Br J Ophthalmol 1998;82:1288-1293 ( November )
Modified Bagolini striated glass test: clinical applications of
starlight test in binocular visual field screening
T Hirai,
M Arai,
Y Ito,
M Sato
Department
of Ophthalmology, Nagoya University, School of Medicine, Nagoya, Japan
Correspondence to: Toshie Hirai, Department of
Ophthalmology, Nagoya University, School of Medicine, 65 Tsuruma,
Showa-ku, Nagoya 466, Japan.
Accepted for publication 21 April 1998
AIM
To introduce the "starlight" test which
was devised to check binocular vision in normal conditions of seeing in
a rapid, easy, and cost effective manner and to estimate the
possibility of its clinical use in screening the binocular visual field
of patients.
METHOD
The Bagolini striated glass test consists
of optically plano lenses with imperceptible parallel scratches that
barely blur the environment but produce two perpendicular luminous
stripes (right eye stripe of 45° and left eye stripe of 135°) when
subjects with normal binocular vision view one light source. Unlike the original Bagolini test, the starlight test uses three light sources in
horizontal or vertical lines according to the testing purposes and the
subject is asked to fixate upon the centre light. Through Bagolini
glasses, the subject observes the resulting grid-like pattern and the
state of binocular visual field of the subject can be roughly estimated.
RESULTS
Normal subjects and patients with
strabismus, visual field loss from intracranial diseases, glaucoma,
retinitis pigmentosa, and functional visual loss were examined using
the starlight test and findings from each case were discussed.
CONCLUSIONS
The starlight test, which was made by
hand at a low cost, is a simple test that can be used clinically. It
provides information about the state of binocular vision of patients in
normal conditions of seeing. It is also useful because it enables the
examiner to share similar experiences with the examinee. The results
suggest it can be effective in visual field screening.
Keywords:
Bagolini striated glass;
binocular visual field;
screening;
starlight test
© 1998 by British Journal of Ophthalmology