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At least 1,009 records · Page 56Linked to original sources

PubMed1999

Comparison of optokinetic nystagmus elicited by full versus partial visual field stimulation: diagnostic implications.

Optokinetic nystagmus (OKN) testing is one method to determine central vestibular dysfunction. OKN may be elicited by partial visual field stimulation with a light bar (OKN-ENG) or by full visual field stimulation with rotating stripes in a rotational chair test booth (OKN-RVT). OKN-ENG and OKN-RVT were elicited in 36 healthy subjects and 48 patients with known peripheral or central vestibular disorders. Abnormal test results suggested central pathology in 29 of 36 healthy subjects with OKN-ENG versus 1 of 36 with OKN-RVT. Twenty-eight of 33 patients with peripheral pathology demonstrated abnormal OKN-ENG findings, whereas 4 of 33 had abnormal OKN-RVT results. Thirteen of 15 patients with central vestibular disorders had abnormal OKN-ENG, whereas 7 of 15 had abnormal OKN-RVT. Sensitivity and specificity of OKN-ENG were 86.7% and 17.4% versus 46.7% and 92.7%, respectively, for OKN-RVT. These findings were statistically significant (P < 0.00001). OKN elicited by full visual field stimulation (OKN-RVT) is a more accurate indicator of central disease than OKN elicited by partial visual field stimulation (OKN-ENG). The use of OKN-ENG to identify central vestibular dysfunction is questionable.

Adult↗

PubMed2004

[Bilateral visual field defects with optic disc drusen and secondary open angle glaucoma with PEX--clinical correlation with the HRA].

BACKGROUND: Arcuate visual field defects are a typical sign of glaucomatous damage. Elevated intraocular pressure in combination with pseudoexfoliation syndrome (PSX) manifests the diagnosis glaucoma. Beyond this state, in microdiscs with optic disc drusen, the exact classification of the visual field defects is crucial. CASE REPORT: A 57-year-old male with pseudoexfoliation glaucoma was referred because of progressive glaucomatous visual field defects. The visual acuity was right 20/40 and left 20/25. Maximum intraocular pressure was 36 mm Hg. A simple optic nerve atrophy was diagnosed superonasally. The optic disc size was OD 2.24 mm(2) and OS 1.89 mm(2) (HRT I). An Ultrasound B-mode scan demonstrated the diagnosis of optic disc drusen. Over a follow-up of 1 year, a growth tendency was observed, especially in the superonasal quadrant. The mulberry-shaped surface of the drusen was visualized with infrared reflection images (HRA II, 830 nm). Confocal scanning laser ophthalmoscopy (HRA II, excitation 488 nm, 500 nm notch filter) showed an increased intrapapapillary autofluorescence (> 50 % papillary area: OD 1.67 mm(2), OS 1.26 mm(2)). This technique could detect drusen in areas that looked normal in classical retinoscopy. CONCLUSION: The differential diagnosis of arcuate scotomas includes simple optic nerve atrophy and glaucomatous optic nerve atrophy. Optic disc drusen in glaucoma eyes can obscure the main cause of progressive visual field loss. Superficial optic disc drusen can be measured planimetrically over the years. An adequate reduction of intraocular pressure should be realized in these eyes.

Diagnosis, Differential↗

PubMed1998

[Functional disorders of the visual field].

The author describes a group of 12 patients with concentric narrowing of the visual field which was not elucidated, with the exception of one patient, even after all indicated clinical and paraclinical examinations. He describes diagnostic methods providing evidence of the functional character of the impaired visual field and presents typical findings of changes of the visual field in functional disorders.

Adolescent↗

PubMed2002

Optic disc cup slope and visual field indices in normal, ocular hypertensive and early glaucomatous eyes.

AIM: To evaluate the correlation between internal slope analysis of the optic nerve head and visual field changes in normal eyes and those with ocular hypertension (OHT) and early glaucoma (POAG). METHODS: One eye of each of 22 normal subjects, 21 patients with ocular hypertension, and 50 patients with glaucoma were examined using the TopSS scanning laser ophthalmoscope. A series of topographic parameters measuring the internal features of the optic discs of these patients were obtained. These findings were compared with the Humphrey visual field analysis of these patients. RESULTS: Global topographic average slope and cup to disc ratio could discriminate between groups of normal and OHT patients (p = 0.02). All global and sector analysis parameters could discriminate normal subjects from POAG patients. The average slope parameter provided the best separation with a receiver operating characteristic curve area of 0.88. Visual field mean deviation (MD) was most closely correlated with global average slope (r = -0.60, p<10(-7)) and cup to disc ratio (r = -0.40, p<0.001). Visual field MD was also well correlated (r = -0.50, p<0.0001) with slope parameters for sectors S8, S2, and S1. CONCLUSION: Average slope, a parameter independent of reference planes and magnification effects, is capable of discriminating groups of OHT and POAG patients from a group of normal subjects. This topographic parameter is also well correlated with the visual field MD. Sector slope analysis suggests early glaucomatous damage may occur in the inferotemporal region of the optic disc.

Aged↗

PubMed1983

Visual field differences in semantic comparative judgments with digits and Kanji stimulus materials.

Hemisphere specialization for two types of semantic comparative judgments were examined. In the first experiment a pair of Arabic numerals of different physical size were displayed and subjects were asked to judge if the physical size of the stimulus and the numerical magnitude were congruent or not by pressing the appropriate button. Reaction times were faster in the right visual field than in the left visual field. In the second experiment a pair of different physical sized Kanji representing concrete objects were displayed and subjects were required to judge if the physical size of the Kanji was congruent or not with the relative real life object size by pressing the appropriate button. Reaction times were faster in the left visual field. In the third experiment a pair of different physical sized Kanji representing numerical magnitude were displayed and subjects judged if the physical size of the Kanji and the numerical magnitude were congruent or not. Results showed a right visual field advantage and eliminated the possibility that Kanji complexity was the cause of the left visual field advantage in the second experiment. These results were interpreted as providing support for the proposal that there are two types of semantic comparative judgments, one relying on the verbal code and the other relying on the use of imagery, and suggesting that the former calls for stronger engagement of the left hemisphere while the latter calls for a stronger contribution from the right hemisphere.

Adult↗

PubMed1978

Mathematical optimization of glaucoma visual field screening protocols.

There is potential for significantly shortening the time required for visual field screening protocols by a precise specification of the number, exact location, and sequence of points to be tested. Through statistical and mathematical methods, protocols have been developed for maximizing the probability of detecting at least one visual field defect in a subject who is a risk for early glaucomatous field loss. The mathematical formulation was derived in a generalized manner so that it could be applied to most kinetically or statically determined visual field screening methods.

Glaucoma↗

PubMedDate not supplied

[Defects in the visual field in resective surgery for temporal lobe epilepsy].

INTRODUCTION: Temporal lobe resection is the most used procedure in epilepsy surgery. Visual field defects after resection are frequent. AIM. We try to detect the frequency and severity of visual field defect after anterior temporal lobectomy (ATL) and to study the functional consequences. PATIENTS AND METHODS: We studied 30 patients with refractory temporal lobe epilepsy (15 men, 12 51 years, m= 32.9), in which ATL was performed (11 right, 19 left). The neocortical and hippocampal resection was variable. Visual field was studied with computerized campimetry type Humphrey. Our survey was filled to study the campimetric consequence, seizures incidence, quality of life and surgery satisfaction. RESULTS: Some campimetric disturb was found in 27 patients (90 %), superior or minor homonimus quadantapnosia in 18 (60 %), major one 8 and homonimus hemianopsia in one. Incongruent defects appeared in 19. The bigger neocortical and hippocampal resection was, the bigger defect, with exceptions. Only patient with a hemianopsia was conscious the deficit. 20 patients (66.6 %) were seizures free in the last year. 28 had better quality of life and 29 (96.6 %) would have chosen surgery again. CONCLUSION: Visual field defects after ATL, although frequent, have little functional consequences and in quality of life. The quality of life is better when seizures stopped. After ATL patients are very glad with their decision.

Adolescent↗

PubMed1980

Mass visual field screening in a driving population.

With the cooperation of the California Department of Motor Vehicles and Synemed, Inc., visual field screening tests were administered to 1,027 eyes of driver's license applicants using the Fieldmaster Model 101-PR automated perimeter. Approximately 5% of the eyes tested demonstrated significant visual field loss. These results indicate that mass visual field screening in a driving population is feasible and may become a valuable technique for early detection of eye disease in large populations. It may also be an important factor in traffic safety.

Adolescent↗

PubMedDate not supplied

Influence of carteolol and timolol on IOP an visual fields in glaucoma: a multi-center, double-masked, prospective study.

The influences of Carteolol and Timolol eye drops on intraocular pressure (IOP) and visual fields were compared in a multi-center, double-masked, prospective study. Two-hundred and forty eyes of 120 patients were initially included in the study, and 142 eyes of 72 patients fulfilled all the criteria for final statistical analysis. Both drugs significantly reduced IOP. The visual fields in both treatment groups did not change during one year of treatment. In both groups some patients improved slightly, and others deteriorated slightly. This indicates that locally applied beta-blockers may efficiently stop further progression of visual field defects in cases with increased IOP and early visual field damage. There was no difference between Carteolol and Timolol in this regard. The side effects were minimal, and there were no differences in their frequency or intensity in the two treatment groups.

Adolescent↗

PubMed1993

[Evaluation of visual field defects, motility disorders and diplopia within the scope of accident insurance law].

Visual Field: The determination of the level of compensation for loss of integrity is based on the Goldmann Perimetry. In case of concentric loss of the visual field the SUVA Tables 1989 are used. Hemi- and Quadrantanopsias are still evaluated according to the Rintelen Tables from 1954. No guidelines are available for the evaluation of central and paracentral skotomas. It is uncertain if automatic perimetry can be used routinely in the future for the evaluation of visual function. Motility Disorders and Diplopia: The evaluation of functional loss caused by diplopia is very difficult. Therefore a big variation of 5-30% has been determined. It is up to the specialist to evaluate the extent of the damage. In this study we looked for a correlation between the objective findings and the subjective complaints. Such a correlation could not be found so that an arbitrary classification depending on the extent of the diplopia must be recommended. This would create an analogy to the evaluation of the loss of visual acuity and visual field where no freedom is left to the judgement of the physician. Some reflections are given on the sense and benefit of the unique Swiss law concerning compensation for loss of integrity.

Diplopia↗

PubMedDate not supplied

Development of the lateral eye of American horseshoe crabs: visual field and dioptric array.

We used a precision two-circle goniometer mounted to the stage of a compound microscope to determine the optical alignment and to measure the entrance aperture diameter of individual cuticular cones in the dioptric array of the lateral eye of juvenile horseshoe crabs in order to learn about the development of the visual field. Our results show that the extent of the visual field of juvenile horseshoe crabs with prosomal lengths about 20% of adult size (14-21 mm) is about 70% that of the visual field of adult horseshoe crabs (prosomal lengths: 100+ mm). The visual field of such juvenile animals covers between 77 and 85 deg vertically and 140 and 145 deg horizontally. Assuming that the dioptric array is uniform and square packed, the average interommatidial angle of the juvenile animals is between 5.6 and 6.0 deg as compared to 4.6 deg for an adult animal. The diameter of the entrance aperture of individual cuticular cones increases markedly with increasing animal size. In addition, we noted a statistically significant trend for entrance aperture diameters to increase from anterior to posterior within the eye for animals of all sizes. There may be a slight trend for entrance aperture diameters to increase from dorsal to ventral within the eye. Our results indicate that the extent of the visual field and the resolution of the lateral eye approach adult values in advance of animals' reaching sexual maturity.

Animals↗

PubMed2005

Glaucomatous visual field progression with frequency-doubling technology and standard automated perimetry in a longitudinal prospective study.

PURPOSE: To compare frequency-doubling technology (FDT) perimetry with standard automated perimetry (SAP) for detecting glaucomatous visual field progression in a longitudinal prospective study. METHODS: One eye of patients with open-angle glaucoma was tested every 6 months with both FDT and SAP. A minimum of 6 examinations with each perimetric technique was required for inclusion. Visual field progression was determined by two methods: glaucoma change probability (GCP) analysis and linear regression analysis (LRA). For GCP, several criteria for progression were used. The number of locations required to classify progression with FDT compared with SAP, respectively, was 1:2 (least conservative), 1:3, 2:3, 2:4, 2:6, 2:7, 3:6, 3:7, and 3:10 (most conservative). The number of consecutive examinations required to confirm progression was 2-of-3, 2-of-2, and 3-of-3. For LRA, the progression criterion was any significant decline in mean threshold sensitivity over time in each of the following three visual field subdivisions: (1) all test locations, (2) locations in the central 10 degrees and the superior and inferior hemifields, and (3) locations in each quadrant. Using these criteria, the proportion of patients classified as showing progression with each perimetric technique was calculated and, in the case of progression with both, the differences in time to progression were determined. RESULTS: Sixty-five patients were followed for a median of 3.5 years (median number of examinations, 9). For the least conservative GCP criterion, 32 (49%) patients were found to have progressing visual fields with FDT and 32 (49%) patients with SAP. Only 16 (25%) patients showed progression with both methods, and in most of those patients, FDT identified progression before SAP (median, 12 months earlier). The majority of GCP progression criteria (15/27), classified more patients as showing progression with FDT than with SAP. Contrary to this, more patients showed progression with SAP than FDT, when analysed with LRA; e.g., using quadrant LRA 20 (31%) patients showed progression with FDT, 23 (35%) with SAP, and only 10 (15%) with both. CONCLUSIONS: FDT perimetry detected glaucomatous visual field progression. However, the proportion of patients who showed progression with both FDT and SAP was small, possibly indicating that the two techniques identify different subgroups of patients. Using GCP, more patients showed progression with FDT than with SAP, yet the opposite occurred using LRA. As there is no independent qualifier of progression, FDT and SAP progression rates vary depending on the method of analysis and the criterion used.

Disease Progression↗

PubMed1992

Blue versus white stimuli in ocular hypertension with the Friedmann Mark 1 Visual Field Analyser.

Fifty eyes of fifty patients with ocular hypertension had their visual fields tested on a Friedmann Mark 1 field analyser whilst wearing a Wratten 47B blue filter in a spectacle frame. All had normal visual fields to a white stimulus. Use of a scoring system with the blue field identified 11 patients (22%) with ocular hypertension as abnormal. The scores from this subgroup were indistinguishable from a group of subjects with early glaucomatous field loss, whilst the remaining scores were similar to normal subjects. These two subgroups of ocular hypertensive patients were similar in age and intraocular pressure. The use of a blue filter in front of the eye may offer a simple test to identify a subgroup of patients with ocular hypertension who are at increased risk of developing field loss.

Color↗

PubMed1977

The effect of superior colliculus lesions upon the visual fields of cats with cortical ablations.

The visual fields of 18 cats were measured before and after various lesions. Preoperatively, all cats had identical fields. With both eyes open, they saw from 90 degrees left to 90 degrees right; with one eye, from 90 degrees ipsilateral to 45 degrees contralateral. Thus the field for nasal retina extends from 90 degrees ipsilateral through to the midline; for temporal retina, from the midline through to 45 degrees contralateral. In summary, postoperative testing led to two major conclusions. (1) Large occipito-temporal cortical lesions produce a stable field blindness, but the blindness is alleviated by a transection of the commissure of the superior colliculus (or a unilateral collicular ablation). This transection yields the same result whether it occurs in an operation before, during, or after the cortical lesion. These data confirm and extend the Sprague effect. (2) Cats made dependent upon retinotectal pathways due to cortical ablations responded much better to stimulation of nasal retina than to stimulation of temporal retina. This presumably is related to the preponderance of nasal retina as a source of the retinotectal pathway. Since even smaller cortical lesions limited to areas 17, 18, and 19 produce this nasal/temporal retinal difference, it is concluded that integrity of the geniculocortical pathways is necessary for good temporal retinal vision as determined by these methods.

Animals↗

PubMed1975

The representation of the visual field in the lateral geniculate nucleus of Macaca mulatta.

Microelectrode recording techniques were used to investigate the projection of the visual field into the lateral geniculate nucleus (LGN) of Macaca mulatta. The data were used to construct charts plotting visual direction, designated in terms of azimuth and elevation, onto sections of the nucleus cut in coronal, sagittal and horizontal Horsley-Clarke planes. The projection of the horizontal meridian divides the LGN along its plane of symmetry into a medial-superior half having negative elevations and a lateral-inferior half having positive elevations. Elevations become more positive or negative with distance from this plane. Azimuths closest to the vertical meridian are located posteriorly, while the most peripheral azimuths are found at the anterior pole. Two families of surfaces representing visual directions of constant azimuth and elevation are described. Visual field zones of increasing eccentricity are represented serially along the posterior-anterior axis of the LGN, with the foveal area restricted to the posterior pole and the monocular crescent projecting to the anterior pole. The mapping is completely continuous across the horizontal meridian. The edges of the stacked cell laminae exposed around the periphery of the LGN form an oval band which receives the projection of the perimeter of the contralateral hemifield. The vertical meridian is represented by the posterior two-thirds of this band, while the periphery of the hemifield projects to the anterior third. The central visual field out to the optic disc is represented by six cell layers, while the rest of the binocular field projects to four layers only (2 parvocellular and 2 magnocellular). The monocular crescent is represented by one parvocellular and one magnocellular layer. Features associated with the projection column of the optic disc are integrated into the transition from six to four layers. Details of the receptive field topography in the vicinity of the optic disc discontinuities indicate that these gaps are produced by intralaminar mechanisms. The magnification factor (mm-3/steradian) increased monotonically from peripheral visual fields to the foveal center, varying over a range of three decades. This range is intermediate between those derived from data reported in the literature for the retina and the striate cortex. The ratio of LGN magnifications at any two angular eccentricities is a power function, with an exponent of 1.34, of the corresponding ratio of retinal ganglion cell densities. Similarly, the ratio of cortical magnifications (mm-2/steradian) at any two eccentricites is a power function, with an exponent of 1.35, of the corresponding ratio of LGN magnifications.

Animals↗

PubMed1993

Evaluation of baseline-related suprathreshold testing for quick determination of visual field nonprogression.

OBJECTIVE: To evaluate a commercially available means of baseline-related suprathreshold examination designed to detect visual field worsening. DESIGN: Patients for whom results of a baseline series of static-threshold visual field examinations were available underwent both a second static-threshold examination (full-threshold strategy; average time, 15 minutes) and a baseline-related suprathreshold examination ("fast-threshold" strategy; average time, 5 minutes). RESULTS: Most of the 1702 points examined were apparently unchanged from baseline, showing with either method only the degree of variation expected from the measurement inconsistency (short-term fluctuation). For points that did show a change, the changes shown by the two methods were correlated. Change in the field as a whole, represented by a cluster of locations showing deterioration, was evident more frequently with the standard testing strategy: 11 of 37 field examinations showed deterioration by both methods and an additional 11 examinations showed deterioration by the full-threshold method only. CONCLUSIONS: Each examination method identified pointwise changes not detected by the other, the combined effect of false-positive errors (imperfect specificity) and false-negative errors (imperfect sensitivity) with each of the two methods. The findings relating to clusters could represent a better sensitivity of the full-threshold method in detecting visual field deterioration, a better specificity of the suprathreshold method, or both.

Evaluation Studies as Topic↗

PubMed1992

Is the visual field temporally homogeneous?

We asked the question "is the visual field temporally homogeneous when the well known spatial inhomogeneity is taken into account?" Our results show that the visual field exhibits inhomogeneity for stimuli of low spatial frequency for which the spatial inhomogeneity is minimal. This inhomogeneity takes the form of a reduction in sensitivity for stimuli of low temporal frequency in the periphery and an enhancement of sensitivity for stimuli of high temporal frequency in the periphery. The low temporal frequency loss in the periphery is post-receptoral and must involve a selective loss of sensitivity of the low pass filter. The enhanced high frequency sensitivity may be post-receptoral or purely receptoral. The consequence of such an inhomogeneity for subsequent stages of visual processing is discussed.

Adult↗

PubMed1990

Inferonasal quadrant of the visual field is not constricted in patients with infantile esotropia when evaluated by means of automated perimetry.

It has been stated that the inferonasal quadrant of the visual field is constricted in patients with dissociated vertical deviation. If this were true, it would be of clinical importance when assessing the visual field of patients with infantile esotropia. In addition, it could corroborate the hypothesis of an abnormal chiasmatic decussation in this condition. To assess this issue, we compared the sensitivity in the two inferior quadrants of the visual field in two groups of subjects by means of automated perimetry. The first group included 18 patients with infantile esotropia and the second, 14 normal subjects. Findings did not show any significant difference between these two groups of subjects and therefore indicate that changes in the inferonasal quadrant of the visual field are unlikely to occur as a result of infantile esotropia. The hypothesis of abnormal chiasmatic decussation in infantile esotropia is reconsidered, based on these results.

Adolescent↗