Ungewiss Judith, Schiefer Ulrich
Kompetenzzentrum "Vision Research", Studiengang Augenoptik, Hochschule Aalen, Aalen.
Forschungsinstitut für Augenheilkunde, Klinik für Augenheilkunde, Universität Tübingen, Tübingen.
Klin Monbl Augenheilkd. 2018 Nov;235(11):1218-1228. doi: 10.1055/a-0668-5971. Epub 2018 Oct 16.
The assessment of visual field findings is fundamental in neuro-ophthalmological functional diagnostics: By means of perimetry, functional and topodiagnostic considerations in case of unexplained visual loss or suspected lesions of the visual pathway are possible in a non-invasive manner. Repeated examinations allow for functional follow-up of a disease and judgement on the efficacy of a therapeutic procedure. This paper is intended to convey the basics of visual field examination and diagnostics. The focus is on the value of perimetry in neuro-ophthalmological functional diagnostics. Both kinetic and static perimetric methods are addressed. In addition, common examination grids and strategies, as well as interpretation of perimetric recordings and indices for the evaluation of progression analysis, are compared. Scotoma classification and the topodiagnostical relevance of visual field defects are discussed, taking into account quality parameters and plausibility controls.
通过视野计检查，可以以非侵入性方式对不明原因的视力丧失或视觉通路疑似病变进行功能和定位诊断。重复检查有助于对疾病进行功能随访，并判断治疗程序的疗效。本文旨在传达视野检查和诊断的基础知识。重点是视野计在神经眼科功能诊断中的价值。文中涉及了动态和静态视野检查方法。此外，还比较了常用的检查网格和策略，以及视野记录的解读和用于评估进展分析的指标。讨论了暗点分类以及视野缺损的定位诊断相关性，并考虑了质量参数和合理性控制。
