MSP T2 Flashcards
What is kinetic perimetry?
A measure of the perimeter of the area of visual field within which a test spot of constant luminance and constant size is visible.
What is static perimetry
A measure of the increment threshold luminance for a spot of constant size at different visual field locations
What is sensitivity?
Ability to correctly ID those having the disease
What is specificity?
Ability to correctly ID those not having the disease as not having the disease(condition)
What do you do if the pupils are too small in HVF?
Dilate them
When do you not use a pt’s Rx in static perimetry?
When eccentricity is greater than 30 degrees.
If I am testing the right eye on HVF, which side of the VF will the blind spot be on?
The right side.
What is the Total visual field limit horizontally?
200 degrees
Add up the temporal sides
What is the Binoculra visual field limit horizontally?
120 degrees
Add up the nasal sides.
Which VF method uses an isopter?
Kinetic Perimetry
What is an isopter?
the actual perimeter of the observer’s visual field as measured using kinetic perimetry test conditions.
What is the old school machine used to measure perimetry?
Goldmann Bowl Perimeter
How is the size of a stimulus for Goldman bowl perimeter expressed?
On a scale of 0-V 0- 1/16thmm squared III - 1 V - 64 Multiply by four
What is the unit for intensity for the GOldman Kinetic perimetry?
Apostilbs
Candela/m^2
How is the intensity controlled for the Goldman Kinetic Perimetry
In log(10) unit steps Settings 1-4 represent 0.5 log unit changes Settings a-e represent 0.1 log unit changes
Is a combination of smaller or larger targets desired for Goldmann?
Smaller target is preferred because detection of isopter edges is more accurate with smaller targets.
What is the typical target progression for testing?
I1e, I2e, I3e, I4e, II4e, III4e, IV4e, V4e
How do you create a contour map of the VF in Goldman bowl perimetry?
By plotting out multiple isopters for different intensities and sizes of stimulus.
Is your blind spot closer to the nasal or temporal side?
Temporal.
T/F?
We have noted that structural damage and visual defect loss in test are not congruent?
True
What background luminance does the automated perimeter use?
10 cd/m^2 (31.4 asb)
This is in the low photopic range.
For the hills of vision, do we have a greater sensitivity under photopic or scotopic conditions?
Scotopic conditions.
We have a huge hole in the fovea, bcaz there is no light to see it.
What does background luminance of the perimeter determine?
Level of retinal adpation, thus the contour of the hilll of vision
Where do we not have any sensitivity?
Our blind spot
Where do we notice peaks in these VF?
At 0 degrees, the fovea.
As for the influence of stimulus size; how does one increase spatial summation
Increasing retinal eccentricity
Increasing dark adaptation (this results in higher sensitivity)
As for the influence of stimulus size; how does one increase lateral inhibition?
Increasing light adaptation
Proximity to the fovea (results in lower sensitivity)
As for the influence of stimulus size; what does a large stimulus under photopic conditions result in?
It results in a flat contour
As for the influence of stimulus size; what does a small stimulus under photopic conditions result in?
It results in a steep contour in fovea.