[Perimetry in Neuro-ophthalmological Function Diagnostics: Indication - Methods - Topodiagnostic Aspects].

Abstract:

:The assessment of visual field findings is fundamental in neuro-ophthalmological functional diagnostics: By means of perimetry, functional and topodiagnostic considerations in case of unexplained visual loss or suspected lesions of the visual pathway are possible in a non-invasive manner. Repeated examinations allow for functional follow-up of a disease and judgement on the efficacy of a therapeutic procedure. This paper is intended to convey the basics of visual field examination and diagnostics. The focus is on the value of perimetry in neuro-ophthalmological functional diagnostics. Both kinetic and static perimetric methods are addressed. In addition, common examination grids and strategies, as well as interpretation of perimetric recordings and indices for the evaluation of progression analysis, are compared. Scotoma classification and the topodiagnostical relevance of visual field defects are discussed, taking into account quality parameters and plausibility controls. :Die Beurteilung von Gesichtsfeldbefunden ist in der neuroophthalmologischen Funktionsdiagnostik elementar: So ist es mithilfe der Perimetrie möglich, bei unklaren Sehstörungen oder dem Verdacht auf Sehbahnläsionen auf nicht invasive Weise Aussagen zur Funktion und Topodiagnostik zu treffen. Bei mehrfacher Untersuchung kann der Verlauf entsprechender Erkrankungen oder auch die Effizienz eines therapeutischen Verfahrens bewertet werden. Dieser Beitrag soll Grundlagen der Gesichtsfelduntersuchung und -diagnostik vermitteln. Dabei wird der Fokus insbesondere auf den Stellenwert der Perimetrie in der neuroophthalmologischen Funktionsdiagnostik gelegt. Sowohl kinetische als auch statische Perimetrieverfahren werden hierbei adressiert, zudem werden gängige Untersuchungsraster und -strategien ebenso wie verschiedene Befunddarstellungsformen und Indizes zur Verlaufsbeurteilung gegenübergestellt. Die Skotomklassifikation und topodiagnostische Bedeutung der Gesichtsfelddefekte werden unter Berücksichtigung von Qualitätsparametern und Plausibilitätskontrollen besprochen.

journal_name

Klin Monbl Augenheilkd

authors

Ungewiss J,Schiefer U

doi

10.1055/a-0668-5971

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

1218-1228

issue

11

eissn

0023-2165

issn

1439-3999

journal_volume

235

pub_type

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