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At least 1,243 records · Page 69Linked to original sources
PubMed1998

Visual field loss after argon laser panretinal photocoagulation in diabetic retinopathy: full- versus mild-scatter coagulation.

PURPOSE: The aim of the present study was to prospectively examine the effect of two styles of PRP, full- and mild-scatter on central and peripheral visual field in diabetic patients. METHODS: 40 eyes with preproliferative or early proliferative diabetic retinopathy of 32 patients underwent visual field testing on the C 30-1 and P 30/60-1 program of the Humphrey field analyser before and after argon laser panretinal photocoagulation (PRP). 21 eyes received full- and 19 mild-scatter PRP. RESULTS: Laser treatment had caused significant reduction of central retinal sensitivity in all eyes with no difference between full- and mild-scatter PRP. Peripheral visual field sensitivity was significantly improved after mild-scatter PRP and was significantly depressed after full-scatter PRP. CONCLUSION: Our results suggest, that two treatment produced essentially equal effects on central and different on peripheral visual field.

Adult↗
PubMed1990

Investigation of central visual fields in patients with age-related macular changes.

The effect of early macular pigmentary and drusen changes on the central visual field was investigated in elderly patients with normal visual acuities. Visual field measurements were taken with the Humphrey Field Analyser using its 24-2 and 10-2 full threshold programs. No significant differences were found between two patients groups, one with and one without the macular changes. We conclude that fine pigmentary changes and hard drusen do not cause changes in visual functioning and can be accepted as normal age-related changes.

Aged↗
PubMed2004

Attention modulates the visual field in healthy observers and parietal patients.

Recent attention research suggests that factors other than low-level sensory processes modulate perception across the visual field, with right parieto-temporal cortex playing a critical role in directing visual attention to peripheral events. Here we examine how different degrees of attentional demand at fixation dynamically affect detection of abrupt visual onsets in the periphery. In young healthy subjects, peripheral detection was significantly disrupted bilaterally when there was high attention demand at fixation. Right parieto-temporal lesioned patients, tested with a simplified version of task, demonstrated bilateral shrinkage of their available visual field, worse to the contralesional side, under increased attentional demand at fixation. These findings demonstrate how the effective visual field is dynamically modulated by the deployment of attention in health and, more severely, following right parieto-temporal damage.

Adolescent↗
PubMed1998

Modified Bagolini striated glass test: clinical applications of starlight test in binocular visual field screening.

AIM: To introduce the "starlight" test which was devised to check binocular vision in normal conditions of seeing in a rapid, easy, and cost effective manner and to estimate the possibility of its clinical use in screening the binocular visual field of patients. METHOD: The Bagolini striated glass test consists of optically plano lenses with imperceptible parallel scratches that barely blur the environment but produce two perpendicular luminous stripes (right eye stripe of 45 degrees and left eye stripe of 135 degrees) when subjects with normal binocular vision view one light source. Unlike the original Bagolini test, the starlight test uses three light sources in horizontal or vertical lines according to the testing purposes and the subject is asked to fixate upon the centre light. Through Bagolini glasses, the subject observes the resulting grid-like pattern and the state of binocular visual field of the subject can be roughly estimated. RESULTS: Normal subjects and patients with strabismus, visual field loss from intracranial diseases, glaucoma, retinitis pigmentosa, and functional visual loss were examined using the starlight test and findings from each case were discussed. CONCLUSIONS: The starlight test, which was made by hand at a low cost, is a simple test that can be used clinically. It provides information about the state of binocular vision of patients in normal conditions of seeing. It is also useful because it enables the examiner to share similar experiences with the examinee. The results suggest it can be effective in visual field screening.

Adult↗
PubMed1976

Asynchrony of lateral onset as a factor in difference in visual field.

An experiment in matching judgments was designed to examine a role of perceptual process in apparent asymmetry. Recognition of Hirakana letters (Japanese letters) was required. The experimental condition in which stimuli were presented to the left visual field first and to the right visual field second produced more errors for all stimulus intervals (0 to 60 msec.) than experimental conditions where stimuli were presented to the right visual field first and to the left one second. Especially, superiority of the latter condition was marked with the longest stimulus interval employed. These results indicate superiority of the left hemisphere function for recognizing Hirakana letters and suggest that not only memory but also perceptual process contributes to this laterality effect.

Brain↗
PubMed1996

Classifying visual field data.

We develop a prediction model for classifying an eye according to glaucoma status based on its visual field. We develop measures of both diffuse and localized defects in the visual field as potential predictors of glaucoma. To identify predictors of abnormal fields, we must describe the variability in the fields of normal eyes, hence we first model the mean, variance and correlation structures of normal fields with use of generalized estimating equations. The best measures of diffuse loss include a field's mean level, contrasts of the upper and lower halves, and contrasts of the nasal and temporal halves. Local loss is measured by the depth, area, volume and location of the field's largest defect. We develop logistic regression models to classify eyes as having glaucoma or not. We present ROC curves of the results that are highly competitive with current clinical methods of classification.

Adult↗
PubMed1985

Differences in the neural basis of human amblyopia: the distribution of the anomaly across the visual field.

Spatio-temporal contrast sensitivities to horizontally-oriented Gaussian-weighted patches of sinusoidal grating stimuli were determined across the nasal and temporal visual fields of strabismic and non-strabismic, anisometropic amblyopes. The visual field distribution of the amblyopic anomaly differs in strabismic and non-strabismic, anisometropic eyes. In strabismus the peripheral region of one or both hemifields is spared; in non-strabismic, anisometropic cases the loss is evenly distributed across the binocular visual field but is not present in the monocular temporal field. These findings suggest that the non-strabismic forms of amblyopia in humans result from binocular competitive imbalance in early life. The strabismic results pose two problems for the present competitive model of amblyopia: in strabismus, amblyopia is mainly limited to central vision and shows an asymmetric distribution.

Adolescent↗
PubMed2002

Pattern of retinal nerve fiber layer damage in Korean eyes with normal-tension glaucoma and hemifield visual field defect.

PURPOSE: To evaluate quantitatively the pattern of retinal nerve fiber layer (RNFL) damage in eyes with normal-tension glaucoma (NTG) with hemifield dominant visual field defects using scanning laser polarimetry. METHODS: Prospectively, 40 consecutive eyes from 40 patients with NTG and hemifield defect based on the findings of examination using the Humphrey Field Analyzer underwent RNFL thickness measurements. Twenty normal eyes from 20 subjects matched in age and refractive error formed a control group. RESULTS: Symmetry, calculated as the ratio of superior to inferior RNFL thickness, showed no statistically significant difference between the study group and the control group ( P=0.50). Overall, 27.5% (11/40 eyes) showed an "abnormal" symmetry index that indicated focal RNFL change. The affected ratio, calculated as the ratio of RNFL thickness in the quadrant corresponding to the hemifield of visual field defect to that of the temporal quadrant was significantly lower in the study group than in the control group ( P<0.0001). A similar finding was noted for the unaffected ratio. CONCLUSION: Despite strict selection of the eyes with visual field defect confined to one hemifield, a mixture of both focal and diffuse RNFL damage was noted, with a common occurrence of symmetrical RNFL thinning in both upper and lower quadrants based on scanning laser polarimetry.

Adult↗
PubMed1982

Effectiveness of automated perimetry in following glaucomatous visual field progression.

The Fieldmaster automated perimeter's effectiveness in determining glaucomatous visual field progression was evaluated. One hundred fifty-four eyes with glaucoma (41) and ocular hypertension (113) were followed for two to four years with manual static and kinetic perimetry (Tübingen) and automated suprathreshold static perimetry (Fieldmaster). With Tübingen static testing, 11 eyes with established glaucomatous visual field loss demonstrated progressive field loss and one eye showed improvement. Ten of these 12 eyes showed progression on the Fieldmaster. Two ocular hypertensive eyes demonstrated consistent defects on the Fieldmaster over several years, but were not detected on Tübingen static perimetry. Comparison between Tübingen static testing and Fieldmaster perimetry was good except for four Fieldmaster false alarms.

Evaluation Studies as Topic↗
PubMed1999

The association of visual field deficits and visuo-spatial neglect in acute right-hemisphere stroke patients.

BACKGROUND: Visuo-spatial neglect (VSN) after stroke is associated with a poor prognosis for rehabilitation. The co-existence of a visual field deficit (VFD) with VSN may be associated with impaired visuo-spatial functioning and thereby poor functional outcome. OBJECTIVE: To determine whether the presence of a VFD (i) exacerbates VSN and (ii) influences recovery of VSN. METHODS: A prospective study of consecutive acute (<7 days), right-hemisphere stroke patients who were able to undergo detailed assessment of visuo-spatial functioning and visual fields. Clinical assessment and a standardized neuropsychological test was administered by one observer, followed by independent assessment of visual fields by a second observer. Patients were followed up for 12 weeks with 4-weekly re-assessments. RESULTS: 44 consecutive patients (23 women) with a first in a lifetime, acute hemisphere stroke were recruited. Twenty had VSN and VFD, seven VSN only, one VFD only and 17 had normal visual fields and no neglect. The finding of a VFD was significantly associated with the presence of VSN (P<0.0001). Patients with both VFD and VSN had a significantly lower score on the behavioural inattention test. One month post-stroke, this difference was no longer significant. Recovery of VSN and VFD was maximal in the first month, however VSN recovery continued for up to 12 weeks. Patients with VSN and a VFD on admission had a greater mortality at 1 and 3 months. CONCLUSION: The presence of a VFD does appear to exacerbate neglect in the acute stroke patient; this effect is no longer seen after 1 month. Recovery of VSN continues independent of a VFD. Patients with neglect and a VFD have an increased mortality, probably because of greater neurological impairment.

Acute Disease↗
PubMed1998

Visual field extent in children 3.5-30 months of age tested with a double-arc LED perimeter.

Visual field extent along the four diagonal meridia was measured cross-sectionally in 180 normal children (infants and toddlers), and 22 adults. Infants were tested monocularly at 3.5, 7, or 9 months, and toddlers were tested binocularly at 11, 17, or 30 months. Adult control data were obtained under monocular viewing. Three testing methods were investigated: static and hybrid static-kinetic perimetry, using LED arrays under computer control, and kinetic perimetry, using white styrofoam spheres manipulated by hand. Data analysis included corrections for false positives in the method of constant stimuli and for errors of anticipation in the ascending method of limits. Across all data sets from children, kinetic perimetry yielded larger, more adult-like fields, which approached adult levels around 17 months, whereas static and hybrid static-kinetic perimetry yielded smaller visual fields, approaching adult levels only at 30 months.

Adult↗
PubMed1992

Absence of the relative afferent pupillary defect with monocular temporal visual field loss.

We report five patients with monocular temporal visual field abnormalities who did not have clinically detectable relative afferent pupillary defects. The causes for the field defects were posterior ischemic optic neuropathy, craniopharyngioma, pituitary adenoma, pseudotumor cerebri, and traumatic optic neuropathy. We discuss the possible explanations for our observations, considering the known anatomy of the pregeniculate visual pathways and the afferent pupillary pathways.

Adenoma↗
PubMed1995

Peripheral target recognition and visual field narrowing in aviators and nonaviators.

In the two experiments that examined recognition accuracy in the near visual periphery as a function of foveal cognitive load, aviators were shown to have larger effective functional visual fields than nonaviators. The aviators appeared to be far less susceptible to the visual field narrowing found in nonaviators. The narrowing found in nonaviators suggested a tunnel-vision-like pattern. The rather small effect of load increases on aviator performance was likely due to specialized training and experience. Student aviators who averaged only 70 flight hr were clearly superior to nonaviators on peripheral recognition with a concomitant foveal task.

Adolescent↗
PubMed2001

Relationship between visual field testing and scanning laser polarimetry in patients with a large cup-to-disk ratio.

PURPOSE: To determine the relationship between quantitative nerve fiber layer measurements and visual field testing in patients with large cup-to-disk ratios. METHODS: Seventy-six patients with vertical cup-to-disk ratios by contour of at least 0.8 on stereoscopic photographs and 50 normal subjects were included. One eye was randomly selected for study. All patients underwent standard achromatic automated perimetry, short-wavelength automated perimetry, and retinal nerve fiber layer measurements with scanning laser polarimetry. Analysis of variance was used to evaluate differences between the subject groups. Significance of pairwise comparisons was determined using the Tukey-Kramer multiple comparison test. RESULTS: Statistically significant differences in nerve fiber layer measurements between patients with large cup-to-disk ratios and both abnormal standard achromatic automated perimetry and short-wavelength automated perimetry (n = 22) and patients with large cup-to-disk ratios and both normal standard achromatic automated perimetry and short-wavelength automated perimetry (n = 42) were found for superior nasal ratio, maximum modulation, ellipse modulation, and the linear discriminant function (Tukey-Kramer less than.05). There was no significant difference in patients with abnormal short-wavelength automated perimetry only (n = 9) as compared with patients with both normal standard achromatic automated perimetry and short-wavelength automated perimetry and patients with both abnormal standard achromatic automated perimetry and short-wavelength automated perimetry. Statistically significant differences between the normal subjects and patients with large cup-to-disk ratios and both abnormal standard achromatic automated perimetry and short-wavelength automated perimetry were found for all retinal nerve fiber layer parameters, with the exception of symmetry, superior ratio, and inferior ratio. CONCLUSION: Our results show considerable overlap in nerve fiber layer measurements in eyes with large cup-to-disk ratio and abnormal visual fields as compared with eyes with large cup-to-disk ratios and normal visual fields. This may limit the clinical usefulness of scanning laser polarimetry for detection of early glaucoma in patients with large cup-to-disk ratios. Longitudinal studies are needed to determine if patients with large cup-to-disk ratios with normal standard achromatic automated perimetry and abnormal short-wavelength automated perimetry subsequently develop standard achromatic automated perimetry defects and if scanning laser polarimetry can concurrently detect progression of nerve fiber layer damage.

Aged↗
PubMed2005

Effect of cataract extraction on the visual fields of patients with glaucoma.

OBJECTIVE: To investigate the effect of cataract extraction on the visual fields of patients with open-angle glaucoma. METHODS: Patients in a prospective cohort study in a tertiary center underwent standard automated perimetry every 6 months. We compared the mean results of the 2 examinations immediately before and 2 examinations immediately after phacoemulsification cataract extraction and intraocular lens implant (effect analysis) and the mean results of the first 2 and last 2 examinations from 4 consecutive examinations obtained more than 1 year after the cataract surgery (control analysis). RESULTS: Our sample contained 34 eyes of 26 patients (mean +/- SD age, 69.2 +/- 10.8 years). While the mean logMAR best-corrected visual acuity improved significantly by approximately 2 Snellen lines after surgery (P < .001), the average change in mean deviation in both the effect and control analyses was less than 0.1 dB and not statistically significant (P = .85). There was a strong correlation between change in foveal sensitivity and change in mean deviation in the effect analysis but not in the control analysis (r = 0.76 [P < .001] and r = 0.30 [P = .08], respectively). There was no relationship between change in visual acuity or initial mean deviation and change in mean deviation in either analysis. Change in pointwise total deviation was not systematically related to the respective baseline value in either analysis; however, the variance of the distribution of change in total deviation was significantly higher in the effect analysis (P < .001). CONCLUSION: While there was an improvement in best-corrected visual acuity after cataract surgery, the changes in the visual field as a group were negligible.

Aged↗
PubMed2006

The association between glaucomatous visual fields and optic nerve head features in the Ocular Hypertension Treatment Study.

PURPOSE: To determine the association between change from baseline in the optic nerve head (ONH) and the visual field (VF) during follow-up of ocular hypertension participants in the Ocular Hypertension Treatment Study. DESIGN: Longitudinal randomized clinical trial. PARTICIPANTS: One hundred sixty-eight eyes of 152 ocular hypertensive participants ages 40 to 80 years. METHODS: Cox hazard models were applied to 3232 eyes, which included 81 eyes that reached a study end point by developing a glaucomatous VF (VF end point) and 128 eyes that reached a study end point by developing an optic disc change (optic disc end point). MAIN OUTCOME MEASURES: Primary open-angle glaucoma end point as determined by changes in the VF or optic disc. RESULTS: Forty-one eyes reached an end point by both VF and optic disc criteria; 40 eyes reached only a VF end point, and 87 reached only an optic disc end point. Times to reach isolated disc or field end points were similar. Visual field end points were more likely (P<0.0001) in eyes that showed the following ONH features: an ONH hemorrhage, thinning of the optic disc rim, or enlargement of the horizontal cup-to-disc (C/D) ratio. Optic disc end points were more likely (P<0.0001) in eyes that showed the following VF features: some evidence of a nasal step or a partial arcuate VF defect, or an increase in the pattern standard deviation (PSD). CONCLUSIONS: Both the VF and the optic disc must be monitored with equal diligence, because either may show the first evidence of glaucomatous damage. Changes in the ONH based on stereophotographic observation (rim thinning, hemorrhage, or a slight increase in C/D ratio) and VF changes (evidence of a nasal step/partial arcuate defect or an increase in PSD) suggest that these cases have an increased risk of developing glaucoma. Confirmation of such subtle findings should be sought through repeat testing and correlation with other clinical results.

Adult↗
PubMed1976

Primary empty sella syndrome with visual field defects.

A patient with an enlarged, asymmetric sella turcica and visual field defects suggestive of a pituitary or parasellar tumor underwent extensive roentgenographic and pituitary function studies. No abnormalities in pituitary luteinizing hormone, follicle-stimulating hormone, thyroid-stimulating hormone, ACTH, prolactin or vasopressin secretion were detected. Growth hormone secretion was provoked by arginine infusion but not by hypoglycemia. Pneumoencephalography revealed air in the sella turcica, and no evidence of tumor. Thus, an enlarged sella turcica in a patient with visual field defects but normal pituitary function may suggest the presence of an "empty sella syndrome."

Humans↗
PubMed1981

The visual claustrum of the cat. II. The visual field map.

Physiological and anatomical methods were used to study the representation of the visual field in the cat's dorsocaudal claustrum. In one set of experiments, the visual receptive fields of claustral neurons were plotted in multiple electrode penetrations. In another set of experiments, the termination of the corticoclaustral pathway was examined autoradiographically after the injection of [3H]proline at retinotopically defined sites in the visual cortex. Results obtained by the two methods were in close agreement. The claustrum was found to contain a single, orderly map of the contralateral hemifield and a small part of the ipsilateral field. High elevations are represented caudally and ventrally, low elevations rostrally and dorsally. The surface of the claustrum represents the periphery of the visual field, while the vertical meridian lies more ventrally, where the visual claustrum abuts the non-visual part of the nucleus. Visual field lines (isoazimuths or isoelevations) are represented as planes in the claustrum. The map is unusual in that isoazimuth planes are strongly curved and nested within each other, with peripheral ones enclosing those closer to the vertical meridian. This arrangement permits an expanded representation of the periphery compared with what is seen in visual cortex. The inputs from areas 17, 18, 19, 21a, and PMLS (posteromedial lateral suprasylvian area) are convergent, each projection retinotopically to the entirety of the claustral map.

Animals↗