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Medical Forum / General / Vision / December 2005

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howto take the peripheral vision test??

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plew@csus_abcdefghij.edu - 05 Dec 2005 16:56 GMT
I am wondering how I should take the peripheral vision test.
For example, I "normally" slightly strain to see/perceive any
flash of light no matter how dim.

Should I just be "relaxed" & not strain to see any flash
at all even if some/many are missed?

I've been setup for my annual vision test in about 2 1/2 months
& wonder if I've been doing the vision test incorrectly as now
I think the real idea is how my vision is doing when not strainning
to see.
gudrun17 - 05 Dec 2005 17:37 GMT
> I am wondering how I should take the peripheral vision test.
> For example, I "normally" slightly strain to see/perceive any
[quoted text clipped - 7 lines]
> I think the real idea is how my vision is doing when not strainning
> to see.

Just relax. I've had many visual field tests and after you've had a
number of them, you realize that a lot of things can affect the test
and the doctor should know not to put that much faith into one single
test but should be looking at a series of them. It's normal for people
to want to "do well" at visual field tests and try to concentrate hard
on seeing every light, but I've had some in which my attention wandered
(or the tech distracted me) and I know I missed some lights, but it
didn't make any real difference in the outcome. The test will give a
reading as to the number of false negatives and false positives and if
these numbers are too high, the test is invalid--in which case the
doctor will have you repeat it at some other time. But even with a lot
of errors (not my fault--due to tech's mistakes) I've never had a test
with so many errors that it wasn't still within the valid range. Don't
worry too much about those tests.
-Gudrun
CatmanX - 05 Dec 2005 19:55 GMT
Firstly, a fields test is a waste of time unless there is a suspicion
of anything wrong. Is there family history of glaucoma? Have you had a
stroke etc.?

FIeld testing is actually pretty easy and something not to stress over.
If you think you saw a flash, you did, so click the button.

I have recently started using a Zeiss Matrix which is the easiest and
quickest test I have ever performed. It takes 5 minutes for a full
threshold test and 1 minute for a screening. You can do it without
glasses and the accuracy is incredible and my patients find it very
straight forward.This instrument will detect glaucoma 3 years earlier
than regular field tests and is great for patients with a family
history of glaucoma as it will detect so much earlier and put them at
ease.

So don't stress, you will do worse on the test. Relax, go with the
flow, if you make a mistake, the computer will think it is suspicious
and retest that spot.

Cheers,

dr grant
plew@csus_abcdefghij.edu - 06 Dec 2005 22:15 GMT
Firstly, thanks everyone for the info; looks like I was doing
the vision field test "wrong"; maybe I should also relax & be
comfortable on the eye test for glasses.

> Firstly, a fields test is a waste of time unless there is a suspicion
> of anything wrong. Is there family history of glaucoma? Have you had a
> stroke etc.?

I've been doing the field tests annually as per the eye doctor as it
looks like I'm on the border for cataract surgery; hasn't bother me
as yet & the tests were supposed to aid in finding when there is
enough deterioation(?).

Some of us don't have a family history.

> FIeld testing is actually pretty easy and something not to stress over.
> If you think you saw a flash, you did, so click the button.
[quoted text clipped - 15 lines]
>
> dr grant

I don't know what the machine is but the tech places the lenses for
my prescription in a holder for me to see during the test; I have to
look at the "red dot" during the testing & slight movements away will
be detected & a beep sounds.

I do appreciate the quick replies as I had to reschedule the test since
it is supposed to take place 1/2 hour after my dental/peridontal visit;
didn't think I could make it.  The new schedule is much close to the
present as in 3 days from now instead of 2 months away.

I will try to relax & not stress BUT my history is that the blood pressure
goes way up when going to see any doctor or dentist and even just to pick up
my prescription medicenes; probably a phobia of "seeing" a doctor & having
them find something wrong. :-)
William Stacy - 06 Dec 2005 22:55 GMT
Yes, relax and ask if the machine will "time out" on demand. (Mine
suspends the test if you hold the button down until you let it go again,
so you can rest, blink a lot, etc. It picks back up where it left off
when you release it).

w.stacy, o.d.

>Firstly, thanks everyone for the info; looks like I was doing
>the vision field test "wrong"; maybe I should also relax & be
[quoted text clipped - 53 lines]
>them find something wrong. :-)
>  
Dan Abel - 07 Dec 2005 03:35 GMT
> Firstly, thanks everyone for the info; looks like I was doing
> the vision field test "wrong"; maybe I should also relax & be
> comfortable on the eye test for glasses.

Hope that helps.  I hate taking those things, although they seem a
little easier now.

> I've been doing the field tests annually as per the eye doctor as it
> looks like I'm on the border for cataract surgery; hasn't bother me
> as yet & the tests were supposed to aid in finding when there is
> enough deterioation(?).

I'm a lay person, and no expert here, but that isn't my understanding.  
I don't see how a field test will help detect cataract progression.  The
doctor just dilates your eyes and looks inside.  If they can't see
inside, that means you can't see out, either, and that points to
cataract.  If you have vision loss, and the doctor can't see into your
eye, I don't think it takes much else to diagnose.  

> I will try to relax & not stress BUT my history is that the blood pressure
> goes way up when going to see any doctor or dentist and even just to pick up
> my prescription medicenes; probably a phobia of "seeing" a doctor & having
> them find something wrong. :-)

I don't have it quite that bad.  I can usually pick up a prescription
OK, although I was a little concerned about what the price would be last
time.  It was fine, though.  But every time I have my blood pressure
taken, it goes up.  I go through the same routine most times.  It's too
high.  I talk to the doctor for a while, and I relax.  They take it
again, and it is down.

Signature

Dan Abel
dabel@sonic.net
Petaluma, California, USA

 
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