Automated Static Perimetry for diagnostics of visual field defects in glaucoma

2018 ◽  
Vol 78 (1) ◽  
pp. 65-71
Author(s):  
S. Slobodyanyk ◽  
Author(s):  
P. N. Skonnikov ◽  
D. V. Trofimov

Abstract. Some diseases, for instance, a glaucoma, cause visual field defects. For the timely diagnostics of such defects, various methods are used. One of the state-of-the-art diagnostic methods is automated static perimetry. The method of static perimetry consists in the light sensitivity determination in different parts of the visual field using stationary objects of variable luminosity. When scanning the visual field in this way, an important factor is the control of gaze fixation at the fixation point. The greatest accuracy in determining the gaze fixation position is achieved by the method of the pupil visual tracking using a video camera.In this paper, four groups of visual tracking algorithms are considered: segmentation-based methods, correlation methods, methods based on optical flow and on weighted average. An experimental comparison of these methods was carried out using the base of video recordings obtained in the automatic static perimetry apparatus. On these videos the ground truth tracks of pupil were marked. The comparison was conducted according to two criteria: center location error and tracking length. It is shown that only the weighted average method has an acceptable tracking length.


2018 ◽  
Vol 63 (6) ◽  
pp. 729-734 ◽  
Author(s):  
Krunoslav Stingl ◽  
Tobias Peters ◽  
Torsten Strasser ◽  
Carina Kelbsch ◽  
Paul Richter ◽  
...  

Abstract Pupillographic campimetry allows measuring the visual field objectively by analyzing the pupil response to perimetric stimuli. One of the drawbacks of this technique, similar to static perimetry, is the need of reliable fixation of the subject. By using stimulus sizes comparable to static perimetry and applying gaze tracking, we enable a retinotopic visual field examination regardless of fixation problems and with an increased stability and improved spatial resolution. Here, we present the results of applying the method in eight normal sighted subjects as well as in three patients suffering from diseases usually diagnosed by perimetry. The results in normal sighted subjects show a reduction in the amplitude of the pupil response with increasing eccentricity as expected. We also demonstrate that gaze-controlled campimetry is able to detect organic visual field defects objectively in a patient group and classify the visual field defects without an organic background. Moreover, we show that our method is able to evaluate the visual field sensitivity loss beyond classical perimetry in patients with late-stage retinitis pigmentosa. Thus, gaze-controlled pupil campimetry can be used in addition to classical perimetry, allowing for an objective monitoring of disease progression, rendering it as a biomarker for novel treatments.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaoxiao Ma ◽  
Li Tang ◽  
Xiaoming Chen ◽  
Liuzhi Zeng

Abstract Background Existing evidence suggests that visual field defect in eyes with glaucoma significantly varies between individuals. The following study compared the central visual field defects with the peripheral visual field defects in patients with suspect glaucoma and primary open-angle glaucoma (POAG) and investigated whether using the central visual field test alone could result in loss of clinically valuable information. Methods In this prospective observational study, 167 eyes from 89 patients with suspect glaucoma or POAG were first examined with static automated perimetry (SAP), followed by a peripheral visual field test on Octopus 900 perimeter (Haag-Streit, Koeniz, Switzerland). The peripheral visual field test was performed by “Auto Kinetic Perimetry” program, in which Goldmann III4e stimuli randomly moved along 16 vectors at a constant angular velocity of 5 deg/s. Results Glaucomatous peripheral visual field defects were seen in 18% of the eyes with a normal central visual field. In addition, 86% of glaucoma patients with moderate-to-severe central visual field defects had corresponding peripheral visual field defects in the form of localized or diffuse depression of the isopters. Furthermore, a moderate correlation was found between the central and peripheral visual fields. The median test duration was 71 s for the peripheral test and 803 s for the central test (p < 0.001). Conclusions Our study demonstrated the diversity of glaucomatous visual field defects, as well as the possibility of losing the clinically valuable information due to focusing on the central visual field test alone. The peripheral kinetic perimetry is clinically feasible to complement the central static perimetry for a comprehensive assessment of visual function in glaucoma patients.


2021 ◽  
Vol 223 ◽  
pp. 229-240
Author(s):  
Eren Ekici ◽  
Sasan Moghimi ◽  
Huiyuan Hou ◽  
James Proudfoot ◽  
Linda M. Zangwill ◽  
...  

1998 ◽  
Vol 4 (2) ◽  
pp. 79-84 ◽  
Author(s):  
N Accornero ◽  
S Rinalduzzi ◽  
M Capozza ◽  
E Millefiorini ◽  
G C Filligoi ◽  
...  

Color visual field analysis has proven highly sensitive for early visual impairments diagnosis in MS, yet it has never attained widespread popularity usually because the procedure is difficult to standardize, the devices are costly, and the test is fatiguing. We propose a computerized procedure running on standard PC, cost effective, clonable, and easy handled. Two hundred and sixty-four colored patches subtending 18 angle of vision, with selected hues and low saturation levels are sequentially and randomly displayed on gray equiluminous background of the PC screen subtending 2486408 angle of vision. The subject is requested to press a switch at the perception of the stimulus. The output provides colored maps with quantitative information. Comparison between normals and a selected population of MS patients with no actual luminance visual field defects, showed high statistical difference.


Ophthalmology ◽  
2017 ◽  
Vol 124 (11) ◽  
pp. 1600-1611 ◽  
Author(s):  
Yu Sawada ◽  
Makoto Araie ◽  
Makoto Ishikawa ◽  
Takeshi Yoshitomi

1992 ◽  
Vol 7 (2) ◽  
pp. 130-146 ◽  
Author(s):  
Mario Zulauf ◽  
Joseph Caprioli

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