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Doctor insights on: Goldmann Visual Field Exam

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In glaucoma exam what does it mean when Dr. says there is "questionable change" to the optic nerve. No change in visual field test.

In glaucoma exam what does it mean when Dr. says there is "questionable change" to the optic nerve. No change in visual field test.

Progression: changes in the optic nerve are hard to quantitate changes in the visual field are more definitive but you do not want to wait until that happens it is time to be more aggressive in your glaucoma therapy ...Read more

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Just had my annual plaquenil exam with OCT. All normal. Now I have to come back for a 10-2 visual field test. Isn't this normally all done on 1 visit?

Just had my annual plaquenil exam with OCT. All normal. Now I have to come back for a 10-2 visual field test. Isn't this normally all done on 1 visit?

Depends: Offices run with various schedules and demands. I would guess that the field machine to do the 10-2 field test was in use when you were in the office and instead of having you wait some period of time before the test, that they could schedule that test alone at a later date so you would not have to wait. Other offices might schedule all tests on one visit- best to ask prior to next appointment. ...Read more

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Just saw eye doc for plaquenil exam.Now have to go back in a week for 10-2 visual field study. Is this a quick test or do I need to see doc again?

Just saw eye doc for plaquenil exam.Now have to go back in a week for 10-2 visual field study. Is this a quick test or do I need to see doc again?

Yes to visual field: In general plaquenil is a very safe medication. The recent guidelines are to get a baseline eye exam when starting plaquenil and then once per year. They are screening you for a rare complication from plaquenil called maculopathy. This is very rare but the rate slightl goes up after being on the drug after 5 years. So yes go get the visual field test. ...Read more

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I was wondering are black dots appearing in the visual field normal?

I was wondering are black dots appearing in the visual field normal?

Not in my experience: You should see your doctor to evaluate. "mobile" black dots could be vitreous floaters, "stationary" dots are possible retinal or neuro issue. You do need an exam to evaluate. ...Read more

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I have visual trails (bursts of light that cross my visual field). Never happened before, please help?

I have visual trails (bursts of light that cross my visual field). Never happened before, please help?

Vitreous or migraine: The clear gel that fills eyeball is normally attached to the inside of the eye. As we get older it can become more liquid (watery) and detaches from the back of the retina causing flashes as it pulls on the retina. This is made worse when reading, looking side to side, basically with eye movement. Scintillations (flashes) occur with atypical migraine- with or without headache. ...Read more

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What causes dark spots in your visual field?

What causes dark spots in your visual field?

Floaters: It depends on what condition you have. Most of the time this occurs as you age. The vitrous in your eye shrinks and can sometimes detach from the retina. If the back part of the vitrous falls into your line of sight you may see spots or even spider webs ...Read more

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Are visual field defects always justification for bleph?

Are visual field defects always justification for bleph?

No: Many insurance companies are not covering for only loss of visual field. (medicare requires loss of levator muscle (true ptosis) or not pay. There are many degrees of vf loss, some will cover upper lid surgery when vf loss is >30% measured by vf analysis. Insurance co are following medicare lead and are denying except for muscle functional loss. ...Read more

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Is visual field and peripheral field the same thing?

Is visual field and peripheral field the same thing?

almost: Visual field refers to the patterning of the reception of the entire retina. As a subset, the peripheral field refers to the outer portion of the full visual field. So they refer to something the same but visual field is more comprehensive. ...Read more

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Can you tell me about the visual field test?

Benign and painless: In this test you will sit looking at a dome on which lids are arrayed or a light is projected Your identification is by a signal button and the mapping of what you saw is produced as a clue to changes in glaucoma, or to the nervous system. ...Read more

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