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This is a very common question eye doctors are asked. The number ratio "20/20 or 20/40 etc." is a measurement of visual acuity. If your visual acuity is not 20/20, it can be from pathology (like cataract) or it can be from what we call "refractive error" e.g. nearsightedness, astigmatism, farsightedness -which are not...