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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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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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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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How can the visual field change with glaucoma?

There are typical…: patterns of glaucomatous visual field loss. The goal of treatment is to try to keep the visual field from getting worse. Typically the defects start out in the periphery, either nasal(near the nose) or temporal ( near the temple). Arcing type patterns are common. Sometimes the central vision is affected in the early stages, however it is typical for the central vision to change as a late finding. ...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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Visual field test 2 mos. Apart w/fixation loss of 6/12 in 1st test & 3/14 in 2nd test. 1st test showed more damage than 2nd. Which test is most right?

The second : Less fixation losses on the second test means you were focusing on the fixation target more times than on the first test. Therefore, the second is the most accurate test. ...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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Ideas? What nonprocessive conditions cause a visual field defect?

CNS problems: Many strokes will cause a visual field defect which is stable and non-progressive although the initial loss can be devastating. Trauma to the optic nerve or the visual pathways can also do this. Most other lesions that register as a field defect are commonly progressive unless treatment is given. ...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