• Glaucoma results in progressive visual field deterioration, and detecting changes or recording stability in the visual field is important in the management of glaucoma. • Visual field testing is a highly subjective and operator-dependent test. • In patients with glaucoma, the visual field is tested in monocular fashion. •The boundaries of the visual field (in a well-lit environment with an easily visible target) are grossly 60 degrees superiorly, 75 degrees inferiorly, 100 degrees temporally, and 60 degrees nasally. • Basic concept in determination of visual field is “threshold” •Definition of “threshold”: weakest test stimulus that is just visible in a particular location (stimulus intensity at which the patient responds 50% of the time) •Types of visual field testing strategies •Confrontation •Spot testing •Kinetic spot testing •Static spot testing •An initial screening tool to look for large and dense visual field defects that may be present in very advanced glaucoma •Both hands should be used in the testing processed. The patient should occlude the untested eye with the palm of the hand. •If the visual acuity will allow the finger counting technique, all four quadrants may be tested at 3 to 4 feet from the patient at an approximate 45-degree angle holding up either one or two fingers, or a whole hand. • If the visual acuity is HM or LP, then test for light perception in the respective 4 quadrants. • It is important that the patient be able to tell you where the light is located in the field of vision, not simply the presence of light. • Factors that affect the visibility of the spot • Size Intensity • Background illumination Others: color, movement, duration of presentation, attentiveness of the patient, and refractive state of the eye • Kinetic • Usually Goldmann perimetry (though some of the automated machines such as the Octopus will perform kinetic perimetry) • The perimetrist may adjust the location, size, and intensity of the stimulus throughout the test. •Useful in the following cases: Those who need coaching and an altered pace of testing (e.g., elderly, wheelchair-bound, or limited concentration)