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Devising and Evaluating an Adaptive Static-Automated Perimetry Test for Children: A Feasibility Study.

Andrew Turpin1,2, Vanessa Ts Tang3,4, Siavash Salmanzadeh3,4

  • 1Lions Eye Institute, Perth, Australia. andrew.turpin@curtin.edu.au.

Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)
|March 16, 2026
PubMed
Summary

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The novel children's Static Automated Perimetry (cSAP) test is feasible for assessing visual fields in children. This adaptive method provides clinically useful data even when testing is stopped early.

Area of Science:

  • Ophthalmology
  • Pediatric Optometry
  • Visual Field Testing

Background:

  • Standard visual field tests can be challenging for children due to their limited attention spans and ability to cooperate.
  • Developing adaptive and engaging methods is crucial for obtaining reliable visual field data in pediatric populations.

Purpose of the Study:

  • To evaluate the feasibility of a children's Static Automated Perimetry (cSAP) test designed for early termination.
  • To determine if cSAP can yield clinically useful visual field information in children, even with abbreviated testing sessions.

Main Methods:

  • The cSAP test incorporated engaging elements like dynamic fixation markers, gamified levels, and rewards.
  • The test was validated on 10 adults with visual field loss and subsequently used to test 11 children aged 4-9 years.
Keywords:
Paediatric ophthalmologyPerimetry algorithmVisual function

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  • A dichoptic approach was employed on the Topcon Tempo Perimeter via the Open Perimetry Interface.

    • Main Results:

    • cSAP provided a better estimate of the final visual field compared to a baseline method in adults, even when testing was stopped early.
    • Most children (except the youngest, aged 4) engaged well with the cSAP test and produced reliable results.
    • A learning effect was observed in younger children upon retesting after 3 months.

    Conclusions:

    • The children's Static Automated Perimetry (cSAP) test is a feasible and effective method for pediatric visual field assessment.
    • cSAP offers design advantages over conventional Static Automated Perimetry for children and individuals unable to complete standard tests.