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Humphrey field analyser (HFA) is a tool for measuring the human visual field that is commonly used by optometrists, orthoptists and ophthalmologists, particularly for detecting monocular visual field. [1] The results of the analyser identify the type of vision defect.
Confrontation visual field testing is an important part of a routine ophthalmological or neurological examination. It can be used for rapid and gross assessment of large-scale visual field problems due to ophthalmological or neurological diseases, such as homonymous and heteronymous hemianopias, quadranopsia, altitudinal visual loss, central/centrocecal scotoma etc. [1] [2] Test using a red ...
Visual field testing can be performed clinically by keeping the subject's gaze fixed while presenting objects at various places within their visual field. Simple manual equipment can be used such as in the tangent screen test or the Amsler grid. When dedicated machinery is used it is called a perimeter.
Swiss ophthalmologist Marc Amsler described the Amsler grid in the year 1945. It was the first functional test proposed to evaluate metamorphopsia. [4] He may have gotten the idea of the grid from Edmund Landolt, who used a similar small card with a grid pattern to be kept in the center of the visual field testing instrument perimeter. [3]
Testing the visual fields consists of confrontation field testing in which each eye is tested separately to assess the extent of the peripheral field. Normal visual field of a right eye. To perform the test, the individual occludes one eye while fixated on the examiner's eye with the non-occluded eye.
Confrontation visual field testing is a simple and quick visual field assessing method. A confrontational field test requires little or no special equipment and can be performed in any room, which is well illuminated. Patient sitting straight in front of the examiner, is asked look directly at the examiner's eye during the test.
Visual acuity is a subjective test meaning that if the patient is unwilling or unable to cooperate, the test cannot be done. A patient who is sleepy, intoxicated, or has any disease that can alter their consciousness or mental status, may not achieve their maximum possible acuity.
Light spot patterns testing the central 24 degrees or 30 degrees of the visual field, are most commonly used. Most perimeters are also capable of testing up to 80 or 90 or even 120 degrees. Another method is for the practitioner to hold up one, two, or five fingers in the four quadrants and center of a patient's visual field (with the other eye ...