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- A visual field test can determine if you have blind spots (called scotoma) in your vision and where they are. A scotoma’s size and shape can show how eye disease or a brain disorder is affecting your vision. For example, if you have glaucoma, this test helps to show any possible side (peripheral) vision loss from this disease.
www.aao.org/eye-health/tips-prevention/visual-field-testing
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May 7, 2020 · Blind spot assessment occasionally features in OSCEs. This guide provides a step-by-step approach to assessing a patient’s blind spot. It also includes a video demonstration.
- Dr Lewis Potter
- Nonspecific / low Reliability / inattention / patient hungry. For every interpretable, reliable visual field you get, you will also get another in which the patient thinks he should be scanning the dome for lights the whole time, is poorly positioned, is exhausted from waiting in your clinic for hours, or is too elderly and arthritic to push the button in time.
- Superior / inferior arcuate defect. The most common early to mid stage glaucomatous field. The reason these look like arcs and come off the blind spot is that they represent the loss of bundles of nerves as they come out of the optic nerve head.
- Blind spot enlargement. This can be seen in glaucoma, but also can occur with papilledema and optic nerve head swelling. This would likely be seen in patients with idiopathic intracranial hypertension (aka pseudotumor cerebri).
- Severe constriction with a central island. Unfortunately, this is end stage glaucoma. At this point, many patients still have great central vision of 20/20 to 20/50, but peripheral vision is nearly gone.
OSCE Checklist: Blind Spot Assessment. Ask the patient to focus on part of your face (e.g. nose) and not move their head or eyes during the assessment. You should do the same and focus your gaze on the patient’s face.
The blind spot indicates the location of the optic nerve head—an area with no photoreceptors—in the temporal part of the visual field. Anything obstructing the travel of light towards the retina may affect the field tests, for example, lens opacity (cataract), ptosis (if not taped away from the pupil) or the rim of a correcting lens (test ...
- Sui H Wong, Gordon T Plant
- 2015
Aug 28, 2013 · Assessment of visual acuity (distance) Begin by assessing the patient’s visual acuity using a Snellen chart.
The point where your optic nerves converge to exit the eye and into the brain is known as the optic disc. This area of the eye has no light-sensitive cells to detect light rays. This results in a break in the visual field known as your “blind spot.” When the cross mark disappears, you instead “see” a continuous white field.
A physiologic scotoma (a blind spot) exists at 15° temporally where the optic nerve leaves the eye. Definitive location varies slightly on an individual basis. The average blind spot is 7.5° in diameter, vertically centered 1.5° below the horizontal meridian [3].
