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

doi:10.1080/01658107.2020.1762097

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 journal › Article › Academic › peer-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 language	English
Pages (from-to)	361-370
Number of pages	10
Journal	Neuro-Ophthalmology
Volume	44
Issue number	6
DOIs	https://doi.org/10.1080/01658107.2020.1762097
Publication status	Published - 1 Nov 2020

Keywords

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

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Lessons Learned from 23 Years of Experience in Testing Visual Fields of Neurologically Impaired ChildrenFinal published version, 1.49 MB

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title = "Lessons Learned from 23 Years of Experience in Testing Visual Fields of Neurologically Impaired Children",

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\% {\textquoteleft}good{\textquoteright} 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.",

keywords = "Cerebral visual impairment (CVI), children, neurological impairment (NI), perimetry",

author = "Portengen, \{Brendan L.\} and Yvonne Koenraads and Imhof, \{Saskia M.\} and Porro, \{Giorgio L.\}",

note = "Funding Information: This work was supported by the ODAS Stichting [2017-03]; Dr. F.P. Fischer Foundation [170511]; Janivo Foundation [2017170]; Rotterdamse Blindenbelangen Foundation [HV/AB/B20170004]. The funders had no role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. Publisher Copyright: {\textcopyright} 2020, {\textcopyright} 2020 The Author(s). Published with license by Taylor \& Francis Group, LLC. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",

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doi = "10.1080/01658107.2020.1762097",

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volume = "44",

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AU - Porro, Giorgio L.

N1 - Funding Information: This work was supported by the ODAS Stichting [2017-03]; Dr. F.P. Fischer Foundation [170511]; Janivo Foundation [2017170]; Rotterdamse Blindenbelangen Foundation [HV/AB/B20170004]. The funders had no role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. Publisher Copyright: © 2020, © 2020 The Author(s). Published with license by Taylor & Francis Group, LLC. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

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Y1 - 2020/11/1

N2 - 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.

AB - 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.

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JO - Neuro-Ophthalmology

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ER -

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

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