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Retrospective multicentre study on functional vision score calculation using automated perimeter.

Mieko Tsuruoka1,2, Yoshimune Hiratsuka3, Kenji Inoue4

  • 1Ophthalmology, Inouye Eye Hospital, Chiyoda, Japan m385tsuru@gmail.com.

The British Journal of Ophthalmology
|May 24, 2025
PubMed
Summary
This summary is machine-generated.

A new predictive equation for Functional Field Score (FFS) using automated perimetry (AP) offers a reliable alternative to Goldmann perimetry (GP). This method enhances functional vision assessment, especially where GP is unavailable.

Keywords:
Field of visionLow vision aid

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Area of Science:

  • Ophthalmology
  • Visual Science
  • Medical Technology

Background:

  • Functional Field Score (FFS) is crucial for assessing visual impairment.
  • Goldmann perimetry (GP) is a traditional method for FFS evaluation.
  • Automated perimetry (AP) offers a potential alternative for visual field testing.

Purpose of the Study:

  • Develop a predictive equation for Functional Field Score (FFS) using automated perimetry (AP).
  • Evaluate the agreement between AP-derived FFS and Goldmann perimetry (GP)-based FFS.
  • Establish AP as a viable alternative for functional vision assessment.

Main Methods:

  • Retrospective multicentre study of 240 patients.
  • Binocular Esterman visual field testing using Humphrey Field Analyser (AP).
  • Correlation and linear regression analysis to derive predictive equation; Bland-Altman analysis for agreement.

Main Results:

  • Strong correlation (r=0.77) between GP-based FFS and points seen in AP.
  • Predictive equation derived: FFS = (points seen) × 0.41 + 37.0.
  • High agreement between predicted AP-FFS and GP-FFS (mean difference 0.12).

Conclusions:

  • AP-based FFS is a reliable alternative to GP-based FVS.
  • Facilitates effective visual impairment assessment, particularly where GP is inaccessible.
  • Enhances practical functional vision evaluation in clinical and research settings.