Dr. Hyvärinen completed her thesis on fluorescein angiography and helped start the first clinical laboratory in that area while serving as a fellow at the Wilmer Eye Institute of Johns Hopkins Hospital in 1967. During her time with the Wilmer Institute, she became interested in vision rehabilitation and assessment and has been working in that field since the 1970s, training rehabilitation teams, designing new visual assessment devices, and teaching. The first test within the LEA Vision Test System that Dr. Hyvarinen created was the classic LEA Symbols Test followed shortly by the LEA Numbers Test which was used in comparison studies within the field of occupational medicine.[2]