners of the grid.
  • You can see all the grid lines, and they all appear perfectly straight.
  • The grid is free of any darker or blank areas.
  • All the grid lines are clear and solid (not blurred or faded).

During in-office visits, your eye care specialist may use an Amsler grid to test your vision. If you’re at risk for retinal diseases or changes, they may also give you a printed Amsler grid to use at home.

If your eye specialist gives you a printed Amsler grid to take home, use it exactly as recommended (usually daily). If you notice any of the above four criteria aren’t true while using an Amsler grid to self-test your vision, call your eye care specialist right away.

  • American Academy of Ophthalmology. Have AMD? Save Your Sight with an Amsler Grid (https://www.aao.org/eye-health/tips-prevention/facts-about-amsler-grid-daily-vision-test). Published 5/3/2023. Accessed 11/3/2023.
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  • Tripathy K, Salini B. Amsler Grid (https://www.ncbi.nlm.nih.gov/books/NBK538141/). 2023 Jul 24. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan. Accessed 11/3/2023.
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