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Updated: May 26, 2026
07:45
Assessing Binocular Central Visual Field and Binocular Eye Movements in a Dichoptic Viewing Condition
Published on: July 21, 2020
Treatment of homonymous visual field defects
1Department of Neurology, University of Maryland Medical Center, 110 S. Paca St., 3rd Floor, Baltimore, MD, 21201, USA, dgold004@umaryland.edu.
Current Treatment Options in Neurology
|December 29, 2011
Summary
Homonymous visual field defects (HVFD) cause permanent vision loss. Field enhancement with prisms and saccadic training offer benefits, while vision restorative therapy is not effective for HVFD.
Area of Science:
- Ophthalmology
- Neuroscience
- Vision Science
Background:
- Homonymous visual field defects (HVFD) result in permanent visual impairment with variable patient-specific functional consequences.
- Comprehensive management of HVFD involves clinical evaluation and vision rehabilitation by eye care professionals.
Purpose of the Study:
- To review treatment approaches for homonymous visual field defects (HVFD).
- To evaluate the efficacy of different vision rehabilitation strategies for patients with HVFD.
Main Methods:
- Review of clinical approaches for HVFD management.
- Analysis of evidence supporting field enhancement (prism optical systems) and rehabilitative techniques (saccadic training, vision restorative therapy).
Main Results:
- Field enhancement using prisms is a recognized approach to optimize remaining vision in HVFD patients.
- Saccadic training demonstrates some evidence of benefit for patients with HVFD.
- Vision restorative therapy has not shown efficacy in treating HVFD.
Conclusions:
- Field enhancement and saccadic training are evidence-supported interventions for managing homonymous visual field defects (HVFD).
- Vision restorative therapy is not an effective treatment for HVFD based on current evidence.
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