This guideline last updated 07/05/2022 10:06:33

Differential diagnosis

• Poor patient performance at automated perimetry
• Ptosis
• Functional visual loss
• Photoreceptor disorder

Possible management by Optometrist

Treatment

• None

Advice

• In the absence of glaucomatous disc changes, abnormal colour vision or a relative afferent pupillary defect, then poor patient performance of automated perimetry most likely explanation, even if false negative and positive rates low
• Repeat automated perimetry with direct supervision, and lid taping as necessary, to see if improves with practice
• Referral to ophthalmology if progressive or symptomatic

Management Category

• Observation
• Referral to ophthalmology with disc images and visual fields

Possible management by Ophthalmologist

• Observation
• Visual electrodiagnostic testing