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Visual field testing presents significant mental and physical challenges, especially for elderly glaucoma patients. Addressing patient anxiety and discomfort is crucial for improving test tolerability and accuracy.

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Area of Science:

  • Ophthalmology
  • Patient Experience Research
  • Clinical Assessment

Background:

  • Visual field testing is essential for diagnosing and monitoring glaucoma.
  • Understanding patient experiences is key to improving test adherence and data quality.
  • Elderly patients and those with glaucoma often face unique challenges during testing.

Purpose of the Study:

  • To quantitatively and qualitatively assess patient experiences during visual field testing.
  • To identify specific challenges and barriers faced by patients undergoing this diagnostic procedure.

Main Methods:

  • Cross-sectional, mixed-methods study in an Australian ophthalmology clinic.
  • 152 adult participants completed a visual analog scale (VAS) and semi-structured interviews.
  • Data included VAS scores and thematic analysis of qualitative interview notes.

Main Results:

  • The mean VAS score for visual field testing was 60.45.
  • Glaucoma patients reported significantly lower VAS scores (worse experience) than non-glaucoma patients.
  • Key themes included concentration difficulties, anxiety, skepticism, and physical discomfort.

Conclusions:

  • Significant mental, physical, and perceptual challenges impact visual field test tolerability, particularly in elderly glaucoma patients.
  • Addressing patient concerns and allowing breaks can improve the testing experience.
  • Findings underscore the need for patient-centered approaches in visual field testing.