Visual field

• Alternative Names

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

• How the test is performed

  Confrontation visual field exam: This is a quick and basic check of the visual field. The health care provider sits directly in front of you. You will cover one eye, and stare straight ahead with the other. You will be asked to tell when you can see the examiner's hand.

  Tangent screen or Goldmann field exam: You will sit about 3 feet from a screen with a target in the center. You will be asked to stare at the center object and let the examiner know when you can see an object that moves into your side vision. This exam creates a map of your entire peripheral vision.

  Automated perimetry: You sit in front of a concave dome and stare at an object in the middle. You press a button when you see small flashes of light in your peripheral vision. Your responses help determine if you have a defect in your visual field.

• How to prepare for the test

  No special preparation is necessary.

• How the test will feel

  There is no discomfort with this test.

• Why the test is performed

  This eye exam will reveal if you have a loss of peripheral vision and help your doctor diagnose the cause.

• Normal Values

  The peripheral vision is normal.

• What abnormal results mean

  Abnormal results may be due to diseases or central nervous system disorders such as tumors that damage or compress the parts of the brain that deal with vision.

  Other diseases that may affect the visual field of the eye include:

  • Diabetes
  • Glaucoma
  • High blood pressure
  • Multiple sclerosis
  • Optic glioma
  • Overactive thyroid (hyperthyroidism)
  • Pituitary gland disorders
  • Stroke
  • Stroke secondary to cardiogenic embolism
  • Stroke secondary to carotid dissection
  • Stroke secondary to cocaine
• What the risks are

  The test has no risks.

• Special considerations

  The type of visual field testing to be done will be discussed with you by your doctor.

Review Date: 1/21/2009

Reviewed By: Paul B. Griggs, MD, Department of Ophthalmology, Virginia Mason Medical Center, Seattle, WA . Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.