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HFA MD to VFI Converter

Perimetric Analysis • MD to VFI Conversion

dB

Clinical Note: While highly correlated (r=0.94), VFI is less sensitive to media opacities (cataracts) than MD. This tool uses the established linear regression for HFA 24-2/30-2 analysis.

Awaiting HFA Data

Guidelines & Evidence

Verified

Last Review: 2026-07-17

When to Use

Clinical Utility

Data Normalization: Converting historical or referral records that only document Mean Deviation (MD).
Patient Communication: Translating logarithmic decibel (dB) loss into an intuitive functional percentage (%).
Longitudinal Tracking: Estimating the Visual Field Index (VFI) to determine the rate of progression in chronic glaucoma.
Research Data Cleaning: Standardizing visual field metrics across heterogeneous clinical datasets.

How it Works

MD vs. VFI: The Core Difference

MetricScaleSensitivity
Mean Deviation (MD)Decibels (dB)High sensitivity to cataracts and media opacities.
Visual Field Index (VFI)Percentage (%)Designed to be resistant to cataracts; focuses on neural loss.

Linear Regression Formula

VFI ≈ 100 + (3.4 × MD) Applicable Range: 0 dB to -20 dB

Clinical Pearls

The Cataract Filter

VFI is derived from Pattern Deviation, making it a more reliable indicator of glaucomatous damage in patients with co-existing cataracts. A significant discrepancy between MD and estimated VFI suggests generalized depression (media opacity).

The Evidence

Primary References

A visual field index (VFI) for calculation of glaucoma rate of progression

Bengtsson B et al. • Am J Ophthalmol. 2008;145(2):343-53. Original derivation of the VFI metric.

The visual field index (VFI): robustness to eye media opacities

Artes PH et al. • Ophthalmology. 2014;Large scale validation of the correlation between MD and VFI.

Resources

Direct Access

StatPearls: Humphrey Visual Field (HVF) AAO: Visual Field Index — Clinical Evidence Review Original VFI Derivation Study (Bengtsson & Heijl, AJO 2008)

Last Comprehensive Review: 2026-07-17

In Recent Clinical News

Scanning Medical Journals

No new significant updates or guidelines matching this topic were found today. We will check again soon.