Significance: Well established charts such as ETDRS are able to quantify visual acuity (VA) with a low cut-off of 1.6 logMAR. Below this point, non-quantitative measures, such as count fingers, hand movements and light perception are used. There is a need for more reproducible, comparable and reliable ways to measure VA changes in this patient cohort.Purpose: To examine and compare the ability of the Berkeley Rudimentary Vision Test (BRVT) and the Freiburg Acuity Test (FrACT) to quantify VA in low vision patients who score non-numerical VAs in standard charts.Methods: Fifty adult participants with VA≤1.0 logMAR in both eyes were recruited from the Oxford Eye Hospital, UK. Correlation between FrACT and BRVT results, as well as the correlation between VA and daily living activities were analysed statistically. Potential predictors of differences were investigated.Results: BRVT was significantly faster to conduct (P = 0.002), but FrACT was able to quantify vision numerically in a greater proportion of eyes. The kappa agreement between tests was 0.26. The difference increased systematically with the VA reduction (P < 0.0001).The Bland-Altman analysis showed a skew to measurement of lower logMAR VA indicating better vision measured on the FrACT. The only significant predictor of difference between the tests was binocular VA (coefficient = -0.445, P = 0.001).Conclusions: Both tests are suitable for a very low vision population. The BRVT is a faster test to administer, but FrACT provides a numerical result in more eyes. The poor inter-test repeatability indicates they cannot be used interchangeably. The BRVT generally reported poorer vision than the FrACT. The medium of presentation, such as a computer screen or externally lit print medium, is likely to be the biggest factor in these differences and warrants further investigation.