Confrontation visual field testing is a test used in ophthalmology for rapid and gross detection of large-scale visual field problems. It is done by asking the patient to look directly at the examiner's eye or nose and compare the patient's visual field with the examiner's field. It can be used to test the binocular visual field (with both eyes open) and or the visual field of each eye separately (with one eye closed).
What test is used to test peripheral vision?
The visual field test is a subjective measure of central and peripheral vision, or “side vision,” and is used by your doctor to diagnose, determine the severity of, and monitor your glaucoma. The most common visual field test uses a light spot that is repeatedly presented in different areas of your peripheral vision.

A common way for your doctor to screen for any problems in your visual field is with a confrontation visual field test. You will be asked to look directly at an object in front of you, (such as the doctor’s nose) while one of your eyes is covered. Your doctor may hold up different numbers of fingers in areas of your side vision field and ask how many you see as you look at the target in front of you.
What is a confrontation test used for?
Confrontation visual field testing is a test used in ophthalmology for rapid and gross detection of large-scale visual field problems. It is done by asking the patient to look directly at the examiner's eye or nose and compare the patient's visual field with the examiner's field.
What is the difference between confrontation and gross perimetry?
Though the terms confrontation and gross perimetry are often used as synonyms, strictly speaking confrontation describes one of several 'comparison' tests whereas gross perimetry is the use of a target to measure the extent of the visual field and to map any large scotomas within the field.
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What is a gross visual field test?
A visual field test measures your peripheral vision, or how well you can see above, below and to the sides of something you're looking at. It's also called a perimetry test. Visual field testing is important for many conditions, including glaucoma.

What is the gross measurement of peripheral vision?
Peripheral vision is also sometimes referred to as “side vision” or “indirect vision.” The peripheral is the edge of your visual field, or the full range you can see at a given moment. The typical visual field for humans is 170 degrees: 70 degrees for central vision and 100 degrees for peripheral vision.
Confrontation visual field testing does not need a clinical setting to perform. It can be done in any well-illuminated room. Since the visual fields of both eyes overlap in the nasal area, each eye is tested separately. Patient is asked to sit in front of the examiner, at a distance between 66 and 100 cm, maintaining the eye level same as examiner's. Patient is asked to remove his/her spectacles before starting the test. For testing the right eye field, the patient is asked to close his left eye, and look straight at the examiner's left eye (preferably) or nose. Examiner should also close his/her right eye. Move a finger or bead-on-a-stick inwards from an area outside the usual 180º visual field, and ask the patient when they first see the targets. Alternatively, the patient may be asked to count the number of fingers the examiner shows or identify wiggling fingers. For an accurate assessment of the patient's visual field, it is essential that the distance of all test objects from the patient is the same as the distance from the examiner. The Examiner should compare the point at which the patient sees the target with his own visual field. Repeat the procedure for all eight meridians.

Recording confrontation visual field results. (A) Normal result: the patient counts fingers in all quadrants of both eyes. (B) Bitemporal hemianopia: the patient fails to count fingers in the temporal quadrants of each eye. (C) Homonymous hemianopia: the patient fails to count fingers in the temporal quadrants of one eye and the nasal quadrants of the other eye. CF = Counts Fingers.
Record the type of target used and whether there are any significant abnormalities in the patient's visual field. Colored targets such as red are more sensitive than a white test target. The test reliability may improve when techniques like finger counting, finger wiggling, identifying a target etc. are combined. Confrontation testing can be done with both eyes open also. It is done for testing the binocular visual field.

What does a false positive mean in a visual field test?
Fixation losses occur when the patient reports seeing a stimulus that is presented in the predicted area of the physiologic blind spot. False positives occur when a patient presses the button when no stimulus is presented.
Can a visual field test be wrong?
Unfortunately, visual fields are highly nonspecific. According to Dr. Eisengart, there are many false-positive results, and any visual field can be inaccurate. “If I see something on a visual field that looks worse, I need to either have that test repeated, or I need to have something corroborating it.

See also:
- Why Is My Peripheral Vision Blurry?
- How to Test Peripheral Vision at Home
- The four-meter confrontation visual field test
Reference:
- en.wikipedia.org/wiki/Confrontation_visual_field_testing
- aao.org/education/image/recording-confrontation-visual-fields































































وبلاگ تخصصی عینک شامل مجموعه مطالب پزشکی است که اطلاعات مفیدی در رابطه با عینک , چشم، لنز، سلامتی چشم و راه های پیشگیری از بیماریهای چشمی، کنترل و درمان آن را در اختیار شما کاربر محترم می گزارد.