Recent developments in visual field testing for glaucoma

Recent developments in visual field testing for glaucoma Purpose of reviewVisual field testing remains one of the most important tools for characterizing and monitoring vision loss in glaucoma. Despite its current mainstream use, new developments continue to emerge on its current use and potentially better methods for its testing and analysis. This review summarizes new developments in visual field testing and, in particular, standard automated perimetry.Recent findingsEvidence-based guidance has recently been provided on the impact of testing frequency on the ability to detect visual field progression. An increasing body of evidence also highlights numerous factors that can impact the interpretation of visual field results currently considered reliable (e.g. the reliability indices themselves, fixation tracking parameters, and cognitive decline). More targeted visual field testing paradigms for central and peripheral visual fields have been explored, although further work is needed to understand their role in clinical care. Exploiting retinal imaging during visual field testing with fundus-tracked perimetry shows promise for improving precision. Thresholding algorithms that account for spatial and structural information and novel analytical techniques for longitudinal data could also improve the ability to detect and monitor visual field loss. New promising methods for objective and portable assessment of visual function have also emerged.SummaryNew developments in visual field testing shows promise for improving this challenging, yet fundamental, clinical test for glaucoma management. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Opinion in Ophthalmology Wolters Kluwer Health

Recent developments in visual field testing for glaucoma

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Publisher
Wolters Kluwer
Copyright
Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.
ISSN
1040-8738
eISSN
1531-7021
D.O.I.
10.1097/ICU.0000000000000461
Publisher site
See Article on Publisher Site

Abstract

Purpose of reviewVisual field testing remains one of the most important tools for characterizing and monitoring vision loss in glaucoma. Despite its current mainstream use, new developments continue to emerge on its current use and potentially better methods for its testing and analysis. This review summarizes new developments in visual field testing and, in particular, standard automated perimetry.Recent findingsEvidence-based guidance has recently been provided on the impact of testing frequency on the ability to detect visual field progression. An increasing body of evidence also highlights numerous factors that can impact the interpretation of visual field results currently considered reliable (e.g. the reliability indices themselves, fixation tracking parameters, and cognitive decline). More targeted visual field testing paradigms for central and peripheral visual fields have been explored, although further work is needed to understand their role in clinical care. Exploiting retinal imaging during visual field testing with fundus-tracked perimetry shows promise for improving precision. Thresholding algorithms that account for spatial and structural information and novel analytical techniques for longitudinal data could also improve the ability to detect and monitor visual field loss. New promising methods for objective and portable assessment of visual function have also emerged.SummaryNew developments in visual field testing shows promise for improving this challenging, yet fundamental, clinical test for glaucoma management.

Journal

Current Opinion in OphthalmologyWolters Kluwer Health

Published: Mar 1, 2018

References

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