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Testing Visual Fields in Children

Testing Visual Fields in Children
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Author(s): Jacky K. W. Kong (New England College of Optometry, USA)
Copyright: 2022
Pages: 19
Source title: The Pediatric Eye Exam Quick Reference Guide: Office and Emergency Room Procedures
Source Author(s)/Editor(s): Lily Zhu-Tam (Citywide Eye Care Optometry, USA)and Ida Chung (College of Optometry, Western University of Health Sciences, USA)
DOI: 10.4018/978-1-7998-8044-8.ch005


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Visual fields in the pediatric population are an essential part of the eye exam that remain challenging to even the most experienced clinicians. Becoming educated in the multiple ways a child's visual field can be tested regardless of age and cognitive and physical abilities will allow the clinician to gain better insight into the child's function and in some cases, allow the clinician to identify pathological or neurological anomalies in the visual pathway. Gross visual field or functional visual field extent can be estimated by tests such as confrontation visual field testing, finger counting field testing, and white sphere kinetic perimetry. For threshold measurements of a child's visual fields, the Goldmann perimeter, or the more advanced computerized tests such as the Humphrey perimeter, Octopus perimeter, or frequency doubling technology perimeter can be used. Modifications can be made to certain tests to better suit the child's cognitive and physical abilities. The chapter covers different methods of visual field testing specific for the pediatric population.

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