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[Modern perimetry: automatic or manual?].

R Etienne, A Etienne, E Sellem

    Journal Francais D'Ophtalmologie
    |January 1, 1983
    PubMed
    Summary
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    Computer-assisted static perimetry, using the PERITEST, offers advantages but requires patient cooperation. Strategies for visual field defect studies are crucial for accurate glaucoma detection.

    Area of Science:

    • Ophthalmology
    • Medical Technology

    Background:

    • Computer-assisted static perimetry aims to reduce examiner influence on visual field testing.
    • The PERITEST perimeter offers automated and manual testing modes with single or multiple stimuli.

    Purpose of the Study:

    • To evaluate the applications of computer-assisted static perimetry after 1.5 years of experience.
    • To assess the impact of patient cooperation and testing strategies on perimetric results.

    Main Methods:

    • Utilized the PERITEST perimeter for automated and manual static perimetry.
    • Determined individual visual retinal thresholds and performed examinations at supraliminal levels.
    • Employed single and multiple stimulus presentation modes.

    Main Results:

    Related Experiment Videos

    • Fluctuations in results can occur even without perimetrist influence, with longer tests demanding greater patient cooperation.
    • Multiple stimulus testing is adequate for normal visual fields; single stimulus mode is useful for detecting problems.
    • Full automatic examination is best for mild defects in cooperative patients.

    Conclusions:

    • Optimal strategies for visual field defect studies are necessary for accurate perimetry.
    • The PERITEST's flexibility allows adaptation to different clinical scenarios.
    • Identified a new presentation of early glaucoma signs: a 0.5 Log Unit loss, equivalent to a relative scotoma.