Despite potentially conflicting results regarding whether frequency doubling is perceived at detection thresholds, a number of clear conclusions emerge from the literature regarding the use of FD gratings in perimetry. First, evidence indicates that detection and orientation-identification tasks isolate the same mechanism or mechanisms in healthy observers.
9 Therefore, asking healthy subjects to respond to any stimulus in the FDT Perimeter will isolate the same mechanism that is isolated when subjects are asked only to respond to spatial form, even if absolute threshold values differ between these two tasks. Second, the relationship between detection and orientation-identification thresholds remains constant regardless of age or the presence of visual field loss from glaucoma,
10 indicating that detection thresholds continue to isolate the same mechanism as orientation-identification thresholds even in the presence of visual field loss. This conclusion holds despite the small methodological differences between the detection and orientation-identification tasks used by McKendrick et al.
10 It is possible that orientation-identification thresholds do not, in fact, represent thresholds for the FD percept and that a criterion based explicitly on doubling would isolate a different mechanism. Most subjects see FD gratings as close to doubled at orientation-identification thresholds, however,
11 and this is equally true in areas of visual field damaged by glaucoma,
10 consistent with the idea that perceived spatial frequency does not change as a function of suprathreshold contrast level.
11 Finally, many clinical trials have found the FDT Perimeter is a useful tool for detecting glaucoma
3 ; presumably, most of these have used a detection criterion. Therefore, despite debate regarding the coincidence of detection and FD percept thresholds, there is good evidence that the detection criterion used in FDT perimetry isolates the same mechanisms as those originally investigated by Maddess and Henry.
2
In summary, our findings suggest that orientation-identification and detection thresholds for FD stimuli do not differ significantly and that recent results to the contrary may be the result of methodological problems. Our results indicate that results can be confidently compared between studies requiring the detection of spatial form in FD stimuli and studies using the clinical method wherein subjects responds to any stimulus.