Eye motion increases temporal visual field extent

Purpose To study the impact of eye motion on visual field extent. Methods Visual fields were tested in 15 healthy volunteers with the Goldmann perimeter using a V4 test‐object, from seen to unseen, first in primary position of gaze, then allowing eye motion. Temporal points falling out of the cupola were tested again after a controlled nasal head rotation using a headband prototype fitted with a line‐laser level having two orthogonal vial levels. Visual field surface areas (cm2) were calculated as projections on a 30 cm virtual Goldmann cupola whose extent would have been large enough to include all points. Reproducibility error of the method assessed by calculation of the relative difference between surface areas of 12 visual field tests and 12 visual field retests was estimated at 14%. Hertel exophthalmometry was recorded to study the influence of globe position on visual field extent. Results Binocular visual field surface area increased by 37% with eye motion (p‐value = 1.20.10‐9). This increase was highest (46%; p‐value = 1.2.10‐24) in the temporal quadrant. Median maximal visual field temporal excentration with eye motion was 128.3° (minimum: 109.5°; maximum: 137.7°) and more than 135° in 4 eyes of three subjects. Hertel exophthalmometry was positively linked to visual field temporal surface area with eye motion (p‐value = 0.013). Conclusion Eye motion greatly expands the temporal visual field. This peculiarity is likely an adaptation to terrestrial life with upright bipedal locomotion, and may save head movements through horizontal eyeball scanning.