The gold standard clinical tool for evaluating visual dysfunction in cases of glaucoma and other disorders of vision remains the visual field or threshold perimetry exam. Administration of this exam has evolved over the years into a sophisticated, standardized, automated algorithm that relies heavily on specifics of disease processes particular to common retinal disorders. The purpose of this study is to evaluate the utility of a novel general estimator applied to visual field testing. A multidimensional psychometric function estimation tool was applied to visual field estimation. This tool is built on semiparametric probabilistic classification rather than multiple logistic regression. It combines the flexibility of nonparametric estimators and the efficiency of parametric estimators. Simulated visual fields were generated from human patients with a variety of diagnoses, and the errors between simulated ground truth and estimated visual fields were quantified. Error rates of the estimates were low, typically within 2 dB units of ground truth on average. The greatest threshold errors appeared to be confined to the portions of the threshold function with the highest spatial frequencies. This method can accurately estimate a variety of visual field profiles with continuous threshold estimates, potentially using a relatively small number of stimuli.

We introduce a novel information-theoretic approach for active model selection and demonstrate its effectiveness in a real-world application. Although our method can work with arbitrary models, we focus on actively learning the appropriate structure for Gaussian process (GP) models with arbitrary observation likelihoods. We then apply this framework to rapid screening for noise-induced hearing loss (NIHL), a widespread and preventible disability, if diagnosed early. We construct a GP model for pure-tone audiometric responses of patients with NIHL. Using this and a previously published model for healthy responses, the proposed method is shown to be capable of diagnosing the presence or absence of NIHL with drastically fewer samples than existing approaches. Further, the method is extremely fast and enables the diagnosis to be performed in real time.