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[Basic and clinical aspects of modern perimetry].

T Otori1

  • 1Department of Ophthalmology, Kinki University School of Medicine, Osaka-fu, Japan.

Nippon Ganka Gakkai Zasshi
|February 20, 1999
PubMed
Summary

Manual kinetic perimetry remains crucial for diagnosing conditions like retinitis pigmentosa. Automated static flicker perimetry excels at detecting early glaucoma, outperforming static light threshold perimetry.

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Investigative ophthalmology & visual science·1998

Area of Science:

  • Ophthalmology
  • Neuro-ophthalmology

Context:

  • Advancements in automated perimetry and sophisticated techniques over 40 years.
  • Development of new automated perimeters: Central Field Screener (O-II), ATS-85, and a central critical fusion frequency (CFF)-meter.

Purpose:

  • Reappraise the clinical significance of manual kinetic perimetry versus automated light threshold perimetry.
  • Evaluate automated static flicker perimetry for detecting early glaucomatous field defects.
  • Confirm the diagnostic value of CFF measurement in optic neuritis and chiasmal syndrome.

Summary:

  • Manual kinetic perimetry is foundational and superior to automated static light threshold perimetry in specific cases (e.g., retinitis pigmentosa, chiasmal tumors).
  • Automated static flicker perimetry significantly outperforms automated static light threshold perimetry in detecting early glaucomatous field defects, particularly with immature senile cataract.
  • Central critical fusion frequency (CFF) measurement is essential for diagnosing optic neuritis and chiasmal syndrome, with observed dissociations in central vision and CFF.

Impact:

  • Highlights the continued relevance of manual kinetic perimetry alongside automated methods.
  • Demonstrates the superior efficacy of automated static flicker perimetry for early glaucoma detection.
  • Underscores the diagnostic importance of CFF measurements in neuro-ophthalmic conditions.

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