Usually means: Clear, perfect vision; hindsight metaphor.
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We found 16 dictionaries that define the word twenty-twenty:

General (12 matching dictionaries)
  1. twenty-twenty: Merriam-Webster.com
  2. twenty-twenty: Oxford Learner's Dictionaries
  3. twenty-twenty: American Heritage Dictionary of the English Language
  4. twenty-twenty, twenty-twenty: Collins English Dictionary
  5. twenty-twenty: Vocabulary.com
  6. Twenty-Twenty, twenty-twenty: Wordnik
  7. twenty-twenty: Wiktionary
  8. twenty-twenty: Infoplease Dictionary
  9. twenty-twenty: Dictionary.com
  10. twenty-twenty: Free Dictionary
  11. twenty-twenty: Mnemonic Dictionary
  12. twenty-twenty: Dictionary/thesaurus

Medicine (2 matching dictionaries)
  1. Twenty-twenty: MedTerms.com Medical Dictionary
  2. Twenty-twenty: Drug Medical Dictionary

Miscellaneous (1 matching dictionary)
  1. twenty-twenty, twenty-twenty: A Word A Day

Slang (1 matching dictionary)
  1. Twenty-twenty: Urban Dictionary

Definitions from Wiktionary (twenty-twenty)

adjective:  Having normal visual acuity.

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