hvf Flashcards
Instruction of fovea threshold
can you see the diamond of 4 lights
look at the centre of diamonds and click the button if you see light flashing
we will start now
instruction of gaze initialisation
can you see the orange light at the centre
the orange light is your target, keep looking at the orange light, you can blink a few times and hold your blink for 10s the test will start now
instruction of test
this is our last test, can you still see the orange light, keep looking at this orange light and click the button if you think you see lights flashing on the bowls . throughout this test you can blink normally, and if you need break press and hold the button. this test is about 3-4 mins once ready we will start now
purpose of hvf
to test central and side vision
Probability data
Less than _ percent of the population in the age group has this value but it is still considered normal
GHT and purpose
compare the upper and lower VF according to common glaucomatous VF defect in 5 region
Purpose: Check for glaucoma VF defect
VFI and purpose
VFI is the summarize visual field status as a percentage of normal age corrected sensitivity by taking into account of the ganglion cell density.
Purpose: is to represent ganglion cell loss
PSD and it’s purpose
PSD is the average deviation of the pattern deviation which reflects irregularities in the field caused by localized visual field defects due to non-linear value it should not be use in the staging of visual field it also unable to write information of advance glaucoma
Purpose: to check for the presence of localize defect
MD and it’s purpose
MD is the average value of the total deviation when comparing the threshold back to the normative database. A positive value means patient perform better than normal and a negative value means patient perform worse than normal
Purpose: to compare the total deviation to see how much the patient deviate from the normative database over time helping with staging visual field loss and measuring change over time
Gaze tracker deflects
upward : fixation loss, fixation stability
downward: blink interference by lid or lash
False negative definition and cut off
patients is able to respond to dim light at a specific spot but when a brighter light is flashed the patient did not respond to it
Cut off: <20%
cause of false negative
- Inattentive patient
- Fatigue patient
- Or in advance glaucoma
causes of false positive
- Patient do not understand the instruction
- Malingerers
- Hear the machine Trigger happy happy press button
false positive and cut off
patient response to light even when there is no stimuli shown
Cut off: <15%
cause of fixation loss
Wandering eye,
the patient placed on wrong chin rest
wrong occlusion
poor fixation