From the Guidelines
The most effective peripheral visual field test is automated perimetry, such as Goldmann or Humphrey Visual Field test, as it provides quantitative measurements of the entire visual field. This is based on the most recent evidence from 2023, which emphasizes the importance of peripheral visual field testing in patients with diseases that can affect peripheral vision, such as glaucoma, optic nerve disease, and retinal disease 1.
Key Points to Consider
- Peripheral visual field testing is crucial for patients with conditions that can affect peripheral vision, including glaucoma, optic nerve disease, and retinal disease.
- Automated perimetry tests, such as Goldmann or Humphrey Visual Field test, are recommended for precise peripheral vision assessment.
- These tests provide quantitative measurements of the entire visual field and can detect early changes in peripheral vision that might indicate conditions such as glaucoma, retinal disorders, or neurological issues affecting the visual pathway.
Clinical Application
In clinical practice, the choice of peripheral visual field test depends on the patient's specific condition and the availability of testing equipment. However, automated perimetry is the preferred method for its accuracy and ability to detect subtle changes in peripheral vision 1.
Test Procedures
For patients who require a more basic assessment, the confrontation visual field test can be used as a preliminary screening tool. This test involves the examiner moving a finger or small object from the periphery toward the center of vision in various quadrants, asking the patient to indicate when they first see it. However, for more precise assessment, automated perimetry is the recommended method, as it provides a more detailed and quantitative evaluation of the peripheral visual field 1.
From the Research
Peripheral Visual Acute Test Name
The name of the peripheral visual acute test is not explicitly stated in the provided studies. However, the studies mention various methods for testing visual fields, including:
- Confrontation field tests 2, 3, 4
- Automated static perimetry 2, 3, 4
- Kinetic testing with a red target 4
- Static finger wiggle testing 4
- Personal computer-based visual field testing using Specvis software 5
- Humphrey Field Analyzer (HFA) visual field reports 5
Types of Visual Field Tests
The studies compare the effectiveness of different visual field tests, including:
- Confrontation visual field testing 3, 4
- Automated perimetry 2, 3, 4
- Kinetic testing 4
- Static testing 4
- Computer-based visual field testing 5
Sensitivity and Specificity of Visual Field Tests
The studies report the sensitivity and specificity of various visual field tests, including:
- Confrontation visual field testing: 63% sensitivity and 97% specificity 3
- Kinetic testing with a red target: 74.4% sensitivity and 93.0% specificity 4
- Static finger wiggle testing: sensitivity and specificity not reported separately, but combination with kinetic testing achieved 78.3% sensitivity and 90.1% specificity 4
- Specvis software: promising results in diagnosing and monitoring visual field defects, but sensitivity and specificity not reported 5