Does Eye Movement Affect Visual Field Test Results? - Ophthalmology

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Visual field examination


I would like to ask if during a visual field test, sometimes my eyes drift away from the target position.
I'm wondering if this will affect the results.
Can the machine detect the position of my gaze and filter out those few measurements where my gaze has drifted?

Mr. Zhang, 10~19 year old female. Ask Date: 2021/05/07

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
Chang: The machine will detect the number of times your eyes are not looking straight ahead.
If the count is low, the results are still reliable.
However, if the count is too high, the results may be inaccurate, and a retest may be necessary.
At the Taiwan E-Hospital Puzi Hospital Ophthalmology Department: Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; it is essential to visit a medical facility for proper care.
We hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2021/05/07

More Info


During a visual field test, the position of your eyes is crucial for obtaining accurate results. If your gaze drifts away from the designated point of fixation, it can indeed affect the measurements taken during the test. The visual field test is designed to assess your peripheral vision and detect any blind spots or abnormalities in your visual field. When your eyes are not focused on the target, the test may not accurately reflect your true visual capabilities.

Most modern visual field testing machines are equipped with technology that can detect whether your eyes are fixated correctly. If the machine registers that your gaze has deviated from the target too frequently, it may flag those measurements as unreliable. However, if the deviations are minimal and infrequent, the overall results may still be considered valid. It is essential to maintain focus on the target throughout the test to ensure the most accurate results.

In cases where there are significant deviations, the technician or doctor may recommend repeating the test to obtain clearer data. This is particularly important if there are concerns about potential vision issues, such as glaucoma or other neurological conditions that can affect the visual field.

Additionally, if you experience difficulty maintaining your gaze, it could be indicative of underlying issues such as eye muscle imbalances or fatigue. It may be beneficial to discuss these concerns with your eye care professional, who can provide guidance on how to improve your focus during the test and assess whether any further evaluation is necessary.

In summary, while some visual field testing machines can account for minor deviations in gaze, significant or frequent distractions can compromise the accuracy of the results. Therefore, it is crucial to stay focused during the test, and if you have concerns about your ability to do so, it is advisable to consult with your eye care provider for further evaluation and support. Regular eye exams and visual field tests are vital for monitoring your eye health, especially if you have risk factors for vision problems.

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