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PubMed1984

The visual field after trabeculectomy. A follow-up study using computerized perimetry.

Series of visual fields in 20 eyes in which trabeculectomy had been performed were studied retrospectively. Computerized perimetry was used and the condition of the visual field was summarized into single numbers. Regression analysis was applied to series of such performance numbers. No correlation was found between the regression coefficient and the mean post-operative pressure or the mean pressure reduction. A dependence of the regression coefficient on the size of the visual field defect was observed.

Adult↗

PubMed1994

Fluctuations of visual field interpretation related to cluster and scotoma analysis by one interpreter.

A total of 189 numerical printouts of the visual fields of 189 eyes of individuals either suspected of or verified as having glaucoma and displaying varying degrees of glaucomatous visual field damage were analyzed by one expert interpreter. The amount of clusters (or scotomas) was counted and delineated in each visual field under both a more stringent and a more liberal criterion. The interpretations of the visual fields differed significantly in both groups, as did the subjective certainty the interpreter allotted to his assessment. In the group of certain decisions, only 144 defects were assessed as opposed to 364 when a more stringent rather than a more liberal criterion was adopted. In uncertain cases, a reverse trend was observed, since only 11 as opposed to 324 defects were assessed when a more liberal rather than a more stringent criterion was adopted. Both trends may be explained by an increase in sensitivity at the expense of specificity (i.e., a change in the receiver-operating characteristic of the expert when the latter is pressed to change the criterion in a subjective cluster or scotoma assessment task). The ambiguity of the task and the difference in the criterion adopted by the interpreter significantly influences the assessment of normality and pathology, in particular its extent and spatial distribution.

Adult↗

PubMed1987

Quantitative evaluation of the optic nerve head in patients with unilateral visual field loss from primary open-angle glaucoma.

Measurable structural alterations of the optic nerve head may precede visual field abnormalities in early open-angle glaucoma. The authors studied the optic nerve heads of 10 patients with unilateral visual field loss from primary open-angle glaucoma, and 12 age- and sex-matched normal subjects. Topographic optic nerve head parameters were measured with a system of computerized image analysis (Rodenstock Analyzer, G. Rodenstock Instrumente GMBH, Munich, W. Germany). In patients with asymmetric primary open-angle glaucoma, eyes with normal visual fields had a slightly larger mean (+/- standard error of the mean) disc rim area (0.90 +/- 0.04 mm2) than eyes with glaucomatous visual field defects (0.78 +/- 0.05 mm2). However, both sets of eyes in the asymmetric primary open-angle glaucoma patients had smaller mean disc rim areas (P less than 0.0007) than did the control group (1.27 +/- 0.09 mm2). These findings support the hypothesis that loss of the optic disc rim can be detected before perimetric abnormalities develop in primary open-angle glaucoma.

Female↗

PubMed2006

Visual field dependence-independence before and after unilateral vestibular loss.

To investigate whether visual field dependence-independence changed after unilateral vestibular loss, Menière's patients were tested before and after unilateral vestibular neurotomy and compared with controls. Using the rod and frame test, visual vertical perception was tested under four visual contexts (with a frame tilted either clockwise or counterclockwise, with a vertical frame, and without visual reference). Both controls and Menière's patients before unilateral vestibular loss split into visual field dependent and independent subpopulations. Unilateral vestibular loss did not change this partition but, for both subpopulations, it induced asymmetrical visual field dependence with a reduced or abolished contralesional dependence. Finally, when vertical/horizontal references were provided, visual vertical perception was improved in both subpopulations, suggesting that all patients relied on the same allocentric strategy.

Adaptation, Physiological↗

PubMed1994

Visual field interpretation with a personal computer based neural network.

The Computer Assisted Touch Screen (CATS) and Computer Assisted Moving Eye Campimeter (CAMEC) are personal computer (PC)-based video-campimeters which employ multiple and single static stimuli on a cathode ray tube respectively. Clinical studies show that CATS and CAMEC provide comparable results to more expensive conventional visual field test devices. A neural network has been designed to classify visual field data from PC-based video-campimeters to facilitate diagnostic interpretation of visual field test results by non-experts. A three-layer back propagation network was designed, with 110 units in the input layer (each unit corresponding to a test point on the visual field test grid), a hidden layer of 40 processing units, and an output layer of 27 units (each one corresponding to a particular type of visual field pattern). The network was trained by a training set of 540 simulated visual field test result patterns, including normal, glaucomatous and neuro-ophthalmic defects, for up to 20,000 cycles. The classification accuracy of the network was initially measured with a previously unseen test set of 135 simulated fields and further tested with a genuine test result set of 100 neurological and 200 glaucomatous fields. A classification accuracy of 91-97% with simulated field results and 65-100% with genuine field results were achieved. This suggests that neural networks incorporated into PC-based video-campimeters may enable correct interpretation of results in non-specialist clinics or in the community.

Diagnosis, Computer-Assisted↗

PubMed2004

The mapping of the visual field onto the dorso-lateral tectum of the pigeon (Columba livia) and its relations with retinal specializations.

Most of the physiological studies of the pigeon retino-tectal visual pathway have investigated the accessible tectum, a small dorso-lateral tectal section that can be easily accessed by a simple craniotomy. However, at present we lack a detailed study of the topographical arrangement between the visual field, the retina and the accessible tectum. In particular, it is not known which section of the visual field is mapped onto the accessible tectum, and which of the specialized retinal areas mediates this projection. Here we determined, using local field potential (LFP) recordings and reverse retinoscopy, the shape, size and position in the visual space of the portion of the visual field mapped onto the accessible tectum (called here the accessible visual field, or AVF). Using this data and the mapping of Nalbach et al. [Vis. Res. 30 (4) (1990) 529], the retinal area corresponding to the AVF was determined. Such retinal area was also directly delimited by means of retrograde transport of DiI. The results indicate that the AVF is a triangular perifoveal zone encompassing only 15% of total visual field. The retinal region corresponding to the AVF has the shape of an elongated triangle that runs parallel to the visual equator and contains the fovea, the tip of the pecten, a perifoveal region of the yellow field and a small crescent of the red field. In agreement with this anatomical heterogeneity, visual evoked potentials measured in different parts of the accessible tectum present steep variations in shape and size. These results are helpful to better design and interpret anatomical and physiological experiments involving the pigeon's visual system.

Animals↗

PubMed2006

Vigabatrin and visual field defects in pediatric epilepsy patients.

We studied the prevalence, type and severity of vigabatrin (VGB)-attributed visual field defects (VFDs), and used these data to assess the associated risk factors in pediatric patients. Medical records were retrospectively reviewed for 67 pediatric patients who received VGB alone or in combination with other antiepileptic drugs, and who had undergone visual field examinations using a Humphrey visual field analyzer. Of the 67 patients, 15 had VGB-attributed VFDs: 13 had nasal arcuate type, 1 had nasal and temporal constricted type and 1 had nasal constricted type. In terms of severity, 7 patients had Grade I VGB-attributed VFDs, 5 had Grade II, 2 had Grade III, and 1 had Grade IV. Although there were no significant differences between the VFD and non-VFD groups with regards to all tested parameters, there were no cases of VGB-attributed VFDs in patients with total treatment durations <2 yr and cumulative doses <10 g/kg. In conclusion, the prevalence of VGB-attributed VFDs in VGB-treated pediatric epilepsy patients was 22%. The high frequency of VGB-attributed VFDs indicates that physicians should inform all patients of this risk prior to VGB treatment and perform periodic visual field examinations.

Adult↗

PubMed1999

Characteristics of a unique visual field defect attributed to vigabatrin.

PURPOSE: Vigabatrin (VGB) therapy is associated with a loss of peripheral vision. The characteristics and prevalence of VGB-attributed visual field loss (V-AVFL) and associated risk factors were evaluated in patients with epilepsy. METHODS: The material comprised the visual fields and case notes of 88 patients with suspected V-AVFL (25 spontaneous reports and 63 cases from an open-label extension trial) and of 42 patients receiving alternative antiepileptic drugs (AEDs) from a cross-sectional study. RESULTS: Forty-two reliable cases of visual field loss could not be assigned to an alternative known cause and were therefore attributed to VGB (13 spontaneous reports and 29 from the open-label study). All cases except one were asymptomatic. Seven cases of field loss were present in the reference cohort of 42 patients; all cases could be attributed to a known aetiology. Thirty-six of the 42 confirmed cases of V-AVFL exhibited a bilateral defect that was most profound nasally, and three, a concentric constriction. The prevalence of V-AVFL was 29% (95% confidence interval, 21-39%). Male gender was associated with a 2.1-fold increased relative risk of V-AVFL (95% confidence interval, 1.20-4.6%). Age, body weight, duration of epilepsy, and daily dose of VGB, and concomitant AEDs did not predict the occurrence of V-AVFL. CONCLUSIONS: The unique visual field defect attributed to VGB is profound in terms of the frequency of occurrence and the location and severity of loss. The asymptomatic nature of the field loss indicates that V-AVFL can be elicited only by visual field examination.

Adult↗

PubMed1992

Problems related to diffuse versus localized loss in the perimetry of glaucomatous visual fields.

The separation of diffuse loss from more localized loss in the glaucomatous visual field is desirable for a number of reasons. In previous papers, the characteristics of several methods and algorithms for distinguishing among normal visual fields and those exhibiting diffuse and localized loss have been described and compared. In particular, a new diffuse loss index has been introduced that serves to decide whether or not a diffuse loss component is present and, if so, helps to estimate the amount. Here the approaches utilized for calculating empiric probability maps (Heijl) and the pattern deviation plots (STATPAC) are compared with results obtained with the diffuse loss index algorithm. Based on 197 Octopus G1 examinations of glaucomatous visual fields, it is shown that both methods produce large differences when compared with the diffuse loss index. For this and other reasons, it is argued that both empiric probability maps and pattern deviation plots may lead the inexperienced clinician to ignore valuable information concerning actual pathology.

Algorithms↗

PubMedDate not supplied

An algorithm for visual fields.

The authors present an algorithm, or sequential strategy, for the performance and interpretation of visual fields. Based on the principle that particular areas of the visual field are relatively vulnerable and that particular defect configurations are relatively more diagnostic, the strategy proposes certain "core maneuvers" for all initial examinations, followed by selective exploration of the vertical meridian "rectangle" and central "keyhole." This constitutes the "qualitative" portion of perimetry and combines threshold kinetic and suprathreshold static techniques. If time and patience permit, qualitative perimetry is followed by quantiative definition of defect size, depth and slope, using the requisite number of stimuli. This approach may be adapted to all visual field instruments. The interpretation of the field defects is based on assessing their localizing features.

Eye Diseases↗

PubMedDate not supplied

Alternative method of evaluating visual field deterioration in very advanced glaucomatous eye by microperimetry.

PURPOSE: To report an alternative method of evaluating visual field deterioration in very advanced glaucomatous eyes. METHODS: This prospective, comparative study included 24 eyes of 24 consecutive patients with very advanced glaucoma. The eyes were divided into two groups based on their visual field measurements by Goldmann perimetry: Group 1 had a central island with or without a detached temporal island (n = 13), and Group 2 had a central island with a temporal island connected by only a thin isthmus (n = 11). The size of the central island was determined by Goldmann perimetry, and microperimetry plots were determined around the disc margin. The angle formed between a line passing from the disc center to the "seen" points and a second line passing to the "not seen" points at the superior temporal or the inferior temporal sites was used for the analyses. RESULTS: The mean size of the island was 6.3 +/- 1.9 in Group 1 and was 7.0 +/- 2.0 in Group 2 (P =.38). The mean angle between the "seen" and "not seen" points in Groups 1 and 2 was 56.1 +/- 6.9 and 76.1 +/- 11.8, respectively (P =.0002). The reduction in the angle correlated with the visual field loss (P =.018), but the reduction in the size of the central island was not significantly associated with the visual field loss (P =.29). CONCLUSION: Microperimetry may be an alternative method of evaluating advanced glaucoma.

Aged↗

PubMed1999

[The effectiveness of glaucomatous visual field test using a size I stimulus].

PURPOSE: Perimetry using size I and III targets was conducted on glaucoma patients. The detectability of the visual field defects using a size I target and abnormal spatial summation was investigated. SUBJECTS & METHODS: Subjects were 14 eyes of 11 glaucoma patients with mild to moderate visual field defects and 11 eyes of 11 normal persons. Program 24-2 of the Humphrey Field Analyzer was applied to each subject. Based on the mean sensitivity and standard deviation at each coordinate in normal persons, the Z-score was calculated in the visual fields of glaucoma patients (absolute scotomas were excluded). RESULTS: The mean Z-score of retinal sensitivity, was less for size III than for size I in abnormal lesions, and less for size I than for size III in normal lesions (paired t-test, p < 0.01). Pathological spatial summation was found more frequently in normal lesions than in abnormal lesions. CONCLUSIONS: In mild visual field defects, size I detects abnormalities with greater sensitivity than size III. Perimetry using the size I target can be effective as a supplementary diagnostic method to detect and follow the early glaucomatous visual field.

Glaucoma↗

PubMed2003

When the patient says no. Management of exotropia with hemianopic visual field defects.

BACKGROUND: A homonymous hemianopia can be compensated for by an exotropia in the direction of the visual field defect. CASE REPORTS (AND LITERATURE REVIEW): Two young males with visual field defects and exotropia are reported. Both refused surgery when they were advised of the risk of reduction of their binocular visual field with the alignment of their eyes. CONCLUSION: Mapping of the binocular visual field is mandatory in patients with exotropia and neurological involvement to search for this rare combination which could produce a disappointing surgical outcome.

Adult↗

PubMed1982

A model of the early stages of the human visual system: functional and topological transformations performed in the peripheral visual field.

A model of the early stages of the visual system is presented, with particular reference to the region of the visual field outside the fovea and to the class of retinal and lateral geniculate nucleus cells which are most active in the processing of patter information (X-cells). The main neuroanatomical and neurophysiological properties taken into account are: the linear increase of the receptive fields diameter with eccentricity, the constancy of the overlap factor and the topological transformation operated upon the retinal image by the retino-cortical connection. The type of filtering taking place between the retina and the visual cortex is analyzed and some simulations are presented. It is shown that such a filtering is of a bandpass space variant type, with center frequencies that decrease from the center (i.e. the fovea) toward the periphery of the visual field. This processing is "form invariant" under linear scaling of the input. Moreover, considering the properties of the retino-cortical connection, it is shown that the "cortical images" undergo simple shifts whenever the retinal images are scaled or rotated.

Humans↗

PubMed1994

The change of visual acuity and visual field by diminished illumination in eyes with multifocal intraocular lens.

To investigate the effect of illumination on visual acuity and visual field in eyes with multifocal intraocular lens (IOL), the near and far visual acuity of the eyes with multifocal implants were compared to those of the eyes with monofocal implants in the diminished illumination, and the visual fields of two groups were also compared by the different target size and intensity. The near and far visual acuity of the eyes with multifocal implants were significantly decreased as compared to those of the eyes with monofocal implants under diminished illumination, and the visual field of the multifocal implanted eyes also significantly decreased as compared to that of the monofocal implanted eyes by the reduction of spot size and intensity. From the above results, it is assumed that the bifocal separation of incident light to two simultaneous focal points in the multifocal implants causes more decreased visual acuity and narrower visual field in the diminished illumination as compared to that of the eyes with monofocal implants.

Adult↗

PubMed1989

Visual field defects for unidirectional and oscillatory motion in depth.

Visual fields for oscillatory motion in depth were recorded for 21 subjects. Near fields were different from far fields in 8 and similar in 11 subjects. Visual fields for unidirectional motion in depth were recorded for 16 subjects for near and far disparities. Some subjects had fields that differed for approaching versus receding motion in depth and/or for near versus far disparities. In particular, for near disparities, approaching versus receding motion gave fields that were different in 5 and similar 7 subjects; for far disparities, approaching versus receding motion gave fields that were different in 1 and similar in 10 subjects. For approaching motion in depth, near fields differed from far fields in 3 and were similar in 8 subjects; for receding motion in depth, near fields were different from far fields in 5 and similar in 8 subjects. Because sensitivity to monocular frontal plane motion showed no irregularities corresponding to the stereomotion field defects, we conclude that (1) stereomotion field defects were chiefly due to defective cortical processing of motion. We also conclude that (2) stereomotion field defects--at least for unidirectional motion--are caused by loss of sensitivity to unidirectional motion in depth rather than to abnormal interactions between mechanisms for approaching and receding motion, and (3) the finding of directional-specific stereomotion blindness is better explained by the two-population than by the one-population hypothesis of stereomotion blindness. We suggest that the substantial incidence of stereomotion field defects in normally-sighted subjects has implications for clinical studies and for visual assessment of pilots.

Adult↗

PubMed1983

Visual field and retinal nerve fibre layer in early glaucoma after optic disc haemorrhage.

Computerized visual field testing with the Competer automatic perimeter including automatic profile perimetry revealed early glaucomatous field loss in 9 of 10 eyes with photographically demonstrable retinal nerve fibre layer (RNFL) defects after optic disc haemorrhages despite the fact than conventional routine perimetry had failed to do so. In 7 of these cases the Competer central pattern test was abnormal; in 2 cases field defects could be shown only when automatic high-resolution static profile perimetry was performed and directed according to the information present in wide-angle RNFL photographs. A field defect was also found in one of five eyes with no photographic RNFL changes. Visual field defects seem to occur in a higher proportion of cases with RNFL defects than was previously thought, but they can be very subtle and hard to find. There are, however, cases where in spite of the presence of an indisputable RNFL defect no visual field defects can be shown even with painstaking technique and conversely field defects may be present without RNFL defects. Automatic perimetry and RNFL photography complement each other in early detection and quantitation of glaucomatous damage.

Aged↗

PubMed2004

On the relationship between orbit orientation and binocular visual field overlap in mammals.

The orbital apertures of Primates are among the most convergent (i.e., facing in the same direction) among mammals. It is often assumed that orbit convergence is associated with binocular visual field overlap and stereoscopic depth perception in primates. Likewise, it is also assumed that orbit orientation reflects the shape of the visual field across mammals. To date, however, no study has demonstrated that orbit and visual field orientation are correlated, much less comparable, across mammals. In this study, data on orbit convergence were collected for a representative sample of mammals for which data on the extent of the visual field are available. Both standard and phylogenetically controlled comparisons were made. The results demonstrate that orbit convergence and binocular visual field overlap are significantly correlated and display a linear relationship. Based on orbit convergence, Primates as a group have the largest binocular visual fields among mammals.

Adaptation, Physiological↗