Recent progress in macular function self-assessment

Ophthalmic Physiol Opt. 2008 May;28(3):183-92. doi: 10.1111/j.1475-1313.2008.00561.x.


Background: Patients that are deemed to be at risk for the development of choroidal neovascularization are frequently instructed to self-monitor their vision for symptoms that may signal the presence of choroidal neovascularization. Traditionally, the Amsler grid has been used for this purpose, but recent technological innovations have resulted in a number of potential alternatives that offer important advantages, including greater sensitivity, the ability to differentiate exudative from non-exudative disease, and quantitative analysis of test results.

Methods: The following technologies that could be employed for patient self-assessment of macular function in a home setting are reviewed: computerized Amsler grid, preferential hyperacuity perimetry, macular mapping test and noise-field campimetry.

Conclusions: A number of technologies are currently available that could significantly improve the ability of patients at risk for the development of choroidal neovascularization to self-monitor their central visual field.

Publication types

  • Review

MeSH terms

  • Choroidal Neovascularization / diagnosis*
  • Choroidal Neovascularization / etiology
  • Disease Progression
  • Humans
  • Macular Degeneration / complications
  • Self Care / methods*
  • Vision Tests / methods*
  • Visual Field Tests / methods