Differences/reasons for Goldman's Test & Field Of Vision

[chames]

Hi, My husband is being evaluated by a neuro-opthalmalogist and will be administered what we understand to be two tests: a Field of Vision test and a Goldman's Test.

What do each of these tests deal with -- I guess the Field of Vision) is pretty self-explanatory -- but have never heard of the Goldman's.

Also, will his eyes be dilated for these tests?

Thank you for your time and consideration,

Chames

[Michael J Kutryb, MD]

In very general terms the field of vision test is usally an automated computerized test (Zeiss/Humphrey or Octopus) and has standardized comparisons for similarly aged patients. The Goldman is an old fashioned manually operated test often used for disability exams and sometimes for neuro-ophthalmology exams.  It offers a more dynamic, changable test but is very dependant on the skill of the examiner.  No dilation needed.

Michael Kutryb, MD
Kutryb Eye Institute
407 S. Washington Ave.  
Titusville, FL  32796
321-267-2020
www.kutrybeye.com

[chames]

Dear Dr. Kutryb,

Thank you so much for your response. Husband has a rather large anachroid sella pressing on pituitary (pituitary is damaged as result), very near to optic chiasm (sp)?. Neuro-surgeon does not recommend surgery, but recommended the Field of Vision and Goldman's tests to benchmark visual stats and monitor going forward.

We are supposedly seeing an extremely capable neuro-opthalmologist, so hopefully her skill level will be useful in administering the Goldman's.

Really helps to know a bit more of what's to come, as his appt. is Monday. And nice that it doesn't require dilation. Thank you again so very much