Perimetry or campimetry is the systematic measurement of differential light sensitivity in the visual field The term visual field is sometimes used as a synonym to field of view, though they do not designate the same thing. The visual field is the "spatial array of visual sensations available to observation in introspectionist psychological experiments", while 'field of view' "refers to the physical objects and light sources in the by the detection of the presence of test targets on a defined background. Visual field testing can be performed clinically with confrontational field testing keeping the subject's gaze fixed while presenting objects at various places in their visual field. This is generally used to explore the extreme boundaries of the visual field. Perimetry more carefully maps and quantifies the visual field. Simple manual equipment can be used such as in the tangent screen test or the Amsler grid. When dedicated machinery is used it is called a perimeter. Kinetic perimetry uses a mobile stimulus moved by a perimetrist such as in Goldmann kinetic perimetry. Kinetic perimetry is useful for mapping visual field sensitivity boundaries. Threshold static perimetry is generally done using automated equipment. It is used for rapid screening and follow up of diseases involving deficits such as scotomas A scotoma is an area of partial alteration in one's field of vision consisting in a partially diminished or entirely degenerated visual acuity which is surrounded by a field of normal - or relatively well-preserved - vision, loss of peripheral vision Peripheral vision is a part of vision that occurs outside the very center of gaze. There is a broad set of non-central points in the field of view that is included in the notion of peripheral vision. "Far peripheral" vision exists at the edges of the field of view, "mid-peripheral" vision exists in the middle of the field of and more subtle vision loss. Perimetry testing is important in the screening, diagnosing, and monitoring of various eye Eyes are organs that detect light, and convert it to electro-chemical impulses in neurons. The simplest photoreceptors connect light to movement . In higher organisms complex neural pathways exist that connect the eye, via the optic nerve to the visual cortex and other areas of the brain. Complex optical systems with resolving power have come in, retinal The vertebrate retina is a light-sensitive tissue lining the inner surface of the eye. The optics of the eye create an image of the visual world on the retina, which serves much the same function as the film in a camera. Light striking the retina initiates a cascade of chemical and electrical events that ultimately trigger nerve impulses. These, optic nerve The optic nerve is the second of twelve paired cranial nerves but is considered to be part of the central nervous system as it is derived from an outpouching of the diencephalon during embryonic development. Consequently, the fibres are covered with myelin produced by oligodendrocytes rather than the Schwann cells of the peripheral nervous system and brain The brain is the center of the nervous system in all vertebrate, and most invertebrate, animals. Some primitive animals such as jellyfish and starfish have a decentralized nervous system without a brain, while sponges lack any nervous system at all. In vertebrates, the brain is located in the head, protected by the skull and close to the primary disorders.
See also
- Binasal hemianopsia Binasal hemianopsia is the medical description of a type of partial blindness where vision is missing in the inner half of both the right and left visual field. It is associated with certain lesions of the eye and of the central nervous system, such as congenital hydrocephalus
- Bitemporal hemianopsia Bitemporal hemianopsia is the medical description of a type of partial blindness where vision is missing in the outer half of both the right and left visual field. It is usually associated with lesions of the optic chiasm, the area where the optic nerves from the right and left eyes cross near the pituitary gland
- Campimeter
- Blind spot A blind spot, also known as a scotoma, is an obscuration of the visual field. A particular blind spot known as the blindspot, or physiological blind spot, or punctum caecum in medical literature is the place in the visual field that corresponds to the lack of light-detecting photoreceptor cells on the optic disc of the retina where the optic nerve
- Scotoma A scotoma is an area of partial alteration in one's field of vision consisting in a partially diminished or entirely degenerated visual acuity which is surrounded by a field of normal - or relatively well-preserved - vision
- Visual field test A visual field test is an examination that may be performed to analyze a patient's visual field. The exam may be performed by a technician in one of several ways. The test may be performed by a technician directly, with the assistance of a machine, or completely by an automated machine. Machine based tests aid diagnostics by allowing a detailed
References
- IXMUS Color Field Test Blue-Yellow and Blue-Red Visual Testing for Macular Degeneration and Optic Nerve Disease
- What is perimetry? International Perimetric Society
- Perimetry standards 1990
- Neuro-ophthalmologic examination eMedicine
- MedlinePlus Medical Encyclopedia: Visual Field
- Recent developments in perimetry: test stimuli and procedures AM McKendrick. Clinical and Experimental Optometry 2005; 88:2: 73-80
- eyetec module on visual field testing
- Spector, Robert H. 1990. Visual Fields. Clinical Methods The History Physical and Laboratory Examinations 3rd ed, Walker HK, Hall WD, Hurst JW editors. Butterworth. VIII:116;565-572 NIH Books
Categories: Ophthalmology Categories: Medical specialties | Surgical specialties | Eye | Vision | Neurology Categories: Medical specialties | Nervous system | Neuroscience |
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