Smaller Fixation Target Size Is Associated with More Stable Fixation and Less Variance in Threshold Sensitivity.
The aims of this randomized observational case control study were to quantify fixation behavior during standard automated perimetry (SAP) with different fixation targets and to evaluate the relationship between fixation behavior and threshold variability at each test point in healthy young participants experienced with perimetry. SAP was performed on the right eyes of 29 participants using the Octopus 900 perimeter, program 32, dynamic strategy. The fixation targets of Point, Cross, and Ring were used for SAP. Fixation behavior was recorded using a wearable eye-tracking glass. All participants underwent SAP twice with each fixation target in a random fashion. Fixation behavior was quantified by calculating the bivariate contour ellipse area (BCEA) and the frequency of deviation from the fixation target. The BCEAs (deg2) of Point, Cross, and Ring targets were 1.11, 1.46, and 2.02, respectively. In all cases, BCEA increased significantly with increasing fixation target size (p < 0.05). The logarithmic value of BCEA demonstrated the same tendency (p < 0.05). A positive correlation was identified between fixation behavior and threshold variability for the Point and Cross targets (ρ = 0.413-0.534, p < 0.05). Fixation behavior increased with increasing fixation target size. Moreover, a larger fixation behavior tended to be associated with a higher threshold variability. A small fixation target is recommended during the visual field test.
Department of Orthoptics and Visual Science, School of Allied Health Sciences, Kitasato University, Kanagawa, Japan.
Kazunori
http://orcid.org/0000-0001-5100-005X
K
Hirasawa
Department of Orthoptics and Visual Science, School of Allied Health Sciences, Kitasato University, Kanagawa, Japan.
Kana
K
Okano
Department of Orthoptics and Visual Science, School of Allied Health Sciences, Kitasato University, Kanagawa, Japan.
Risako
R
Koshiji
Department of Orthoptics and Visual Science, School of Allied Health Sciences, Kitasato University, Kanagawa, Japan.
Wakana
W
Funaki
Department of Ophthalmology, School of Medicine, Kitasato University, Kanagawa, Japan.
Nobuyuki
N
Shoji
D000328:Adult; D006801:Humans; D055815:Young Adult; D016022:Case-Control Studies; D005403:Fixation, Ocular / Q000502:physiology; D011446:Prospective Studies; D015203:Reproducibility of Results; D012684:Sensory Thresholds / Q000502:physiology; D014792:Visual Acuity / Q000502:physiology; D058609:Visual Field Tests / Q000295:instrumentation / Q000379:methods; D014794:Visual Fields / Q000502:physiology; D014796:Visual Perception / Q000502:physiology