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The visual field in advanced glaucoma.

J Weber1, T Schultze, H Ulrich

  • 1Universitäts-Augenklinik, Köln, FRG.

International Ophthalmology
|January 1, 1989
PubMed
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Advanced glaucoma patients show characteristic visual field patterns, often forming a central island with specific border asymmetries. Humphrey program 10-2 is effective for mapping these advanced glaucomatous visual field defects.

Area of Science:

  • Ophthalmology
  • Visual Neuroscience

Background:

  • Glaucoma is a leading cause of irreversible blindness.
  • Advanced glaucoma significantly impairs visual field function, often leaving only a central island of vision.

Purpose of the Study:

  • To analyze the specific morphology of visual field defects in advanced glaucoma.
  • To evaluate the utility of Humphrey program 10-2 for perimetry in these patients.

Main Methods:

  • Tested 62 eyes from 54 patients with late-stage glaucoma.
  • Utilized program 10-2 on the Humphrey Field Analyzer for visual field testing.

Main Results:

  • Visual fields displayed a small central island with asymmetric borders.
  • Largest visual field extent was typically in the temporal lower quadrant; smallest in the upper nasal quadrant.

Related Experiment Videos

  • An upper nasal step defect was frequently observed, consistent with retinal nerve fiber layer damage.
  • Conclusions:

    • The glaucomatous visual field in advanced stages forms a 'centro-coecal isle'.
    • This pattern reflects remaining intact maculo-papillary nerve fiber bundles.
    • Humphrey program 10-2 with 2-degree spacing is suitable for routine perimetry in advanced glaucoma.