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At least 667 records · Page 37Linked to original sources

PubMed2006

Relaxation of encircling buckle improved choroidal blood flow in a patient with visual field defect following encircling procedure.

BACKGROUND: We report a patient with a visual field defect after retinal reattachment by the encircling procedure for rhegmatogenous retinal detachment. We confirmed improved ocular blood flow after relaxation of the buckle. CASE: A 24-year-old woman with a visual field defect appearing after an encircling procedure for rhegmatogenous retinal detachment. OBSERVATIONS: Before and after relaxing the encircling buckle, we measured tissue blood flow in the fundus of each eye of the patient using a Heidelberg retina flow meter. Preoperative measurements showed a reduction of blood flow at the disc rim in the diseased fundus, while retinal blood flow was not reduced (P = 0.026, disc rim area versus retinal area, one-factor analysis of variance, ANOVA). Indocyanine green angiography showed extensive peripheral filling delay. Electroretinography showed low a-wave and b-wave amplitudes, but normal oscillatory potential. The base value of the electro-oculogram was severely reduced in the right eye. The blood flow values after surgery indicated a significant improvement of blood flow (P = 0.01, one-factor ANOVA). No further progression in the visual field defect was observed, and visual acuity of the right eye improved from 0.8 to more than 1.0. CONCLUSIONS: These results suggest that the choroidal circulation disturbance, which was found after the encircling procedure, had a plausible role in the development of the visual field defect.

Adult↗

PubMed1999

Melatonin suppression by illumination of upper and lower visual fields.

As a guide to optimizing the geometry of bright light treatment, 12 healthy subjects were studied three times in the laboratory from 11 p.m. to 2 a.m. On three evenings, in counterbalanced orders, subjects received 500 lux in the upper visual field, 500 lux in the lower visual field, or 5 lux while watching television. In the upper visual field, 500 lux significantly suppressed melatonin, as compared to 500 lux in the lower visual field or to 5 lux. In the lower visual field, 500 lux produced intermediate suppression of borderline significance. The results suggest that bright light treatment of depression or circadian phase disorders might be most effective when applied in the upper visual field.

Adult↗

PubMed1997

[A comparative study of visual field defects between primary open-angle and low tension glaucoma].

OBJECTIVE: To investigate the characteristics of early visual field defects in primary opene-angle glaucoma (POAG) and low tension glaucoma (LTG). METHOD: The visual fields of 41 eyes with early POAG and 15 eyes with LTG were quantitatively measured with QZS-2 automated perimetry (full threshold program). RESULTS: Most of the early glaucomatous visual field defects in POAG and LTG presented the decrease of localized light sensitivity, and a few indicated the decrease of diffuse type. The defect occurred entirely in the central field and in a small number of eyes it was complicated by the peripheral field defect, especially in the nasal field. The differences of the mean light sensitivity and short-term fluctuation in the central field were statistically significant between the early POAG or LTG and the normal control group (all P < 0.05). In the comparisons of the visual field defect and retinal nerve fiber layer defect between early POAG and LTG groups, the results indicated that the types of damage and distribution of the areas involved were not different. CONCLUSION: The characteristics of early visual field defects in POAG and LTG are the same.

Adult↗

PubMed2006

Relationship between central corneal thickness and severity of glaucomatous visual field loss in a primary care population.

BACKGROUND: Although the ability of central corneal thickness (CCT) to predict development of primary open-angle glaucoma has become increasingly well recognized, the ability of CCT to predict severity of glaucoma remains uncertain. This study was designed to expand the available knowledge about the relationship between CCT and glaucoma severity. METHODS: Retrospective identification of all patients with a clinical diagnosis of either primary open angle glaucoma (POAG) or ocular hypertension who were seen from September 2002 through May 2003 at the Albuquerque VA Medical Center eye clinic was completed. Eligible subjects were segregated into no, mild, moderate, or advanced visual field loss groups based on Advanced Glaucoma Intervention Study (AGIS) visual field scoring criteria. Following statistical analyses comparing the visual field groups, the sample was divided into thin, intermediate, and thick CCT groups, and further analysis was performed. RESULTS: Mean CCT was significantly higher in the no field loss group compared with all 3 groups with glaucomatous visual field loss. Mean CCT was not statistically different, however, between the mild, moderate, and advanced visual field loss groups. In linear regression analyses, no significant relationship was found between CCT and severity of visual field loss. CONCLUSIONS: Although CCT was associated strongly with development of POAG-related visual field loss, CCT was not associated with severity of visual field loss in this study. These findings suggest that glaucoma patients with thinner corneas are just as likely to have advanced levels of field loss as glaucoma patients with thicker corneas. Prospective studies are needed to validate these findings.

Aged↗

PubMed1993

Measurement of Friedmann Visual Field Analyzer tests in primary open-angle glaucoma.

A method is described to allow an IBM PC/AT compatible microcomputer program to compute a score from the visual field data collected from a standard Friedmann Visual Field Analyzer (FVFA) Mk II testing procedure. The method could, in principle, be applied to any visual field data which provide quantitative information on the sensitivity of different retinal locations. The score takes into account the depth of any defects, their position in the visual field, and the clustering of defects into scotomata. Visual fields in 119 normal eyes, 82 ocular hypertensive (OH) eyes, and 75 glaucomatous eyes were assessed to provide the data necessary to implement this method. Analyzing the frequency of missed points against point luminance demonstrates that the most effective cut-off from which to regard points as defective is a miss at 0.8 log units or more above the working threshold. A statistical method of analyzing the distribution of defects following Bayesian principles is described and shows that points in the superior nasal, superior arcuate, and inferior arcuate areas provide the most information for detecting glaucoma. The program, written in Turbo Pascal v5.5, incorporates these findings in producing the score.

Aged↗

PubMed2003

Detection of early visual field loss in glaucoma using frequency-doubling perimetry and short-wavelength automated perimetry.

OBJECTIVE: To investigate whether frequency-doubling perimetry (FDP) predicts future visual field loss with achromatic automated perimetry (AAP), just as it may be predicted with short-wavelength automated perimetry (SWAP). METHODS: We recruited 62 patients selectively from an urban glaucoma practice. At the commencement of the study, each patient had ocular hypertension with normal visual fields on AAP. Baseline SWAP and FDP were performed to determine whether underlying earlier visual field loss was present. Patients were then followed up prospectively for 3 years with annual AAP, SWAP, and FDP. Main Outcome Measure The development of visual field loss on AAP. RESULTS: Nine subjects had abnormal SWAP findings and 10 had abnormal FDP findings. At the conclusion of the study, field loss on AAP developed in 5, all of whom had preexisting abnormal SWAP and FDP results. No AAP visual field loss developed in patients with a normal SWAP or FDP. The rate of development of visual field loss on AAP was therefore significantly greater for those with abnormal SWAP (chi21 = 40.83; P<.001) and abnormal FDP findings (chi21 = 32.76; P<.001) than for those with normal SWAP and FDP findings. CONCLUSION: In the same way that SWAP may predict AAP visual field loss, FDP may also detect field loss earlier than AAP.

Female↗

PubMed1994

Risk factors for the development of glaucomatous visual field loss in ocular hypertension.

OBJECTIVE: To detect characteristics of persons with ocular hypertension that are associated with a higher risk of future glaucomatous field loss. METHODS: Annual examinations of the optic disc, nerve fiber layer, and visual field in 647 persons with bilateral intraocular pressure higher than 21 mmHg and initially normal visual field test results with the Goldmann perimeter. RESULTS: Sixty-eight persons developed a field defect on two consecutive Goldmann visual field tests in at least one eye, while 579 others retained normal fields. Moderate or severe nerve fiber layer atrophy at baseline was associated with a seven to eight times greater risk of development of visual field loss. Attributes that were significantly associated with the incidence of field loss included older age, larger cup-disc ratio, smaller rim-disc area ratio, larger cup asymmetry, presence of disc crescent, and higher intraocular pressure. Characteristics found not to be associated with incidence were gender, race, hypertension, diabetes, refractive error, family history of glaucoma, smoking or alcohol drinking history, and disc area. CONCLUSIONS: Increasing nerve fiber layer atrophy judged by a semiquantitative grading system was associated with increasing risk of development of visual field loss among persons with ocular hypertension. The relationship of the development of field loss to race, myopia, family history of glaucoma, and medical history are more complex than has been presumed.

Adult↗

PubMedDate not supplied

Effect of trabeculectomy on visual field in progressive normal-tension glaucoma.

The purpose of this study was to investigate the effectiveness of surgical treatment on the visual field in normal-tension glaucoma (NTG) eyes, and associated factors for visual field progression. Thirty-two patients (32 eyes) were enrolled in this retrospective study. Stepwise regression analysis was performed to correlate the visual field change with several clinical factors, such as intraocular pressure (IOP), and several IOP-unrelated parameters. Surgical reduction of IOP helps in preventing the progression of visual field damage in NTG eyes. The stepwise analysis revealed that better visual field prognosis was associated with higher preoperative IOP (P = 0.006) and the absence of diabetes mellitus (P = 0.04). The functional outcome in the lower IOP group was better when the patients were using Ca2+-channel blockers (P = 0.08); it was worse if disc hemorrhage appeared (P = 0.02). In conclusion, both IOP-related and unrelated factors are associated with visual field damage progression in NTG eyes. The functional prognosis in the eyes with low IOP depends on IOP-unrelated factors.

Adult↗

PubMed2006

Optic neuritis with visual field defect--possible Ibuprofen-related toxicity.

OBJECTIVE: To report a case of optic neuritis with visual field defect associated with ibuprofen. CASE SUMMARY: A 41-year-old white man developed blurred vision in his right eye and pain with eye and head movements that lasted 2 days after use of ibuprofen 400 mg 3 times daily during the preceding 3 weeks. Medical and family histories were negative for significant related disease. Ophthalmologic examination revealed a marked decrease in visual acuity to 20/200 in the right eye with quadrant visual field loss and absent responses in visual evoked potential (VEP). After discontinuation of the drug and treatment with high-dose intravenous methylprednisolone and subcutaneous low-molecular-weight heparin, the patient's vision improved to 20/70, the visual field defect vanished, and the VEP returned to almost normal values during a 1 year follow-up period. An objective causality assessment revealed that the adverse reaction was possibly related to ibuprofen. DISCUSSION: Ocular toxicity with blurred vision and centrocecal visual field defects have been rarely associated with long-term ibuprofen intake. We report a case of retrobulbar optic neuritis with quadrant visual field defect following short-term but regular ibuprofen intake. Although idiopathic optic neuritis cannot be completely ruled out, the absence of other risk factors and additional findings plus the improvement after discontinuation of the drug speak for isolated toxic optic neuritis of the right eye. CONCLUSIONS: Drug toxicity is an important differential diagnosis in retrobulbar optic neuritis. Clinicians should be aware of the potential optic toxicity, even with short-term use of a drug, and perform a thorough medication history in every patient with visual disturbances without a clear cause.

Adult↗

PubMed1998

[Light sensitivity in central visual field].

OBJECTIVE: To examine the difference in the light sensitivity in the central visual field between the normal subjects and glaucoma patients with or without the early visual field damages and propose the criteria to identify the possible early disturbance in the visual field. METHODS: The light sensitivity at the 76 locations in the central field was measured in 108 normal eyes of 75 normal volunteers aged from 20 to 78 years and 82 eyes of 53 patients with early open-angle or angle-closure glaucoma aged from 30 to 70 years on the Humphrey Field Analyzer (Model 610) by using the Central-30-2 program. RESULTS: No sex and eye differences in the light sensitivity were found between the two groups. The significant difference in the light sensitivity existed between the age of 20 - 45 years and the age of 46 - 78 years in the normal subjects. The lower limit of 80% normal range for each location in the central field of the two age groups was calculated. The light sensitivity decreased by 2 - 3 dB at every 10 degree from the eccentricity. The light sensitivity in the inferior field was 1 - 2 dB higher than that in the superior. There was no statistical difference between the nasal and the temporal field. For the patients with the field defects the light sensitivity of many locations decreased by 4 - 8 dB, and by 1 or 2 dB in the patients without the field defects as compared with the normal control. CONCLUSIONS: Based on the comparison with the normal control and the lower limit of 80% normal range, we propose the following criteria for classification of damages in the glaucoma visual field. Grade I: light sensitivity decreases by 1 - 3 dB at a cluster of locations in the field; Grade II: light sensitivity reduces by 4 - 6 dB at a cluster of locations in the field; Grade III: light sensitivity reduces by more than 6 dB at a cluster of locations in the filed.

Adult↗

PubMed1998

[Rapid Tendency Oriented Perimeter (TOP) with the Octopus visual field analyzer].

PURPOSE: To study the capabilities of a new perimetric strategy with the Octopus visual field analyzer: the Tendency Oriented Perimetry. METHODS: Tendency oriented perimetry (TOP) attempts to assess the visual field by using answers to questions to establish thresholds in the neighboring area. We evaluated 79 visual fields with the Octopus strategy using the program 32 and the TOP strategy split into the following groups: normal visual field or glaucoma suspects (52), moderately advanced glaucoma (16), advanced glaucoma (11). The following parameters were analyzed for the two strategies studied: examination time, MS (means sensitivity), MD (mean defect), LV (Loss Variance), short term fluctuation (RF) and the number of points with a deficit with different p values: p < 0.5; p < 1; p < 2; p < 5. RESULTS: TOP perimetry showed a significant reduction of exploration time: 11.87 minutes with the Octopus 32 vs 2.49 minutes with the TOP strategy (p < 0.001). There is no significant modification for the other parameters (MD, MS, RF) except for the LV (Loss Variance) for the global analysis and for each separate group. CONCLUSION: The TOP strategy reduces examination time significantly but seems to be less accurate especially for the calculation of the depth of each scotoma in comparison with the standard Octopus 32 perimetry.

Adult↗

PubMed1999

[Twenty-year follow-up of visual field defects in primary glaucoma eyes].

PURPOSE: The time course of visual field defects in patients with primary glaucoma was investigated for 20 or more years. METHODS: The subjects were 51 eyes of 29 patients (open angle glaucoma, 40 eyes of 21 patients angle closure glaucoma, 11 eyes of 8 patients). The mean intraocular pressure of these subjects was within 21 mmHg during the follow-up periods. All the eyes were monitored with Goldmann's perimetry, and the visual field was graded using Kozaki's classification. RESULTS: At the 20-year follow-up, 68% of the open angle cases and 45% of the angle closure cases had significant progression of visual field defects. There was no significant difference in average intraocular pressure during the follow-up period between the progression group and the stable group. CONCLUSION: These results suggested that, in a follow-up of twenty years, visual field defects both in primary open angle glaucoma and chronic angle closure glaucoma can progress frequently, even if the intraocular pressure of these patients was well controlled.

Adult↗

PubMed2004

Visual perception in space and time--mapping the visual field of temporal resolution.

To characterize temporal aspects of information processing in the human visual field, we studied the topographical distribution of temporal and non-temporal performance parameters in 95 normally sighted subjects. Visual field maps of double-pulse resolution thresholds (DPR) (the minimum detectable temporal gap between two light stimuli) and simple visual reaction times (RT) (measuring the speed of reaction to a light stimulus) were compared to maps of luminance thresholds determined by standard perimetry. Thus, for the first time, the topography of a visual variable without temporal constraints (perimetry) could be compared to visual variables in the temporal domain, with (RT) and without (DPR) motor reaction. The goal of the study was to obtain and to describe the pattern of co-variation of performance indicators. In all three measures, performance was best in the central visual field and dropped significantly towards the periphery. Although the correlation between DPR and RT was significant, shared variance was low, and we observed large topographical differences between these two temporal-performance variables. In contrast, DPR and perimetric thresholds correlated more substantially, and visual field maps were similar. The Gestalt of DPR maps shares characteristics of basic visual processing (e.g., light sensitivity), but it also reflects top-down influences, i.e., from spatial attention. Although the correlation between DPR and RT suggests common characteristics between these two temporal variables, the topographic distributions reveal significant differences, indicating separate underlying processing mechanisms.

Adolescent↗

PubMed1995

Grating acuity and visual field development in infants following perinatal asphyxia.

Grating acuity and visual fields were assessed in 66 children who had had perinatal asphyxia (ASPH). Also tested were 41 healthy preterm children (H-PT). Subjects were tested at birth to one month, and four, nine, 12, 17, 24, 30 and 36 months corrected age. The mean acuity scores of the ASPH group were lower than those of the H-PT group at most test ages, and significantly so at 30 and 36 months. The mean visual field size of the infants in the ASPH group was significantly smaller than that of the H-PT group at nine, 12, 30 and 36 months. No significant effects were found for preterm vs term birth, gestational age at birth, degree of asphyxia and presence of strabismus. However, central nervous system abnormalities (intraventricular haemorrhage and periventricular leukomalacia) were related to deficits in acuity and visual field size.

Asphyxia Neonatorum↗

PubMed1997

Peripheral visual field loss after vitreous surgery for macular holes.

BACKGROUND: Vitreous surgery for Idiopathic macular holes can result in both anatomic closure of the hole and visual improvement. In some patients even normal visual acuity is achieved. Postoperative visual field loss is a newly recognized complication. This prospective study evaluates the frequency and significance of scotomas after vitrectomy with gas tamponade for stage I-IV macular holes. METHODS: Over a period of 10 months, a consecutive series of 30 patients and 31 eyes with macular holes underwent pre- and postoperative automatic perimetry (Octopus 07, 70 degrees) and macular perimetry (Octopus M1, 24 degrees) to characterize the pattern of visual field defects after vitrectomy with gas tamponade. Success rates were evaluated and complications were analyzed. RESULTS: Anatomic success after one surgical procedure was achieved in 85% of cases, visual improvement in 58%. Some 70.1% of patients had peripheral scotomas postoperatively; some of these were highly symptomatic and others were detected by visual field testing only. The most consistently affected areas were the temporal and lower periphery of the visual field. The central visual field, however, was not disturbed. CONCLUSION: Visual field loss after otherwise successful surgery for macular holes is an unexpectedly frequent and serious complication. The authors discuss various factors that may contribute to the postoperative scotomas. From the localization of the scotomas it seems most likely that they are caused by the persistent pressure of the gas bubble on the peripheral retina. Further investigations are necessary to confirm this hypothesis, and ways must be found to avoid this complication in order to be able to proceed with this otherwise promising new indication group for vitreous surgery.

Aged↗

PubMed1989

Visual field loss in migraine.

Ocular symptoms are a common, though transient, initial component of migraine. Although permanent visual loss has been reported in a limited number of patients, detailed evaluations of the visual field using current techniques have not been conducted. This study examined the prevalence of visual field loss in patients with migraine, using an automated static perimeter. All patients had at least a 2-year history of migraine (as diagnosed by a neurologist) and no ocular problems (by history or as determined by a visual screening examination consisting of acuity, intraocular pressure [IOP], and evaluation of the disc). The authors' results for 60 migraine patients showed that 21 (35%) had some form of visual field abnormality (P less than 0.05). The prevalence of visual field loss was greater with increasing age and duration of disease. These results suggest that visual field loss from migraine may be more common than previously considered. This information also may be useful in elucidating the relationship between migraine and certain vascular conditions of the eye.

Adolescent↗

PubMed2005

Measured visual field extent varies with peripheral stimulus flicker rate in very young children.

PURPOSE: The purpose of this article is to describe measured visual field extent in very young children in response to variation in peripheral stimulus flicker rate. METHODS: Binocular visual field extent was measured using a black, double-arc perimeter and an LED static perimetry procedure in 120 11-month-old, 120 17-month-old, and 120 30-month-old children and 40 adults. Each subject was tested with one of four flicker rates: 1 Hz, 10 Hz, 20 Hz, or 40 Hz. An interpolated estimate of the eccentricity at which 50% of subjects detected the peripheral stimulus and the mean of the farthest eccentricity at which subjects detected the peripheral stimulus were calculated for each flicker rate for each age group. RESULTS: In 11-, 17-, and 30-month-old children, but not in adults, measured visual field extent (eccentricity at which the stimulus was detected) varied significantly with rate of stimulus flicker. The largest measured visual field extent was produced by a 10-Hz stimulus and the smallest was produced by 1-Hz and 40-Hz stimuli. Measured visual field extent in children was similar to that of adults for 10-Hz flicker, but smaller than that of adults for 1-Hz, 20-Hz, and 40-Hz flicker. CONCLUSIONS: These results underscore the importance of standardizing stimulus parameters when developing tests for clinical assessment of visual fields in children. Furthermore, for longitudinal assessment of young patients, use of a 10-Hz flicker rate, in combination with the other parameters used in the present study, would help to avoid difficulties in interpretation that could arise from an interaction between age-related and disease-related changes that might occur if other stimulus flicker rates were used.

Adult↗

PubMed1988

Quantifying visual field damage caused by cataract.

We studied the influence of cataracts on visual fields in 36 eyes of 36 patients before and after cataract extraction with intraocular lens implantation. Lens opacity was quantified with a slit-lamp system. The influence of cataracts on the visual fields was slightly but statistically significantly larger in the central than in the midperipheral region. Lens opacity had a high correlation with the visual field changes and moderate but still significant correlation with changes in visual acuity. Measurement of stray light back scattered from the cataractous lens allowed prediction of the influence of cataract on the visual field.

Adult↗