Whenever we magnify a document, it gets bigger.
Sure, that’s a “Well duh” moment, but let’s look into the implications of that a bit deeper.
Let’s say we’re magnifying an A4 page (American readers, that’s our standard letter-size page) by 6x. How big is the image of that page? Suddenly we’re dealing with a page image which is around six feet tall by four feet wide. And we’re looking at it through an aperture which is, what, not much more than five centimetres across, depending on which model you use.
Immediately that means you’re only seeing a small portion of the page in one go, so you now need to move the magnifier around the page to see all the content. And it gets worse as we use stronger magnifiers — the image gets bigger and bigger, but the aperture gets smaller and smaller. Having only a small field of view can greatly limit potential reading fluency.
Another limiting factor is image flow. As you move your magnifier from one side of the page to the other, you only move the physical magnifier by the width of the page. But the image of the page is six times wider, which means as you move the magnifier from left to right the magnified text rushes back the other way six times as fast. If you’ve ever tried to read a billboard as your train is moving through a station, you’ll understand how uncomfortable that can be. Our saccades get all mucked up.
The magnifier has to be kept at the right distance from the page, otherwise the print goes out of focus, which gets more and more difficult to manage as the magnifier gets stronger. And if you have any sort of hand tremor (and many of our elderly patients do), with our 6x magnifier the image will shake by six times as much — we make the print bigger, but induce a nystagmus (yay us).
And then there’s the simple fact that most magnifiers need a spare hand to hold them, which leaves only one to hold the book or newspaper. That’s not easy, especially if it’s a big book, or if it’s floppy like a newspaper. And many of our older patients simply don’t have the arm/hand strength to hold a book one-handed. Reading stands can help, but even then it can be a serious back/neck strain to keep the eye close to the magnifier and the magnifier close to the page.