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November 1987

Normal Variability of Static Perimetric Threshold Values Across the Central Visual Field

Author Affiliations

From the Departments of Ophthalmology (Dr Heijl) and Mathematical Statistics (Dr Lindgren and Mr Olsson), University of Lund, Lund, Sweden; and Malmö General Hospital, Malmö, Sweden (Dr Heijl).

Arch Ophthalmol. 1987;105(11):1544-1549. doi:10.1001/archopht.1987.01060110090039

• We assessed the variability of results in normal subjects of computerized static threshold perimetry of the central 30° field. Variability of measured threshold values was highly dependent on eccentricity. This included variability among individuals, test-to-test variability within individuals, and intratest variability. All values were significantly larger in the midperiphery than centrally. We found that the mean sensitivity decrement with age was eccentricity dependent, so that the age-corrected normal visual field became not only depressed but also steeper with age. Distributions of individual pointwise deviations from the agecorrected normal mean thresholds were significantly nongaussian. The dependency of variability on test point location, the nongaussian distributions of deviations from age-corrected means, and the variability of age-induced sensitivity reduction should all be considered in the interpretation of computerized visual fields, and particularly in the design of statistical programs for field analysis. Programs not considering these factors are likely to result in misleading analyses.