Perimetry
Encyclopedia
Perimetry or campimetry
is the systematic measurement of differential light sensitivity in the visual field
by the detection of the presence of test targets on a defined background. Visual field testing can be performed clinically with confrontational field testing keeping the subject's gaze fixed while presenting objects at various places in their visual field. This is generally used to explore the extreme boundaries of the visual field. Perimetry more carefully maps and quantifies the visual field. Simple manual equipment can be used such as in the tangent screen test or the Amsler grid
. When dedicated machinery is used it is called a perimeter. Kinetic perimetry uses a mobile stimulus moved by a perimetrist such as in Goldmann kinetic perimetry. Kinetic perimetry is useful for mapping visual field sensitivity boundaries. Threshold static perimetry is generally done using automated equipment. It is used for rapid screening and follow up of diseases involving deficits such as scotoma
s, loss of peripheral vision
and more subtle vision loss. Perimetry testing is important in the screening, diagnosing, and monitoring of various eye
, retina
l, optic nerve
and brain
disorders.
tunnel vision
Campimeter
The campimeter is an instrument for examining the visual field. Campimeters have been in clinical use since the mid-nineteenth century. Initially, examination of the visual field was concerned only with the outer limits, or 'perimeter' of the visual field, hence the term 'perimetry', which tends to...
is the systematic measurement of differential light sensitivity in the visual field
Visual field
The term visual field is sometimes used as a synonym to field of view, though they do not designate the same thing. The visual field is the "spatial array of visual sensations available to observation in introspectionist psychological experiments", while 'field of view' "refers to the physical...
by the detection of the presence of test targets on a defined background. Visual field testing can be performed clinically with confrontational field testing keeping the subject's gaze fixed while presenting objects at various places in their visual field. This is generally used to explore the extreme boundaries of the visual field. Perimetry more carefully maps and quantifies the visual field. Simple manual equipment can be used such as in the tangent screen test or the Amsler grid
Amsler grid
The Amsler grid, used since 1945, is a grid of horizontal and vertical lines used to monitor a person's central visual field. The grid was developed by Marc Amsler, a Swiss ophthalmologist. It is a diagnostic tool that aids in the detection of visual disturbances caused by changes in the retina,...
. When dedicated machinery is used it is called a perimeter. Kinetic perimetry uses a mobile stimulus moved by a perimetrist such as in Goldmann kinetic perimetry. Kinetic perimetry is useful for mapping visual field sensitivity boundaries. Threshold static perimetry is generally done using automated equipment. It is used for rapid screening and follow up of diseases involving deficits such as scotoma
Scotoma
A scotoma is an area of partial alteration in one's field of vision consisting of a partially diminished or entirely degenerated visual acuity which is surrounded by a field of normal - or relatively well-preserved - vision.Every normal mammalian eye has a scotoma in its field of vision, usually...
s, loss of peripheral vision
Peripheral vision
Peripheral vision is a part of vision that occurs outside the very center of gaze. There is a broad set of non-central points in the field of view that is included in the notion of peripheral vision...
and more subtle vision loss. Perimetry testing is important in the screening, diagnosing, and monitoring of various eye
Human eye
The human eye is an organ which reacts to light for several purposes. As a conscious sense organ, the eye allows vision. Rod and cone cells in the retina allow conscious light perception and vision including color differentiation and the perception of depth...
, retina
Retina
The vertebrate retina is a light-sensitive tissue lining the inner surface of the eye. The optics of the eye create an image of the visual world on the retina, which serves much the same function as the film in a camera. Light striking the retina initiates a cascade of chemical and electrical...
l, optic nerve
Optic nerve
The optic nerve, also called cranial nerve 2, transmits visual information from the retina to the brain. Derived from the embryonic retinal ganglion cell, a diverticulum located in the diencephalon, the optic nerve doesn't regenerate after transection.-Anatomy:The optic nerve is the second of...
and brain
Human brain
The human brain has the same general structure as the brains of other mammals, but is over three times larger than the brain of a typical mammal with an equivalent body size. Estimates for the number of neurons in the human brain range from 80 to 120 billion...
disorders.
See also
- Binasal hemianopsiaBinasal hemianopsiathumb|Paris as seen with full visual fieldsthumb|Binasal hemianopsia is the medical description of a type of partial blindness where vision is missing in the inner half of both the right and left visual field...
- Bitemporal hemianopsiaBitemporal hemianopsiaBitemporal hemianopsia is the medical description of a type of partial blindness where vision is missing in the outer half of both the right and left visual field...
- CampimeterCampimeterThe campimeter is an instrument for examining the visual field. Campimeters have been in clinical use since the mid-nineteenth century. Initially, examination of the visual field was concerned only with the outer limits, or 'perimeter' of the visual field, hence the term 'perimetry', which tends to...
- Blind spotBlind spot (vision)A blind spot, also known as a scotoma, is an obscuration of the visual field. A particular blind spot known as the blindspot, or physiological blind spot, or punctum caecum in medical literature, is the place in the visual field that corresponds to the lack of light-detecting photoreceptor cells on...
- ScotomaScotomaA scotoma is an area of partial alteration in one's field of vision consisting of a partially diminished or entirely degenerated visual acuity which is surrounded by a field of normal - or relatively well-preserved - vision.Every normal mammalian eye has a scotoma in its field of vision, usually...
- Visual field testVisual field testA visual field test is an examination that may be performed to analyze a patient's visual field. The exam may be performed by a technician in one of several ways. The test may be performed by a technician directly, with the assistance of a machine, or completely by an automated machine...
tunnel vision