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Spatial Contrast Threshold Perimetry in Macular Degeneration*

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Abstract

Visual field defects are often not effectively detected by conventional clinical perimetry despite the presence of extensive pathophysiology in the neuronal pathways.1-2 In the case of localized retinal lesions resulting from macular degeneration, an accurate assessment of visual dysfunction across the central visual field is even a more formidable task. These uncertainties in the evaluation of visual function stem from our lack of understanding of the basic mechanisms underlying not only the disease processes3, but also the neural signal transmission processes.4 Regardless of the exactness of the existing models of neural filtering4, the use of grating patches as test-stimuli reveals differential sampling ability of the neuronal units in the presence of a pathology that is undetected by clinical perimetry.5,6 However, the structural inhomogeneity of the retina imposes further constraints on specific spatio-temporal domain, and the size of the grating patch to be used in detecting visual dysfunction in the local regions of the visual field.

© 1985 Optical Society of America

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