Visual field

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Eye	Visual field test

The visual field is the total area in which objects can be seen in the peripheral vision while the eye is focused on a central point.

Perimetry; Tangent screen exam; Automated perimetry exam; Goldmann visual field exam; Humphrey visual field exam

Confrontation visual field exam: A quick and basic evaluation of the visual field done by an examiner sitting directly in front of you. With one eye covered, you are asked to look at the examiner's eye and tell when you can see the examiners hand.

Tangent screen or Goldmann field exam: You will be asked to sit about 3 feet from a screen with a target in the center. You will be asked to stare at the central target and let the examiner know when you can see an object brought into your peripheral vision. The extent of your peripheral vision is mapped.

Automated perimetry: You sit in front of a concave dome and stare at a central target within the dome. A computer-driven program flashes small lights at different locations within the dome's surface, and you press a button when you see the small lights in your peripheral vision. Your responses are compared to age-matched controls to determine the presence of defects within the visual field.

No special preparation is necessary for these tests.

There is no discomfort with this test. Some visual field tests take a long time and may be tiring.

The test will detect any loss of peripheral vision and provide a map of that loss which will be helpful in diagnosing the cause.

Review Date: 08/11/2005
Reviewed By: Edward B. Feinberg, MD, MPH, Professor and Chair, Department of Ophthalmology, Boston University School of Medicine, Boston, MA. Review provided by VeriMed Healthcare Network.