VR Perimetry May Match HVF in Glaucoma - Report - MDSpire

VR Perimetry May Match HVF in Glaucoma

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  • Andrea Surnit

  • June 3, 2026

  • 4 min

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Clinical Report: VR Perimetry May Match HVF in Glaucoma

Overview

Virtual reality perimetry demonstrates comparable visual field measurements to Humphrey Visual Field testing while significantly reducing testing duration. This study suggests VR perimetry could be a viable alternative in glaucoma management.

Background

Accurate monitoring of visual field changes is crucial in glaucoma management to prevent vision loss. Traditional methods, such as Humphrey Visual Field testing, can be time-consuming and may not be accessible in all clinical settings. The introduction of virtual reality perimetry offers a potential solution by providing rapid testing with comparable results.

Data Highlights

{'format': 'bullet points', 'content': ['Mean Deviation (dB): HVF -6.8, VR -6.0', 'Pattern Standard Deviation (dB): HVF 5.6, VR 6.3', 'Testing Duration (seconds): HVF 253, VR 122']}

Key Findings

  • Mean deviation measurements were similar: -6.8 dB (HVF) vs -6.0 dB (VR).
  • Pattern standard deviation values were comparable: 5.6 dB (HVF) vs 6.3 dB (VR).
  • Testing duration was significantly shorter with VR perimetry (122 seconds) compared to HVF (253 seconds).
  • Patient preference favored VR perimetry, with 41 out of 48 preferring it over HVF.
  • Fixation loss rates were lower with VR perimetry, attributed to continuous eye tracking.

Clinical Implications

The findings suggest that VR perimetry may be a practical alternative for visual field testing in glaucoma patients, particularly in settings where traditional HVF testing is less feasible. Clinicians should consider incorporating VR technology into their practice to enhance patient experience and efficiency.

Conclusion

VR perimetry shows promise as a comparable and more efficient method for visual field testing in glaucoma management. Further studies are needed to evaluate its long-term effectiveness in monitoring disease progression.

Related Resources & Content

  1. Weng PJ, et al., Clinical Ophthalmology, 2023 -- VR Perimetry May Match HVF in Glaucoma
  2. Daniel BA, Sarkisian SR, Glaucoma Physician, 2021 -- The Current Landscape of Visual Field Technologies
  3. Fackler S, Ophthalmology Management, 2025 -- Study Finds Strong Agreement Between MRF Online Perimetry and HFA 302 in Glaucomatous Eyes
  4. Nwokeji I, Provencher LM, Glaucoma Physician, 2025 -- Telehealth for Glaucoma
  5. European Glaucoma Society, British Journal of Ophthalmology, 2025 -- Terminology and guidelines for glaucoma, 6th Edition
  6. Glaucoma Physician — Cost-benefit Analysis of Virtual Reality Visual Fields as Adjunct to Standard Automated Perimetry Recommendations
  7. European Glaucoma Society – Terminology and guidelines for glaucoma, 6th Edition | British Journal of Ophthalmology
  8. Comparison between the Fast Strategies of a Virtual Reality Perimetry and the Humphrey Field Analyzer in Patients with Glaucoma - ScienceDirect
  9. Reduction of intraocular pressure and glaucoma progression: results from the Early Manifest Glaucoma Trial - PubMed

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