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The FDT perimeter is a compact and relatively inexpensive perimeter whose transportability, tolerance to refractive errors, and rapid test times (less than one minute per eye) make it a suitable candidate for visual field screening. It is a uniform finding that the C-20-1 screening protocol of the FDT perimeter provides good sensitivity and specificity for the detection of moderate and severe losses in glaucoma. Sensitivity can be increased by use of the C-20-5 screening protocol. In addition, the FDT perimeter demonstrates good sensitivity and specificity for detecting the presence of neuro-ophthalmic disorders, though it may have a limited ability to determine whether a field defect is hemianopic. There is only limited evidence that the FDT can appropriately detect retinal disease. Despite some evidence that the current FDT perimeter may be suitable for staging and monitoring the progression of visual field damage, the large targets used in the test make this of limited practicability. The development of a frequency doubling test with smaller targets spaced over narrower intervals would improve the ability of FDT perimetry to determine the spatial extent of visual field defects.
Dr. C.A. Johnson, Devers Eye Institute, 1225 NE Second Avenue, Portland, OR 97232, USA. cajohnso@discoveriesinsight.org
6.6.3 Special methods (e.g. color, contrast, SWAP etc.) (Part of: 6 Clinical examination methods > 6.6 Visual field examination and other visual function tests)