[Documentation of glaucomatous visual field defects in threshold and suprathreshold perimetry]. 1992

H Stark

In contrast to normal subjects, the individual stimulus threshold for differential light sensitivity (DLS) in glaucoma patients fluctuates considerably. The sensitivity and the size of the defect are correlated: with a higher individual stimulus threshold, i.e. when sensitivity deteriorates, the number of defects decreases. Conversely, when the individual stimulus threshold drops, i.e. when sensitivity improves, the number of defects recorded increases. The trend is the same with extensive Grade 3 defects. This correlation between sensitivity and defect size means that the number and depth of individual defects change constantly, due to the fluctuation of the individual stimulus threshold. In follow-up examinations test positions with permanent defects (a defects) can be distinguished from those where defects have been detected several times, but not permanently (b defects) and, respectively, only once in 2 1/2 years (c defects). Defects must therefore be classified not only according to depth, but also according to behaviour at individual test positions. Such a classification can be accomplished by tabulating all newly numbered test positions and the defects identified there. After 5 visual field examinations the defects are then classified as a, b, or c defects. They are then identified by colour symbols and transferred to a test position chart representing a synopsis of 5 visual fields. The chart not only permits exact topographical analysis but also furnishes information on certain structural features of the glaucomatous visual field: stable nuclear areas of a defects surrounded by fluctuating peripheral defects (b defects) or concomitant c defects. After a further 1 1/2-2 years, 5 more follow-ups are summarized, classified and transferred to a follow-up test position chart. Comparison of these two test position charts furnishes information of major prognostic value.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D003196 Computer Graphics The process of pictorial communication, between human and computers, in which the computer input and output have the form of charts, drawings, or other appropriate pictorial representation. Computer Graphic,Graphic, Computer,Graphics, Computer
D003626 Data Display The visual representation of data via a manufactured system. Information Display,Data Displays,Display, Data,Display, Information,Displays, Data,Displays, Information,Information Displays
D005260 Female Females
D005901 Glaucoma An ocular disease, occurring in many forms, having as its primary characteristics an unstable or a sustained increase in the intraocular pressure which the eye cannot withstand without damage to its structure or impairment of its function. The consequences of the increased pressure may be manifested in a variety of symptoms, depending upon type and severity, such as excavation of the optic disk, hardness of the eyeball, corneal anesthesia, reduced visual acuity, seeing of colored halos around lights, disturbed dark adaptation, visual field defects, and headaches. (Dictionary of Visual Science, 4th ed) Glaucomas
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D012684 Sensory Thresholds The minimum amount of stimulus energy necessary to elicit a sensory response. Sensory Threshold,Threshold, Sensory,Thresholds, Sensory
D012815 Signal Processing, Computer-Assisted Computer-assisted processing of electric, ultrasonic, or electronic signals to interpret function and activity. Digital Signal Processing,Signal Interpretation, Computer-Assisted,Signal Processing, Digital,Computer-Assisted Signal Interpretation,Computer-Assisted Signal Interpretations,Computer-Assisted Signal Processing,Interpretation, Computer-Assisted Signal,Interpretations, Computer-Assisted Signal,Signal Interpretation, Computer Assisted,Signal Interpretations, Computer-Assisted,Signal Processing, Computer Assisted

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