Interpretation of visual field examination?
Hello, doctor.
Recently, I had a visual field test at the hospital and received two numbers: right eye 2.4/0.8 and left eye 0.8/0.4.
The examining physician mentioned that this indicates very mild symptoms.
I would like to ask what these two numbers signify.
Is a lower number better, or is there something I should be concerned about? Additionally, I saw online that supplementing with ginkgo biloba can help slow the deterioration of the optic nerve.
Is this true? Thank you.
Allen, 30~39 year old female. Ask Date: 2015/10/21
Dr. Wang Zhishun reply Ophthalmology
Hello, I apologize for the confusion, as there are many types of visual field testing machines and data available.
I am unable to identify which specific result you provided.
There is indeed medical literature suggesting that ginkgo biloba may have effects in slowing the deterioration of the optic nerve, but it seems that a definitive conclusion has not yet been reached.
Reply Date: 2015/10/21
More Info
Understanding visual field test results can be quite complex, but I’ll break it down for you. The numbers you received from your visual field test for your right eye (2.4/0.8) and left eye (0.8/0.4) represent two different measurements of your visual field sensitivity.
In visual field testing, the first number typically indicates the mean sensitivity of your visual field in decibels (dB), while the second number often represents the best-corrected visual acuity or another measure of visual function. In your case:
- Right Eye: 2.4/0.8
- 2.4: This number suggests the mean sensitivity of your visual field in dB. A higher number indicates better sensitivity, meaning your visual field is functioning well in that area.
- 0.8: This could refer to your best-corrected visual acuity, which indicates how well you can see when wearing corrective lenses.
- Left Eye: 0.8/0.4
- 0.8: Again, this likely refers to the mean sensitivity in dB, which is relatively lower than your right eye, suggesting some degree of visual field loss or reduced sensitivity.
- 0.4: This may indicate a lower level of visual acuity compared to your right eye, suggesting that your left eye may have more significant issues.
In general, when interpreting these numbers, a higher mean sensitivity (in dB) is better, as it indicates that your visual field is more intact. Conversely, lower numbers can indicate areas of visual field loss or damage. Your doctor’s comment that this is a "very mild symptom" suggests that while there may be some issues, they are not severe at this time.
Regarding your question about ginkgo biloba and its effects on the optic nerve, there is ongoing debate in the medical community about the efficacy of ginkgo biloba for eye health, particularly in relation to conditions like glaucoma or optic nerve damage. Some studies suggest that ginkgo biloba may have neuroprotective properties and could potentially help improve blood circulation, which might benefit the optic nerve. However, the evidence is not conclusive, and more rigorous clinical trials are needed to establish its effectiveness definitively.
It’s essential to approach supplements like ginkgo biloba with caution. While they may offer some benefits, they should not replace conventional treatments prescribed by your healthcare provider. If you are considering taking ginkgo biloba or any other supplement, it is advisable to discuss it with your eye doctor or healthcare provider to ensure it is appropriate for your specific situation.
In summary, your visual field test results indicate varying levels of sensitivity and acuity between your eyes, with the right eye performing better than the left. The numbers suggest that while there may be some mild issues, they are not severe. As for ginkgo biloba, while it may have some potential benefits, it is crucial to consult with your healthcare provider before starting any new supplement regimen. Regular follow-ups with your eye doctor will be essential to monitor your condition and adjust any treatments as necessary.
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