you have device that is capable of performing automated perimetry

Picking a test

CP30-2 means: - Central - central portion of the visual field - Pattern - uses a designed pattern - 30 = 30 degrees from fixation - -2 = means alternate points of the grid (as opposed to -1)

What does the -2 mean? - Paurush says that the -2 means -2 degrees in the horizontal and vertical meridians that are not tested.

When interpreting fields, consider: - altitudinal field defects - hemianopia - So by removing the 2 degrees, then you prevent false positives

0E007EF2-8421-44C1-A790-BF5C67597E18.jpg - see the gaps

ChatGPT

How to interpret

First assess adequacy

Fixation losses: - how many times lose fixation False positive errors - seeing a signal when there is no signal False negative error - denying a signal when previously have recognised one there

What does the false negative mean? / it means they have failed to detect a stimulus when they have previously detected a stimulus OF A LOWER STIMILUS/brightness.

Then assess the fields themselves

Now, this clearly reveals that the tail is the nasal aspect:

The blindspot is the ONH, and hence the tail must be nasal

When reading fields, Niemandt said: - put the left left, and the right right

![FD1DD1D0-682C-42BF-AAD3-9577A5CCBD8A.jpg] (FD1DD1D0-682C-42BF-AAD3-9577A5CCBD8A.jpg) - here the presents the decibels.

The total deviation is the difference between this patient’s decibal signals and the AGE ADJUSTED / STANDARDISED decibel

BC5C6550-A0C4-4BAE-9355-1432BD2A1C8A.jpg

The issue with the total deviation is that it doesn’t discriminate neurological vs overt field loss.

For example, a vitreous haemorrhage can cause a field loss. A bad cataract as well etc.

So what is pattern deviation? Supposedly proprietary algorithm that attempts to remove the “noise” from the fields. It tries to give a pattern that would make sense with the hill of vision.

GHT = glaucoma hemifield test = superior vs inferior hemifield (specific to glaucoma)

VF24-2 =visual field index. Interprets pattern of glaucomatous field loss??

MD24-2 =22 mean deviation in decibels from patient to age standardised (mean of the total deviation decibel)

PSD24-2 =deviation from age adjusted normal.

2298EA52-B4FB-4BD9-9432-11E96490E5AD.jpg That line at the bottom is the gaze tracker.

How does it test fixation loss? - it shines a light in your blind spot and if you register it, then you’re not fixated.

References

https://eyeguru.org/essentials/visual-fields/ https://eyerounds.org/tutorials/VF-testing/#gsc.tab=0