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Visual field and Perimetry

The document discusses the visual field and perimetry, explaining the extent of normal visual fields and the concept of the blind spot. It details various methods of visual field testing, including tangent screen, Goldmann perimeter, automated perimetry, and the confrontation method, highlighting their uses in detecting vision dysfunction. Perimetry is emphasized as a crucial procedure for assessing specific areas of blindness in the retina.

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Misha Tanveer
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4 views

Visual field and Perimetry

The document discusses the visual field and perimetry, explaining the extent of normal visual fields and the concept of the blind spot. It details various methods of visual field testing, including tangent screen, Goldmann perimeter, automated perimetry, and the confrontation method, highlighting their uses in detecting vision dysfunction. Perimetry is emphasized as a crucial procedure for assessing specific areas of blindness in the retina.

Uploaded by

Misha Tanveer
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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Visual field and Perimetry

Visual Field
• The field of vision is the visual area seen by
an eye at a given instant.
• Area seen to the nasal side is called nasal field
of vision
• Area seen to the lateral side is called the
temporal field of vision.
Extent of visual field
• The normal extent of field of vision is
• 50° superiorly,
• 60° nasally,
• 75° inferiorly
• 90°-100o temporally.
Blind spot
• Small portion of the visual field of each eye
that corresponds to the position of the optic
disk (also known as the optic nerve head)
within the retina. There are no photoreceptors
(i.e., rods or cones) in the optic disk, and,
therefore, there is no image detection in this
area.
Visual field test
• An eye examination that can detect dysfunction in
central and peripheral vision which may be caused
by various medical conditions such as
• Glaucoma,
• Stroke,
• Brain tumors
• other neurological deficits
Perimetry
• Perimetry is the process of testing the eye , to
detect the blindness of the specific portions of
retina, on charts, the field of vision for each
eye.
Types of perimetry
• Tangent screen.
• The simplest form of perimetry uses a tangent
screen.
• Vision is tested by presenting different sized
pins attached to a black wand, which may be
moved, against a black background.
• This test stimulus (pins) may be white or
colored.
Tangent screen.

HISTORICAL
METHOD
Goldmann perimeter
• The Goldmann perimeter is a hollow white spherical
bowl positioned a set distance in front of the patient.
• An examiner presents a test light of variable size and
intensity.
• The light may move towards the center from the
perimeter (kinetic perimetry), or it may remain in
one location (static perimetry).
• The Goldmann method is able to test the entire
range of peripheral vision,
Automated perimetry
• Automated perimetry uses a mobile stimulus
moved by a perimetry machine.
• The patient indicates whether he sees the light
by pushing a button. The use of a white
background and lights of incremental
brightness is called "white-on-white"
perimetry.
• Most commonly used in clinical practice.
• This method is commonly used for early
detection of blind spots.
• A computer then shines lights on the inside
dome and the patient clicks the button
whenever a light is seen.
• The computer then automatically maps and
calculates the patient's visual field.
Confrontation method
Perimetry (procedure)
• Close one eye of the subject
• Other eye looking toward a central spot
directly in front of the eye.
• A small dot of light or a small object is moved
back and forth in all areas of filed of vision.
• The subject indicates when the spot of light or
object can be seen and when it cannot .
• Map all areas in perimetry chart.
• The patient sits in front of an (artificial) small
concave dome in a small machine with a
target in the center.
• The chin rests on the machine and the eye
that is not being tested is covered.
• The patient is set in front of the dome and
asked to focus on the target at the center.
Tunnel field of vision
THANKS

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