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Peripheral visual field thresholds using Humphrey Field Analyzer program 60-4 in normal eyes.

Tamara L Berezina1, Albert S Khouri, Anton M Kolomeyer

  • 1Institute of Ophthalmology and Visual Science, UMDNJ-New Jersey Medical School, Newark, NJ 07103, USA. berezitl@umdnj.edu

European Journal of Ophthalmology
|February 1, 2011
PubMed
Summary

This study defines normal peripheral visual field (PVF) sensitivity using the Humphrey Field Analyzer (HFA). Specific regions, like the inner ring and temporal areas, show the most consistent results for detecting early visual field loss.

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Area of Science:

  • Ophthalmology
  • Visual Neuroscience

Background:

  • Peripheral visual field (PVF) disturbances can indicate drug toxicity or other ocular conditions.
  • Static threshold perimetry using the Humphrey Field Analyzer (HFA) is a common diagnostic tool.

Purpose of the Study:

  • To establish normative thresholds for peripheral visual field sensitivity.
  • To refine analysis strategies for detecting PVF abnormalities with the HFA 60-4 program.

Main Methods:

  • Automated PVF testing was conducted on 33 healthy subjects using the HFA 60-4 program.
  • Testing points were categorized by eccentricity (inner, middle, outer rings) and zone (nasal, temporal, superior, inferior).
  • Threshold visual sensitivity (TVS) was measured in decibels for each test point.

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Main Results:

  • Lowest TVS and highest variability were observed in the outer nasal ring.
  • Highest TVS and lowest variability were found in the inner ring and temporal areas of the middle/outer rings.
  • TVS decreased and variability increased with greater eccentricity from the fixation point.

Conclusions:

  • The inner ring and specific temporal/inferior zones of the middle and outer rings exhibit the highest consistency.
  • These consistent areas are optimal for identifying peripheral visual abnormalities using the HFA 60-4.
  • Findings can aid in developing early detection strategies for peripheral field loss before central vision is impacted.