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Fundus-controlled two-color dark adaptometry with the Microperimeter MP1.
Wadim Bowl1, Knut Stieger, Birgit Lorenz
1Department of Ophthalmology, Justus-Liebig-University, Friedrichstrasse 18, 35392, Giessen, Germany, Wadim.Bowl@augen.med.uni-giessen.de.
Summary
This study introduces a quick method for two-color fundus-controlled adaptometry using an existing perimeter. The technique effectively assesses rod and cone function during dark adaptation at specific retinal locations.
Area of Science:
- Ophthalmology
- Visual Neuroscience
- Medical Devices
Background:
- Fundus-controlled perimetry is crucial for assessing visual field defects.
- Assessing rod and cone function separately is vital for diagnosing retinal diseases.
- Existing devices may require modification for advanced functional testing.
Purpose of the Study:
- To adapt an existing commercial fundus-controlled perimeter for two-color adaptometry.
- To develop a quick and easy method for evaluating rod and cone function.
- To extend the application possibilities of fundus-controlled perimetry.
Main Methods:
- An external filter holder was added to a commercial MP1 perimeter.
- Red and blue stimuli were used to measure visual sensitivity before dark adaptation.
- Dark adaptometry was performed on 20 healthy subjects for up to 45 minutes.
Main Results:
- Pre-test sensitivity revealed typical rod and cone distributions.
- Threshold recovery after bleaching showed a biphasic pattern.
- Absolute thresholds were reached around 10 minutes for red and 15 minutes for blue stimuli.
Conclusions:
- Two-color fundus-controlled adaptometry can be achieved with a commercial MP1 without device modification.
- This method allows for rapid assessment of rod and cone function at specific retinal loci.
- The technique is valuable for early detection of retinal degenerations by differentiating rod and cone dysfunction.

