Difficulties and research progress of visual field tests for children

Authors: Yang Yue,  Zhong Hua
DOI: 10.3760/cma.j.cn115989-20190215-00054
Published 2020-05-10
Cite as Chin J Exp Ophthalmol, 2020,38(05): 454-458.

Abstract

Perimetry is an important tool for diagnosing and managing ophthalmic disease, and it is uniquely important for predicting prognosis, monitoring therapy, and assessing outcomes in diverse contexts.However, children have a shorter attention span and are less cooperative and more easily distracted than adults, making it difficult to perform typical adult-based tests and obtain reliable results.This is a very serious challenge.So far, many methods have been used for children internationally, for example, the kinetic perimetry, and static perimetry included in adult-based tests, in addition to, new detection strategies and new examination technologies speciafically designed for children who are unable to perform for standard perimetry measures.At present, improving perimetry in children requires their cooperation, e.g., maintaining a continuous fixation on a central target during the test, reducing inspection time, etc.so that recognition of a visual field deficit, leading to early treatment, may possibly prevent subsequent vision loss.Different examination methods, algorithms and normative databases can be useful for testing normal children, infants, or children with cognitive impairment to ensure the most reliable testing possible.Through a literature review, this paper summarizes the various methods of pediatric perimeters.Critical expert analysis of the advantages and disadvantages of these methods is also provided.This will help both clinicians and researchers improve the accuracy of examination and obtain reliable results.It will also encourage other researchers to conduct further study on pediatric perimeters with a view toward making new breakthroughs.

Key words:

Visual field; Pediatric perimeter; Kinetic perimetry; Static perimetry

Contributor Information

Yang Yue
Department of Ophthalmology, Affiliated First Hospital of Kunming Medical University, Kunming 650032, China
Zhong Hua
Department of Ophthalmology, Affiliated First Hospital of Kunming Medical University, Kunming 650032, China
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Updated: June 24, 2020 — 11:38 am