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Visual Field Tests: A Narrative Review of Different Perimetric Methods
Bhim Bahadur Rai1, Faran Sabeti1,2, Corinne Frances Carle1
1John Curtin School of Medical Research, Australian National University, Canberra, ACT 2601, Australia.
Journal of Clinical Medicine
|May 11, 2024
Summary
Visual field (VF) testing is crucial for diagnosing and managing eye and neurological conditions. This review details various VF tests, highlighting their evolution, benefits, and drawbacks for clinicians.
Area of Science:
- Ophthalmology
- Neurology
- Medical Diagnostics
Background:
- Visual field (VF) testing is essential for diagnosing, managing, and predicting outcomes in retinal and neurological diseases.
- Its history spans from ancient times to modern sophisticated techniques.
Purpose of the Study:
- To review diverse VF tests and perimetric methods.
- To analyze their advantages, disadvantages, and diagnostic adherence.
- To guide clinicians in selecting appropriate methods for specific diseases and patient needs.
Main Methods:
- Comprehensive review of historical and current VF testing techniques.
- Analysis of qualitative and quantitative, subjective and objective perimetric methods.
- Evaluation of technological evolution, precision, user-friendliness, and accuracy.
Main Results:
- VF testing methods have significantly evolved in technique and accuracy.
- Older, effective methods are often overlooked; newer technologies may have cost or sensitivity/specificity limitations.
- Emerging objective methods offer potential for retinal disease management and improved patient experience.
Conclusions:
- Clinicians should carefully select VF testing methods based on disease, patient needs, and test complexity (subjective vs. objective).
- Newer objective, non-contact methods may enhance patient satisfaction and enable testing in challenging populations like children.
