Threshold variability with an automated LED perimeter. 1988

D Desjardins, and D R Anderson
Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami School of Medicine, Florida 33101.

The CooperVision Dicon AP 2000 does not project the stimulus onto an existing background, but produces the test stimuli with light emitting diodes (LEDs) recessed in a dark cavity in the perimetric bowl. Nearly everywhere in the visual field, the visibility threshold with the Dicon instrument seems equivalent to that obtained with projection perimeters, but in the most sensitive retinal areas we found the threshold stimulus (Is) to be sometimes dimmer than the "background" (Ib), which surrounds the stimulus, making a negative differential threshold (delta L = Is - Ib). In other words, where a dark cavity is imaged on a very sensitive portion of the retina, the visual mechanism may perceive the switching on of a stimulus of a lower intensity (Is) than the "background" light (Ib) that floods only the surrounding retina. In retinal regions where this happens, we found the variability of retesting of threshold to be much greater than at locations with threshold stimuli that are more intense than the "background". When we modified the instrument by placing a diffuser over the LED to provide a preexistent "background" at the test location equivalent to that of the surround, the greater variability disappeared, and the threshold results resembled those of projection perimetry even at the most sensitive retinal areas. Variability was also reduced with shortened stimulus durations.

UI MeSH Term Description Entries
D007206 Individuality Those psychological characteristics which differentiate individuals from one another. Individual Differences,Difference, Individual,Differences, Individual,Individual Difference
D008029 Lighting The illumination of an environment and the arrangement of lights to achieve an effect or optimal visibility. Its application is in domestic or in public settings and in medical and non-medical environments. Illumination
D010775 Photic Stimulation Investigative technique commonly used during ELECTROENCEPHALOGRAPHY in which a series of bright light flashes or visual patterns are used to elicit brain activity. Stimulation, Photic,Visual Stimulation,Photic Stimulations,Stimulation, Visual,Stimulations, Photic,Stimulations, Visual,Visual Stimulations
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012684 Sensory Thresholds The minimum amount of stimulus energy necessary to elicit a sensory response. Sensory Threshold,Threshold, Sensory,Thresholds, Sensory
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D058609 Visual Field Tests Method of measuring and mapping the scope of vision, from central to peripheral of each eye. Automated Perimetry Exam,Campimetry,Perimetry,Tangent Screen Exam,Visual Field Exam,Automated Perimetry Exams,Campimetries,Exam, Automated Perimetry,Exam, Tangent Screen,Exam, Visual Field,Exams, Automated Perimetry,Exams, Tangent Screen,Exams, Visual Field,Field Exam, Visual,Field Exams, Visual,Field Test, Visual,Field Tests, Visual,Perimetries,Perimetry Exam, Automated,Perimetry Exams, Automated,Screen Exam, Tangent,Screen Exams, Tangent,Tangent Screen Exams,Test, Visual Field,Tests, Visual Field,Visual Field Exams,Visual Field Test

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