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Goldmann Perimetry week 4

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1 Goldmann Perimetry week 4

2 Goldmann Perimetry The Goldman VF is a manual perimeter.
The Goldmann perimeter is capable of both static and kinetic perimetry. Isopters are used to show VF areas of equal or greater sensitivity. Each isopter represents a different stimulus size that was presented to the patient and is marked by the tech to show the boundaries of the stimulus size.

3 Light intensity Apostilbs (Asb)
An expression of light intensity used while performing the Goldmann perimeter. Basically- How bright the stimulus (light) is! The higher the number, the brighter the stimulus (light). Decibels (dB) An expression of light intensity used while performing a computerized VF. The smaller the number, the brighter the target is.

4 Stimulus brightness Brightness of stimulus controlled by numeric lever. 0,1,2,3,4. 0 is dimmest 4 is brightest Brightness of stimulus also controlled by alphabetic lever. a,b,c,d,e. a is dimmest e is brightest

5 Goldmann Perimetry Stimulus Size You can also change the size of the stimulus. There are 6 sizes. 0 I II III IV V “O” is the smallest size and is rarely used. “ V “ is the largest size and can be used for patient’s with very limited VA. The size of the stimulus is measured in mm. 1/64mm, ¼mm, 1mm, 4mm, 16mm, and 64mm. Changing the stimulus size lever 1 position makes the stimulus 4 times larger.

6 Technician function Fixation must be monitored.
Selection of stimulus size, intensity and brightness. Moving the stimulus (manually). Recording the patient responses and labeling all isopters with color coding or Stimulus size and brightness. Example V 4 e or I 2 e largest smallest

7 Performing a Goldmann VF

8 Performing a Goldmann

9 Performing a Goldmann

10 Performing a Goldmann

11 Performing a Goldmann

12 Explaining the test to the patient.
It is very important to explain what the patient should expect. Make it clear the test will not be accurate if the patient does not look at the fixation target at all times. If they do deviate, redirect them. Explain why you are doing the test. Explain where the “lights” will be and to press down and release the button every time they see a light. Let them know how small the “lights” will be. Remember- You are the technician, it is your responsibility to inform the patient so an accurate test can be performed while the patient feels comfortable enough to do it!!!

13 Performing a Goldmann

14 Performing a Goldmann

15 Performing a Goldmann

16 Performing a Goldmann

17 Performing a Goldmann

18 Performing a Goldmann

19 Recording and reading

20 Recording and reading

21 Recording and reading

22 Recording and reading

23 Goldmann Perimetry Static and kinetic testing
Change the size and intensity during the test according to patient responses. You are moving the target according to the patient’s responses. More skill and practice are needed to perform an accurate test within a reasonable amount of time.

24 Good luck. See you next week.
Now try to perform a Goldmann field on your classmates! Good luck. See you next week.

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