Biomedical subjects

C Mermoud

Publications and source records attributed to C Mermoud.

4 recordsLinked to original sources

PubMed1996

Feasibility of automated visual field examination in children between 5 and 8 years of age.

AIMS: To investigate how young children develop the ability to undergo a visual field evaluation using regular automated perimetry. METHODS: The study included 42 normal girls aged 5, 6, 7, and 8 years. Twelve locations in the 15 degrees eccentricity were tested in one eye, using an Octopus 2000R perimeter with a two level strategy. False positive and false negative catch trials were presented. The examination was performed three times in succession. Before the examination procedure, a specially designed programme was conducted for progressive familiarisation. RESULTS: During the familiarisation procedure, it was found that all of the 5-year-old children, seven of the 6-year-old children, and three of the 7-year-old children were unable to perform immediately, and correctly, the instructions given during the familiarisation phase; these children took from 30 seconds to 3 minutes to comply with the examiner's requests. With the exception of one 5-year-old child, all tested subjects completed the planned procedure. The mean proportion of false negative answers in catch trials was 1.6%. The mean proportion of false positive answers was 12.2%. The quadratic dependency on age suggested by the averages was not significant (F(3,116) = 0.88; p = 0.45). Detection stimulus improved with age, as shown by the fact that probability of perceiving dim stimulus increases significantly (F(3,116) = 12.68; p < 0.0001). CONCLUSION: Children did remarkably well regarding both the duration of the examination and the reliability of the answers. A preliminary familiarisation phase with a specially designed adaptation programme was found to be mandatory with children aged 7 or under. To our knowledge, this is the first time that such an investigation has been performed.

Age Factors↗

PubMed1995

[Automated static perimetry in the child: methodologic and practical problems].

PURPOSE: In a pediatric population, the use of computerized static perimetry is known as particularly difficult. The specific difficulties which may occur when testing young subjects are stability of fixation, ability to maintain concentration, resistance throughout the procedure, and reliability of the answers. It seems important to investigate and to develop appropriate strategies for the examination of children aged 8 years and younger according to their ability to undergo visual field evaluation using automated static perimetry. PATIENTS AND METHODS: Eighty normal children aged 5 to 8 years old were evaluated using an Octopus 2000R perimeter, with a one-level strategy. Adaptation of the procedure were included. RESULTS: The analysis of answers and false-positive catch-trials showed that children as young as five years old did remarkably well regarding both the duration of the examination and the reliability of answers. CONCLUSIONS: Automated static perimetry examination can provide reliable results in children as young as five years old once a familiarization procedure has been conducted and if the duration of examination does not exceed the child's capacity to remain task focused.

Child↗

PubMed1995

Angioscotomata and morphological features of related vessels in automated perimetry.

AIMS: To determine principles which regulate the occurrence of angioscotomata in automated static perimetry, variations in light sensitivity were correlated with the location and diameter of neighbouring retinal vessels. METHODS: Ten normal eyes were tested with the Octopus 2000R, using a 0.431 degree light stimulus. Sensitivity was quantified in points located around the blind spot, according to a regular, 0.5 degree constant, grid pattern. From 336 to 443 locations were tested in each eye. The resulting printouts were superimposed on corresponding fundus photographs. At each tested point, the following five additional variables were evaluated: the diameters of the closest and the second closest vessel (in 0.1 degree units); the distances of the apparent location of the tested point to the closest and the second closest vessel (in 0.25 degree units); and the distance between the two closest vessels (in 0.25 degree units). Altogether, 3869 locations were tested and 23,214 values were quantified. RESULTS: The following two conditions were found to be related to a reduction in sensitivity: (1) proximity (< 0.25 degree) to a large vessel (> or = 0.5 degree in diameter); (2) proximity (< 0.25 degree) to one of two adjacent (< 0.5 degree distant), moderately large vessels (0.3 degree to 0.4 degree in diameter). In condition 1, sensitivity was 51.3% and specificity was 92.2%; in condition 2, sensitivity was 16.2% and specificity was 98.3%; and with a combination of conditions 1 and 2, sensitivity was 67.6% and specificity was 90.5%. Increase by 0.1 degree of an adjacent vessel which was 0.4 degree in diameter markedly affected light sensitivity. CONCLUSION: Modifications in vessel diameter are observed in a number of circumstances, including adaptive vascular response to changes in ambient conditions and obstructive disorders of retinal vessels. These findings indicate that changes in vessel diameter over time can result in fluctuation of sensitivity. It is concluded that, in contrast with what is commonly stated, when ocular media are unaltered and the subject's collaboration is adequate, temporal variations in measured thresholds do not necessarily reflect functional changes in nervous tissues in the visual pathways.

Adult↗

PubMed1990

[The Gray Scale of the Octopus N1 perimetry analysis program in neuro-ophthalmology].

The gray scale of the Octopus neuro-ophthalmologic program N1 shows the difference between actual values and age-related normality. This permits optimal visualization of slight relative scotomas. The interpolation algorithm is computed for the four individual quadrants of the visual field, enabling either lateral hemianopic or fascicular defects to be sharply delineated. In addition, the N1 program automatically provides a global, nonsectorial gray scale which is useful for demonstrating visual defects which are not delineated by either the horizontal or the vertical meridian.

Algorithms↗