Aggarwal Anand, Chhabra Kanika, Kaur Prempal, Singh Karamjit, Khosa Indu, Bansal Pulkit
Department of Glaucoma and Anterior Segment, Regional Institute of Ophthalmology (RIO), Government Medical College, Amritsar, Punjab, India.
Oman J Ophthalmol. 2018 Jan-Apr;11(1):3-10. doi: 10.4103/ojo.OJO_28_2017.
Visual field (VF) testing is an important diagnostic tool for Glaucoma. The current gold standard for VF testing is automated perimetry. This article is an attempt to familiarize the reader with components of an achromatic (white on white) automated perimetry printout. It addresses use of Humphrey perimeter to interpret the results. For the purpose of this review, a PubMed search was made using perimetry, Humphrey VFs review as key words and the relevant articles were studied. The references appended with these articles were also analyzed, and any appropriate article was also included. A systematic approach has been outlined that results in a thorough interpretation of the printout. One should be able to identify a normal field and establish glaucomatous progression, detect the presence of a field defect, determine whether it is due to glaucoma or neuro-ophthalmic disease if any. Comprehensive evaluation using clinical examination, tonometry, and perimetry should be considered together to make a proper diagnosis of glaucoma and judge its progression over time.
视野(VF)检测是青光眼的一项重要诊断工具。目前VF检测的金标准是自动视野计检查。本文旨在让读者熟悉无彩色(白色视标在白色背景上)自动视野计打印结果的组成部分。文中阐述了如何使用汉弗莱视野计来解读结果。为进行本综述,以视野计检查、汉弗莱视野检查综述作为关键词在PubMed上进行了检索,并对相关文章进行了研究。还分析了这些文章所附的参考文献,并纳入了任何合适的文章。文中概述了一种系统的方法,可对打印结果进行全面解读。应该能够识别正常视野、确定青光眼的进展情况、检测视野缺损的存在、判断其是否由青光眼或神经眼科疾病引起(如有)。应综合考虑使用临床检查、眼压测量和视野计检查进行全面评估,以正确诊断青光眼并判断其随时间的进展情况。