Tumbling E Eye Chart is created in such a way that it provides accurate measurement of the patient’s visual acuity test through a simple but effective way. This eye chart is most appropriate for children, illiterate persons, or people who do not know the letters used in the alphabetic eye chart. It contains letter ‘E’ in various orientations whereby the patients can identify the orientation they perceive it as. It is made using high-contrast colors that allow one to clearly view it during examination. It is appropriate for use in hospitals, clinics, schools, and camps where vision tests are done.