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(7)

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Abstract #15395 Published in IGR 1-3

Kinetic and static fixation methods in automated threshold perimetry

Åsman P; Fingeret M; Robin A; Wild J; Pacey I; Greenfield DS; Liebmann JM; Ritch R
Journal of Glaucoma 1999; 8: 290-296

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PURPOSE: Static fixation is the standard method for stabilizing the eye during automated perimetry. Kinetic fixation is an alternative for fixation control, in which the eye follows a moving target. This study was conducted to evaluate the fixation accuracy of static and kinetic fixation perimetry, and to determine their ability to detect the absolute scotoma of the physiological blind spot. METHODS: The 71 patients with early glaucomatous field loss (mean age, 65 years) and 45 control subjects (mean age, 57 years) recruited from five clinical sites, underwent threshold testing on the Dicon perimeter (kinetic fixation; Vismed, San Diego, CA) and Humphrey Field Analyzer (static fixation). The frequency of Heijl-Krakau fixation catch-trial errors was used as an indicator of fixation accuracy, and the measured sensitivity at the physiological blind spot was used as an indicator of perimetric accuracy. RESULTS: In patients with glaucoma, the frequency of fixation errors was significantly greater for kinetic fixation (17.2%) than for static fixation (10.2%). In the control group, the frequency of fixation errors was also significantly greater for kinetic fixation (27.5%) than for static fixation (12.6%). The threshold at the presumed location of the blind spot (15° temporal, 3° inferior from fixation) was 14.8 dB using kinetic fixation versus 4.0 dB with static fixation in patients with glaucoma, and 18.5 dB using kinetic fixation versus 2.5 dB using static fixation in the control group. CONCLUSION: Relative to static fixation, kinetic fixation was associated with fixation inaccuracy and underestimation of the absolute scotoma at the physiological blind spot.

Dr. P. Åsman, Department of Ophthalmology, Malmö University Hospital, S-205 02 Malmö; Sweden

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Classification:

6.6.2 Automated (Part of: 6 Clinical examination methods > 6.6 Visual field examination and other visual function tests)

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