Why can't my patient see 20/20? Simplified evaluation of macular function

M. F. Kraushar, S. Margolis

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Macular function can be easily and thoroughly evaluated in the office when patients present with minimal to moderately reduced visual acuity and no definite abnormalities of the fundus. A thorough ophthalmic examination including a detailed history and careful ophthalmoscopy will usually make the diagnosis apparent. If this is not the case, macular function can be more thoroughly evaluated with subjective and objective testing. The materials required for administering subjective tests such as color vision, Amster grid, macular photostress, flying corpuscles phenomenon and fluorescein angiography are inexpensive and readily available. In addition, a booklet is available for performing contrast sensitivity grating tests in the office. Although more elaborate and quantitative ERG recordings are being done in university laboratories, it is now within the realm of the clinician's office instrumentation to be able to generate this important diagnostic information. The ERG, performed as simply as an ECG in the office or clinic, can provide an objective measurement of overall retinal function. With the sophisticated modalities now available for office and laboratory use, we are capable of making more definitive diagnoses in early macular disease.

Original languageEnglish
Pages (from-to)289-296
Number of pages8
JournalPerspectives in Ophthalmology
Volume4
Issue number4
StatePublished - 1980

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