On confrontation visual field testing, she had improved diffuse visual field constriction. Again, reassurance was provided, and close follow-up arranged. Discussion ...

Confrontation visual fields were significant for bilateral inferior visual field cuts. Intraocular pressures were 21 mm Hg in the right eye and 14 mm Hg in the left.

While confrontation visual fields are a good initial examination technique, they can often miss more subtle field changes that are found on automated testing.

Color plate testing and confrontational visual fields were normal. Extraocular motility was full on the right side and limited in up- and downgaze on the left eye.