Lessons Learned from 23 Years of Experience in Testing Visual Fields of Neurologically Impaired Children

Brendan L. Portengen*, Yvonne Koenraads, Saskia M. Imhof, Giorgio L. Porro

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

We sought to investigate the reliability of standard conventional perimetry (SCP) in neurologically impaired (NI) children using the examiner-based assessment of reliability scoring system and to determine the difference in time to diagnosis of a visual field defect between SCP and a behavioural visual field (BVF) test. Patient records of 115 NI children were retrospectively analysed. The full field peritest (FFP) had best reliability with 44% ‘good’ scores versus 22% for Goldmann perimetry (p < .001). The mean age of NI children able to perform SCP was 8.3 years versus 4.6 years for the BVF test (p < .001). Use of the BVF test may significantly reduce time to diagnosis.

Original languageEnglish
Pages (from-to)361-370
Number of pages10
JournalNeuro-Ophthalmology
Volume44
Issue number6
DOIs
Publication statusPublished - 1 Nov 2020

Keywords

  • Cerebral visual impairment (CVI)
  • children
  • neurological impairment (NI)
  • perimetry

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