title: Heidelberg edge perimetry for the detection of early glaucomatous damage: a case report.
abstract: OBJECTIVE
  To illustrate the potential role for Heidelberg edge perimetry (HEP) in the assessment of early functional loss in glaucoma.
  
  
  METHODS
  A 46-year-old male presented with raised intraocular pressure but healthy optic discs and normal standard automated perimetry (SAP). He was diagnosed with ocular hypertension, but after 16 years, he developed glaucomatous changes to the right optic disc and inferior retinal nerve fiber layer thinning. Despite the evidence of progressive structural damage, functional testing using SAP was repeatedly normal, based on conventional criteria. HEP, on the other hand, revealed an extensive superior visual field damage in agreement with the structural changes. Additionally, and in contrast to SAP, the HEP indices of Glaucoma Hemifield Test, mean deviation and pattern standard deviation were all outside normal limits.
  
  
  CONCLUSIONS
  This case illustrates that HEP may have an important role in the early detection of functional damage in glaucoma, with potential advantages over SAP.
authors.affiliation: Hamilton Glaucoma Center, Department of Ophthalmology, University of California San Diego, La Jolla, Calif., USA ; Boston University School of Medicine, Boston, Mass., USA.
authors.forename: Amir H
authors.initials: AH
authors.lastname: Marvasti
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Tatham
authors.forename: Robert N
authors.initials: RN
authors.lastname: Weinreb
authors.forename: Felipe A
authors.initials: FA
authors.lastname: Medeiros
keywords: Glaucoma; Heidelberg edge perimetry; Ocular hypertension; Raised intraocular pressure; Standard automated perimetry