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Table 2 Interpretation of Humphrey visual field plots. In static perimetry the stimulus is stationary but it changes its intensity until the sensitivity of the eye at the particular point is found. It is measured at preselected locations in the visual field. Most IIH patients have a threshold test where steps of 4 dB are used until detected then re-tested at every point in 2 dB steps

From: European Headache Federation guideline on idiopathic intracranial hypertension

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Term

Explanation

Notes

Numerical Display

These are the raw values of the individual’s retinal sensitivity at predetermined points in decibels (dB). Normal values are approximately 30 dB while recorded values of < 0 dB equate to no sensitivity measure.

The HVF analyser uses light between 0 and 50 dB (0 is the brightest and 50 is the dimmest). Sensitivity is greatest in the central field and decreases towards the periphery.

Grey scale

This is a graphical representation of the numerical display. It allows for quick assessment of the field as values closer to 0 dB (low sensitivity) are coded with black and those closer to 50 dB with white (highest sensitivity).

This parameter should not be used alone, the reliability and global indices are critical to interpreting this map.

Total deviation

This demonstrates the difference between measured values and population age-normal values at specific retinal points. The numbers indicate the difference compared to the mean. A negative value indicates less visual sensitivity compared to the mean population.

Both the total deviation and the pattern deviation provide a numerical total plot (top) and the probability plot which gives a visual representation of statistical analysis (t test) of this deviation from the mean; the larger departure from the mean, the darker the symbol.

Pattern deviation

This represents focal depressed areas in the points tested when accounting for overall general reductions of vision caused by media opacities (e.g. cataracts), uncorrected refractive error, reductions in sensitivity due to age and pupil miosis.