ASSESSING VISUAL FUNCTION IN CLINICAL PRACTICE - 06/09/11
Résumé |
Tests of visual function provide the clinician with essential information regarding the performance of a patient's visual system. At the present time, primary open-angle glaucoma is diagnosed by means of specific patterns of peripheral visual field loss and characteristic appearances of the optic nerve head. The “gold” or reference standard used to investigate peripheral visual function is evaluation of the visual field or perimetry. Visual field testing has been used for more than 150 years31 and represents the most common method of assessment of peripheral visual function. The ability of perimetry and visual field testing to provide useful clinical information has been responsible for its long-term use as a diagnostic procedure. Although a variety of stimuli may be used for perimetric investigations, this article concentrates upon describing achromatic (white-on-white) perimetry with particular reference to the Humphrey Field Analyzer. Two recently developed visual field testing procedures that have demonstrated clinical utility are also discussed: short-wave automated perimetry (SWAP) and frequency doubling technology (FDT) perimetry.
It is important for the reader to recognize that glaucoma may also produce adverse effects upon a variety of other nonperimetric visual functions. Glaucoma has been reported to degrade central color vision,92 both spatial8 and temporal104 contrast sensitivities, vernier acuity,79 and visual acuity by end-stage disease, although these functions appear to lack the discriminatory power of standard automated perimetry.
Le texte complet de cet article est disponible en PDF.Plan
| Address reprint requests to Paul G.D. Spry, PhD, MCOptom, Discoveries In Sight, Devers Eye Institute, Legacy Clinical Research and Technology Center, 1225 Northeast 2nd Avenue, Portland, OR 97232 This work was supported by grant EY03424 from the National Eye Institute. |
Vol 13 - N° 3
P. 361-382 - septembre 2000 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?
