Short-wavelength automated perimetry can predict glaucomatous standard visual field loss by ten years

Examination of visual fields using standard achromatic automated perimetry (SAP) is essential for glaucoma management. However, as many as 35-50% of retinal ganglion cells can be lost before a visual field defect is detected. Previous studies have indicated that examination of the short-wavelength (blue) sensitive color system may be able to detect early functional loss in glaucoma. Moreover, it has been reported to detect glaucomatous visual field loss as many as 5 years earlier than SAP. We describe the case of a patient who demonstrated visual field defects on short-wavelength automated perimetry (SWAP) ten years prior to developing visual field defects in SAP.