PT - JOURNAL ARTICLE AU - H Manji AU - G T Plant TI - Epilepsy surgery, visual fields, and driving: a study of the visual field criteria for driving in patients after temporal lobe epilepsy surgery with a comparison of Goldmann and Esterman perimetry AID - 10.1136/jnnp.68.1.80 DP - 2000 Jan 01 TA - Journal of Neurology, Neurosurgery & Psychiatry PG - 80--82 VI - 68 IP - 1 4099 - http://jnnp.bmj.com/content/68/1/80.short 4100 - http://jnnp.bmj.com/content/68/1/80.full SO - J Neurol Neurosurg Psychiatry2000 Jan 01; 68 AB - Twenty four patients who had undergone temporal lobe surgery for epilepsy were assessed to determine (a) whether or not they had developed a visual field defect and (b) if a field defect was present, were the visual field criteria, as required by the DVLA, fulfilled using the monocular Goldmann perimeter test and the automated binocular Esterman method performed on a Humphrey perimeter. A field deficit was found in 13 of 24 (54%) using the Goldmann perimeter and 11 of 24 (46%) by the Esterman method. The second was a more lenient assessment with six of 24 (25%) failing the driving criteria compared with 10 of 24 (42%) by the monocular Goldmann method. Three patients were seizure free but failed the driving criteria. This complication of surgery for temporal lobe epilepsy needs to be discussed with patients before surgery.