Ophthalmology · Ophthalmic Imaging and Investigations (OCT, FFA, B-scan, Perimetry, Biometry, Topography)

A Humphrey visual field test using the 10-2 testing strategy is most appropriate for evaluating which of the following conditions?

  • A Open-angle glaucoma with early nasal step
  • B Pituitary adenoma causing bitemporal hemianopia
  • C Macular degeneration with central scotoma
  • D Homonymous hemianopia from occipital stroke
Correct answer: C. Macular degeneration with central scotoma

Explanation

The 10-2 program tests points within 10 degrees of fixation, making it ideal for detecting and monitoring central and paracentral scotomas typical of macular diseases. The 24-2 program extends further into the periphery and is standard for glaucoma and neurological field defects like bitemporal hemianopia or homonymous hemianopia.

Reference: AAO BCSC Section 5: Neuro-Ophthalmology, 2022-2023 ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.

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