In clinical visual acuity measurements a method a system and a device for measuring visual acuity of a client is provided. In accordance with the implementation, the system comprises a display device (41), an input device (42) and a computing device (43). The display device (41) is capable of displaying sets of symbols in different size to the client. The input device (42) is capable of receiving responses of the client indicative to the identity of the symbols, and the computing device (43) is capable of a) registering (S431) values to the responses belonging to pre-calculated values of similarity of the symbols, b) calculating (S432) a rate of recognition value for each symbol size, and c) determining (S433) the measured visual acuity from the rate of recognition values.
